Preventive medicine
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Preventive medicine · Nov 2013
Risk factors for single and recurrent falls: a prospective study of falls in community dwelling seniors without cognitive impairment.
The purpose of this study is to contribute evidence towards heterogeneity in risk factors for single and recurrent falls. ⋯ Different intervention strategies should be developed for single and recurrent fallers.
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Preventive medicine · Nov 2013
Review Comparative StudyAn overview of national clinical guidelines for the management of childhood obesity in primary care.
Review of clinical guidelines. ⋯ The present review shows that there is international consensus regarding the recommendations for management of childhood obesity. There is less international consensus regarding the diagnostic classification of childhood obesity.
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Preventive medicine · Nov 2013
Randomized Controlled Trial Comparative StudyWeight and metabolic effects of dietary weight loss and exercise interventions in postmenopausal antidepressant medication users and non-users: a randomized controlled trial.
Antidepressants may attenuate the effects of diet and exercise programs. We compared adherence and changes in body measures and biomarkers of glucose metabolism and inflammation between antidepressant users and non-users in a 12-month randomized controlled trial. ⋯ Dietary weight loss and exercise improved body measures and biomarkers of glucose metabolism and inflammation independent of antidepressant use.
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Preventive medicine · Nov 2013
Multicenter Study Controlled Clinical TrialEffects of a playground marking intervention on school recess physical activity in French children.
Playground interventions offer an opportunity to enhance school recess physical activity. We aimed to assess the effects of playground marking on objectively measured school recess physical activity in French children. ⋯ Painted playground markings had a positive short-term effect on school recess physical activity levels.
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Preventive medicine · Nov 2013
Comparative StudyBeliefs, behaviors and HPV vaccine: correcting the myths and the misinformation.
Human papillomavirus (HPV) vaccine uptake in many countries has been sub-optimal. We examine several issues associated with non-vaccination that have received particular attention, including fears about sexual risk compensation, concerns about vaccine safety, inadequate vaccination recommendations by health care providers (HCPs), and distrust due to the perceived "newness" of HPV vaccines. ⋯ Most fears related to HPV vaccine are more related to myth than reality. In the absence of major health policy initiatives, such as those implemented in Canada, the U.K., and Australia, a multi-level, multi-faceted approach will be required to achieve high rates of HPV vaccination. It will be essential to focus on the education of HCPs regarding indications for HPV vaccination and approaches to communicating most effectively with parents and patients about the safety and benefits of vaccination and the risks associated with non-vaccination.