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Objective To derive novel emergency weight estimation tables for New Zealand children aged 5-10 years using ethnicity and sex to increase accuracy and precision. Methods Using an existing dataset (collected in five New Zealand primary schools during July 2013; n = 376), body mass index and current emergency weight estimates were calculated. Stepwise regression with Akanke Information produced two best-fit models for predicting weight, one based on age and the other on height. Potential explanatory variables included ethnicity, sex and body habitus. Results The length-based model included height, ethnicity and body habitus. Accuracy (weight estimates within 10% of actual weight) for the length-based lookup table (74.8%) was similar to that for the Broselow-Luten tape (73.4%). The age-based model included age, sex, ethnicity and body habitus. Accuracy (51.3%) for the age-based lookup table was better than for existing formulae including Shann (45.7%), Advanced Paediatric Life Support (39.1%) and Theron (28.7%). Conclusion The most accurate method for weight estimation in Auckland children aged 5-10 years is either the novel length-based lookup table or the existing Broselow-Luten tape. When length-based methods are not possible, the age-based lookup tables incorporating age, sex, ethnicity and body habitus are more accurate than existing methods of weight estimation. [ABSTRACT FROM AUTHOR]

The purpose of this study was to quantify the inter-session reliability of force–velocity–power profiling and estimated maximal strength in youth. Thirty-six males (11–15 years old) performed a ballistic supine leg press test at five randomized loads (80%, 100%, 120%, 140%, and 160% body mass) on three separate occasions. Peak and mean force, power, velocity, and peak displacement were collected with a linear position transducer attached to the weight stack. Mean values at each load were used to calculate different regression lines and estimate maximal strength, force, velocity, and power. All variables were found reliable (change in the mean [CIM] = − 1 to 14%; coefficient of variation [CV] = 3–18%; intraclass correlation coefficient [ICC] = 0.74–0.99), but were likely to benefit from a familiarization, apart from the unreliable maximal force/velocity ratio (CIM = 0–3%; CV = 23–25%; ICC = 0.35–0.54) and load at maximal power (CIM = − 1 to 2%; CV = 10–13%; ICC = 0.26–0.61). Isoinertial force–velocity–power profiling and maximal strength in youth can be assessed after a familiarization session. Such profiling may provide valuable insight into neuromuscular capabilities during growth and maturation and may be used to monitor specific training adaptations. [ABSTRACT FROM PUBLISHER]

The aim of the study was to validate the self-report Multimedia Activity Recall for Children and Adolescents (MARCA) against accelerometry for the assessment of physical activity in New Zealand children. Participants (n = 716, 10–18 years) recalled 3–4 days of activity using the MARCA and underwent a partially overlapping 7-day accelerometry protocol during a national survey. Spearman correlation coefficients (ρ) assessed the association between accelerometer-derived counts per minute and MARCA-derived physical activity level and time in locomotion. Both data sources estimated time spent in light and moderate–vigorous physical activity. Association and agreement between methods for light physical activity and moderate–vigorous physical activity was assessed using correlations and Bland–Altman plots respectively, and pairedt-tests conducted. Accelerometer-derived activity counts were moderately correlated with both MARCA-derived physical activity level and locomotion (ρ = 0.38,P < 0.0001). The correlation between methods was –0.14 for light physical activity and 0.28 for moderate–vigorous physical activity (P < 0.0001). The MARCA overestimated moderate–vigorous physical activity compared with accelerometry (120 min,P < 0.0001), which increased as moderate–vigorous physical activity time increased. Some sex and ethnicity (Māori [indigenous] versus non-Māori) differences were observed. Overall, the MARCA indicated moderate validity for assessment of physical activity level, locomotion and moderate–vigorous physical activity and poor validity for assessment of light physical activity. This was comparable to other self-report tools. The MARCA has utility for future large-scale research. [ABSTRACT FROM PUBLISHER]

The prevalence of overweight and obesity is increasing worldwide at an alarming rate. An Internet-based weight-loss programme has the potential to reach larger numbers of people than traditional face-to-face programmes. A growing body of evidence supports the use of low glycaemic load (GL) diets for weight loss. The present study aimed to investigate the efficacy of an Internet-based weight-loss programme that included foods with a low GL. One hundred and three volunteers, with a body mass index (BMI) ≥28 kg m, enrolled into an Internet weight-loss programme. A dietitian counselled participants over the Internet via weekly interactive chat rooms and monthly e-mails. Participants self-recorded body weight and food intake directly on to the Internet site. Weight, BMI and waist circumference were measured, and dietary data collected, at baseline and 6 months. Seventy participants completed the 6-month weight-loss programme. Among these, mean weight, BMI and waist circumference significantly decreased by 3.5 kg (95% CI = 2.3-4.7), 1.2 kg m (95% CI = 0.8-1.7) and 4.8 cm (95% CI = 2.8-6.8), of baseline values respectively ( P < 0.001). Twenty-five (36%) of the 70 participants lost a clinically significant amount of weight (>5% of initial body weight). This descriptive study has shown that an Internet-based weight-loss programme with low GL principles can promote weight loss. This type of intervention and approach could be used to enhance other weight-loss strategies. [ABSTRACT FROM AUTHOR]

Research measuring whole-body protein turnover (WBPT) after both exercise and nutrition has generally focused on resistance exercise; however, there is a paucity of data regarding the effect of postaerobic exercise nutrition, especially in older adults. It is not known if postexercise protein feeding has a beneficial effect on protein turnover after low- to moderate-intensity exercise. We investigated whether consuming protein plus carbohydrate (PRO) immediately after an acute bout of aerobic exercise has an additive effect over carbohydrate alone (CHO) on WBPT in older individuals. Twelve healthy older adults (age, 59 ± 4 years) were studied on 2 separate occasions after 1 h of exercise at approximately 50% of maximal rate of oxygen uptake, followed by 4 h of recovery. Immediately following exercise, subjects ingested a CHO (60 g) or an isocaloric PRO beverage (40 g carbohydrate, 20 g whey protein). Whole-body protein metabolism was determined using [1-13C]leucine infusion (60 mg prime; 75 mg·h-1 continuous), and sampling blood and expired breath. Rates of whole-body leucine appearance and oxidation, and nonoxidative leucine disposal during the third and fourth hours of postexercise recovery were higher in the PRO group (2.51 ± 0.55, 0.78 ± 0.37, and 1.71 ± 0.44 µmol·kg-1·min-1, respectively) than in the CHO group (1.81 ± 0.27, 0.33 ± 0.14, and 1.47 ± 0.25 µmol·kg-1·min-1, respectively; p = 0.001). Our results indicate that consumption of a PRO beverage after aerobic exercise increased WBPT to a greater extent than a CHO beverage. Les études s'intéressant à la mesure du renouvellement global des protéines dans l'organisme (WBPT) à la suite d'un exercice physique et d'un apport alimentaire traitent généralement du rôle des exercices de force; néanmoins, il y a peu d'études sur les effets d'un apport alimentaire à la suite d'un exercice aérobie particulièrement chez les personnes âgées. On ne sait pas si un apport protéique après un exercice suscite un effet bénéfique sur le renouvellement protéique consécutif à un exercice d'intensité légère à modérée. Cette étude se propose de vérifier si, comparativement à un apport de sucres seulement (CHO), un apport protéique combiné à des sucres (PRO) immédiatement après un bref effort aérobie apporte des effets additionnels concernant le WBPT chez des personnes âgées. On invite en deux occasions douze adultes en bonne santé et âgés de 59 ± 4 ans à participer à une séance d'exercice d'une durée de 60 min et d'intensité suscitant 50 % du consommation d'oxygene maximale suivie d'une récupération d'une durée de 4 h. Immédiatement après la fin de l'exercice, les sujets consomment soit une boisson contenant des sucres (CHO; 60 g) soit une boisson contenant des sucres et des protéines (PRO; 40 g de sucres et 20 g de protéines lactosériques) totalisant la même quantité d'énergie. On évalue le métabolisme protéique de l'organisme en entier par l'administration de [1-13C] leucine (infusion immédiate de 60 mg suivie d'une perfusion à raison de 75 mg·h-1) et l'analyse des échantillons de sang et des gaz expirés. Les taux corporels d'apparition de la leucine, de son oxydation et de l'élimination de la fraction non oxydée au cours de la 3e et de la 4e heure de la période de récupération postexercice sont plus importants dans la condition PRO (2,51 ± 0,55, 0,78 ± 0,37 et 1,71 ± 0,44 μmol·kg-1·min-1 respectivement) que dans la condition CHO (1,81 ± 0,27, 0,33 ± 0,14 et 1,47 ± 0,25 μmol·kg-1·min-1 respectivement) (p = 0,001). Nos observations révèlent qu'un apport de protéines à la suite d'un exercice aérobie suscite une plus grande augmentation du WBPT que ne le fait un apport de sucres. Un apport protéique à la suite d'un exercice semble favorable à l'amélioration de la qualité des protéines contenues dans l'organisme en entier et pourrait apporter des gains en matière de capacité physique chez les personnes âgées. [ABSTRACT FROM AUTHOR]

Aim: To investigate the bone health and associated risk factors of a group of South Asian women living in New Zealand. Studies on the Indian subcontinent suggest a high incidence of low bone mineral density in women with poor vitamin D status and low dietary calcium intake. Methods: Subjects were women of South Asian origin (n = 91) living in Auckland, New Zealand. Subjects were stratified by menopausal status. They completed a 4-day food diary, and provided a fasting blood sample. Bone mineral density was measured in the lumbar spine and proximal femur using dual X-ray densitometry. Results: Mean age of premenopausal (n = 71) and postmenopausal (n = 20) women was 39.8 ± 7.8 and 55.3 ± 5.4 years, respectively. Osteoporosis ( T-score ≤−2.5) was present in 32% of postmenopausal and 3% of premenopausal subjects, but only in the lumbar spine. Adequate 25(OH)D levels (>50 nmol/L) were found in only 22% of premenopausal, and 26% of postmenopausal women. A body mass index in the overweight or obese category was found in 61% of premenopausal and 75% of postmenopausal women. Conclusion: The high incidence of osteoporosis in the postmenopausal group could be associated with the early age of oophorectomy or menopause together with low vitamin D status. [ABSTRACT FROM AUTHOR]

Summary: Background: There is a relationship between childhood obesity and area‐level deprivation. While the New Zealand Index of Deprivation (NZDep) has been used widely in research for the past 20 years, the Index of Multiple Deprivation (IMD) was released in 2017. This study aims to investigate the association between deprivation and childhood obesity in New Zealand and compare measures of deprivation. Methods: Data from 316 794 4‐year‐olds in New Zealand undertaking the B4 School Check in 2010 to 2016, a national health and development screen, were analysed. Multilevel logistic regression models assessed the relationship between area‐level deprivation and individual‐level child obesity. Models were adjusted for age, sex, immigration status, ethnicity, and year. Deprivation was measured using the census‐based NZDep2013 (deciles) and the administrative data‐based IMD (deciles). The seven domains of the IMD were also considered. Results: The relationship between deprivation and obesity was very similar for the IMD and NZDep2013, point estimates were near identical, and confidence intervals overlapped substantially. Higher levels of deprivation were associated with a higher prevalence of child obesity. The relationship between deprivation and child obesity varied considerably across IMD domains. The education domain had the strongest association with child obesity and had an association with child obesity independent of the other domains of deprivation. Conclusion: Overall, there was little difference between the NZDep and IMD. However, the IMD's domains and IMD‐1 approach reveal more nuanced understandings of the deprivation‐obesity gradient, including the importance of area‐level education deprivation for predicting child obesity rates. [ABSTRACT FROM AUTHOR]