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Relationship of Obesity with Lifestyle and Comorbidities in Public School Teachers—A Cross-Sectional Study 公立学校教师肥胖与生活方式及合并症的关系——一项横断面研究
Pub Date : 2022-02-01 DOI: 10.3390/obesities2010006
W. Tebar, F. C. Gil, L. D. Delfino, Jefferson Souza, J. Mota, D. Christofaro
Obesity is one of the major public health burdens, and is a global pandemic that has been associated with lifestyle habits and comorbidities in the general population. Teachers comprise a wide category of workers with unestablished factors associated with obesity. This cross-sectional epidemiological study analyzed the association of obesity, defined by body mass index ≥ 30 kg/m², with work-related factors (years in the profession, hours worked weekly), lifestyle (sports practice, active commuting, TV viewing, smoking, alcohol consumption), and comorbidities (hypertension, diabetes, dyslipidemia) in a sample of 246 public school teachers. An elevated prevalence of obesity was observed in the sample (30.1%), which was associated with ≥2 h/day of TV viewing (OR: 2.10, p = 0.025) and hypertension (OR: 2.62, p = 0.010), whereas it was inversely associated with frequent active commuting by walking or cycling (OR: 0.22, p = 0.007), even after multiple adjustments. No association was observed between obesity and work-related factors. Actions focused on promoting active commuting while limiting TV time could be important strategies for facing the elevated prevalence of obesity in public school teachers. However, the analysis of longitudinal data and investigation of obesogenic determinants are still needed.
肥胖是主要的公共卫生负担之一,是一种全球流行病,与一般人群的生活习惯和合并症有关。教师是一大类与肥胖有关的未知因素的工作者。本横断面流行病学研究分析了246名公立学校教师的肥胖(以体重指数≥30 kg/m²定义)与工作相关因素(工作年限、每周工作时间)、生活方式(体育锻炼、频繁通勤、看电视、吸烟、饮酒)和合并症(高血压、糖尿病、血脂异常)的关系。在样本中观察到肥胖患病率升高(30.1%),这与每天看电视≥2小时(OR: 2.10, p = 0.025)和高血压(OR: 2.62, p = 0.010)相关,而与频繁的步行或骑自行车等积极通勤(OR: 0.22, p = 0.007)负相关,即使在多次调整后也是如此。没有观察到肥胖和工作相关因素之间的联系。在限制看电视时间的同时,鼓励积极通勤可能是应对公立学校教师肥胖率上升的重要策略。然而,纵向数据的分析和肥胖的决定因素的调查仍然需要。
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引用次数: 2
Acknowledgment to Reviewers of Obesities in 2021 致2021年肥胖评论家的致谢
Pub Date : 2022-01-28 DOI: 10.3390/obesities2010005
Rigorous peer-reviews are the basis of high-quality academic publishing [...]
严谨的同行评审是高质量学术出版的基础〔…〕
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引用次数: 0
Is Food Outlet Accessibility a Significant Factor of Fruit and Vegetable Intake? Evidence from a Cross-Sectional Province-Wide Study in Quebec, Canada 食品出口可及性是果蔬摄入量的重要因素吗?来自加拿大魁北克省横断面全省研究的证据
Pub Date : 2022-01-25 DOI: 10.3390/obesities2010004
A. Mathieu, É. Robitaille, Marie-Claude Paquette
Unhealthy eating habits can compromise one’s health and generate significant individual, social, and health services costs. The adoption of healthy eating habits depends on individual and environmental determinants related to the characteristics of the physical, economic, political, and socio-cultural environments. The objective of this cross-sectional study was to assess the effect of the physical environment, more precisely the effect of food outlet accessibility, on diet. A subsample of the CARTaGENE survey, composed of 7783 adults aged 40 to 70 years old residing in four cities in Quebec (Canada), was used. Measures of proximity as well as absolute and relative measures of the density of retail food outlets, fast-food outlets, and convenience stores near participants’ residences were used to analyze fruit and vegetable (F&V) intake. Univariate logistic regression showed that the minimal recommended portions of F&V intake (5 or more portions) were significantly associated with all seven measures of the retail food environment (OR between 0.76 and 1.27). However, these relations were mostly non-significant when confounding variables were considered in the analysis except and counterintuitively for proximity to the nearest convenience store and density of convenience stores. Variables most significantly correlated to F&V intake were individual-level confounding variables of sex, income, and education. These results show that more research is needed to understand factors explaining F&V intake in this population.
不健康的饮食习惯会损害一个人的健康,并产生巨大的个人、社会和卫生服务成本。健康饮食习惯的采用取决于与身体、经济、政治和社会文化环境特征相关的个人和环境决定因素。这项横断面研究的目的是评估物理环境对饮食的影响,更准确地说是食物出口可及性的影响。使用了CARTaGENE调查的子样本,由居住在魁北克(加拿大)四个城市的7783名40至70岁的成年人组成。研究人员利用参与者住所附近的零售食品店、快餐店和便利店的密度以及绝对和相对密度来分析水果和蔬菜(F&V)的摄入量。单变量逻辑回归显示,最低推荐摄入量(5份或更多份)与零售食品环境的所有7项指标显著相关(or在0.76和1.27之间)。然而,当分析中考虑混杂变量时,这些关系大多不显著,除了最近便利店的接近程度和便利店的密度,这与直觉相反。与F&V摄入量最显著相关的变量是性别、收入和教育等个人水平的混杂变量。这些结果表明,需要更多的研究来了解解释这一人群中食物和饮料摄入的因素。
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引用次数: 0
The Relationship of Internalized Weight Bias to Weight Change in Treatment-Seeking Overweight Adults 寻求治疗的超重成人的内化体重偏倚与体重变化的关系
Pub Date : 2022-01-19 DOI: 10.3390/obesities2010003
R. Marshall, K. O’Brien, J. Latner
The present study examined data from a randomized controlled trial exploring whether behavioral weight loss treatment was associated with changes in internalized weight bias. The relationship between internalized weight bias and psychological functioning was also assessed. Participants were 106 men and women with overweight or obesity enrolled in a treatment outcome study using the Lifestyle Balance Program. Participants completed measures of internalized weight bias, anti-fat attitudes, self-esteem, body image concern, depressive symptoms, anxiety, and stress. Variables were assessed at baseline, post-treatment, and six-month follow-up. Weight bias internalization significantly decreased over the course of treatment. Baseline and follow-up internalized weight bias scores predicted change in body weight. Participants reporting the lowest levels of internalized weight bias at baseline lost nearly twice as much weight as participants reporting the highest levels of internalized weight bias. Significant associations were found between internalized weight bias, body image concern, and self-esteem. Findings indicate a relationship between internalized weight bias and weight change during behavioral weight loss treatment, highlighting the importance of assessing baseline levels of internalized weight bias in weight loss treatment studies. Higher internalized weight bias predicted poorer weight loss outcomes, indicating a need for tailored treatment approaches.
本研究检查了一项随机对照试验的数据,探索行为减肥治疗是否与内化体重偏见的改变有关。内化体重偏差与心理功能之间的关系也被评估。参与者是106名超重或肥胖的男性和女性,他们参加了一项使用生活方式平衡计划的治疗结果研究。参与者完成了内化体重偏见、反肥胖态度、自尊、身体形象关注、抑郁症状、焦虑和压力的测量。在基线、治疗后和6个月随访时评估变量。体重偏倚内化在治疗过程中显著减少。基线和随访内化体重偏倚评分预测体重变化。报告内化体重偏差最低水平的参与者在基线时减掉的体重几乎是报告内化体重偏差最高水平的参与者的两倍。内化体重偏见、身体形象关注和自尊之间存在显著关联。研究结果表明,在行为减肥治疗期间,内化体重偏差与体重变化之间存在关系,强调了在减肥治疗研究中评估内化体重偏差基线水平的重要性。较高的内化体重偏倚预示着较差的减肥结果,这表明需要量身定制的治疗方法。
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引用次数: 0
Intermittent Fasting and Fat Mass: What Is the Clinical Magnitude? 间歇性禁食和脂肪量:临床意义是什么?
Pub Date : 2022-01-07 DOI: 10.3390/obesities2010001
Heitor O. Santos
Clinical studies addressing the benefits of intermittent fasting (IF) diets have evoked interest in the treatment of obesity. Herein, the overall effects of IF regimens on fat-mass loss are explained in a brief review through a recent literature update. To date, human studies show a reduction in fat mass from 0.7 to 11.3 kg after IF regimens, in which the duration of interventions ranges from two weeks to one year. In light of this, IF regimens can be considered a reasonable approach to weight (fat mass) loss. However, the benefits of IF regimens occur thanks to energy restriction and cannot hence be considered the best dietary protocol compared to conventional diets.
针对间歇性禁食(IF)饮食益处的临床研究引起了人们对肥胖治疗的兴趣。在此,通过最近的文献更新,简要回顾了IF方案对脂肪量减少的总体影响。迄今为止,人体研究表明,IF方案后脂肪量从0.7公斤减少到11.3公斤,其中干预的持续时间从两周到一年不等。有鉴于此,IF方案可以被认为是一种合理的减肥方法。然而,IF方案的好处是由于能量限制,因此与传统饮食相比,不能被视为最佳饮食方案。
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引用次数: 6
The Role of Water-Based Exercise on Vertical Ground Reaction Forces in Overweight Children: A Pilot Study 水性运动对超重儿童垂直地面反作用力作用的初步研究
Pub Date : 2021-12-20 DOI: 10.3390/obesities1030019
M. B. Gomes, L. S. Andrade, G. N. Nunes, M. K. Weymar, G. Z. Schaun, C. Alberton
The aquatic environment represents an adequate and safe alternative for children with overweight to exercise. However, the magnitude of the vertical ground reaction force (Fz) during these exercises is unknown in this population. Therefore, our study aimed to compare the Fz during the stationary running exercise between the aquatic and land environments in children with overweight or obesity. The study is characterized as a cross-over study. Seven children, two with overweight and five with obesity (4 boys and 3 girls; 9.7 ± 0.8 years), performed two experimental sessions, one on land and another in the aquatic environment. In both conditions, each participant performed 15 repetitions of the stationary running exercise at three different cadences (60, 80, and 100 b min−1) in a randomized order. Their apparent weight was reduced by 72.1 ± 10.4% on average at the xiphoid process depth. The peak Fz, impulse, and loading rate were lower in the aquatic environment than on land (p < 0.001). Peak Fz was also lower at 80 b min−1 compared to 100 b min−1 (p = 0.005) and loading rate was higher at 100 b min−1 compared to 80 b min−1 (p = 0.003) and 60 b min−1 (p < 0.001) in the aquatic environment, whereas impulse was significantly reduced (p < 0.001) with the increasing cadence in both environments. It can be concluded that the aquatic environment reduces all the Fz outcomes investigated during stationary running and that exercise intensity seems to influence all these outcomes in the aquatic environment.
对于超重儿童来说,水上环境是一种充分而安全的锻炼方式。然而,在这些演习中,垂直地面反作用力(Fz)的大小在这一人群中是未知的。因此,我们的研究旨在比较超重或肥胖儿童在水中和陆地环境下进行固定式跑步运动时的Fz。这项研究的特点是交叉研究。七名儿童,其中两名超重,五名肥胖(4名男孩和3名女孩;9.7±0.8岁),进行了两次实验,一次在陆地上,另一次在水生环境中。在这两种情况下,每个参与者以随机顺序以三种不同的节奏(60、80和100 b min−1)重复15次固定跑步练习。在剑突深度,它们的表观重量平均减少了72.1±10.4%。水生环境中的峰值Fz、脉冲和加载速率低于陆地(p<0.001)。80 b min−1时的峰值Fz也低于100 b min−(p=0.005),100 b min-1时的加载速率高于水生环境中80 b min-1(p=0.003)和60 b min−,而在两种环境中,随着节奏的增加,冲动显著减少(p<0.001)。可以得出的结论是,水环境降低了在固定跑步期间研究的所有Fz结果,并且运动强度似乎影响了水环境中的所有这些结果。
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引用次数: 0
Self-Control at Meals in Order Not to Gain Weight and Its Relationship with Food Cravings in Low-Carb Dieters 低碳水化合物节食者为了不增加体重而在进餐时的自我控制及其与食物渴望的关系
Pub Date : 2021-12-17 DOI: 10.3390/obesities1030018
J. Oliveira, T. Cordás
Aims: This study’s objective was to verify the level of food cravings and cognitive restraint in women who reported having followed a low-carb diet. Methods: The volunteers filled out the binge eating scale, the cognitive restraint subscale, the food cravings trait and state questionnaires, and the food frequency questionnaire. This study has also compared participants according to the self-reported practice of a low-carb diet. Parametric tests were used to compare the groups and Pearson’s correlations between some variables of interest (p > 0.05 adopted). Results: According to the question regarding the practice of the low-carb diet, 39 participants had tried a low-carb diet in the last six months (46.2% of these with binge eating) and 48 did not (16.7% with binge eating). Dieters showed higher levels of binge eating, cognitive restriction, and food cravings (trait and state). Dieters consumed less rice and bread but did not present lower consumption of sweets. Correlations showed that for dieters who ‘Consciously hold back at meals in order not to gain weight’, it was negatively associated with ‘Intention and plans to eat’, ‘positive reinforcement’ and ‘relieving negative states’ and food cravings scores. Conclusions: Despite the higher levels of cognitive restriction in dieters, they are negatively correlated with food craving factors and negatively associated with the consumption of sweets.
目的:本研究的目的是验证报告遵循低碳水化合物饮食的女性的食物渴望和认知抑制水平。方法:志愿者填写暴饮量表、认知抑制量表、食物渴求特征和状态问卷以及食物频率问卷。这项研究还根据参与者自我报告的低碳水化合物饮食实践对其进行了比较。参数检验用于比较各组和一些感兴趣变量之间的Pearson相关性(采用p>0.05)。结果:根据关于低碳水化合物饮食实践的问题,39名参与者在过去六个月内尝试过低碳水化合物饮食(其中46.2%的参与者患有暴饮),48名参与者没有尝试(16.7%的参与者患有狂饮)。节食者表现出更高水平的暴饮、认知限制和食物渴望(特质和状态)。节食者吃的米饭和面包较少,但甜食的摄入量并不低。相关研究表明,对于“有意识地不吃饭以避免体重增加”的节食者来说,这与“饮食意向和计划”、“积极强化”和“缓解消极状态”以及食物渴望得分呈负相关。结论:尽管节食者的认知限制水平较高,但它们与食物渴望因素呈负相关,与甜食的消费呈负相关。
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引用次数: 0
Shorter Women Are More Dissatisfied with Their Height: An Exploration of Height Dissatisfaction in Australian Women 身材较矮的女性对自己的身高更不满意——澳大利亚女性身高不满意现象探析
Pub Date : 2021-12-13 DOI: 10.3390/obesities1030017
T. Perkins, Samantha Hayes, Danielle Talbot
Height dissatisfaction has recently been found to be an important contributor to body dissatisfaction in males, however, there is currently limited research examining this relationship in women. The present cross-sectional study aimed to examine the link between height and height dissatisfaction in Australian women, and the extent to which height and height dissatisfaction relate to body dissatisfaction and quality of life. Additionally, it explored the height preferences of oneself and romantic partners in Australian women. A final sample of 172 Australian women was recruited to complete an online survey relating to height preference, height dissatisfaction, muscularity, drive for thinness, and quality of life. Results showed that there was a significant difference between the reported actual height of participants and their ideal height. We also found that shorter women tended to be more dissatisfied with their height and were more likely to believe that they were treated poorly due to their height. Our study also identified that the vast majority (84%) preferred a romantic partner taller than them. Results were comparable to men aspiring to be taller than they were. Future studies should consider height dissatisfaction as a potential contributing factor to poor quality of life and negative affect.
身高不满意最近被发现是男性对身体不满意的一个重要因素,然而,目前对女性这一关系的研究有限。本横断面研究旨在检验澳大利亚女性的身高和身高不满意之间的联系,以及身高和身高不满意与身体不满意和生活质量的关系程度。此外,它还探讨了澳大利亚女性对自己和伴侣的身高偏好。最后,172名澳大利亚女性被招募来完成一项关于身高偏好、身高不满、肌肉量、瘦身动力和生活质量的在线调查。结果显示,参与者报告的实际身高与他们的理想身高之间存在显著差异。我们还发现,个子矮的女性往往对自己的身高更不满意,更有可能认为自己因为身高而受到不公平对待。我们的研究还发现,绝大多数人(84%)更喜欢比自己高的伴侣。结果与渴望比自己高的男性相当。未来的研究应考虑身高不满意是导致生活质量差和负面影响的潜在因素。
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引用次数: 2
Neighbourhood Socio-Economic Circumstances, Place of Residence and Obesity amongst Australian Adults: A Longitudinal Regression Analysis Using 14 Annual Waves of the HILDA Cohort 澳大利亚成年人的社区社会经济环境、居住地和肥胖:使用HILDA队列的14个年度波的纵向回归分析
Pub Date : 2021-12-08 DOI: 10.3390/obesities1030016
S. A. Keramat, Nusrat Jahan Sathi, Rezwanul Haque, Benojir Ahammed, Rupok Chowdhury, Rubayyat Hashmi, Kabir Ahmad
The prevalence of overweight and obesity is rising dramatically worldwide, including in Australia. Therefore, the necessity of identifying the risk factors of overweight and obesity is pivotal. The main objective of this study is to investigate the influence of neighbourhood socio-economic circumstances and place of residence on obesity amongst Australian adults. This study has used nationally representative panel data on 183,183 person-year observations from 26,032 unique Australian adults from the Household, Income, and Labour Dynamics in Australia (HILDA). Random-effects logistic regression technique was employed to examine the relationships. The prevalence of overweight and obesity has been found at approximately 34% and 24%, respectively. The most striking result to emerge from the analyses is that adults living in the most socio-economic disadvantaged area were 2.04 times (AOR: 2.04, 95% CI: 1.57–2.65) and adults from regional cities of Australia were 1.71 times (AOR: 1.71, 95% CI: 1.34–2.19) more prone to be obese compared to their healthy counterparts. The prevalence of overweight and obesity is very high among Australian adults, especially those living in disadvantaged neighbourhoods and the regional cities. Unhealthy levels of BMI have costly impacts on the individual, the economy, and the health care system. Therefore, this study emphasises effective weight control strategies that can potentially tackle the obesity epidemic in Australia.
超重和肥胖的患病率在世界范围内急剧上升,包括在澳大利亚。因此,确定超重和肥胖的危险因素是至关重要的。本研究的主要目的是调查社区社会经济环境和居住地对澳大利亚成年人肥胖的影响。本研究使用了具有全国代表性的面板数据,对来自澳大利亚家庭、收入和劳动力动态(HILDA)的26,032名独特的澳大利亚成年人的183,183人进行了年观察。采用随机效应logistic回归技术检验相关关系。超重和肥胖的患病率分别约为34%和24%。从分析中得出的最引人注目的结果是,生活在社会经济最不利地区的成年人肥胖的可能性是健康同龄人的2.04倍(AOR: 2.04, 95% CI: 1.57-2.65),澳大利亚区域城市的成年人肥胖的可能性是健康同龄人的1.71倍(AOR: 1.71, 95% CI: 1.34-2.19)。超重和肥胖的流行率在澳大利亚成年人中非常高,特别是那些生活在弱势社区和区域城市的成年人。不健康的身体质量指数会对个人、经济和医疗保健系统造成巨大的影响。因此,这项研究强调了有效的体重控制策略,可以潜在地解决澳大利亚的肥胖流行病。
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引用次数: 1
Changes in Adherence to the 24-Hour Movement Guidelines and Overweight and Obesity among Children in Northeastern Japan: A Longitudinal Study before and during the COVID-19 Pandemic 日本东北部儿童遵守24小时运动指南和超重和肥胖的变化:COVID-19大流行之前和期间的一项纵向研究
Pub Date : 2021-11-27 DOI: 10.3390/obesities1030015
Hyunshik Kim, Jiameng Ma, Junghoon Kim, Daolin Xu, Sunkyoung Lee
There are few studies comparing adherence to Canadian 24-hour Movement Guidelines (24-h MG) before and during the COVID-19 pandemic and exploring the pandemic’s effect on childhood obesity. This survey-based 2-year study investigated changes in obesity and adherence to the 24-h MG in children before and during the COVID-19 pandemic. Data were collected at two points in time: pre-COVID-19 (May 2019; T1; n = 247) and during-COVID-19 (May 2021; T2; n = 171). Participants were healthy elementary school children aged between 6–12 years in northeastern Japan. The questionnaire comprised items on physical activity, screen time, sleep duration, adherence to the 24-h MG, and anthropometric and demographic characteristics. Among all participants, a statistically significant difference (p < 0.001) between the average body mass index at T1 (M = 16.06 kg/m2, SD = 2.08 kg/m2) and T2 (M = 18.01 kg/m2, SD = 3.21 kg/m2) was observed, where 17.8% were overweight and obese at T1 and 24% at T2, and 10.9% adhered to all 24 h MG at T1 and 4.1% at T2. To prevent obesity in children during the COVID-19 pandemic, environmental changes should be evaluated and appropriate preventive measures taken, including pro-community health programs that encourage parent-children outdoor activities.
很少有研究比较COVID-19大流行之前和期间对加拿大24小时运动指南(24小时MG)的遵守情况,并探讨大流行对儿童肥胖的影响。这项基于调查的2年研究调查了在COVID-19大流行之前和期间儿童肥胖和24小时MG依从性的变化。在两个时间点收集数据:covid -19前(2019年5月;T1;n = 247)和2019冠状病毒病期间(2021年5月;T2;N = 171)。参与者是日本东北部6-12岁的健康小学生。调查问卷包括身体活动、屏幕时间、睡眠时间、24小时MG的依从性以及人体测量学和人口统计学特征。在所有参与者中,T1时的平均体重指数(M = 16.06 kg/m2, SD = 2.08 kg/m2)与T2时的平均体重指数(M = 18.01 kg/m2, SD = 3.21 kg/m2)差异有统计学意义(p < 0.001),其中T1时超重和肥胖的比例为17.8%,T2时为24%,T1时为10.9%,T2时为4.1%。为在2019冠状病毒病大流行期间预防儿童肥胖,应评估环境变化并采取适当的预防措施,包括鼓励亲子户外活动的亲社区卫生方案。
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引用次数: 5
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Obesities
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