Social and Behavioral Sciences Commons^™

Targeting Population Nutrition Through Municipal Health And Food Policy: Implications Of New York City's Experiences In Regulatory Obesity Prevention, Jana Sisnowski, Jackie M. Street, Annette J. Braunack-Mayer

Faculty of Social Sciences - Papers (Archive)

Obesity remains a major public health challenge across OECD countries and policy-makers globally require successful policy precedents. This paper analyzes New York City’s innovative experiences in regulatory approaches to nutrition. We combined a systematic documentary review and key informant interviews (n = 9) with individuals directly involved in nutrition policy development and decision-making. Thematic analysis was guided by Kingdon’s three-streams-model and the International Obesity Task Force’s evidence-based decision-making framework. Our findings indicate that decisive mayoral leadership spearheaded initial agenda-change and built executive capacity to support evidence-driven policy. Policy-makers in the executive branch recognized the dearth of evidence for concrete …

Parent-Focused Childhood And Adolescent Overweight And Obesity Ehealth Interventions: A Systematic Review And Meta-Analysis, Megan Hammersley, Rachel A. Jones, Anthony D. Okely

Faculty of Social Sciences - Papers (Archive)

Background: Effective broad-reach interventions to reduce childhood obesity are needed, but there is currently little consensus on the most effective approach. Parental involvement in interventions appears to be important. The use of eHealth modalities in interventions also seems to be promising. To our knowledge, there have been no previous reviews that have specifically investigated the effectiveness of parent-focused eHealth obesity interventions, a gap that this systematic review and meta-analysis intends to address. Objective: The objective of this study was to review the evidence for body mass index (BMI)/BMI z-score improvements in eHealth overweight and obesity randomized controlled trials for children …

Assessing The Sustained Impact Of A School-Based Obesity Prevention Program For Adolescent Boys: The Atlas Cluster Randomized Controlled Trial, David R. Lubans, Jordan J. Smith, Ronald Plotnikoff, Kerry A. Dally, Anthony D. Okely, Jo Salmon, Philip J. Morgan

Faculty of Social Sciences - Papers (Archive)

Background: Obesity prevention interventions targeting 'at-risk' adolescents are urgently needed. The aim of this study is to evaluate the sustained impact of the 'Active Teen Leaders Avoiding Screen-time' (ATLAS) obesity prevention program. Methods: Cluster RCT in 14 secondary schools in low-income communities of New South Wales, Australia. Participants were 361 adolescent boys (aged 12-14 years) 'at risk' of obesity. The intervention was based on Self-Determination Theory and Social Cognitive Theory and involved: professional development, fitness equipment for schools, teacher-delivered physical activity sessions, lunch-time activity sessions, researcher-led seminars, a smartphone application, and parental strategies. Assessments for the primary (body mass index …

Practicalities And Research Considerations For Conducting Childhood Obesity Prevention Interventions With Families, Philip J. Morgan, Rachel A. Jones, Clare E. Collins, Kylie Hesketh, Myles D. Young, Tracy L. Burrows, Anthea Magarey, Helen L. Brown, Trina Hinkley, Rebecca A. Perry, Leah Brennan, Alison C. Spence, Karen Campbell

Faculty of Social Sciences - Papers (Archive)

Internationally, childhood obesity is a major public health concern. Given the established difficulties in treating obesity, designing and evaluating effective obesity prevention interventions are research priorities. As parents play a crucial role in establishing positive health behaviours in children, they are a key target for child obesity prevention programs. However, recruiting and engaging parents in such interventions can be a considerable challenge for researchers and practitioners. Members of the 'Parenting, Child Behaviour and Well-being' stream of the Australasian Child and Adolescent Obesity Research Network (ACAORN) have considerable and varied expertise in conducting such interventions and can provide insights into addressing …

Risk Factors For Coronary Heart Disease Among Asian Indians Living In Australia, Ritin Fernandez, John X. Rolley, Rohan Rajaratnam, Subbaram Sundar, Navin C. Patel, Patricia M. Davidson

Faculty of Science, Medicine and Health - Papers: part A

The aim of this study was to assess the coronary heart disease risk factors in the Asian Indian community living in a large city in Australia. A cross-sectional survey was conducted at the Australia India Friendship Fair in 2010. All people of Asian Indian descent who attended the Fair and visited the health promotion stall were eligible to participate in the study if they self-identified as of Asian Indian origin, were aged between 18 and 80 years, and were able to speak English. Blood pressure, blood glucose, waist circumference, height, and weight were measured by a health professional. Smoking, cholesterol …

Fruit And Vegetable Intake And Body Mass Index In A Large Sample Of Middle-Aged Australian Men And Women, Karen Charlton, Paul Kowal, Melinda M. Soriano, Sharon Williams, Emily Banks, Kha Vo, Julie Byles

Faculty of Science, Medicine and Health - Papers: part A

Dietary guidelines around the world recommend increased intakes of fruits and non-starchy vegetables for the prevention of chronic diseases and possibly obesity. This study aimed to describe the association between body mass index (BMI) and habitual fruit and vegetable consumption in a large sample of 246,995 Australian adults aged 45 + year who had been recruited for the "45 and Up" cohort study. Fruit and vegetable intake was assessed using validated short questions, while weight and height were self-reported. Multinomial logistic regression was used, by sex, to assess the association between fruit and vegetable intake and BMI. Compared to the …

Obesity Is An Outcome - Is It The Goal?, Heather Yeatman

Faculty of Social Sciences - Papers (Archive)

Paper presented at the IX Congresso Brasileiro de Epidemiologia, 7-10 September, Vitoria, Brazil

Maternal Obesity Is Associated With The Formation Of Small Dense Ldl And Hypoadiponectinemia In The Third Trimester, Barbara J. Meyer, Frances M. Stewart, Elizabeth A. Brown, Josephine Cooney, Solveig Nilsson, Gunilla Olivecrona, Jane E. Ramsay, Bruce A. Griffin, Muriel J. Caslake, Dilys J. Freeman

Faculty of Science, Medicine and Health - Papers: part A

CONTEXT: Maternal obesity is associated with high plasma triglyceride, poor vascular function, and an increased risk for pregnancy complications. In normal-weight pregnant women, higher triglyceride is associated with increased small, dense low-density lipoprotein (LDL). HYPOTHESIS: In obese pregnancy, increased plasma triglyceride concentrations result in triglyceride enrichment of very low-density lipoprotein-1 particles and formation of small dense LDL via lipoprotein lipase. DESIGN: Women (n = 55) of body mass index of 18-46 kg/m(2) were sampled longitudinally at 12, 26, and 35 weeks' gestation and 4 months postnatally. SETTING: Women were recruited at hospital antenatal appointments, and study visits were in a …

Segregation Of A Latent High Adiposity Phenotype In Families With A History Of Type 2 Diabetes Mellitus Implicates Rare Obesity-Susceptibility Genetic Variants With Large Effects In Diabetes-Related Obesity, Arthur B. Jenkins, Marijka Batterham, Dorit Samocha-Bonet, Katherine Tonks, Jerry R. Greenfield, Lesley V. Campbell

Faculty of Science, Medicine and Health - Papers: part A

Background We recently reported significantly greater weight gain in non-diabetic healthy subjects with a 1st degree family history (FH+) of type 2 diabetes mellitus (T2DM) than in a matched control group without such history (FH−) during voluntary overfeeding, implying co-inheritance of susceptibilities to T2DM and obesity. We have estimated the extent and mode of inheritance of susceptibility to increased adiposity in FH+.

Methods Normoglycaemic participants were categorised either FH+ (≥1 1st degree relative with T2DM, 50F/30M, age 45±14 (SD) yr) or FH− (71F/51M, age 43±14 yr). Log-transformed anthropometric measurements (height, hip and waist circumferences) and lean, bone and fat mass …

Associations Between Sports Participation, Adiposity And Obesity-Related Health Behaviors In Australian Adolescents, Stewart A. Vella, Dylan P. Cliff, Anthony D. Okely, Maree L. Scully, Belinda C. Morley

Faculty of Social Sciences - Papers (Archive)

Background

The purpose of this study was to examine the relationship between organized sports participation, weight status, physical activity, screen time, and important food habits in a large nationally representative sample of Australian adolescents.

Methods

Nationally representative cross-sectional study of 12,188 adolescents from 238 secondary schools aged between 12 and 17 years (14.47 ± 1.25 y, 53% male, 23% overweight/obese). Participation in organized sports, compliance with national physical activity, screen time, and fruit and vegetable consumption guidelines, and consumption of sugar-sweetened beverages and high-fat foods were self-reported. Weight status and adiposity (BMI, waist circumference) were measured.

Results

Organized sports participation …

Vegetables Containing Phytochemicals With Potential Anti-Obesity Properties: A Review, David J. Williams, David Edwards, Ingrid Hamernig, Le Jian, Anthony P. James, Stuart Keith Dr Stuart Keith Johnson, Linda Tapsell

Faculty of Social Sciences - Papers (Archive)

The incidence of obesity is rising worldwide at an alarming rate and is becoming a major public health concern with incalculable social and economic costs. Studies have exposed the relationship between the adiposity, inflammation and the development of other metabolic disorders, so dietary factors that influence some or all of these are of interest. Dietary phytochemicals appear to be able to target different stages of the adipocyte (fat cell) lifecycle. For example, several classes of polyphenols have been implicated in suppressing the growth of adipose tissue through modifying the adipocyte lifecycle. Many dietary phytochemicals also have strong anti-inflammatory activity, but …

Informas (International Network For Food And Obesity/Non-Communicable Diseases Research, Monitoring And Action Support): Overview And Key Principles, Boyd A. Swinburn, G Sacks, S Vandevijvere, S Kumanyika, T Lobstein, Bruce Neal, S Barquera, Sharon Friel, C Hawkes, Bridget Kelly, M L'Abbe, A Lee, J Ma, J Macmullan, S Mohan, C Monteiro, M Rayner, D Sanders, W Snowdon, C Walker

Faculty of Social Sciences - Papers (Archive)

Non-communicable diseases (NCDs) dominate disease burdens globally and poor nutrition increasingly contributes to this global burden. Comprehensive monitoring of food environments, and evaluation of the impact of public and private sector policies on food environments is needed to strengthen accountability systems to reduce NCDs. The International Network for Food and Obesity/NCDs Research, Monitoring and Action Support (INFORMAS) is a global network of public-interest organizations and researchers that aims to monitor, benchmark and support public and private sector actions to create healthy food environments and reduce obesity, NCDs and their related inequalities. The INFORMAS framework includes two 'process' modules, that monitor …

Clustering Of Attitudes Towards Obesity: A Mixed Methods Study Of Australian Parents And Children, Tim Olds, Samantha Thomas, Sophie Lewis, John Petkov

Faculty of Social Sciences - Papers (Archive)

Background Current population-based anti-obesity campaigns often target individuals based on either weight or socio-demographic characteristics, and give a 'mass' message about personal responsibility. There is a recognition that attempts to influence attitudes and opinions may be more effective if they resonate with the beliefs that different groups have about the causes of, and solutions for, obesity. Limited research has explored how attitudinal factors may inform the development of both upstream and downstream social marketing initiatives. Methods Computer-assisted face-to-face interviews were conducted with 159 parents and 184 of their children (aged 9-18 years old) in two Australian states. A mixed methods …

A Proposed Approach To Monitor Private-Sector Policies And Practices Related To Food Environments, Obesity And Non-Communicable Disease Prevention, G Sacks, B Swinburn, V Kraak, S Downs, C Walker, S Barquera, S Friel, C Hawkes, B Kelly, S Kumanyika, M L'Abbe, A Lee, T Lobstein, J Ma, J Macmullan, S Mohan, C Monteiro, B Neal, M Rayner, D Sanders, W Snowdon, S Vandevijvere

Faculty of Science, Medicine and Health - Papers: part A

Private-sector organizations play a critical role in shaping the food environments of individuals and populations. However, there is currently very limited independent monitoring of private-sector actions related to food environments. This paper reviews previous efforts to monitor the private sector in this area, and outlines a proposed approach to monitor private-sector policies and practices related to food environments, and their influence on obesity and non-communicable disease (NCD) prevention. A step-wise approach to data collection is recommended, in which the first ('minimal') step is the collation of publicly available food and nutrition-related policies of selected private-sector organizations. The second ('expanded') step …

Does Food Addiction Heighten The Propensity Towards Obesity In Schizophrenia?, N Pai, S I. Vella

Faculty of Science, Medicine and Health - Papers: part A

Abstract of poster that presented at the 15th ISAM Annual Meeting: Managing Addiction through Evidence-Based Medical and Psychosocial Interventions, 21-23 November 2013, Kuala Lumpur, Malaysia.

Prevalence Of Overweight, Obesity, And Abdominal Obesity In A Representative Sample Of Portuguese Adults, Luis B. Sardinha, Diana A. Santos, Analiza M. Silva, Manuel J. Coelho-E-Silva, Armando M. M. Raimundo, Helena Moreira, Rute Santos, Susana Vale, Fatima Baptista, Jorge Mota

Faculty of Social Sciences - Papers (Archive)

This study determined the prevalence of overweight, obesity, and abdominal obesity in the Portuguese adults and examined the relationship between above mentioned prevalences and educational level. Body mass, stature, and waist circumference were measured in a representative sample of the Portuguese population aged 18–103 years (n = 9,447; 18–64 years: n = 6,908; ≥65 years: n = 2,539). Overweight and obesity corresponded to a body mass index ranging between 25–29.9 kg/m² and ≥30 kg/m², respectively. Abdominal obesity was assessed as >102 cm for males and >88 cm for females. After adjusting for educational level, the combined prevalences …

Big Five Personality Factors, Obesity And 2-Year Weight Gain In Australian Adults, Christopher A. Magee, Patrick C. L Heaven

Faculty of Health and Behavioural Sciences - Papers (Archive)

The objective of this paper was to examine whether the Big-Five Personality factors were associated with obesity and 2-year weight gain in Australian adults. The sample included 5265 Australian adults aged 25– 65 years. Binary logistic regression models indicated that Extraversion, Agreeableness and Neuroticism were cross-sectionally associated with obesity, with Conscientiousness inversely associated with obesity. The longitudinal analyses indicated that Extraversion predicted 2-year weight gain. The relationships between personality and obesity/weight gain were not moderated by age or sex. These results have potentially important implications for developing more effective treatment and prevention strategies for obesity.

Histamine H1 Receptor Agonist And Control Of Olanzapine-Induced Obesity, Jiamei Lian, Xu-Feng Huang, N Pai, C Deng

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

Examining The Pathways Linking Chronic Sleep Restriction To Obesity, Christopher A. Magee, Xu-Feng Huang, Donald C. Iverson, Peter Caputi

Faculty of Health and Behavioural Sciences - Papers (Archive)

A growing number of studies have identified chronic sleep restriction as a potential risk factor for obesity. This could have important implications for how obesity is prevented and managed, but current understanding of the processes linking chronic sleep restriction to obesity is incomplete. In this paper, we examined some of the pathways that could underlie the relationship between chronic sleep restriction and obesity. This involved exploring some of the potential environmental, health, behavioral, and sociodemographic determinants of chronic sleep restriction, which require further investigation in this context. Three pathways that could potentially link chronic sleep restriction to obesity were then …

Sleep Duration And Obesity In Middle-Aged Australian Adults, Christopher A. Magee, Donald C. Iverson, Peter Caputi

Faculty of Health and Behavioural Sciences - Papers (Archive)

The present study examined the association between sleep duration and obesity in 40,834 middle-aged Australian adults. Multinomial logistic regression was used to test the relationship between sleep duration and obesity while controlling for important demographic and health covariates; separate models were tested for males and females. Short sleep (i.e., <7 h a night) was found to be independently associated with obesity in males and females. To our knowledge, this is the first study to report an association between short sleep and obesity in Australian adults. Although more research is required, interventions targeting short sleep could aid obesity treatment and prevention.

Is Sleep Duration Associated With Obesity In Older Australian Adults?, Christopher A. Magee, Peter Caputi, Don C. Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objectives: To investigate the relationship between sleep duration and obesity in older Australian adults. Method: Self-reported health data were collected through the 45 and Up Study. Multinomial logistic regression models were used to test the relationship between sleep duration and body mass index, controlling for a range of demographic and health-related variables. Results: The sample included 45,325 Australian adults aged 55 to 95 years. The regression models demonstrated that short and long sleep were associated with obesity in 55- to 64-year-olds but not in those aged 65 years and above. Discussion: The present results suggest that the relationships between sleep …

Do Health Beliefs And Behaviors Differ According To Severity Of Obesity? A Qualitative Study Of Australian Adults, Sophie Lewis, Samantha L. Thomas, R. Warwick Blood, Jim Hyde, David J. Castle, Paul A. Komesaroff

Faculty of Social Sciences - Papers (Archive)

Public responses to obesity have focused on providing standardized messages and supports to all obese individuals, but there is limited understanding of the impact of these messages on obese adults. This descriptive qualitative study using in-depth interviews and a thematic method of analysis, compares the health beliefs and behaviors of 141 Australian adults with mild to moderate (BMI 30−39.9) and severe (BMI ≥ 40) obesity. Mildly obese individuals felt little need to change their health behaviors or to lose weight for health reasons. Most believed they could “lose weight” if they needed to, distanced themselves from the word obesity, and …

"I Don't Eat A Hamburger And Large Chips Every Day!" A Qualitative Study Of The Impact Of Public Health Messages About Obesity On Obese Adults, Sophie Lewis, Samantha L. Thomas, Jim Hyde, David Castle, R. Warwick Blood, Paul A. Komesaroff

Faculty of Social Sciences - Papers (Archive)

Background We are a society that is fixated on the health consequences of 'being fat'. Public health agencies play an important role in 'alerting' people about the risks that obesity poses both to individuals and to the broader society. Quantitative studies suggest people comprehend the physical health risks involved but underestimate their own risk because they do not recognise that they are obese. Methods This qualitative study seeks to expand on existing research by exploring obese individuals' perceptions of public health messages about risk, how they apply these messages to themselves and how their personal and social contexts and experiences …

On Being 'Fat': Obese And Overweight Australians Respond To News Depictions Of Obesity And Overweight, Richard Warwick Blood, Kate Holland, Samantha Thomas, Asuntha Karunaratne, Sophie Lewis

Faculty of Social Sciences - Papers (Archive)

There is scarce research into the ways in which overweight and obese people interpret news media coverage of obesity and the so called obesity epidemic. This paper reports on a qualitative study using a purposive sample of 152 overweight, obese and morbidly obese people living in Melbourne, Australia. Most participants felt the news tended to portray them in negative and stereotypical ways. Characteristic portrayals identified by participants included obese and overweight people as: morally irresponsible and a burden on society; objects of ridicule and derision; and the subject of dehumanising images. Participants were highly reflexive and their personal experience as …

The Relationship Of Cardiorespiratory Fitness, Birth Weight And Parental Bmi On Adolescents Obesity Status, Susana Vale, Rute Santos, Luisa Soares-Miranda, Jorge Mota

Faculty of Social Sciences - Papers (Archive)

Background/Objectives:

The aims of this study were as follows: (1) to analyze differences in cardiorespiratory fitness (CRF), parents’ body mass index (BMI) and birth weight (BW) between non-overweight (NOW) and overweight/obese (OV/OB) adolescents, and (2) to investigate the association of those variables with the risk of their biological offspring being OV/OB.

Subjects/Methods:

This study comprised 788 adolescents (477 girls and 311 boys), aged between 12 and 18 years. CRF was predicted by maximal multistage 20-m shuttle-run test according to the procedures described in FITNESSGRAM. Children's BMI was classified according to the International Obesity Task Force. Adolescents’ BW was assessed from …

"The Solution Needs To Be Complex." Obese Adults' Attitudes About The Effectiveness Of Individual And Population Based Interventions For Obesity, Samantha L. Thomas, Sophie Lewis, Jim Hyde, David Castle, Paul Komesaroff

Faculty of Social Sciences - Papers (Archive)

Background: Previous studies of public perceptions of obesity interventions have been quantitative and based on general population surveys. This study aims to explore the opinions and attitudes of obese individuals towards population and individual interventions for obesity in Australia.

Methods: Qualitative methods using in-depth semi-structured telephone interviews with a community sample of obese adults (Body Mass Index ≥30). Theoretical, purposive and strategic recruitment techniques were used to ensure a broad sample of obese individuals with different types of experiences with their obesity. Participants were asked about their attitudes towards three population based interventions (regulation, media campaigns, and public …

Current Dietetic Practices Of Obesity Management In Saudi Arabia And Comparison With Australian Practices And Best Practice Criteria, A. Almajwal, P. Williams, Marijka Batterham

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: To describe the dietetic practices of the treatment of obesity in Saudi Arabia and compare this with best practice criteria and the practice in Australia. Methods: Anonymous questionnaires were completed by dietitians in Saudi Arabia. The topics included barriers to obesity management, demand and level of service and strategies and approaches used for weight management. Best practice scores were based on those used to assess Australian dietitians. Results: 253 dietitians participated in the survey. Of these, 175 (69 %) were involved in the management of obesity. The best practice score for Australian dietitians was slightly but significantly greater than …

A Botanical Approach To Managing Obesity, Dilip Ghosh

Faculty of Health and Behavioural Sciences - Papers (Archive)

metabolic syndrome in check like obesity. There are few drugs in the market to ameliorate or prevent obesity but there are the costs, efficacy and side effects to consider. For centuries people across the countries have been using natural products and plant based dietary supplements for weight control. The current review will consists of one South Asian herb, Garcinia cambogia and one Chinese herb, Magnolia officinalis.

Fat Flat Frail Feet: How Does Obesity Affect The Older Foot, Julie R. Steele, Karen J. Mickle, Bridget J. Munro

Faculty of Health and Behavioural Sciences - Papers (Archive)

The prevalence of obesity is rising throughout the world at an alarming rate, and the elderly are no exception with 15% of men and 28% of women aged over 60 years considered to be obese [1]. Overweight and obesity have been shown to negatively affect foot structure and function in both children [2] and adults [3]. These structural changes appear to be associated with increased foot discomfort whereby overweight children have been found to report foot pain significantly more often than their leaner counterparts [4]. As feet are our base of support during most weight-bearing activities, it is postulated that …

Cereal Grains, Legumes, And Weight Management: A Comprehensive Review Of The Scientific Evidence, P. G. Williams, S. J. Grafenauer, J. E. O'Shea

Faculty of Health and Behavioural Sciences - Papers (Archive)

There is strong evidence that a diet high in wholegrains is associated with lower BMI, waist circumference and risk of being overweight; that a diet high in wholegrains and legumes can help reduce weight gain; and that significant weight loss is achievable with energy controlled diets that are high in cereals and legumes. There is weak evidence that high intakes of refined grains may cause small increases in waist circumference in women. There is no evidence that low carbohydrate diets that restrict cereal intakes offer long term advantages for sustained weight loss. There is insufficient evidence to make clear conclusions …