American journal of preventive medicine
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Few studies have identified health-related criterion standards of percent body fat (%BF) in U.S. youth. Further, existing standards are static thresholds (e.g., 25%, 30%) and do not account for normal growth and maturation. ⋯ Age- and gender-specific %BF thresholds for creating separate risk groups were identified in relation to metabolic syndrome status. The selected thresholds identify adolescents with unfavorable metabolic profiles. These values could be extrapolated to younger children using previously created %BF centiles, which potentially allows for earlier identification and intervention of at-risk youth if tracking of current %BF was maintained.
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Randomized Controlled Trial Multicenter Study
Lay health educators translate a weight-loss intervention in senior centers: a randomized controlled trial.
Older adults have high obesity rates and respond well to evidence-based weight-loss programs, such as the Diabetes Prevention Program (DPP) Lifestyle intervention. The goal of this study was to determine whether a translation of the DPP Lifestyle program delivered by lay health educators and conducted in senior centers is effective in promoting weight loss among older adults. ⋯ A behavioral lifestyle weight-loss intervention delivered by a lay health educator offers a promising vehicle for translation of evidence-based obesity treatment programs in underserved areas.
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Randomized Controlled Trial
Telephone counseling and attendance in a national mammography-screening program a randomized controlled trial.
In Germany, a mammography-screening program (MSP) was implemented on a national level. It complies with all criteria of the European guidelines for quality assurance in screening mammography; however, the attendance rate is 54%, falling short of the target attendance rate of 70%. The aim of this study was to investigate whether additional telephone counseling improves attendance among nonresponders and the level of satisfaction with telephone counseling. ⋯ Individual telephone counseling for nonresponders to a national program for breast cancer screening was well accepted by participants and effective.
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Randomized Controlled Trial
Neighborhood and parental supports for physical activity in minority adolescents.
Few studies have examined environmental, home, and parental supports for physical activity in underserved adolescents (low income, ethnic minority). Given the increasing incidence of obesity in minority adolescents, it is important to better understand ecologic determinants of physical activity in these youth. This study used an ecologic model to evaluate the significance of neighborhood, home, and parental supports for physical activity on moderate-to-vigorous (MV) physical activity in underserved adolescents. ⋯ Support from parents and neighborhood quality are both associated with increased physical activity in underserved adolescents.
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Nutrition labeling of menus has been promoted as a means for helping consumers make healthier food choices at restaurants. As part of national health reform, chain restaurants will be required to post nutrition information at point-of-purchase, but more evidence regarding the impact of these regulations, particularly in children, is needed. ⋯ A restaurant menu-labeling regulation increased parents' nutrition information awareness but did not decrease calories purchased for either children or parents.