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  • 1
    Online Resource
    Online Resource
    Does adjusting for biological maturity when calculating child weight status improve the accuracy of predicting future health risk?
    Springer Science and Business Media LLC ; 2021
    In:  BMC Public Health Vol. 21, No. 1 ( 2021-12)
    Details
    In: BMC Public Health, Springer Science and Business Media LLC, Vol. 21, No. 1 ( 2021-12)
    Abstract: The aim of this study was to assess whether adjusting the weight categorisation of children for their biological maturity status could improve the accuracy of predicting weight status and cardiometabolic risk at age 17. Methods Data from 1525 participants (787 female) from the ALSPAC study were analysed. Participants’ weight status at age 11 was estimated using first standard chronological age and sex adjusted BMI cut-offs, and again using maturity adjusted BMI cut-offs. Each BMI category at age 11 was regressed against cardiometabolic risk score and BMI category at age 17, controlling for sex, ethnicity and socio-economic status. Results At age 11 years, 22% of boys and 46% of girls who were categorised as overweight or having obesity based on chronological age were re-categorised into a lower BMI category after adjusting for biological maturity. Biologically adjusted BMI categories better predicted BMI category at age 17 compared with non-adjusted BMI categories (∆BIC = − 21.69); the odds of having obesity at age 17 were 18.28 times greater with each increase in BMI category at age 11. Adjusted and non-adjusted BMI status at 11 years showed equivalent accuracy in predicting cardiometabolic risk at age 17; the odds ratio of high cardiometabolic risk was 1.85, with heightened risk in boys, particularly early maturers. Conclusion The traditional method of categorising adolescents into a BMI category may over-predict overweight and obesity, particularly in girls. Adjusting for biological maturity when estimating weight status through calculating adolescents’ BMI classification was equivalent to standard approaches in predicting other cardiovascular risk at age 17.
    Type of Medium: Online Resource
    ISSN: 1471-2458
    URL: Article
    DOI: 10.1186/s12889-021-12037-4
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2041338-5
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  • 2
    Online Resource
    Online Resource
    Influence of obesity prevalence on social norms and weight control motivation: a cross-sectional comparison of the Netherlands and the UK
    Informa UK Limited ; 2022
    In:  Psychology, Health & Medicine Vol. 27, No. 5 ( 2022-05-28), p. 987-998
    Details
    In: Psychology, Health & Medicine, Informa UK Limited, Vol. 27, No. 5 ( 2022-05-28), p. 987-998
    Type of Medium: Online Resource
    ISSN: 1354-8506 , 1465-3966
    URL: Article
    DOI: 10.1080/13548506.2020.1829654
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2022
    detail.hit.zdb_id: 1477841-5
    SSG: 5,2
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  • 3
    Online Resource
    Online Resource
    Effects of a Web-Based, Evolutionary Mismatch-Framed Intervention Targeting Physical Activity and Diet: a Randomised Controlled Trial
    Springer Science and Business Media LLC ; 2019
    In:  International Journal of Behavioral Medicine Vol. 26, No. 6 ( 2019-12), p. 645-657
    Details
    In: International Journal of Behavioral Medicine, Springer Science and Business Media LLC, Vol. 26, No. 6 ( 2019-12), p. 645-657
    Abstract: This study sought to test the effectiveness of a 12-week, novel online intervention (Evolife) aiming to increase physical activity level (PAL) and reduce energy intake (EI) among overweight/obese adults. The intervention used an evolutionary mismatch message to frame health information in an engaging way, incorporating evidence-based behaviour change techniques to promote autonomous motivation, self-efficacy and self-regulatory skills. Method Men and women aged 35–74 years with a BMI of 25–40 kg/m 2 were eligible. Participants were randomised to receive either the intervention (comprising a face-to-face introductory session, 12 weeks’ access to the Evolife website and a pedometer) or a control condition (face-to-face introductory session and NHS online health resources). PAL was measured objectively and EI was self-reported using 3-day weighed food records. Secondary measures included BMI, waist circumference and blood pressure. Results Sixty people met inclusion criteria; 59 (30 intervention) completed the trial (mean age = 50; 56% male). Differences between groups’ change scores for PAL and EI were of small effect size but did not reach significance (d = 0.32 and d = − 0.49, respectively). Improvements were found in both groups for PAL (int: d = 0.33; control: d = 0.04), EI (int: d = − 0.81; control: d = − 0.16), waist circumference (int: d = − 0.30; control: d = − 0.17) and systolic blood pressure (int: d = − 0.67; control: d = − 0.28). Conclusion The intervention did not lead to significantly greater improvement in PAL or reduction in EI than a minimal intervention control, although the changes in the intervention group were of meaningful effect size and comparable with positive outcomes in larger intervention trials. Trial Registration This trail was registered on www.clinicaltrials.gov on 16 January 2017 (appeared online 26 January 2017), reference NCT03032731.
    Type of Medium: Online Resource
    ISSN: 1070-5503 , 1532-7558
    URL: Article
    DOI: 10.1007/s12529-019-09821-3
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2019
    detail.hit.zdb_id: 2027575-4
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  • 4
    Online Resource
    Online Resource
    The acceptability of evidence-informed guidance for parents in talking to their children about weight
    Springer Science and Business Media LLC ; 2023
    In:  BMC Public Health Vol. 23, No. 1 ( 2023-07-14)
    Details
    In: BMC Public Health, Springer Science and Business Media LLC, Vol. 23, No. 1 ( 2023-07-14)
    Abstract: Many parents express concern about the impact of talking to children about weight on their self-esteem and wellbeing. The aim of this study was to explore the perceived relevance, utility and acceptability of new guidance for parents on talking to children about weight, developed to apply theory, evidence and expert advice into practice. Methods For this qualitative study, parents and public health practitioners (PHPs) were recruited from ten local authorities in England, through the National Child Measurement Programme between June and September 2021. Participants were sent a copy of the guidance document and took part in an interview approximately one week later. Interviews were transcribed verbatim and explored using thematic analysis. Results 12 parents and 15 PHPs took part, and were similar in their responses reporting the guidance to be acceptable, relevant and helpful. Theme 1 explored how the guidance reduced perceptions of stigma and blame through the perspective and tone that was adopted. Theme 2 explored how the guidance could provide reassurance and increase confidence as a result of case study examples, and specific tips and advice. Theme 3 explored the extent to which participants perceived the advice to be realistic and how it could fit with existing PHP practice. Suggestions for improvement included adapting for relevance for lower income families and providing separate advice for parents of older and younger children. Conclusions The guidance was perceived as relevant and needed; it showed potential to reduce parents’ negative affect and concerns, and improve confidence around talking to children about weight.
    Type of Medium: Online Resource
    ISSN: 1471-2458
    URL: Article
    DOI: 10.1186/s12889-023-16267-6
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2041338-5
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  • 5
    Online Resource
    Online Resource
    The systematic development of guidance for parents on talking to children of primary school age about weight
    Springer Science and Business Media LLC ; 2023
    In:  BMC Public Health Vol. 23, No. 1 ( 2023-09-04)
    Details
    In: BMC Public Health, Springer Science and Business Media LLC, Vol. 23, No. 1 ( 2023-09-04)
    Abstract: The prevalence of overweight and obesity in children is increasing, alongside increases in rates of children’s anxiety and worry about their weight. In many countries children’s weight is measured, and parents are made aware if a child has been classified as having overweight or obesity. However, many parents are concerned that raising their child’s awareness of their weight, and talking to children about their weight could harm their wellbeing. The aim of this project was to develop guidance for parents on constructive ways to talk to children of primary school age about weight when they need to. Methods The project followed a mixed-methods design: Phase 1 involved the collation of evidence including (a) two previously published systematic literature reviews to identify the associations between parent–child weight talk, and broader health discussions, and children’s wellbeing, (b) interviews with children, and (c) development and refinement of narrative messaging (previously published). In Phase 2 we developed a conceptual model and mapped primary findings to techniques and content within a draft guidance document for parents on talking to children about weight. Phase 3 involved a modified Delphi process with 29 stakeholders to refine and agree a final version. Results An acceptable draft guidance was agreed following two stages of feedback from Delphi participants. Key areas for debate and adaptation included: encouraging discussion about health and growth with lesser focus on weight; finding ways to reduce stigma and perceptions of blame; emphasising a whole-family approach; inclusive representation of diversity among children and families. Conclusions Consensus on the content of guidance for parents on talking to children about weight was achieved through a process of evidence review and stakeholder and expert engagement. The next steps are to measure the impact of the resource on improving the experience of parents and children in communicating about weight.
    Type of Medium: Online Resource
    ISSN: 1471-2458
    URL: Article
    DOI: 10.1186/s12889-023-16527-5
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2041338-5
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  • 6
    Online Resource
    Online Resource
    Physical Activity, Physical Self-Concept, and Health-Related Quality of Life of Extreme Early and Late Maturing Adolescent Girls
    SAGE Publications ; 2012
    In:  The Journal of Early Adolescence Vol. 32, No. 2 ( 2012-04), p. 269-292
    Details
    In: The Journal of Early Adolescence, SAGE Publications, Vol. 32, No. 2 ( 2012-04), p. 269-292
    Abstract: In this study we tested for differences in physical activity (PA), physical self-concept, and health-related quality of life (HRQoL) between the least and most biologically mature adolescent females within their respective chronological and academic year groups. A total of 222 British female adolescents aged 10 to 14 years ([Formula: see text] age = 12.7 years; SD = .8) completed a series of instruments assessing PA, physical self-concept, and HRQoL. Percentage of predicted adult stature was used as an index of biological maturation. A series of univariate analyses of covariance (ANCOVA), controlling for chronological age, revealed that the most mature girls within the chronological and academic year groups generally reported lower levels of physical self-concept and, to a lesser extent, PA and HRQoL when compared to the least mature girls. The findings provide partial support toward the contention that maturity-associated variance in health-related outcomes is accentuated at the extreme ends of the biological maturity continuum.
    Type of Medium: Online Resource
    ISSN: 0272-4316 , 1552-5449
    URL: Article
    DOI: 10.1177/0272431610393250
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2012
    detail.hit.zdb_id: 2011499-0
    SSG: 5,2
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  • 7
    Online Resource
    Online Resource
    Correction to: Effects of a Web-Based, Evolutionary Mismatch-Framed Intervention Targeting Physical Activity and Diet: A Randomised Controlled Trial
    Springer Science and Business Media LLC ; 2023
    In:  International Journal of Behavioral Medicine Vol. 30, No. 2 ( 2023-04), p. 305-305
    Details
    In: International Journal of Behavioral Medicine, Springer Science and Business Media LLC, Vol. 30, No. 2 ( 2023-04), p. 305-305
    Type of Medium: Online Resource
    ISSN: 1070-5503 , 1532-7558
    URL: Article
    DOI: 10.1007/s12529-023-10169-y
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2027575-4
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  • 8
    Online Resource
    Online Resource
    Using narrative messages to improve parents' experience of learning that a child has overweight
    Mark Allen Group ; 2020
    In:  British Journal of Child Health Vol. 1, No. 5 ( 2020-10-02), p. 220-230
    Details
    In: British Journal of Child Health, Mark Allen Group, Vol. 1, No. 5 ( 2020-10-02), p. 220-230
    Abstract: Providing feedback to parents that their child has overweight often elicits negative reactance. Aims: To investigate the acceptability and feasibility of providing theoretically-informed narrative messages to reduce negative reactance, alongside the National Child Measurement Programme (NCMP) feedback informing parents when their child has overweight. Methods: A mixed-methods design: interviews with parents of primary school-aged children explored responses to the narratives; a pilot randomised trial examined the feasibility, acceptability and promise of enclosing narratives with NCMP feedback. Findings: Interview participants found the narratives acceptable and indicated they could help lessen negative reactance. Pilot study data suggested 65% of parents could identify with the characters, with evidence of elaboration (applying the story to one's own situation) evident in 47% of those reading the accounts.
    Type of Medium: Online Resource
    ISSN: 2633-5417 , 2633-5425
    URL: Article
    DOI: 10.12968/chhe.2020.1.5.220
    Language: English
    Publisher: Mark Allen Group
    Publication Date: 2020
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  • 9
    Online Resource
    Online Resource
    Biological maturation as a confounding factor in the relation between chronological age and health-related quality of life in adolescent females
    Springer Science and Business Media LLC ; 2011
    In:  Quality of Life Research Vol. 20, No. 2 ( 2011-3), p. 237-242
    Details
    In: Quality of Life Research, Springer Science and Business Media LLC, Vol. 20, No. 2 ( 2011-3), p. 237-242
    Type of Medium: Online Resource
    ISSN: 0962-9343 , 1573-2649
    URL: Article
    DOI: 10.1007/s11136-010-9743-0
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2011
    detail.hit.zdb_id: 2008960-0
    SSG: 5,1
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  • 10
    Online Resource
    Online Resource
    Can evolutionary mismatch help generate interest in health promotion messages?
    SAGE Publications ; 2018
    In:  Health Education Journal Vol. 77, No. 5 ( 2018-08), p. 515-526
    Details
    In: Health Education Journal, SAGE Publications, Vol. 77, No. 5 ( 2018-08), p. 515-526
    Abstract: Generating interest in health interventions is an important first step towards engagement with health promotion and effecting behaviour change. This study explored whether framing health information about physical activity and diet from an evolutionary mismatch perspective could help to generate interest in health promotion among overweight and inactive adults. Evolutionary mismatch theory proposes that human cultural evolution has occurred too rapidly for biological evolution to keep up, creating a mismatch between genes and lifestyles that gives rise to chronic diseases such as type 2 diabetes. Method: A total of 18 adults completed interviews in which they viewed and discussed a variety of mismatch-framed health information resources. Follow-up questions assessed if and what participants had thought about the information in the week after the interview. Transcripts were thematically analysed. Results: Participants found the evolutionary perspective to be novel and interesting. It also provided a meaningful rationale for behaviour change. However, there was some evidence of negative elaboration, which would need to be managed if implementing this approach. Conclusion: Adopting a mismatch perspective can help to engage audiences with important health information.
    Type of Medium: Online Resource
    ISSN: 0017-8969 , 1748-8176
    URL: Article
    DOI: 10.1177/0017896918754923
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2018
    detail.hit.zdb_id: 2233563-8
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