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  • 1
    In: The American Journal of Clinical Nutrition, Elsevier BV, Vol. 107, No. 6 ( 2018-06), p. 992-1003
    Type of Medium: Online Resource
    ISSN: 0002-9165
    RVK:
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2018
    detail.hit.zdb_id: 1496439-9
    SSG: 12
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  • 2
    Online Resource
    Online Resource
    SAGE Publications ; 2015
    In:  Health Education Journal Vol. 74, No. 2 ( 2015-03), p. 131-143
    In: Health Education Journal, SAGE Publications, Vol. 74, No. 2 ( 2015-03), p. 131-143
    Abstract: Health-promoting schools (HPS) constitute an internationally recognised approach that connects health and education in a planned, integrated and holistic way. There is considerable variability, however, in how HPS is implemented and recent research has attempted to clarify the key functions of implementation. A provincial HPS strategy in Nova Scotia (NS) (Canada) provided a unique research opportunity to examine implementation related to emerging theory. The purpose of this exploratory study was to describe a provincial case study of HPS implementation using theoretical components identified in the literature. Design: Collective case study approach using qualitative research methods. Setting: The study was situated within a larger province-wide school-based research project examining the relationships between health, nutrition, physical activity, mental health and school performance of children in NS. As a follow-up to the provincial study, nine schools ( n = 9) that varied in their HPS implementation strategies and characteristics (i.e. size and region) were invited to take part as case study schools. Method: Data collection included observations, interviews and documents from nine schools ( n = 9). Data were analysed for emerging themes and using the a priori theoretical components. Results: The results revealed that schools assembled into three sequential categories based on the functioning of theoretical components. Higher level visioning and school-level leadership were critical in sustaining the adoption and implementation of HPS across schools and appeared to enable and integrate organisational processes, such as distributed leadership and a collaborative school culture, to enhance HPS implementation at school level. Conclusion: This study confirmed other reports that it is imperative to integrate HPS work with educational values so as to enable partnerships in both the health and education sectors, thereby promoting both health and prosperity among students.
    Type of Medium: Online Resource
    ISSN: 0017-8969 , 1748-8176
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2015
    detail.hit.zdb_id: 2233563-8
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  • 3
    In: Journal of Transport & Health, Elsevier BV, Vol. 30 ( 2023-05), p. 101606-
    Type of Medium: Online Resource
    ISSN: 2214-1405
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2023
    detail.hit.zdb_id: 2747533-5
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  • 4
    In: AIMS Public Health, American Institute of Mathematical Sciences (AIMS), Vol. 9, No. 1 ( 2021), p. 41-52
    Abstract: 〈abstract〉〈sec〉 〈title〉Background〈/title〉 〈p〉Stigmatization of persons living with obesity is an important public health issue. In 2015, Obesity Canada adopted person-first language in all internal documentation produced by the organization, and, from 2017, required all authors to use person-first language in abstract submissions to Obesity Canada hosted conferences. The impact of this intentional shift in strategic focus is not known. Therefore, the aim of this study was to conduct a content analysis of proceedings at conferences hosted by Obesity Canada to identify whether or how constructs related to weight bias and obesity stigma have changed over time.〈/p〉 〈/sec〉〈sec〉 〈title〉Methods〈/title〉 〈p〉Of 1790 abstracts accepted to conferences between 2008–2019, we excluded 353 abstracts that featured animal or cellular models, leaving 1437 abstracts that were reviewed for the presence of five constructs of interest and if they changed over time: 1) use of person-first versus use of disease-first terminology, 2) incorporation of lived experience of obesity, 3) weight bias and stigma, 4) aggressive or alarmist framing and 5) obesity framed as a modifiable risk factor versus as a disease. We calculated and analyzed through linear regression: 1) the overall frequency of use of each construct over time as a proportion of the total number of abstracts reviewed, and 2) the ratio of abstracts where the construct appeared at least once based on the total number of abstracts.〈/p〉 〈/sec〉〈sec〉 〈title〉Results〈/title〉 〈p〉We found a significant positive correlation between use of person-first language in abstracts and time (R2 = 0.51, p 〈 0.01 for frequency, R2 = 0.65, p 〈 0.05 for ratio) and a corresponding negative correlation for the use of disease-first terminology (R2 = 0.48, p = 0.01 for frequency, R2 = 0.75, p 〈 0.001 for ratio). There was a significant positive correlation between mentions of weight bias and time (R2 = 0.53 and 0.57, p 〈 0.01 for frequency and ratio respectively).〈/p〉 〈/sec〉〈sec〉 〈title〉Conclusion〈/title〉 〈p〉Use of person-first language and attention to weight bias increased, while disease-first terminology decreased in accepted abstracts over the past 11 years since Obesity Canada began hosting conferences and particularly since more explicit actions for expectations to use person-first language were put in place in 2015 and 2017.〈/p〉 〈/sec〉〈/abstract〉
    Type of Medium: Online Resource
    ISSN: 2327-8994
    Language: Unknown
    Publisher: American Institute of Mathematical Sciences (AIMS)
    Publication Date: 2021
    detail.hit.zdb_id: 2777115-5
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  • 5
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2010
    In:  Public Health Nutrition Vol. 13, No. 1 ( 2010-01), p. 147-148
    In: Public Health Nutrition, Cambridge University Press (CUP), Vol. 13, No. 1 ( 2010-01), p. 147-148
    Type of Medium: Online Resource
    ISSN: 1368-9800 , 1475-2727
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2010
    detail.hit.zdb_id: 2016337-X
    SSG: 21
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  • 6
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2015
    In:  Public Health Nutrition Vol. 18, No. 12 ( 2015-08), p. 2251-2262
    In: Public Health Nutrition, Cambridge University Press (CUP), Vol. 18, No. 12 ( 2015-08), p. 2251-2262
    Abstract: To assess agreement among three nutrient profiling systems used to evaluate the healthfulness of vending machine products in recreation and sport settings in three Canadian provinces. We also assessed whether the nutritional profile of vending machine items in recreation and sport facilities that were adhering to nutrition guidelines (implementers) was superior to that of facilities that were not (non-implementers). Design Trained research assistants audited the contents of vending machines. Three provincial nutrient profiling systems were used to classify items into each province’s most, moderately and least healthy categories. Agreement among systems was assessed using weighted κ statistics. ANOVA assessed whether the average nutritional profile of vending machine items differed according to province and guideline implementation status. Setting Eighteen recreation and sport facilities in three Canadian provinces. One-half of facilities were implementing nutrition guidelines. Subjects Snacks ( n 531) and beverages ( n 618) within thirty-six vending machines were audited. Results Overall, the systems agreed that the majority of items belonged within their respective least healthy categories (66–69 %) and that few belonged within their most healthy categories (14–22 %). Agreement among profiling systems was moderate to good, with κ w values ranging from 0·49 to 0·69. Implementers offered fewer of the least healthy items ( P 〈 0·05) and these items had a better nutritional profile compared with items in non-implementing facilities. Conclusions The policy outcomes of the three systems are likely to be similar, suggesting there may be scope to harmonize nutrient profiling systems at a national level to avoid unnecessary duplication and support food reformulation by industry.
    Type of Medium: Online Resource
    ISSN: 1368-9800 , 1475-2727
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2015
    detail.hit.zdb_id: 2016337-X
    SSG: 21
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  • 7
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2011
    In:  BMC Medical Research Methodology Vol. 11, No. 1 ( 2011-12)
    In: BMC Medical Research Methodology, Springer Science and Business Media LLC, Vol. 11, No. 1 ( 2011-12)
    Abstract: Administrative health databases are a valuable research tool to assess health care utilization at the population level. However, their use in obesity research limited due to the lack of data on body weight. A potential workaround is to use the ICD code of obesity to identify obese individuals. The objective of the current study was to investigate the sensitivity and specificity of an ICD code-based diagnosis of obesity from administrative health data relative to the gold standard measured BMI. Methods Linkage of a population-based survey with anthropometric measures in elementary school children in 2003 with longitudinal administrative health data (physician visits and hospital discharges 1992-2006) from the Canadian province of Nova Scotia. Measured obesity was defined based on the CDC cut-offs applied to the measured BMI. An ICD code-based diagnosis obesity was defined as one or more ICD-9 (278) or ICD-10 code (E66-E68) of obesity from a physician visit or a hospital stay. Sensitivity and specificity were calculated and health care cost estimates based on measured obesity and ICD-based obesity were compared. Results The sensitivity of an ICD code-based obesity diagnosis was 7.4% using ICD codes between 2002 and 2004. Those correctly identified had a higher BMI and had higher health care utilization and costs. Conclusions An ICD diagnosis of obesity in Canadian administrative health data grossly underestimates the true prevalence of childhood obesity and overestimates the health care cost differential between obese and non-obese children.
    Type of Medium: Online Resource
    ISSN: 1471-2288
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2011
    detail.hit.zdb_id: 2041362-2
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  • 8
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2007
    In:  BMC Health Services Research Vol. 7, No. 1 ( 2007-12)
    In: BMC Health Services Research, Springer Science and Business Media LLC, Vol. 7, No. 1 ( 2007-12)
    Abstract: Rising levels of obesity coupled with the limited success of currently available weight control methods highlight the need for investigation of novel approaches to obesity treatment. This study aims to determine the effectiveness and cost-effectiveness of an Internet-based resource for obesity management. Methods A randomised controlled trial conducted in a community setting, where obese volunteers (n = 221) were randomly assigned to Internet group (n = 111) or usual care group (n = 110). Objective measures of weight and height were obtained. Questionnaires were used to collect dietary, lifestyle, physical activity and quality of life data. Data were collected at baseline, six months and 12 months. Results Data were collected on 54 (49%) participants in the Internet group and 77 (70%) participants in the usual care group at 12 months. Based on analysis conducted on all available data, the Internet group lost 1.3 kg, compared with 1.9 kg weight loss in the usual care group at 12 months, a non-significant difference (difference = 0.6 kg; 95% CI: -1.4 to 2.5, p = 0.56). No significant differences in change in secondary outcome measures between the two groups at six or 12 months were revealed. Total costs per person per year were higher in the Internet group than the usual care group (£992.40 compared to £276.12), primarily due to the fixed costs associated with setting up the website, and QALYs were similar (0.78 and 0.77) for both groups. Conclusion This trial failed to show any additional benefit of this website in terms of weight loss or secondary outcome measures compared with usual care. High attrition and low compliance limits the results of this research. The results suggest that the Internet-based weight control resource was not a cost-effective tool for weight loss in the obese sample studied. Trail Registration ISRCTN 58621669
    Type of Medium: Online Resource
    ISSN: 1472-6963
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2007
    detail.hit.zdb_id: 2050434-2
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  • 9
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2003
    In:  Public Health Nutrition Vol. 6, No. 4 ( 2003-06), p. 329-331
    In: Public Health Nutrition, Cambridge University Press (CUP), Vol. 6, No. 4 ( 2003-06), p. 329-331
    Abstract: To determine the prevalences of overweight and obesity in children aged 4 to 12 years, using the standard definitions proposed by the International Obesity Taskforce. Design: Population prevalence cross-sectional survey involving measurement of height and weight. Data collection took place in 1998. Setting: Schools in Gibraltar. Subjects: In total 2994 children, aged 4–12 years, attending these schools (1540 boys, 1454 girls). Results: Prevalence of overweight in boys was 19.7%, while obesity prevalence was 10.8%. For the girls, overweight prevalence was 21.4%, while obesity prevalence was 10.6%. There were no significant differences in the proportions of overweight or obesity between boys and girls. Conclusions: This was the first time that the prevalences of overweight and obesity have been estimated in children from Gibraltar. These data provide further information on prevalence rates of overweight and obesity, using defined cut-offs for comparison with data from other countries.
    Type of Medium: Online Resource
    ISSN: 1368-9800 , 1475-2727
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2003
    detail.hit.zdb_id: 2016337-X
    SSG: 21
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  • 10
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 1999
    In:  Public Health Nutrition Vol. 2, No. 1 ( 1999-01), p. 69-73
    In: Public Health Nutrition, Cambridge University Press (CUP), Vol. 2, No. 1 ( 1999-01), p. 69-73
    Abstract: To describe the characteristics of dietary supplement users in a large cohort of women and test the hypothesis that supplement users would be more likely to have a healthier lifestyle than non-users. Design: Comparison of nutrient intakes from food frequency questionnaire (FFQ) data for 8409 supplement users and 5413 non-users. Use of logistic regression modelling to determine predictors of supplement use in this cohort. Subjects: 13,822 subjects from the UK Women's Cohort Study (UKWCS) for whom data on supplement use was available. Results: Significant differences in nutrient intakes from FFQ were seen between the two groups, with supplement users having higher intakes of all nutrients, except for fat and vitamin B 12 . Use of dietary supplements was associated with being vegetarian, vegan or fish-eating, consuming more fruit and vegetables, being more physically active and having a lower alcohol intake. Supplement use was less likely in those with a body mass index above 25 and those who reported smoking regularly. Conclusions: The findings are consistent with the hypothesis that supplement use is associated with a healthier lifestyle profile and an adequate nutritional intake, suggesting that supplement users do not need to take supplements to meet a nutrient deficiency.
    Type of Medium: Online Resource
    ISSN: 1368-9800 , 1475-2727
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 1999
    detail.hit.zdb_id: 2016337-X
    SSG: 21
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