- Email: [email protected]
The MoYo-Project. Study design and feasibility testing
Abstracts/Appetite 89 (2015) 301–330
Changes in feeding behavior in students aged 14–18 years E. VUCHKOVA a, M. KONSTANTINOVA a, S. PETROVA b, L. RANGELOVA b, D. BOJILOVA b, R. KOLEVA c, I. VLAHOVA a. a University Pediatric Hospital, Sofia, Bulgaria, b National Center of Public Health and Analysis, Sofia, Bulgaria, c First Diagnostic Consulting Centre, Stara Zagora, Bulgaria. [email protected] Prevalence of eating disorders (EDs) has become a growing concern among students. The aim of the study is to establish bias in eating behavior among students aged 14–18 years. This is a part of the National survey on nutrition and nutritional status assessment of students, conducted in 2010–2011. A total of 4227 students (2132 boys) between 6 and 18 years from 36 randomly selected schools in Bulgaria were examined. The sample size was representative, consent to participate of every student was signed by a parent. A total of 1647 children (786 boys) above 14 years completed short version of Eating Attitudes Test (EAT 26). The questionnaire was used to measure behavior, feelings and thoughts associated with eating disorders. Overweight and obesity of school children were assessed by BMI, using the standard proposed by Cole, Bellizzi, Flegal, & Dietz, 2000). The results showed significant sex difference for eating behavior bias 20.4% in girls compared to 8.0% in boys with higher prevalence of underweight girls aged 14–18 (14.4%, 5.7% in boys). Analyzing BMI data and eating behavior bias revealed: for the underweight group – average eating behavior bias was 3.9% (6.8% in girls and 0% in boys), for the normal and overweight/obese – average 15% (for girls 21.1% and for boys 8.3%). This is the first survey that shows serious problems with changes in eating pattern. There are significant sex differences: 1/5 of the girls and 1/11 of the boys in these age groups have changes in feeding behavior. Reference Cole, T. J., Bellizzi, M. C., Flegal, K. M., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide. International survey. BMJ (Clinical Research Ed.), 320, doi:10.1136/bmj.320.7244.1240. http://dx.doi.org/10.1016/j.appet.2014.12.068
The MoYo-Project. Study design and feasibility testing K. SCHWENOHA a , K. GMEINHART a , B. BOGNER a , b b M. TIEFENGRABNER , T. STÜTZ , E. ARDELT-GATTINGER c , S. RING-DIMITRIOU d , K. PAULMICHL e , D. WEGHUBER e , G.J. OOSTINGH a. a Department Biomedical Sciences, Salzburg University b of Applied Sciences, Salzburg, Austria, Department MultiMediaTechnology, Salzburg University of Applied Sciences, Salzburg, Austria, c Department Psychology, University of Salzburg, Salzburg, Austria, d Department Sport Science and Kinesiology, University of Salzburg, Salzburg, Austria, e Department Pediatrics, Paracelsus Medical University, Salzburg, Austria. [email protected] The purpose of the project MoYo (Motivating Young People) is to evaluate the health status of adolescents at schools in Salzburg. In addition, the effect of knowledge transfer and support of selfempowerment regarding a balanced diet on (1) cardiovascular risk markers, (2) nutrition preferences and (3) physical fitness are
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investigated over time. The study design and its implementation at schools are presented. Four hundred adolescents (male = female) aged 13–16 years will be recruited. Cardiovascular risk factors including parameters of carbohydrate and lipid metabolism, subclinical inflammation as well as anthropometric parameters including body mass index and waist-to-hip ratio will be determined. To assess changes in nutrition preferences, items of the standardized ADEVA questionnaire will be used. Physical fitness will be measured by a standardized, age- and percentile-matched physical fitness test battery. The intervention program includes nutrition and laboratory workshops dealing with food and its effects on body functions. Smart-phone applications will be used to document food intake and kinesic behaviour. An intervention group is compared to an age- and gender-matched control group. The study concept has been approved by the local ethic committee and the first results of the study providing the health status of adolescent students in Salzburg are available by October 2014. The study design and first results will be discussed. http://dx.doi.org/10.1016/j.appet.2014.12.069
Treatment of overweight and obese children in municipalities across Denmark P. MOLLERUP, C. TRIER, J. KLOPPENBORG, J.-C. HOLM. The Children’s Obesity Clinic, Department of Paediatrics, Copenhagen University Hospital, Holbæk, Denmark. [email protected] Increasing evidence supports the efficiency of childhood obesity treatment programmes in highly specialised hospital-based secondary sector clinics, but little is known of the efficiency, when the programmes are applied in municipal-based primary care clinics. The hospital-based chronic care treatment programme from the Children’s Obesity Clinic, Holbæk was applied in eight municipal clinics across Denmark. Healthcare staff from the municipalities received training and supervision from the Children’s Obesity Clinic. From June 2012 to April 2014, 729 children (341 boys) with a body mass index (BMI) above the 90th percentile were enrolled in the treatment programme at municipal clinics. Weight and height were measured and BMI standard deviation scores (SDS) were calculated at each visit. Median age at enrolment was 10.8 years (range 3.0–18.2) and median BMI SDS was 2.81 (range 1.22–6.65) in boys and 2.53 (range 0.79– 5.23) in girls. After a median of 0.5 years (range 0.05–1.78), the mean change in BMI SDS was a 0.24 decrease (CI 95% (0.18–0.30), p < 0.001) in boys and 0.23 decrease (CI 95% (0.20–0.27) p < 0.001) in girls. In total, 81.3% of the boys and 78.6% of the girls reduced their BMI SDS, respectively. The decrease in BMI SDS was independent of gender, age, BMI SDS at enrolment, and social class. Healthcare professionals spend approximately 6 hours per child per year. This study shows that the treatment programme from The Children’s Obesity Clinic, Holbæk is efficient when applied at municipal clinics in the primary sector in Denmark. http://dx.doi.org/10.1016/j.appet.2014.12.070
Changes in feeding behavior in students aged 14–18 years E. VUCHKOVA a, M. KONSTANTINOVA a, S. PETROVA b, L. RANGELOVA b, D. BOJILOVA b, R. KOLEVA c, I. VLAHOVA a. a University Pediatric Hospital, Sofia, Bulgaria, b National Center of Public Health and Analysis, Sofia, Bulgaria, c First Diagnostic Consulting Centre, Stara Zagora, Bulgaria. [email protected] Prevalence of eating disorders (EDs) has become a growing concern among students. The aim of the study is to establish bias in eating behavior among students aged 14–18 years. This is a part of the National survey on nutrition and nutritional status assessment of students, conducted in 2010–2011. A total of 4227 students (2132 boys) between 6 and 18 years from 36 randomly selected schools in Bulgaria were examined. The sample size was representative, consent to participate of every student was signed by a parent. A total of 1647 children (786 boys) above 14 years completed short version of Eating Attitudes Test (EAT 26). The questionnaire was used to measure behavior, feelings and thoughts associated with eating disorders. Overweight and obesity of school children were assessed by BMI, using the standard proposed by Cole, Bellizzi, Flegal, & Dietz, 2000). The results showed significant sex difference for eating behavior bias 20.4% in girls compared to 8.0% in boys with higher prevalence of underweight girls aged 14–18 (14.4%, 5.7% in boys). Analyzing BMI data and eating behavior bias revealed: for the underweight group – average eating behavior bias was 3.9% (6.8% in girls and 0% in boys), for the normal and overweight/obese – average 15% (for girls 21.1% and for boys 8.3%). This is the first survey that shows serious problems with changes in eating pattern. There are significant sex differences: 1/5 of the girls and 1/11 of the boys in these age groups have changes in feeding behavior. Reference Cole, T. J., Bellizzi, M. C., Flegal, K. M., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide. International survey. BMJ (Clinical Research Ed.), 320, doi:10.1136/bmj.320.7244.1240. http://dx.doi.org/10.1016/j.appet.2014.12.068
The MoYo-Project. Study design and feasibility testing K. SCHWENOHA a , K. GMEINHART a , B. BOGNER a , b b M. TIEFENGRABNER , T. STÜTZ , E. ARDELT-GATTINGER c , S. RING-DIMITRIOU d , K. PAULMICHL e , D. WEGHUBER e , G.J. OOSTINGH a. a Department Biomedical Sciences, Salzburg University b of Applied Sciences, Salzburg, Austria, Department MultiMediaTechnology, Salzburg University of Applied Sciences, Salzburg, Austria, c Department Psychology, University of Salzburg, Salzburg, Austria, d Department Sport Science and Kinesiology, University of Salzburg, Salzburg, Austria, e Department Pediatrics, Paracelsus Medical University, Salzburg, Austria. [email protected] The purpose of the project MoYo (Motivating Young People) is to evaluate the health status of adolescents at schools in Salzburg. In addition, the effect of knowledge transfer and support of selfempowerment regarding a balanced diet on (1) cardiovascular risk markers, (2) nutrition preferences and (3) physical fitness are
321
investigated over time. The study design and its implementation at schools are presented. Four hundred adolescents (male = female) aged 13–16 years will be recruited. Cardiovascular risk factors including parameters of carbohydrate and lipid metabolism, subclinical inflammation as well as anthropometric parameters including body mass index and waist-to-hip ratio will be determined. To assess changes in nutrition preferences, items of the standardized ADEVA questionnaire will be used. Physical fitness will be measured by a standardized, age- and percentile-matched physical fitness test battery. The intervention program includes nutrition and laboratory workshops dealing with food and its effects on body functions. Smart-phone applications will be used to document food intake and kinesic behaviour. An intervention group is compared to an age- and gender-matched control group. The study concept has been approved by the local ethic committee and the first results of the study providing the health status of adolescent students in Salzburg are available by October 2014. The study design and first results will be discussed. http://dx.doi.org/10.1016/j.appet.2014.12.069
Treatment of overweight and obese children in municipalities across Denmark P. MOLLERUP, C. TRIER, J. KLOPPENBORG, J.-C. HOLM. The Children’s Obesity Clinic, Department of Paediatrics, Copenhagen University Hospital, Holbæk, Denmark. [email protected] Increasing evidence supports the efficiency of childhood obesity treatment programmes in highly specialised hospital-based secondary sector clinics, but little is known of the efficiency, when the programmes are applied in municipal-based primary care clinics. The hospital-based chronic care treatment programme from the Children’s Obesity Clinic, Holbæk was applied in eight municipal clinics across Denmark. Healthcare staff from the municipalities received training and supervision from the Children’s Obesity Clinic. From June 2012 to April 2014, 729 children (341 boys) with a body mass index (BMI) above the 90th percentile were enrolled in the treatment programme at municipal clinics. Weight and height were measured and BMI standard deviation scores (SDS) were calculated at each visit. Median age at enrolment was 10.8 years (range 3.0–18.2) and median BMI SDS was 2.81 (range 1.22–6.65) in boys and 2.53 (range 0.79– 5.23) in girls. After a median of 0.5 years (range 0.05–1.78), the mean change in BMI SDS was a 0.24 decrease (CI 95% (0.18–0.30), p < 0.001) in boys and 0.23 decrease (CI 95% (0.20–0.27) p < 0.001) in girls. In total, 81.3% of the boys and 78.6% of the girls reduced their BMI SDS, respectively. The decrease in BMI SDS was independent of gender, age, BMI SDS at enrolment, and social class. Healthcare professionals spend approximately 6 hours per child per year. This study shows that the treatment programme from The Children’s Obesity Clinic, Holbæk is efficient when applied at municipal clinics in the primary sector in Denmark. http://dx.doi.org/10.1016/j.appet.2014.12.070