School-based obesity screening in rural Appalachia

Demerath, Ellen W.; Muratova, Viktorina N.; Spangler, E; Lǐ, Jiànróng; Minor, Valerie; Neal, William A.

doi:10.1016/j.ypmed.2003.09.013

Cited by 47 publications

(57 citation statements)

References 30 publications

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“…We studied children enrolled during the 2007-2008 academic year in public schools throughout the state of West Virginia and participating in the Coronary Artery Risk Detection In Appalachian Communities (CARDIAC) Project, a community-based cardiovascular risk detection program (14,15). All children enrolled in kindergarten, second, and fifth grade classrooms in West Virginia were eligible to participate in CARDIAC.…”

Section: Subjectsmentioning

confidence: 99%

Metabolic Abnormalities in Children with Asthma

Cottrell

Neal

Ice

et al. 2011

Am J Respir Crit Care Med

174

144

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Rationale: Childhood asthma and obesity have reached epidemic proportions worldwide, and the latter is also contributing to increasing rates of related metabolic disorders, such as diabetes. Yet, the relationship between asthma, obesity, and abnormal lipid and glucose metabolism is not well understood, nor has it been adequately explored in children. Objectives: To analyze the relationship between asthma diagnosis and body mass in children across the entire range of weight percentile categories, and to test the hypothesis that early derangement in lipid and glucose metabolism is independently associated with increased risk for asthma. Methods: Cross-sectional analysis of a representative sample of public school children from a statewide community-based screening program, including a total of 17,994 children, 4 to 12 years old, living in predominantly rural West Virginia, and enrolled in kindergarten, second, or fifth grade classrooms. Measurements and Main Results: We analyzed demographics; family history; smoke exposure; parent-reported asthma diagnosis; body mass index; evidence of acanthosis nigricans as a marker for developing insulin resistance; and fasting serum lipid profile including total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and triglycerides. Regardless of their body mass index percentile, children diagnosed with asthma were more likely than children without asthma to have higher triglyceride levels and acanthosis nigricans after controlling for sex differences and smoke exposure. Conclusions: This study provides the first set of community-based data linking asthma, body mass, and metabolic variables in children. In particular, these findings uniquely describe a statistically significant association between asthma and abnormal lipid and glucose metabolism beyond body mass index associations.

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Section: Subjectsmentioning

confidence: 99%

Metabolic Abnormalities in Children with Asthma

Cottrell

Neal

Ice

et al. 2011

Am J Respir Crit Care Med

174

144

View full text Add to dashboard Cite

show abstract

“…West Virginia 5 th grade children were identified to have elevated total cholesterol, elevated systolic blood pressures, and elevated systolic blood pressures as compared to non-overweight (Demerath et al, 2003). Such findings are similar to other communities with high childhood obesity rates.…”

Section: West Virginiasupporting

confidence: 60%

“…Thus, fitness levels in this study may be more reflective of the community in which the students reside rather than a measure of personal attributes. Nevertheless, further exploration of the association between BMI and aerobic fitness is imperative; as previous research indicated that overweight and obese WV children had elevated total cholesterol and elevated systolic blood (Demerath et al, 2003).…”

Section: Final Modelmentioning

confidence: 99%

Spatial Distribution of Obesity among West Virginia 5th Grade Children: Analysis of the Socioeconomic, Physical, and Personal Environment

Roper¹

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“…The ANS was targeted at people with a body mass index (BMI) of between 23 and 30 kg m 22 , and was aimed at preventing weight gain and improving nutritional habits among this group. The ANS was not designed to result in weight loss in the short term, but had the potential to prevent weight gain in the long term.…”

Section: Target Groupmentioning

confidence: 99%

Evaluation of a brief pilot nutrition and exercise intervention for the prevention of weight gain in general practice patients

Booth

Nowson

Huang³

et al. 2006

PHN

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Objective: To pilot-test a brief written prescription recommending lifestyle changes delivered by general practitioners (GPs) to their patients. Design: The Active Nutrition Script (ANS) included five nutrition messages and personalised exercise advice for a healthy lifestyle and/or the prevention of weight gain. GPs were asked to administer 10 scripts over 4 weeks to 10 adult patients with a body mass index (BMI) of between 23 and 30 kg m 22 . Information recorded on the script consisted of patients' weight, height, waist circumference, gender and date of birth, type and frequency of physical activity prescribed, and the selected nutrition messages. GPs also recorded reasons for administering the script. Interviews recorded GPs views on using the script. Setting: General practices located across greater Melbourne. Subjects and results: Nineteen GPs (63% female) provided a median of nine scripts over 4 weeks. Scripts were administered to 145 patients (mean age: 54^13.2 years, mean BMI: 31.7^6.3 kg m 22 ; 57% female), 52% of whom were classified as obese (BMI .30 kg m 22). GPs cited 'weight reduction' as a reason for writing the script for 78% of patients. All interviewed GPs (90%, n ¼ 17) indicated that the messages were clear and simple to deliver. Conclusions: GPs found the ANS provided clear nutrition messages that were simple to deliver. However, GPs administered the script to obese patients for weight loss rather than to prevent weight gain among the target group. This has important implications for future health promotion interventions designed for general practice.

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School-based obesity screening in rural Appalachia

Cited by 47 publications

References 30 publications

Metabolic Abnormalities in Children with Asthma

Metabolic Abnormalities in Children with Asthma

Spatial Distribution of Obesity among West Virginia 5th Grade Children: Analysis of the Socioeconomic, Physical, and Personal Environment

Evaluation of a brief pilot nutrition and exercise intervention for the prevention of weight gain in general practice patients

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