Examining risk factors for overweight and obesity in children with disabilities: a commentary on Bronfenbrenner’s ecological systems framework

Walker, Meaghan; Nixon, Stephanie; Haines, Jess; McPherson, Amy C.

doi:10.1080/17518423.2018.1523241

Cited by 18 publications

(15 citation statements)

References 43 publications

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“…Answers were given on an 8-point scale (0 = none to 7 = daily). The measure has reasonable validity (r = 0.37) with five-day accelerometer data [ 36 ] and acceptable test-retest reliability when used as a dichotomous variable [ 37 ]. Moderate-to-vigorous physical activity was also assessed with the following item: “How many hours a week do you engage, in your free time, in physical activity that makes you get out of breath or sweat?”, with scores ranging from 1 (0 h) to 6 (7 h/week or more).…”

Section: Methodsmentioning

confidence: 99%

Risk Behaviors, Family Support, and Emotional Health among Adolescents during the COVID-19 Pandemic in Israel

Shapiro

Nissanholtz-Gannot

Green

et al. 2022

IJERPH

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We investigated the prevalence of risk behaviors among Israeli adolescents (tobacco smoking, alcohol consumption, drug use) during the COVID-19 pandemic. Associations between different risk behaviors were examined and so was whether specific characteristics could predict risk behaviors in adolescents. The study consisted of 1020 Israeli adolescents aged 15–18. Study subjects completed an online survey between the first and second lockdowns in Israel (April 2020 to September 2020). Participants reported the frequency at which they engaged in four different risky behaviors: general risky behavior, tobacco smoking, alcohol consumption (binge drinking), and cannabis use. The most prevalent risky behavior in the sample was binge drinking (33.8%). The four measured risky behaviors were significantly correlated. Among participants who had previously engaged in a risky behavior assessed, most did not change the behavior frequency during the pandemic. All independent variables (sociodemographic characteristics, family support, and emotional, health excluding friends’ support, physical activity volume, and coronavirus restrictions) were significantly different between participants engaging vs. not engaging in risky behaviors. Our findings suggest that family support is one of the most influential factors in preventing risky behavior during the pandemic, and they emphasize the importance of family-based interventions with children and adolescents from elementary to high school.

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Section: Methodsmentioning

confidence: 99%

Risk Behaviors, Family Support, and Emotional Health among Adolescents during the COVID-19 Pandemic in Israel

Shapiro

Nissanholtz-Gannot

Green

et al. 2022

IJERPH

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“…This risk factor was present in all the clusters, including in the low-risk clusters. These results were not surprising, as high rates of physical inactivity at young ages have been found worldwide [ 35 , 36 , 37 ]. For example, in the National Health and Nutrition Examination Survey, roughly 25% of adolescents met the physical activity guidelines of 60 min of moderate to vigorous physical activity daily [ 42 ].…”

Section: Discussionmentioning

confidence: 69%

“…Accordingly, physical activity level was assessed using the question “How often over the past seven days have you been physically active for a total of at least 60 min per day?” Answers were given on an 8-point scale (0 = none to 7 = daily). The measure has reasonable validity (r = 0.37) with 5-day accelerometer data [ 35 ] and acceptable test-retest reliability when used as a dichotomous variable [ 36 ]. At the time of data collection, according to the WHO (2021), adolescents and young people aged 5–17 years should engage in at least 60 min of moderate physical activity daily [ 37 ].…”

Section: Methodsmentioning

confidence: 99%

Identifying Cardiovascular Risk Profiles Clusters among Mediterranean Adolescents across Seven Countries

et al. 2022

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Cardiovascular diseases (CVDs) are the number one cause of death globally and are partially due to the inability to control modifiable lifestyle risk factors. The aim of this study was to analyze the profiles of adolescents from seven Mediterranean countries (Greece, Israel, Italy, Macedonia, Malta, Portugal, Spain) according to their modifiable lifestyle risk factors for CVD (overweight/obesity, physical activity, smoking, alcohol consumption). The sample consisted of 26,110 adolescents (52.3% girls) aged 11, 13, and 15 years who participated in the Health Behavior in School-aged Children (HBSC) survey in 2018 across the seven countries. Sociodemographic characteristics (sex, age, country of residence, socioeconomic status) and CVD modifiable lifestyle risk factors (overweight/obesity, physical activity, smoking, alcohol consumption) were recorded. A two-step cluster analysis, one-way analysis of variance, and chi-square test were performed. Four different cluster groups were identified: two low-risk groups (64.46%), with risk among those with low physical activity levels; moderate-risk group (14.83%), with two risk factors (unhealthy weight and low physical activity level); and a high-risk group (20.7%), which presented risk in all modifiable lifestyle risk factors. Older adolescents reported a higher likelihood of being in the high-risk group. Given that the adolescence period constitutes an important time for interventions aimed at CVD prevention, identifying profiles of moderate- and high-risk adolescents is crucial.

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“…For example, due to the lack of PA opportunities, adolescents with sensory problems become more likely to engage in recreational ST such as watching television and may have more school absenteeism and other exclusions from school activities, such as physical education class and field trips. 24 In addition, adolescents with sensory problems are often excluded from different types of exercise programs, both in school and after-school activities, due to inaccessibility-making them more likely to engage in sedentary activities. 25 Our study includes some strengths, including the use of a large nationally representative sample of Colombian adolescents with visual-and hearing-related problems.…”

Section: Discussionmentioning

confidence: 99%

Meeting physical activity and screen time among Colombian adolescents with or without sensory‐related problems

López-Gil

Ramírez‐Vélez

Flórez-López

et al. 2021

Scandinavian Med Sci Sports

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The aim of this study was to assess the extent to which adolescents with and without visual and hearing‐related problems meet physical activity (PA) and recreational screen time (ST) recommendations in a representative Colombian sample. A total of 35,404 adolescents aged 13–17 years were included from the Encuesta Nacional de Salud Escolar (ENSE) (Colombia). Sociodemographic‐related information, anthropometric variables, PA, ST, and both visual‐ and hearing‐related problems were collected by self‐administered questionnaires. The prevalence of adolescents meeting with PA, ST, and both recommendations was 14.8%, 53.4%, and 7.8%, respectively. Both sexes with visual‐ (males: OR=0.70, 95%CI 0.59–0.83; females: OR=0.73, 95%CI 0.61–0.88) and hearing‐related problems (males, OR=0.75, 95%CI 0.61–0.93; females, OR=0.76, 95%CI 0.61–0.94) are less likely to meet combined recommendations. Sensory problems such as vision‐ and hearing‐related problems could be considered key barriers to engagement in PA and facilitators of recreational ST in Colombian adolescents.

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Examining risk factors for overweight and obesity in children with disabilities: a commentary on Bronfenbrenner’s ecological systems framework

Cited by 18 publications

References 43 publications

Risk Behaviors, Family Support, and Emotional Health among Adolescents during the COVID-19 Pandemic in Israel

Risk Behaviors, Family Support, and Emotional Health among Adolescents during the COVID-19 Pandemic in Israel

Identifying Cardiovascular Risk Profiles Clusters among Mediterranean Adolescents across Seven Countries

Meeting physical activity and screen time among Colombian adolescents with or without sensory‐related problems

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