Eating Disorders: School Related Factors and 1yr Change in Physical Activity Amongst 9-11 Year Old English Schoolchildren.

School related factors and 1yr change in physical activity amongst 9-11 year old English schoolchildren.

Filed under: Eating Disorders

Int J Behav Nutr Phys Act. 2012 Dec 31; 9(1): 153
Mantjes JA, Jones AP, Corder K, Jones NR, Harrison F, Griffin SJ, van Sluijs EM

ABSTRACT: BACKGROUND: Activity levels are known to decline with age and there is growing evidence of associations between the school environment and physical activity. In this study we investigated how objectively measured one-year changes in physical activity may be associated with school-related factors in 9- to 10-year-old British children. METHODS: Data were analysed from 839 children attending 89 schools in the SPEEDY (Sport, Physical Activity, and Eating behaviours: Environmental Determinants in Young People) study. Outcomes variables were one year changes in objectively measured sedentary, moderate, and vigorous physical activity, with baseline measures taken when the children were 9–10 years old. School characteristics hypothesised to be associated with change in physical activity were identified from questionnaires, grounds audits, and computer mapping. Associations were examined using simple and multivariable multilevel regression models for both school (9 am — 3 pm) and travel (8–9 am and 3–4 pm) time. RESULTS: Significant associations during school time included the length of the morning break which was found to be supportive of moderate (beta coefficient: 0.68 [p: 0.003]) and vigorous (beta coefficient: 0.52 [p: 0.002]) activities and helps to prevent adverse changes in sedentary time (beta coefficient: -2.52 [p: 0.001]). During travel time, positive associations were found between the presence of safe places to cross roads around the school and changes in moderate (beta coefficient: 0.83 [p:0.022]) and vigorous (beta coefficient: 0.56 [p:0.001]) activity, as well as sedentary time (beta coefficient: -1.61 [p:0.005]). CONCLUSION: This study suggests that having longer morning school breaks and providing road safety features such as cycling infrastructure, a crossing guard, and safe places for children to cross the road may have a role to play in supporting the maintenance of moderate and vigorous activity behaviours, and preventing the development of sedentary behaviours in children.
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Assessment of nutrient intakes of picky-eating Chinese preschoolers using a modified food frequency questionnaire.

Filed under: Eating Disorders

World J Pediatr. 2012 Dec 29;
Kwok FY, Ho YY, Chow CM, So CY, Leung TF

BACKGROUND: Dietary assessment is crucial for monitoring nutritional status of young children. This study applied a modified Chinese food frequency questionnaire (FFQ) to assess nutrient intakes of young picky-eating Hong Kong children. METHODS: Nutrient intakes were obtained by FFQ and 3-day food record (3DFR) in 29 picky-eating children aged 44.8±9.2 months who participated in a randomised controlled trial of a new milk formula. RESULTS: When compared with 3DFR, FFQ overreported energy intake by 283 kcal (26.5%) at baseline and 237 kcal (21.4%) at end-of-study, and also overestimated intakes of carbohydrates, proteins and fats. At baseline, FFQ and 3DFR classified 34.4%-65.5% of subjects into the same tertiles for most nutrients. These methods showed weak-to-moderate agreement in measuring most nutrients, with 3DFR showing a trend towards a systematic increase in the differences with increasing nutrient intake. CONCLUSION: Our FFQ shows promising results for assessing nutrient intakes in picky-eating Chinese preschoolers.
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A Difficult Parent: When Parent-Child Attachment is Fragile.

Filed under: Eating Disorders

J Dev Behav Pediatr. 2013 Jan; 34(1): 52-5
Brown S, Bertuol C, Nassar Kuhn N, Stein MT

CASE:: Mrs. Forrest brought Jackie, her 11-year-old adopted daughter, to her pediatrician with a range of concerns, including problems with attention, school performance, anxiety, and frequent oppositional behaviors. Jackie was removed from school because of her mother’s concern that the “school was not doing enough” to help Jackie. School reports were not available at this visit. Her mother reported going to great lengths to seek help for Jackie, including individual and family therapy, a psychological evaluation, academic tutoring, and a variety of home-school curricula. She planned to enroll Jackie in a residential treatment program. Little is known about Jackie’s early childhood experience. She may have been exposed to alcohol and drugs during the pregnancy. Jackie lived with her biological mother until age 3 years, at which time she was placed in foster care because of allegations of abuse and neglect. She was in multiple foster homes until she was adopted by Mr. and Mrs. Forrest at 6 years of age. Mrs. Forrest’s description of Jackie’s oppositional behaviors was vague, and when asked to cite specific examples of these behaviors, Mrs. Forrest replied, “Unless you live with her you will have no idea how she really is.” With Jackie present in the room, Mrs. Forrest stated that Jackie “is wrecking our family,” and that she and Jackie “have never been attached to each another.”When interviewed alone, Jackie was noticeably upset by what her mother had said; she displayed a sad affect. She expressed remorse for “being bad” and a desire “to get along with my family” and “to go back to school.” She drew a picture of herself and her adoptive mother smiling and eating ice cream together.Over the next several months, Jackie’s mother insisted that the pediatrician prescribe medication to manage Jackie’s behaviors; she became upset when he expressed reluctance. She was resistant to a recommendation for family therapy, although she did place Jackie in individual therapy. At this point, Jackie’s pediatrician became aware of his feelings of anger and resentment directed toward Mrs. Forrest.
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Who Still Eats Three Meals a Day? Findings from a Quantitative Survey in the Paris Area.

Filed under: Eating Disorders

Appetite. 2012 Dec 26;
Lhuissier A, Tichit C, Caillavet F, Cardon P, Masullo A, Martin J, Parizot I, Chauvin P

In France, mealtimes constitute a strong cultural trait, especially the three-meal pattern. The aim of our study was to test whether this pattern is still prevailing and to what extent familial structure, gender, poverty and migration have an effect on meal frequency. This study is based on a cross-sectional analysis of data collected in 2010 in the SIRS cohort study among a representative sample of 3006 adults in the Paris metropolitan area. We developed simple logistic models and multinomial logistic models. Results confirmed that the three-meal pattern remains strongly rooted in food habits in the Paris area. For three meals a day, the presence of a partner was more significant than the presence of children in the household. However, the study highlighted that one out of four inhabitants declared eating two meals a day only. The results emphasized gender differences in eating two meals a day, as being less frequent but more distinctive for women than for men. For women indeed, it was mainly linked to economic and social vulnerability (women below the poverty line, foreigners, in single parent families). In this respect, the paper provides new insights into the social differentiation of meal patterns, and calls for further analysis.
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