Child Health Promotion in Underserved Communities

Fernández‐Jiménez, Rodrigo; Jaslow, Risa; Bansilal, Sameer; Santana, Maribel; Díaz-Munoz, Raquel; Latina, Jacqueline; Soto, Ana Victoria; Vedanthan, Rajesh; Al‐Kazaz, Mohamed; Giannarelli, Chiara; Kovacic, Jason C.; Bagiella, Emilia; Kasarskis, Andrew; Fayad, Zahi A.; Hajjar, Roger J.; Fuster, Valentín

doi:10.1016/j.jacc.2019.01.057

Cited by 42 publications

(25 citation statements)

References 30 publications

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“…The SI! Program ( Salud Integral —Comprehensive Health) () is a school-based multicomponent educational intervention aimed at promoting CV health in childhood and adolescence [15,16,17,18,19]. The SI!…”

Section: Methodsmentioning

confidence: 99%

Dietary Patterns and Cardiovascular Risk Factors in Spanish Adolescents: A Cross-Sectional Analysis of the SI! Program for Health Promotion in Secondary Schools

et al. 2019

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Previous studies on the association between dietary habits and cardiovascular risk factors (CVRF) in adolescents have generated conflicting results. The aim of this study was to describe dietary patterns (DP) in a large sample of Spanish adolescents and to assess their cross-sectional relationship with CVRF. In total, 1324 adolescents aged 12.5 ± 0.4 years (51.6% boys) from 24 secondary schools completed a self-reported food frequency questionnaire. DPs were derived by cluster analysis and principal component analysis (PCA). Anthropometric measurements, blood pressure, lipid profile, and glucose levels were assessed. Linear mixed models were applied to estimate the association between DPs and CVRF. Three DP-related clusters were obtained: Processed (29.2%); Traditional (39.1%); and Healthy (31.7%). Analogous patterns were obtained in the PCA. No overall differences in CVRF were observed between clusters except for z-BMI values, total cholesterol, and non-HDL cholesterol, with the Processed cluster showing the lowest mean values. However, differences were small. In conclusion, the overall association between DPs, as assessed by two different methods, and most analyzed CVRF was weak and not clinically relevant in a large sample of adolescents. Prospective analysis may help to disentangle the direction of these associations.

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Section: Methodsmentioning

confidence: 99%

Dietary Patterns and Cardiovascular Risk Factors in Spanish Adolescents: A Cross-Sectional Analysis of the SI! Program for Health Promotion in Secondary Schools

et al. 2019

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“…Furthermore, some multidisciplinary pediatric programs seem to be more successful than programs for adults in maintaining weight loss for 5 or 10 years [23]. Recently the Familia study demonstrated that a four-month educational program with a multicomponent intervention promoting a healthy diet, increasing physical activity, understanding the human body, and managing emotions is an effective strategy to change behavior in children [25]. In Brazil, the Children First Study demonstrated that an educational program in cardiovascular prevention aimed at children aged 6 to 10 years can reduce the Framigham cardiovascular risk of their parents [26].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Combined Lipid Abnormalities in Brazilian Adolescents and Its Association with Nutritional Status: Data from the Erica Study

et al. 2020

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Background: Cardiovascular diseases are the leading cause of death in Brazil and worldwide. The growing incidence of obesity in children and adolescents and its association with lipid abnormalities may worsen this scenario, mainly in developing countries where obesity has reached epidemic levels. Dyslipidemias have several patterns, and the combination of some lipid abnormalities may have higher atherogenic potential. Objectives: To evaluate the prevalence of single or multiple combined lipid abnormalities in adolescents and its association with nutritional status assessed by body mass index. Methods: Data were obtained from the Study of Cardiovascular Risks in Adolescents (ERICA), a school-based, national representative study with Brazilian adolescents between 12 and 17 years of age. Adolescents whose lipid profiles were available were included, and lipid abnormalities were defined as LDL-C ≥ 100 mg/dL, HDL-C < 45 mg/dL, and tryglicerides (TG) ≥ 100 mg/dL. We assessed the prevalence of single or combined lipid abnormalities and correlated this nutritional status with body mass index of low weight, normal, overweight, and obesity. Results: A total of 38,069 adolescents were included, with more than 24,000 of them presenting at least one lipid abnormality (64.7%), and 3.7% showing alterations in all of them. The most prevalent combination was high TG with low HDL-C levels. The higher the BMI, the more lipid abnormalities were found. Conclusions: In this large and representative sample of Brazilian adolescents, the majority had at least one lipid abnormality. Higher BMI was associated with a higher prevalence of combined lipid abnormalities. Highlights:-There is a high prevalence of Brazilian adolescents with dyslipidemias.-BMI was associated with a higher prevalence of combined lipid abnormalities.-BMI can be considered as an indicator of the diagnosis of dyslipidemia in adolescents.

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“…While adolescence had previously been thought of as the most appropriate time to consider health topics and HL development, contemporary life-course research suggests adolescence may be too late, thus justifying a focus on HL in the primary school context (Borzekowski, 2009;Bröder and Carvalho, 2019). Specifically, primary schools provide a key setting in which to support children to develop HL skills at an impressionable age (Fernandez-Jimenez et al, 2019;Hill et al, 2020). Furthermore, health attitudes and behaviours formed during childhood greatly influence adult health patterns, with experts internationally stressing the critical role that schools play in helping students achieve HL (Bröder et al, 2017;Deal et al, 2010).…”

Section: Hl In Schoolsmentioning

confidence: 99%

HealthLit4Kids: Dilemmas associated with student health literacy development in the primary school setting

Nash

Cruickshank

Pill

et al. 2020

Health Education Journal

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Objective: To ascertain teachers’ articulation and experiences of navigating dilemmas that inhibit and/or enable the fostering of health literacy in primary school settings. Design: Qualitative analysis of teachers’ written reflections on introducing health literacy into their school and classroom. Setting: Tasmania, Australia. Method: Eighty-four teachers in five primary schools participated in the HealthLit4Kids programme. Teacher reflections were collected at the conclusion of the first year of the programme and assessed using Windschitl’s Dilemmas to identify recurrent themes raised by the conceptual, pedagogic, cultural and political dilemmas teachers faced. Results: Key dilemmas faced by teachers concerned the development of a whole-of-school approach, student engagement and professional development. Conclusion: Internationally few health literacy programmes for primary schools exist. The theory developed from the themes identified in this study will inform future health literacy programme design and implementation strategies. Purposeful consideration of each theme will guide their success, scalability and sustainability. Future research on the role of constructivist teaching styles in health literacy development in the school setting is urgently required.

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Child Health Promotion in Underserved Communities

Cited by 42 publications

References 30 publications

Dietary Patterns and Cardiovascular Risk Factors in Spanish Adolescents: A Cross-Sectional Analysis of the SI! Program for Health Promotion in Secondary Schools

Dietary Patterns and Cardiovascular Risk Factors in Spanish Adolescents: A Cross-Sectional Analysis of the SI! Program for Health Promotion in Secondary Schools

Prevalence of Combined Lipid Abnormalities in Brazilian Adolescents and Its Association with Nutritional Status: Data from the Erica Study

HealthLit4Kids: Dilemmas associated with student health literacy development in the primary school setting

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