Inequities in obesity: Indigenous, culturally and linguistically diverse, and disability perspectives

Kelly, Ray D.; Hatzikiriakidis, Kostas; Kuswara, Konsita

doi:10.17061/phrp3232225

Cited by 8 publications

(11 citation statements)

References 19 publications

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“…Policy makers can draw upon community expertise, for example in Australia, by working with organisations such as the Obesity Collective 15 , Weight Issues Network (WIN) 16 , Obesity Policy Coalition 17 and Parents' Voice. 18 Co-design approaches are also important for engaging with groups such as adolescents and young adults 8 , people with disability 9 , pregnant women living with disadvantage 19 and Indigenous Australians. 9 Public health and healthcare professionals can also play a critical role in empowering their communities.…”

Section: Create Environments That Support Healthmentioning

confidence: 99%

“…18 Co-design approaches are also important for engaging with groups such as adolescents and young adults 8 , people with disability 9 , pregnant women living with disadvantage 19 and Indigenous Australians. 9 Public health and healthcare professionals can also play a critical role in empowering their communities.…”

Section: Create Environments That Support Healthmentioning

confidence: 99%

“…and appropriate platforms health communication. 8,9 Additionally, there may be co-benefits beyond obesity -for example, planning environments to encourage increased physical activity can have other positive outcomes such as environmental and economic benefits. 10 Embed cross-sectoral action As indicated by Petre et al 11 , obesity prevalence is socially patterned and is associated with factors such as lower socioeconomic status, disadvantaged conditions and geography.…”

Section: Introductionmentioning

confidence: 99%

“…Priority populations, such as culturally and linguistically diverse communities and people living with a disability, are at higher risk of excess weight gain. 9 As highlighted by several papers in this special edition 9,11,12 , addressing obesity should not solely be a 'health' responsibility but requires collaboration and contribution from sectors beyond health, for example, public transport and urban development, to address the many social determinants.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Addressing obesity: determined action and bold leadership required for change

Gooey¹,

Baur²,

Arashiro³

et al. 2022

Public Health Res Pract.

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Section: Create Environments That Support Healthmentioning

confidence: 99%

Section: Create Environments That Support Healthmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Addressing obesity: determined action and bold leadership required for change

Gooey¹,

Baur²,

Arashiro³

et al. 2022

Public Health Res Pract.

View full text Add to dashboard Cite

“…Overweight and obesity are growing problems worldwide that affect children, adolescents and adults and are associated with decreased life expectancy (Engin 2017). In this sense, people with intellectual disabilities (IDs) have a higher prevalence of obesity and associated chronic diseases than people without disabilities (Kelly et al 2022). This condition exposes them to the development of metabolic and cardiovascular diseases such as diabetes and heart disease (Doody & Doody 2012) and can be explained by multifactorial causes such as the presence of comorbidities, eating habits, decreased energy expenditure at rest (Bertapelli et al 2016) and lower levels of physical activity in comparison with the general population (Borland et al 2020).…”

Section: Introductionmentioning

confidence: 99%

Cut‐off points for isometric handgrip and low limb explosive strength in relation to indicators of overweight/obesity in people with intellectual disabilities: analysis by age groups

Ferrero-Hernández

Farías‐Valenzuela

Ferrari

et al. 2023

J intellect Disabil Res

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BackgroundThe prevalence of overweight/obesity has been increasing globally and in people with Intellectual Disabilities (IDs), this problem is exacerbated even more, which added to a low physical condition that contributes to the deterioration of functionality and increases the risk of developing chronic diseases in the course of life. Therefore, the aim of this study was to establish cut‐off points for levels of isometric handgrip and low limb explosive strength in children, adolescents and adults, which identify overweight/obesity in people with IDs and their respective associations.MethodsThe sample was made up of 131 individuals with IDs, belonging to four special and community educational centres in the city of Santiago, Chile. Body mass index (BMI) and waist‐to‐height ratio (WHR) were used as indicators of overweight/obesity. Handgrip strength was used as a measure of isometric strength, and countermovement jump was used as a measure of low limb explosive strength. For the comparison of variables by age group, the analysis of Ancova, Kruskal–Wallis and chi‐square tests were used. The total area under the receiver operating characteristic curve of isometric handgrip and low limb explosive strength was identified as an indicator of overweight/obesity according to age groups. A logistic regression model was used to quantify the effect that strength categories below the cut‐off point have on the risk of overweight and obesity.ResultsSignificant differences were observed between the age groups for body weight, height, BMI and WHR, as well as in the levels of absolute handgrip strength and vertical jump with countermovement (P ≤ 0.05). Children showed the lowest cut‐off points for absolute and relative strength. The adolescent group showed the highest cut‐off points for relative strength and countermovement jump and adults showed the highest value for absolute strength as indicators of overweight/obesity. Different associations between cut‐off points with BMI and WHR were found.ConclusionsAdolescents showed the highest cut‐off point for relative strength and countermovement jump, and adults showed the highest value for absolute strength, according to overweight/obesity indicators (BMI and WHR). It is suggested to adjust resistance training programmes according to age categories for the prevention of overweight/obesity in people with IDs.

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Community‐based care needs for adults with class III obesity before and after tertiary weight management: An exploratory study

Termaat,

Piya,

McBride

2024

Obesity Science & Practice

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ObjectiveClass 3 obesity (severe obesity) is defined by a body mass index ≥40 kg/m2. Tertiary weight‐management programs (WMPs) are hospital‐based multidisciplinary services that aim to support individuals with severe obesity. Severe shortage of WMPs has led to waitlists and pressure on clinicians to discharge patients. Community obesity management often fails to support patients in maintaining weight loss/health gains. This study aimed to explore the needs of patients for community‐based obesity care.MethodsA qualitative study was undertaken via a tertiary WMP in Sydney, Australia. Semi‐structured interviews/focus groups explored perceptions of purposively sampled patients and their clinicians on the community‐based support needs of people with severe obesity. Data were audio‐recorded, transcribed verbatim, and then thematically analyzed.ResultsEleven patients and seven clinicians were interviewed. Four themes were identified: the importance of accountability and motivation to maintain weight‐loss/health gains; limitations within community‐based obesity management for those with severe obesity; perspectives on structured community programs for patients transitioning into/out of tertiary WMPs; and impact of mental health, stigma, and social isolation on engagement with community‐based services.ConclusionsCommunity‐based programs are needed to support those awaiting access to tertiary WMPs and to help maintain health gains once discharged. Such programs should address issues of social isolation and integrate with current models of tertiary metabolic and primary health care.

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Inequities in obesity: Indigenous, culturally and linguistically diverse, and disability perspectives

Cited by 8 publications

References 19 publications

Addressing obesity: determined action and bold leadership required for change

Addressing obesity: determined action and bold leadership required for change

Cut‐off points for isometric handgrip and low limb explosive strength in relation to indicators of overweight/obesity in people with intellectual disabilities: analysis by age groups

Community‐based care needs for adults with class III obesity before and after tertiary weight management: An exploratory study

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