Prospective interviews with open-ended questions identified factors influencing parents' decision making not previously described in the critical care literature such as parents' past experiences with end-of-life decisions and their anticipated emotional adjustments and future resources. Inclusion of these factors into discussions is important to parents and may facilitate decisions regarding the limitation or withdrawal of life support.
These findings suggest that the 11 year trend of annual decreases in BLLs in children in Flint, Michigan, reversed to a degree consistent with random variation from 2010 to 2011, and again during the exposure to Flint River water in 2014-2015. Historically, public health efforts to reduce BLLs of young children in Flint have been effective over the 11-year period studied.
<p><strong>Objective: </strong>To examine the association of the Family Nutrition and Physical Activity (FNPA) screening tool with weight status, percent body fat, and acanthosis nigricans (AN) in 6- to 13-year-old children from a low socioeconomic, urban community.</p><p><strong>Methods: </strong>Children (<em>N</em>=415) from four elementary schools located around Flint, Michigan were assessed for body mass index, percent body fat, and AN. The FNPA screening tool was completed by parents. Mann-Whitney U tests were used to assess differences in FNPA score by sex and presence of AN. Logistic regression was used to evaluate the association of the FNPA (tertiles) with weight status and AN.</p><p><strong>Results: </strong>Children with AN (13.7%) had a significantly lower FNPA score (56.3 <span style="text-decoration: underline;">+ </span>7.1) compared with children without AN (61.0 <span style="text-decoration: underline;">+ </span>7.1; <em>P</em><.05). Children with FNPA scores in the lowest tertile (high-risk) had odds ratios of 1.74 (95% CI =1.05 – 2.91) and 2.77 (95% CI =1.22 – 6.27) compared with children with FNPA scores in the highest tertile (low-risk) for being overfat and having AN, respectively.</p><p><strong>Conclusion: </strong>Although the FNPA screening tool did not predict risk for being overweight or obese, it was significantly associated with an increased odds of children at risk for being overfat or having AN. <em>Ethn Dis. </em>2015;25(4):399-404; doi:10.18865/ ed.25.4.399</p>
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