25 results on '"Carry M"'
Search Results
2. Development of an action programme tackling obesity-related behaviours in adolescents: a participatory system dynamics approach
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Luna Pinzon, Angie, Waterlander, Wilma, de Pooter, Naomi, Altenburg, Teatske, Dijkstra, Coosje, Emke, Helga, van den Eynde, Emma, Overman, Meredith L., Busch, Vincent, Renders, Carry M., Halberstadt, Jutka, Nusselder, Wilma, den Hertog, Karen, Chinapaw, Mai, Verhoeff, Arnoud, and Stronks, Karien
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- 2024
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3. Perceptions of employees with a low and medium level of education towards workplace health promotion programmes: a mixed-methods study
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Sponselee, Hanne C. S., Kroeze, Willemieke, Robroek, Suzan J. W., Renders, Carry M., and Steenhuis, Ingrid H. M.
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- 2022
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4. Food and health promotion literacy among employees with a low and medium level of education in the Netherlands
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Sponselee, Hanne C. S., Kroeze, Willemieke, Poelman, Maartje P., Renders, Carry M., Ball, Kylie, and Steenhuis, Ingrid H. M.
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- 2021
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5. Parental physical activity is associated with objectively measured physical activity in young children in a sex-specific manner: the GECKO Drenthe cohort
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Brouwer, Silvia I., Küpers, Leanne K., Kors, Lotte, Sijtsma, Anna, Sauer, Pieter J. J., Renders, Carry M., and Corpeleijn, Eva
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- 2018
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6. Agreement between parent and child report of physical activity, sedentary and dietary behaviours in 9-12-year-old children and associations with children’s weight status
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Koning, Maaike, de Jong, Astrid, de Jong, Elske, Visscher, Tommy L. S., Seidell, Jacob C., and Renders, Carry M.
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- 2018
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7. Repeatedly measured predictors: a comparison of methods for prediction modeling
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Welten, Marieke, de Kroon, Marlou L. A., Renders, Carry M., Steyerberg, Ewout W., Raat, Hein, Twisk, Jos W. R., and Heymans, Martijn W.
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- 2018
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8. Stakeholder views on the potential impact of a sugar-sweetened beverages tax on the budgets, dietary intake, and health of lower and higher socioeconomic groups in the Netherlands
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Urban Accessibility and Social Inclusion, Social Policy and Public Health, Leerstoel de Wit, Djojosoeparto, Sanne, Eykelenboom, Michelle, Poelman, M.P., van Stralen, Maartje, Renders, Carry M, Olthof, M., Steenhuis, Ingrid, Kamphuis, Carlijn, Urban Accessibility and Social Inclusion, Social Policy and Public Health, Leerstoel de Wit, Djojosoeparto, Sanne, Eykelenboom, Michelle, Poelman, M.P., van Stralen, Maartje, Renders, Carry M, Olthof, M., Steenhuis, Ingrid, and Kamphuis, Carlijn
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- 2020
9. Political and public acceptability of a sugar-sweetened beverages tax: a mixed-method systematic review and meta-analysis
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Michelle Eykelenboom, Maartje M. van Stralen, Margreet R. Olthof, Linda J. Schoonmade, Ingrid H. M. Steenhuis, Carry M. Renders, and on behalf of the PEN Consortium
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0301 basic medicine ,medicine.medical_specialty ,Nutrition policy ,Scopus ,Medicine (miscellaneous) ,Physical Therapy, Sports Therapy and Rehabilitation ,Sugar-sweetened beverages ,Review ,Public opinion ,03 medical and health sciences ,SDG 17 - Partnerships for the Goals ,0302 clinical medicine ,Acceptability ,SDG 3 - Good Health and Well-being ,medicine ,Revenue ,Humans ,030212 general & internal medicine ,Obesity ,lcsh:RC620-627 ,Socioeconomic status ,Sugar-Sweetened Beverages ,Government ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Cost–benefit analysis ,Public economics ,business.industry ,lcsh:Public aspects of medicine ,Public health ,Politics ,lcsh:RA1-1270 ,Taxes ,Overweight ,Public support ,lcsh:Nutritional diseases. Deficiency diseases ,Systematic review ,Public Opinion ,Obesity prevention ,business - Abstract
Background Taxation of sugar-sweetened beverages (SSBs), as a component of a comprehensive strategy, has emerged as an apparent effective intervention to counteract the rising prevalence of overweight and obesity. Insight into the political and public acceptability may help adoption and implementation in countries with governments that are considering an SSBs tax. Hence, we aimed to conduct a systematic review and meta-analysis to synthesize the existing qualitative and quantitative literature on political and public acceptability of an SSBs tax. Methods Four electronic databases (PubMed, Embase, Scopus, Web of Science) were searched until November 2018. The methodological quality of the included studies was assessed using the Mixed Methods Appraisal Tool. Qualitative studies were analyzed using a thematic synthesis. Quantitative studies were analyzed using a random-effects meta-analysis for the pooling of proportions. Results Thirty-seven articles reporting on forty studies were eligible for inclusion. Five themes derived from the thematic synthesis: (i) beliefs about effectiveness and cost-effectiveness, (ii) appropriateness, (iii) economic and socioeconomic benefit, (iv) policy adoption and implementation, and (v) public mistrust of the industry, government and public health experts. Results of the meta-analysis indicated that of the public 42% (95% CI = 0.38–0.47) supports an SSBs tax, 39% (0.29–0.50) supports an SSBs tax as a strategy to reduce obesity, and 66% (0.60–0.72) supports an SSBs tax if revenue is used for health initiatives. Conclusions Beliefs about effectiveness and cost-effectiveness, appropriateness, economic and socioeconomic benefit, policy adoption and implementation, and public mistrust of the industry, government and public health experts have important implications for the political and public acceptability of an SSBs tax. We provide recommendations to increase acceptability and enhance successful adoption and implementation of an SSBs tax: (i) address inconsistencies between identified beliefs and scientific literature, (ii) use raised revenue for health initiatives, (iii) communicate transparently about the true purpose of the tax, and (iv) generate political priority for solutions to the challenges to implementation. Electronic supplementary material The online version of this article (10.1186/s12966-019-0843-0) contains supplementary material, which is available to authorized users.
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- 2019
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10. Tools for a systematic appraisal of integrated community-based approaches to prevent childhood obesity
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K. Mantziki, Jean-Michel Borys, Marjan J. Westerman, Carry M. Renders, Jacob C. Seidell, J. Mayer, Youth and Lifestyle, Health Economics and Health Technology Assessment, Prevention and Public Health, APH - Societal Participation & Health, APH - Health Behaviors & Chronic Diseases, Methodology and Applied Biostatistics, APH - Quality of Care, APH - Aging & Later Life, Vrije Universiteit Amsterdam [Amsterdam] (VU), Centre d'Etude et de Recherche Travail Organisation Pouvoir (CERTOP), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Centre National de la Recherche Scientifique (CNRS)-Université Toulouse - Jean Jaurès (UT2J), Independent Researcher, and European CommissionEPODE International Network
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Pediatric Obesity ,Process management ,Community ,0302 clinical medicine ,Medicine ,030212 general & internal medicine ,Community Health Services ,Evaluation ,Child ,media_common ,Community based ,[SHS.STAT]Humanities and Social Sciences/Methods and statistics ,Delivery of Health Care, Integrated ,lcsh:Public aspects of medicine ,3. Good health ,Europe ,Child, Preschool ,Obesity prevention ,Research Article ,medicine.medical_specialty ,Adolescent ,media_common.quotation_subject ,030209 endocrinology & metabolism ,Health Promotion ,Childhood obesity ,03 medical and health sciences ,Young Adult ,SDG 17 - Partnerships for the Goals ,SDG 3 - Good Health and Well-being ,Intervention (counseling) ,Humans ,Quality (business) ,business.industry ,Public health ,Public Health, Environmental and Occupational Health ,Infant, Newborn ,Infant ,lcsh:RA1-1270 ,medicine.disease ,Good practice appraisal tool ,Epode ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,Biostatistics ,business ,[SDV.AEN]Life Sciences [q-bio]/Food and Nutrition ,Strengths and weaknesses ,Programmes ,Program Evaluation - Abstract
Background Evaluation and monitoring methods are often unable to identify crucial elements of success or failure of integrated community-wide approaches aiming to tackle childhood overweight and obesity, yet difficult to determine in complex programmes. Therefore, we aimed to systematically appraise strengths and weaknesses of such programmes and to assess the usefulness of the appraisal tools used. Methods To identify strengths and weaknesses of the integrated community-based approaches two tools were used: the Good Practice Appraisal tool for obesity prevention programmes, projects, initiatives and intervention (GPAT), a self-administered questionnaire developed by the WHO; and the OPEN tool, a structured list of questions based on the EPODE theory, to assist face-to-face interviews with the principle programme coordinators. The strengths and weaknesses of these tools were assessed with regard to practicalities, quality of acquired data and the appraisal process, criteria and scoring. Results Several strengths and weaknesses were identified in all the assessed integrated community-based approaches, different for each of them. The GPAT provided information mostly on intervention elements whereas through the OPEN tool information on both the programme and intervention levels were acquired. Conclusion Large variability between integrated community-wide approaches preventing childhood obesity in the European region was identified and therefore each of them has different needs. Both tools used in combination seem to facilitate comprehensive assessment of integrated community-wide approaches in a systematic manner, which is rarely conducted. Nonetheless, the tools should be improved in line to their limitations as recommended in this manuscript. Electronic supplementary material The online version of this article (10.1186/s12889-018-5042-4) contains supplementary material, which is available to authorized users.
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- 2018
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11. Cross-sectional associations between maternal parenting styles, physical activity and screen sedentary time in children
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K. E. Van der Geest, Gerda Rodenburg, Carry M. Renders, Saskia Y. M. Merelle, D. van de Mheen, Public Health, Tranzo, Scientific center for care and wellbeing, Verslaving, Prevention and Public Health, APH - Societal Participation & Health, and APH - Health Behaviors & Chronic Diseases
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Male ,Pediatrics ,medicine.medical_specialty ,endocrine system ,Time Factors ,Physical activity ,Psychological intervention ,Child Behavior ,Mothers ,030209 endocrinology & metabolism ,Parenting styles ,Developmental psychology ,03 medical and health sciences ,0302 clinical medicine ,Surveys and Questionnaires ,Journal Article ,Medicine ,Humans ,030212 general & internal medicine ,Permissive ,Association (psychology) ,Child ,Children ,Exercise ,Authoritarian leadership style ,Parenting ,business.industry ,lcsh:Public aspects of medicine ,Public health ,Screen sedentary time ,Public Health, Environmental and Occupational Health ,lcsh:RA1-1270 ,Cross-Sectional Studies ,Video Games ,Educational Status ,Female ,Television ,Biostatistics ,Sedentary Behavior ,business ,SDG 4 - Quality Education ,Research Article - Abstract
BackgroundChildren’s activity level, including physical activity (PA) and screen sedentary time (SST), is influenced by environmental factors in which parents play a critical role. Different types of parenting styles may influence children’s activity level. Inconsistent results were found on the association between parenting styles and PA, and few studies tested the association between parenting styles and SST. This study examined the association between parenting styles, PA and SST and the modifying effect of children’s gender and maternal educational level on these associations.MethodsCross-sectional data were collected from parents of children aged 8–11 years old who completed a web-based non-standardized questionnaire (N = 4047). Since 85% of the questionnaires were filled in by mothers, parenting styles are mainly reported by mothers. Multiple linear regression techniques were used to assess the associations between parenting styles (authoritative, permissive, authoritarian and neglectful), and PA and SST (mean min/day). The modifying effect of children’s gender and maternal educational level on these associationswas explored. P values ≤.0125 were considered as statistically significant based on the Bonferroni correction for four primary analyses.ResultsThe neglectful parenting style was most widely used (35.3%), while the authoritarian style was least common (14.8%). No significant association was found between parenting styles and PA level. As regards SST, anauthoritative parenting style was significantly associated with lower SST in boys while a neglectful parenting style was significantly associated with higher SST in both boys and girls. When the mother had a medium educational level, an authoritative parenting style was significantly associated with lower SST while neglectful parenting was significantly associated with higher SST.ConclusionsNo association was found between parenting styles and PA. However, an authoritative parenting style was associated with a reduction in SST and a neglectful parenting style with an increase in SST, especially in boys and in children whose mother had a medium education level. Future studies of parenting practices are needed to gain more insight into the role of parents in children’s PA and SST levels, as a basis for the development ofinterventions tailored to support parents in stimulating PA and reducing SST in children.Keywords: Physical activity, Screen sedentary time, Parenting styles, Children
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- 2017
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12. Inequalities in energy-balance related behaviours and family environmental determinants in European children: changes and sustainability within the EPHE evaluation study.
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Mantziki, Krystallia, Renders, Carry M., Vassilopoulos, Achilleas, Radulian, Gabriella, Borys, Jean-Michel, du Plessis, Hugues, Gregório, Maria João, Graça, Pedro, de Henauw, Stefaan, Handjiev, Svetoslav, Visscher, Tommy L. S., and Seidell, Jacob C.
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PREVENTION of childhood obesity , *HEALTH equity , *BEHAVIOR modification , *CHILDREN'S health , *FAMILIES , *FOOD habits , *HEALTH behavior , *HEALTH behavior in children , *HEALTH promotion , *LONGITUDINAL method , *PARENTING , *QUESTIONNAIRES , *SELF-evaluation , *STATISTICS , *DATA analysis , *HOME environment , *SOCIOECONOMIC factors , *HEALTH & social status , *PSYCHOLOGY - Abstract
Background: Increasing social inequalities in health across Europe are widening the gap between low and high socio-economic groups, notably in the prevalence of obesity. Public health interventions may result in differential effects across population groups. Therefore, the EPHE (EPODE for the Promotion of Health Equity) project analysed the added value of community-based programmes, based on the EPODE (Ensemble Prévenons l'Obésité Des Enfants-Together Let's Prevent Obesity) model, to reduce socio-economic inequalities in energy balance-related behaviours of children and their family-environmental related determinants in seven European communities. This study presents the changes between baseline and follow-up after the one-year interventions and their sustainability one year after. Methods: This is a prospective study with a one school-year intervention, followed by one year of follow-up. In all, 1266 children (age 6-8 years) and their families from different socio-economic backgrounds were recruited at baseline. For 1062 children, information was available after one year (T1) and for 921 children after two years (T2). A self-reported questionnaire was completed by the parents to examine the children's energy balance-related behaviours and family- environmental determinants. Socio-economic status was defined by the educational level of the mother. The Wilcoxon signed-rank test for paired data was used to test the differences between baseline and intermediate, and between intermediate and final, measurements for each of the socio-economic status groups. Results: Post-intervention effects in energy-balance related behaviours showed the following improvements among the low socio-economic status groups: increased fruit consumption (Netherlands), decreased fruit juices amount consumed (Romania) and decreased TV time on weekdays (Belgium). Whereas in only the latter case the behavioural change was accompanied with an improvement in a family-environmental determinant (monitoring the time the child watches TV), other improvements in parental rules and practices related to soft drinks/fruit juices and TV exposure were observed. A few of those effects were sustainable, notably in the case of Belgium. Conclusions: Inequalities in obesity-related behaviours could be potentially reduced when implementing community-based interventions, tailored to inequality gaps and using the EPODE methodology. Within-group changes varied widely, whereas monitoring of interventions and process evaluation are crucial to understand the observed results. [ABSTRACT FROM AUTHOR]
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- 2016
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13. One-year effects of two intensive inpatient treatments for severely obese children and adolescents.
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Makkes, Sabine, Renders, Carry M., Bosmans, Judith E., van der Baan-Slootweg, Olga H., Hoekstra, Trynke, and Seidell, Jacob C.
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ADOLESCENT obesity ,CHILDHOOD obesity ,OBESITY treatment ,OBESITY risk factors ,BODY mass index ,CARDIOVASCULAR disease prevention ,TREATMENT of childhood obesity ,BLOOD pressure ,BLOOD sugar ,CARDIOVASCULAR diseases ,CLINICAL trials ,COMPARATIVE studies ,LENGTH of stay in hospitals ,INSULIN ,LIPIDS ,LONGITUDINAL method ,RESEARCH methodology ,MEDICAL cooperation ,RESEARCH ,EVALUATION research ,LIFESTYLES ,MORBID obesity ,RANDOMIZED controlled trials ,TREATMENT effectiveness ,WAIST circumference ,DISEASE complications ,THERAPEUTICS - Abstract
Background: Intensive inpatient lifestyle treatment may be a suitable alternative for severely obese children and adolescents who do not benefit from ambulatory obesity treatment. The aim was to evaluate the effectiveness of two intensive one-year lifestyle treatments with varying inpatient periods for severely obese children and adolescents with regard to SDS-BMI and cardiometabolic risk factors.Methods: The study was designed as a randomized controlled trial with two active treatment groups. Eighty participants (8-19 years) with severe obesity received treatment at a specialized childhood obesity center in the Netherlands. Severe obesity was defined as a SDS-BMI ≥ 3.0 or a SDS-BMI ≥ 2.3 in combination with obesity-related comorbidity. Participants received an intensive one-year lifestyle treatment with an inpatient period of either two months and biweekly return visits during the next four months (short-stay group) or six months (long-stay group), both followed by six monthly return visits. Outcomes were assessed at baseline, six and 12 months and included SDS-BMI as primary outcome and cardiometabolic risk factors such as SDS-waist circumference, systolic- and diastolic blood pressure, and blood measurements as secondary outcomes. To evaluate differences in the course of the primary- and secondary outcomes over time between the two treatment groups, Generalized Estimating Equations (GEE) were performed.Results: No differences in the course of SDS-BMI or secondary outcomes over time were found between the two treatment groups after one year of treatment. SDS-BMI decreased statistically significantly after one year of treatment compared with baseline in both groups (0.33 (0.48) in the short-stay and 0.52 (0.49) in the long-stay group). Similar results were found for SDS-waist circumference, diastolic blood pressure and HDL-cholesterol.Conclusions: Since there were no significant differences in effects between the short- and long-stay treatment and considering the burden of the long-stay treatment for children and families, we recommend implementation of the short-stay treatment.Trial Registration: Netherlands Trial Register NTR1678 , registered 20-Feb-2009. [ABSTRACT FROM AUTHOR]- Published
- 2016
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14. A longitudinal study of children's outside play using family environment and perceived physical environment as predictors.
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Remmers, Teun, Broeren, Suzanne M. L., Renders, Carry M., Hirasing, Remy A., van Grieken, Amy, and Raat, Hein
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CHI-squared test ,CONFIDENCE intervals ,LONGITUDINAL method ,NATURE ,PLAY ,QUESTIONNAIRES ,REGRESSION analysis ,RESEARCH funding ,SELF-efficacy ,SELF-evaluation ,T-test (Statistics) ,FAMILY relations ,HOME environment ,SOCIOECONOMIC factors ,BODY mass index ,PARENT attitudes ,CROSS-sectional method ,PHYSICAL activity ,DATA analysis software ,DESCRIPTIVE statistics ,ODDS ratio ,CHILDREN - Abstract
Background: A natural and cheap way of increasing children’s physical activity is stimulating unstructured outside play. Purpose: This study examined whether characteristics of the family and perceived physical environment were associated with the duration of children’s outside play. Methods: Parents participating in the “Be Active, Eat Right” cluster RCT control group (N = 2007) provided information on potential predictors of outside play (i.e. family and perceived physical environment) of their 5-year-old child by questionnaire. Child outside play was assessed by parental reports both at five and seven years. Linear regression analyses, adjusted for seasonality, were performed to evaluate associations between potential predictors and child outside play. Linear mixed models were fitted to evaluate the relationship between potential predictors and the development of outside play over two years, with season entered as a random factor. Results: Family environment was the strongest construct predicting child outside play, while parent perceived physical environment had no significant association with child outside play. Parental habit strength and the presence of rules were the strongest predictors of increased outside play. Parent perceived difficulty in improving child outside play was the strongest predictor of decreased outside play. Conclusion: Family environment predicted child outside play and not perceived physical environment. Parental rules and habit strength regarding improving outside play were associated with an improvement of child’s engagement in outside play. [ABSTRACT FROM AUTHOR]
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- 2014
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15. Promotion of a healthy lifestyle among 5-year-old overweight children: health behavior outcomes of the 'Be active, eat right' study.
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van Grieken, Amy, Renders, Carry M., Veldhuis, Lydian, Looman, Caspar W. N., Hirasing, Remy A., and Raat, Hein
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OVERWEIGHT children , *HEALTH behavior , *HEALTH outcome assessment , *MEDICAL care , *MEDICAL protocols - Abstract
Background This study evaluates the effects of an intervention performed by youth health care professionals on child health behaviors. The intervention consisted of offering healthy lifestyle counseling to parents of overweight (not obese) 5-year-old children. Effects of the intervention on the child having breakfast, drinking sweet beverages, watching television and playing outside were evaluated. Methods Data were collected with the 'Be active, eat right' study, a cluster randomized controlled trial among nine youth health care centers in the Netherlands. Parents of overweight children received lifestyle counseling according to the intervention protocol in the intervention condition (n = 349) and usual care in the control condition (n = 288). Parents completed questionnaires regarding demographic characteristics, health behaviors and the home environment at baseline and at 2-year follow-up. Cluster adjusted regression models were applied; interaction terms were explored. Results The population for analysis consisted of 38.1% boys; mean age 5.8 [sd 0.4] years; mean BMI SDS 1.9 [sd 0.4]. There were no significant differences in the number of minutes of outside play or television viewing a day between children in the intervention and the control condition. Also, the odds ratio for having breakfast daily or drinking two or less glasses of sweet beverages a day showed no significant differences between the two conditions. Additional analyses showed that the odds ratio for drinking less than two glasses of sweet beverages at follow-up compared with baseline was significantly higher for children in both the intervention (p < 0.001) and the control condition (p = 0.029). Conclusions Comparison of the children in the two conditions showed that the intervention does not contribute to a change in health behaviors. Further studies are needed to investigate opportunities to adjust the intervention protocol, such as integration of elements in the regular well-child visit. The intervention protocol for youth health care may become part of a broader approach to tackle childhood overweight and obesity. [ABSTRACT FROM AUTHOR]
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- 2014
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16. Moderate agreement between body mass index and measures of waist circumference in the identification of overweight among 5-year-old children; the 'Be active, eat right' study.
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Veldhuis, Lydian, Vogel, Ineke, Jansen, Wilma, Renders, Carry M., HiraSing, Remy A., and Raat, Hein
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BODY mass index ,WAIST circumference ,OVERWEIGHT children ,MEDICAL personnel ,STATURE - Abstract
Background: Body mass index (BMI) is a common indirect method to assess weight status among children. There is evidence that BMI data alone can underestimate overweight-related health risk and that waist circumference (WC) should also be measured. In this study we investigated the agreement between BMI and WC and BMI and the waist-height ratio (WHtR) when used to identify overweight among children. Methods: This cross-sectional population-based study uses baseline data from 5-year-olds (n = 7703) collected by healthcare professionals for the 'Be active, eat right' study. Results: According to age-specific and sex-specific cut-off points for BMI (IOTF, 2000) and WC (Fredriks et al., 2005), the prevalence of overweight (obesity included) was 7.0% and 7.1% among boys, and 11.6% and 10.1% among girls, respectively. For the WHtR the 90
th percentile was used as the cut-off point. Among boys, observed proportion of agreement between BMI and WC classification was 0.95, Cohen's kappa 0.58 (95% CI; 0.53-0.63), and proportions of positive and negative agreement were 0.61 and 0.97, respectively. Observed proportion of agreement between BMI and WHtR classification was 0.92, Cohen's kappa 0.46 (95% CI; 0.41-0.51), and proportions of positive and negative agreement were 0.51 and 0.95. Children identified as overweight according to WC were relatively tall, and children classified as overweight according to the WHtR only were relatively short (comparable results for girls). Conclusions: There is moderate agreement between BMI and measures of WC on the presence of overweight among 5-year-olds. If BMI data and cut-offs continue to be used, then part of the group of children identified as overweight according to WC and the WHtR will be omitted. Follow-up of the children classified as overweight according to BMI only, WC only, and WHtR only, will give indications whether WC should be measured in addition to BMI or whether WC should only be measured in certain subgroups (e.g. relatively tall or short children) to identify and monitor overweight in children. This may improve early identification and prevention of overweight and overweight-related health problems in children. [ABSTRACT FROM AUTHOR]- Published
- 2013
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17. Cardiometabolic risk factors and quality of life in severely obese children and adolescents in the Netherlands.
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Makkes, Sabine, Renders, Carry M., Bosmans, Judith E., Van der Baan-Slootweg, Olga H., and Seidell, Jacob C.
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CHILDHOOD obesity ,METABOLIC disorders in children ,HYPOGLYCEMIC agents ,BODY weight ,ISOPENTENOIDS - Abstract
Background: The prevalence of severe obesity in children and adolescents is increasing. However, little is known about cardiometabolic risk factors and quality of life of children with severe obesity. Therefore, the aim of this study was to assess the demographic characteristics and the prevalence of cardiometabolic risk factors and quality of life in severely obese children and adolescents undergoing intensive inpatient treatment for obesity. Methods: Data were collected between August 2009 and April 2011 on 16 children (8-13y) and 64 adolescents (13-19y) with severe obesity (SDS-BMI >= 3.0 or SDS-BMI >= 2.3 and comorbidity) participating in an RCT evaluating two intensive inpatient treatment programs for obesity. Demographic, anthropometric, clinical characteristics and two components of the EuroQol for the assessment of quality of life are described. Results: Eighty percent of participants in this study had at least one cardiometabolic risk factor in addition to severe obesity. Low HDL-cholesterol and hypertension were most prevalent (65.0% respectively 31.2%). The highest significant correlations were found between SDS-BMI and SDS-waist circumference, fasting plasma insulin and HOMA-IR (correlation coefficients respectively 0.80, 0.49, and 0.48). With regard to quality of life, the mean utility score of the participants was 0.79 on a scale of 0.0 to 1.0 on the EuroQol questionnaire and their mean individual valuation was 69.1 on a scale of 0 to100. Conclusion: Cardiometabolic risk factors are already highly prevalent in this group of severely obese children and adolescents. The score of 69.1 found for quality of life in this study suggests that participants experience important limitations in their quality of life. However, quality of life is not associated with the prevalence of cardiometabolic risk factors. [ABSTRACT FROM AUTHOR]
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- 2013
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18. Behavioral risk factors for overweight in early childhood; the 'Be active, eat right' study.
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Veldhuis, Lydian, Vogel, Ineke, Renders, Carry M., van Rossem, Lenie, Oenema, Anke, HiraSing, Remy A., and Raat, Hein
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OBESITY risk factors ,BEHAVIOR modification ,BEVERAGES ,CHI-squared test ,CHILD behavior ,CHILD nutrition ,CONFIDENCE intervals ,EPIDEMIOLOGY ,HEALTH behavior ,RECREATION ,RESEARCH funding ,T-test (Statistics) ,DATA analysis ,MULTIPLE regression analysis ,BODY mass index ,CROSS-sectional method ,SEDENTARY lifestyles ,DATA analysis software ,DESCRIPTIVE statistics ,CHILDREN - Abstract
Background: The lifestyle-related behaviors having breakfast, drinking sweet beverages, playing outside and watching TV have been indicated to have an association with childhood overweight, but research among young children (below 6 years old) is limited. The aim of the present study was to assess the associations between these four behaviors and overweight among young children. Methods: This cross-sectional study used baseline data on 5-year-old children (n = 7505) collected for the study 'Be active, eat right'. Age and sex-specific cut-off points for body mass index of the International Obesity Task Force were used to assess overweight/obesity. Multivariable logistic regression analyses were applied. Results: For children whom had breakfast <7 days/week and watched TV >2 hours/day, the odds ratio (OR) for having overweight (obesity included) was, respectively, 1.49 (95% confidence interval (CI): 1.13-1.95), and 1.25 (95% CI: 1.03-1.51). There was a positive association between the number of risk behaviors present and the risk for having overweight. For children with 3 or all of the risk behaviors having breakfast <7 days/week, drinking sweet beverages >2 glasses/day, playing outside <1 h/day, watching TV >2 hs/day, the OR for overweight was 1.73 (95% CI: 1.11-2.71) (all models adjusted for children's sex and sociodemographic characteristics). Conclusion: Given the positive association between the number of behavioral risk factors and overweight, further studies are needed to evaluate the effectiveness of behavioral counseling of parents of toddlers in preventing childhood overweight. In the meantime we recommend physicians to target all four behaviors for counseling during well-child visits. [ABSTRACT FROM AUTHOR]
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- 2012
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19. Cost-effectiveness of intensive inpatient treatments for severely obese children and adolescents in the Netherlands; a randomized controlled trial (HELIOS).
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Makkes, Sabine, Halberstadt, Jutka, Renders, Carry M., Bosmans, Judith E., van der Baan-Slootweg, Olga H., and Seidell, Jacob C.
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CHILDHOOD obesity ,INPATIENT care ,ADOLESCENT obesity ,COST effectiveness - Abstract
Background: Intensive combined lifestyle interventions are the recommended treatment for severely obese children and adolescents, but there is a lack of studies and their cost-effectiveness. The objective of this study is to compare the cost-effectiveness of two intensive one-year inpatient treatments and usual care for severely obese children and adolescents. Methods/Design: Participants are 40 children aged 8-13 and 40 adolescents aged 13-18 with severe obesity (SDS-BMI ≥ 3.0 or SDS-BMI ≥ 2.3 with obesity related co-morbidity). They will be randomized into two groups that will receive a comprehensive treatment program of 12 months that focuses on nutrition, physical activity and behavior change of the participant and their parents. The two programs are the same in total duration (12 months), but differ in inpatient treatment duration. Group A will participate in a 6 month intensive inpatient treatment program during weekdays, followed by six monthly return visits of 2 days. Group B will participate in a 2 month intensive inpatient treatment program during weekdays, followed by biweekly return visits of 2 days during the next four months, followed by six monthly return visits of 2 days. Several different health care professionals are involved, such as pediatricians, dieticians, psychologists, social workers, nurses and physiotherapists. Results will also be compared to a control group that receives usual care. The primary outcome is SDS-BMI. Secondary outcomes include quality of life using the EQ-5D and cardiovascular risk factors. Data will be collected at baseline and after 6, 12 and 24 months. An economic evaluation will be conducted alongside this study. Healthcare consumption will be based on actual resource use, using prospective data collection during 2 years through cost diaries. Quality Adjusted Life Years (QALYs) will be calculated using the EQ-5D. Discussion: This study will provide useful information on the effectiveness and cost-effectiveness of inpatient treatment in severely obese children and adolescents. Valuable information on long term effects, after 2 years, is also included. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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20. The Terneuzen Birth Cohort. Longer exclusive breastfeeding duration is associated with leaner body mass and a healthier diet in young adulthood.
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De Kroon, Marlou L. A., Renders, Carry M., Buskermolen, Michelle P. J., Van Wouwe, Jacobus P., van Buuren, Stef, and Hirasing, Remy A.
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BREASTFEEDING ,SOCIODEMOGRAPHIC factors ,ADULTS ,VEGETABLES ,BEVERAGES - Abstract
Background: Breastfeeding (BF) is protective against overweight and is associated with dietary behaviour. The aims of our study were to assess the relationship between exclusive BF duration and BMI, waist circumference (WC) and waist-hip ratio (WHR) at adulthood, and to study whether dietary behaviour could explain the relationship between BF duration and the proxies of fat mass. Methods: In 2004-2005, 822 subjects from the Terneuzen Birth Cohort (n = 2,604), aged 18-28 years, filled in postal questionnaires including sociodemographic factors and aspects of dietary behaviour (dietary pattern, and consumption of fruit and vegetables, snacks, sweetened beverages and alcohol); 737 subjects also underwent anthropometric measurements of weight, height, and waist and hip circumference. The relationship between exclusive BF duration and dietary outcomes was investigated by logistic regression analysis. The relationships of BF duration with the anthropometric measures were investigated by linear regression analyses. All results were corrected for age, gender and possible confounders. Finally, regression analyses were performed to investigate if diet factors had a mediating effect on the relationship between BF duration and fat mass. Results: A significant inverse dose-response relationship of BF duration was found for BMI (b-0.13, SE 0.06), WC (b-0.39, SE 0.18) and WHR (b-0.003, SE 0.001), after correction for age, gender and confounders. The odds ratio (OR) of exclusive BF duration in months for a breakfast frequency of at least 5 times a week was 1.16 (95%CI 1.06-1.27), and for snack consumption of less than twice a week was 1.15 (95%CI 1.06-1.25). Both ORs were corrected for age, gender and confounders. For other dietary outcomes, the results point in the same direction, i.e. a positive relationship with BF duration, but these were not statistically significant. A mediating effect of the diet factors on the association between BF and anthropometric outcomes was not shown. Conclusions: Exclusive BF duration had a significant inverse dose-response relationship with BMI, WC and WHR at young adulthood. BF duration was positively related to a healthier diet at adulthood, but this did not explain the protective effect of BF against body fat. Our results underline the recommendation of the WHO to exclusively breastfeed for 6 months or longer. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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21. 'Be active, eat right', evaluation of an overweight prevention protocol among 5-year-old children: design of a cluster randomised controlled trial.
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Veldhuis, Lydian, Struijk, Mirjam K., Kroeze, Willemieke, Oenema, Anke, Renders, Carry M., Bulk-Bunschoten, Anneke M. W., HiraSing, Remy A., and Raat, Hein
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OVERWEIGHT children ,CHILDHOOD obesity ,CHILDREN'S health ,HEALTH outcome assessment ,HEALTH behavior - Abstract
Background: The prevalence of overweight and obesity in children has at least doubled in the past 25 years with a major impact on health. In 2005 a prevention protocol was developed applicable within Youth Health Care. This study aims to assess the effects of this protocol on prevalence of overweight and health behaviour among children. Methods and design: A cluster randomised controlled trial is conducted among 5-year-old children included by 44 Youth Health Care teams randomised within 9 Municipal Health Services. The teams are randomly allocated to the intervention or control group. The teams measure the weight and height of all children. When a child in the intervention group is detected with overweight according to the international age and gender specific cut-off points of BMI, the prevention protocol is applied. According to this protocol parents of overweight children are invited for up to three counselling sessions during which they receive personal advice about a healthy lifestyle, and are motivated for and assisted in behavioural change. The primary outcome measures are Body Mass Index and waist circumference of the children. Parents will complete questionnaires to assess secondary outcome measures: levels of overweight inducing/reducing behaviours (i.e. being physically active, having breakfast, drinking sweet beverages and watching television/playing computer games), parenting styles, parenting practices, and attitudes of parents regarding these behaviours, health-related quality of life of the children, and possible negative side effects of the prevention protocol. Data will be collected at baseline (when the children are aged 5 years), and after 12 and 24 months of follow-up. Additionally, a process and a cost-effectiveness evaluation will be conducted. Discussion: In this study called 'Be active, eat right' we evaluate an overweight prevention protocol for use in the setting of Youth Health Care. It is hypothesized that the use of this protocol will result in a healthier lifestyle of the children and an improved BMI and waist circumference. [ABSTRACT FROM AUTHOR]
- Published
- 2009
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22. Stakeholder views on the potential impact of a sugar-sweetened beverages tax on the budgets, dietary intake, and health of lower and higher socioeconomic groups in the Netherlands.
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Djojosoeparto, Sanne K., Eykelenboom, Michelle, Poelman, Maartje P., van Stralen, Maartje M., Renders, Carry M., Olthof, Margreet R., Steenhuis, Ingrid H. M., Kamphuis, Carlijn B. M., and PEN Consortium
- Abstract
Background: Socioeconomic inequalities in overweight and obesity exist in many European countries. A sugar-sweetened beverages (SSB) tax may contribute to a reduction of these inequalities. However, in the Netherlands, the government decided to not (yet) introduce an SSB tax, although the government has acknowledged its potential to be pro-equity. Understanding how various stakeholder groups perceive the potential effects of an SSB tax on different socioeconomic groups may provide useful insights into equity-related considerations in the debate whether or not to implement an SSB tax. This study aims to gain insight into the perceptions of stakeholder groups in the Netherlands on (1) the effects of an SSB tax on the budgets of lower and higher socioeconomic groups and (2) the impact of an SSB tax on socioeconomic inequalities in dietary intake and health.Methods: Semi-structured interviews were conducted in 2019 with 27 participants from various stakeholder groups in the Netherlands (i.e. health and consumer organizations, health professional associations, trade associations, academia, advisory bodies, ministries and parliamentary parties). Data were analyzed using a thematic content approach.Results: Participants from all stakeholder groups indicated that an SSB tax would have a larger impact on the budgets of lower socioeconomic groups. Participants from nearly all stakeholder groups (except trade associations) mentioned that an SSB tax could have greater health benefits among lower socioeconomic groups as these often have a higher SSB consumption and are more likely to be overweight or obese. Some participants mentioned that an SSB tax may have no or adverse health effects among lower socioeconomic groups (e.g. compensation of lower SSB consumption with other unhealthy behaviours). Some participants emphasised that an SSB tax should only be introduced when accompanied by other interventions (e.g. offering healthy alternatives), to make it easier for lower socioeconomic groups to lower their SSB consumption in response to an SSB tax, and to prevent adverse health effects.Conclusions: Participants believed an SSB tax could contribute to a reduction in socioeconomic inequalities in dietary intake and health. However, additional interventions facilitating the reduction of SSB consumption in lower socioeconomic groups were recommended. [ABSTRACT FROM AUTHOR]- Published
- 2020
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23. Political and public acceptability of a sugar-sweetened beverages tax: a mixed-method systematic review and meta-analysis.
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Eykelenboom, Michelle, van Stralen, Maartje M., Olthof, Margreet R., Schoonmade, Linda J., Steenhuis, Ingrid H. M., and Renders, Carry M.
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PREVENTION of obesity ,BEVERAGES ,COST effectiveness ,MEDICAL information storage & retrieval systems ,MEDLINE ,META-analysis ,ONLINE information services ,POLICY sciences ,PRACTICAL politics ,PUBLIC health ,PUBLIC opinion ,TAXATION ,TRUST ,SYSTEMATIC reviews ,SOCIOECONOMIC factors ,THEMATIC analysis - Abstract
Background: Taxation of sugar-sweetened beverages (SSBs), as a component of a comprehensive strategy, has emerged as an apparent effective intervention to counteract the rising prevalence of overweight and obesity. Insight into the political and public acceptability may help adoption and implementation in countries with governments that are considering an SSBs tax. Hence, we aimed to conduct a systematic review and meta-analysis to synthesize the existing qualitative and quantitative literature on political and public acceptability of an SSBs tax. Methods: Four electronic databases (PubMed, Embase, Scopus, Web of Science) were searched until November 2018. The methodological quality of the included studies was assessed using the Mixed Methods Appraisal Tool. Qualitative studies were analyzed using a thematic synthesis. Quantitative studies were analyzed using a random-effects meta-analysis for the pooling of proportions. Results: Thirty-seven articles reporting on forty studies were eligible for inclusion. Five themes derived from the thematic synthesis: (i) beliefs about effectiveness and cost-effectiveness, (ii) appropriateness, (iii) economic and socioeconomic benefit, (iv) policy adoption and implementation, and (v) public mistrust of the industry, government and public health experts. Results of the meta-analysis indicated that of the public 42% (95% CI = 0.38–0.47) supports an SSBs tax, 39% (0.29–0.50) supports an SSBs tax as a strategy to reduce obesity, and 66% (0.60–0.72) supports an SSBs tax if revenue is used for health initiatives. Conclusions: Beliefs about effectiveness and cost-effectiveness, appropriateness, economic and socioeconomic benefit, policy adoption and implementation, and public mistrust of the industry, government and public health experts have important implications for the political and public acceptability of an SSBs tax. We provide recommendations to increase acceptability and enhance successful adoption and implementation of an SSBs tax: (i) address inconsistencies between identified beliefs and scientific literature, (ii) use raised revenue for health initiatives, (iii) communicate transparently about the true purpose of the tax, and (iv) generate political priority for solutions to the challenges to implementation. [ABSTRACT FROM AUTHOR]
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- 2019
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24. Identifying developmental trajectories of body mass index in childhood using latent class growth (mixture) modelling: associations with dietary, sedentary and physical activity behaviors: a longitudinal study.
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Koning, Maaike, Hoekstra, Trynke, de Jong, Elske, Visscher, Tommy L S, Seidell, Jacob C, and Renders, Carry M
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CHILD development ,CHILD behavior ,DIET ,EXERCISE ,LONGITUDINAL method ,CHILDHOOD obesity ,LOGISTIC regression analysis ,BODY mass index - Abstract
Background: To date, many epidemiologic studies examining associations between obesity and dietary and sedentary/physical activity behaviors have focused on assessing Body Mass Index (BMI) at one point in time. Recent developments in statistical techniques make it possible to study the potential heterogeneity in the development of BMI during childhood by identifying distinct subpopulations characterized by distinct developmental trajectories. Using Latent Class Growth (Mixture) Modelling (LCGMM) techniques we aimed to identify BMI trajectories in childhood and to examine associations between these distinct trajectories and dietary, sedentary and physical activity behaviors.Methods: This longitudinal study explored BMI standard deviation score (SDS) trajectories in a sample of 613 children from 4 to 12 years of age. In 2006, 2009 and 2012 information on children's health related behaviors was obtained by parental questionnaires, and children's height and weight were measured. Associations with behaviors were investigated with logistic regression models.Results: We identified two BMI SDS trajectories; a decreasing BMI SDS trajectory (n = 416; 68 %) and an increasing BMI SDS trajectory (n = 197; 32 %). The increasing BMI SDS trajectory consisted of more participants of lower socio-economic status (SES) and of non-western ethnicity. Maternal overweight status was associated with being in the increasing BMI SDS trajectory at both baseline and follow-up six years later (2006: Odds Ratio (OR), 2.9; 95 % confidence interval (CI) 1.9 to 4.3; 2012 OR, 1.8; 95 % CI 1.2 to 2.6). The increasing BMI SDS trajectory was associated with the following behaviors; drinking sugared drinks > 3 glasses per day, participation in organized sports < 1 h per week, and TV viewing > 2 h per day, though participation in organized sports at follow-up was the only significant result.Conclusions: Our results indicate the importance of healthy lifestyle behaviors at a young age, and indicate that maternal BMI is a very important risk factor for the development of childhood overweight. Comprehension of heterogeneity in the development of BMI and associations with modifiable health related behaviors is interesting for prevention by targeting high risk behaviors in early childhood, especially in low SES children, children of non-western ethnicity and children whose mother is overweight. [ABSTRACT FROM AUTHOR]- Published
- 2016
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25. Supporting syringe services programs in the initiation and scale-up of vaccine administration: findings from in-depth interviews.
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Carry M, Bixler D, Weng MK, Doshani M, Roberts E, and Montgomery MP
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- Humans, Needle-Exchange Programs, Syringes, Vaccination, Drug Users, Substance Abuse, Intravenous epidemiology, Vaccines
- Abstract
Background: Vaccine-hesitant persons who inject drugs are at increased risk for several vaccine-preventable diseases. However, vaccination rates among this population remain low. While syringe services programs (SSPs) are places where persons who inject drugs feel comfortable accessing services, few offer vaccination services. This study describes facilitators and barriers to vaccination at SSPs., Methods: We used convenience sampling to conduct semi-structured, qualitative in-depth interviews with 21 SSPs in the USA from June to August 2021. Interview questions asked SSPs about their perceptions, priorities, barriers, facilitators, and the effects of partnerships and policies on vaccine administration. We used deductive thematic analysis to identify the main themes., Results: Eight (n = 8) SSPs offered vaccinations, and thirteen (n = 13) did not offer vaccinations. Most SSPs believed offering vaccination services was important, although addressing SSP participants' immediate needs often took precedence. Staffing, physical space, and logistical issues were the most common barriers to vaccine administration reported by SSPs, followed by SSP participant-related barriers. Facilitators of vaccine administration included access to a tracking system, partnering with agencies or other organizations providing vaccines, and having a licensed vaccination provider on-site. Partnerships provided SSPs opportunities to expand capacity but could also restrict how SSPs operate. Recommended policy changes to facilitate vaccine administration included subsidizing the cost of vaccinations and addressing restrictions around who could administer vaccinations., Conclusions: Increasing the availability of vaccination services at SSPs requires addressing the varying capacity needs of SSPs, such as tracking systems, licensed vaccinators, and free or low-cost vaccination supplies. While these needs can be met through partnerships and supportive policies, both must consider and reflect cultural competence around the lived experiences of persons who inject drugs., (© 2022. The Author(s).)
- Published
- 2022
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