Medicine and Health Sciences Commons^™

Special Article: Physical Activity, Physical Fitness, And Cardiovascular Risk Factors In Childhood, Samuel S. Gidding

Department of Pediatrics Faculty Papers

In adults, physical activity and exercise training are associated with reduced cardiovascular morbidity and mortality, a reduced likelihood of developing adverse cardiovascular risk factors, and improved insulin sensitivity. In childhood, participation in appropriate physical activity may prevent the development of cardiovascular risk factors in the future and complement treatment of existing cardiovascular risk factors, including hypertension, dyslipidemia, and overweight. Exercise in children can also significantly improve insulin sensitivity independent of weight loss. These e fects are mediated in overweight children by increases in lean body mass relative to fat mass and associated improvements in inflammatory mediators, endothelial function, and the …

The Influence Of Ambient Lighting Levels On Postural Sway In Healthy Children Ages 9 To 11, Yvette Blanchard, Rebecca Mcveigh, Megan Graham, Melissa Cadet, Kabulo Mwilambwe, Christi Scott

All PTHMS Faculty Publications

The purpose of this study was to determine whether postural sway in healthy children varied in different levels of ambient lighting. Twelve boys and 26 girls with a mean age of 118 months stood on a force platform under three conditions: eyes closed, eyes opened in regular light (200 lx) and eyes opened in dim light (3 lx). Analysis of variance and pairwise comparisons revealed significantly more postural sway with the eyes closed condition compared to the regular and dim light conditions but no differences between the regular and dim light conditions. While our results on postural sway during the …

Engaging Primary Health Care Providers In The Promotion Of Healthy Weight Among Young Children: Barriers And Enablers For Policy And Management, Lydia A. Hearn, Margaret R. Miller, Donna S. Cross

Research outputs pre 2011

Recent national efforts to stem the alarming growth of childhood overweight and obesity in Australia have highlighted the importance of preventative strategies that focus beyond the child-on parents, families, primary health care providers (PHCPs) and child care services. But, while such efforts have to date focused on school-based interventions, once poor eating habits and sedentary lifestyles have set in, a growing body of research is indicating that PHCPs can play a more influential role in monitoring and modifying factors affecting prevention and early intervention in preschool children. This paper presents the findings of a systematic review to: (a) identify key …

Implications In Using Monte Carlo Simulation In Predicting Cardiovascular Risk Factors Among Overweight Children And Adolescents, Stephen Matthew Heimbigner

Public Health Theses

The prevalence of overweight and obesity among children and adolescents has increased considerably over the last few decades. As a result, increasing numbers of American children are developing multiple risk factors for cardiovascular disease, type II diabetes, hyperinsulinemia, hypertension, dyslipidemia and hepatic steatosis. This thesis examines the use of Monte Carlo computer simulation for understanding risk factors associated with childhood overweight. A computer model is presented for predicting cardiovascular risk factors among overweight children and adolescents based on BMI levels. The computer model utilizes probabilities from the 1999 Bogalusa Heart Study authored by David S. Freedman, William H. Dietz, Sathanur …

Phase I Study Of Medi-534 Of A Live, Attenuated Intranasal Vaccine Against Respiratory Syncytial Virus And Parainfluenza-3 Virus In Seropositive Children, Margarita Gomez, Maurice A. Mufson, Filip Dubovsky, Conor Knightly, Wen Zeng, Genevieve Losonsky

Internal Medicine

A live, attenuated respiratory syncytial virus and parainfluenza virus type 3 vaccine was evaluated in healthy respiratory syncytial virus/parainfluenza virus type 3 seropositive children aged 1 to 9 years. Three cohorts of 40 children were randomized 1:1 to receive 10^4, 10⁵ or 10⁶ median tissue culture infectious dose₅₀ MEDI-534 vaccine of placebo. The vaccine's safety profile was similar to placebo, no viral shedding was detected, and the vaccine was minimally immunogenic.

Psychometric Evaluation Of An Instrument For Assessing Policy Outcomes For Families With Children Who Have Severe Developmental Disabilities: The Beach Center Family Quality Of Life Scale, Joni Taylor Mcfelea

Health Services Research Dissertations

The purpose of the study was to evaluate the psychometric properties of the Beach Center Family Quality of Life Scale (BCFQLS) in a sample of families with children who have severe developmental disabilities. The study sought to determine whether or not the scale could be used to measure the quality of life of such families and to differentiate between the quality of life of two family groups—those whose child lives in the family home and those whose child lives outside the family home.

The study used an observational, cross-sectional design and both qualitative and quantitative methods. Self-identified primary caregivers of …

Intervention For Children With Developmental Coordination Disorder: A Systematic Review, Susan Hillier

Internet Journal of Allied Health Sciences and Practice

Prevalence of children with developmental coordination disorder (DCD) is high (6-13% of all school children) and the negative impact of their movement difficulties on their participation in recreation and academic pursuits is well documented. This secondary research systematically reviewed the available literature for evidence of effectiveness of interventions that aim to improve the movement capability of children with DCD. Specified databases were searched for appropriate studies, these were retrieved and two reviewers appraised the level and quality of evidence. Thirty one studies were included between levels I and III-3 of the NH & MRC protocol. Scoring using an established critical …

Blindness In Children At The Ida Rieu School For The Blind And Deaf, Sadia Javed Khan, Afshan Hassan, Laila Khalid, Uzma Karim, Erum Hashmi, Fariha Gul, Imtiaz Jehan

Community Health Sciences

Objective: To identify the causes of blindness at the Ida Rieu school for the blind and deaf, Karachi, Pakistan.Methods: A cross sectional study was conducted at the Ida Rieu School for the blind and deaf. The data collected from medical record of students was entered into the WHO/PBL eye examination form for children with blindness and low vision.Results: Records of 144 pupils aged between 4-30 years were reviewed, including 67% males and 33% females. One third (31%) children had visual impairment (< 6/18-6/60) and 69% were blind (< 3/60-NPL). The commonest anatomical site was retina (41%) and whole globe (20%). The etiology was unknown in 49% cases. In 33% of cases, the data suggested hereditary cause as the etiology, 40% of cases were preventable and 13% treatable.CONCLUSION: Avoidable causes of blindness were seenin 53% of children, 58% of which were preventable and 19 were treatable.

Breakfast And The Diets Of Australian Children And Adolescents: An Analysis Of Data From The 1995 National Nutrition Survey, P. G. Williams

Faculty of Health and Behavioural Sciences - Papers (Archive)

The aim of this study was to describe the nutrients provided to Australian children and adolescents by the breakfast meal and compare the food and nutrient intakes and health of regular breakfast eaters (those who ate breakfast five or more days a week) and skippers (who are breakfast rarely or never). The Australian Bureau of Statistics was commissioned to undertake additional analysis of data collected in the 1995 Australian National Nutrition Survey. The survey included 24-hour recalls, physical measurements and a food habits questionnaire collected during the period February 1995 to March 1996, with a nationally representative sample of 3007 …

The Theory Of Planned Behavior: Predicting Physical Activity In Mexican American Children, Jeffrey J. Martin, Kimberly L. Oliver, Nate Mccaughtry

Kinesiology, Health and Sport Studies

Theoretically grounded research on the determinants of Mexican American children's physical activity and related psychosocial variables is scarce. Thus, the purpose of our investigation was to evaluate the ability of the theory of planned behavior (TPB) to predict Mexican American children's self-reported moderate-to-vigorous physical activity (MVPA). Children (N = 475, ages 9–12) completed questionnaires assessing the TPB constructs and MVPA. Multiple regression analyses provided moderate support for the ability of the TPB variables to predict MVPA as we accounted for between 8–9% of the variance in MVPA. Attitude, subjective norm, and perceived behavioral control accounted for 45% of the …

Manic Symptoms And Behavioral Dysregulation In Youth With Velocardiofacial Syndrome (22q11.2 Deletion Syndrome)., Alka Aneja, Wanda Fremont, Kevin M. Antshel, Stephen V. Faraone, Nuria Abdulsabur, Anne Marie Higgins, Robert J. Shprintzen, Wendy R. Kates

Communication Disorders Faculty Publications

Mania and bipolar disorder have been reported in adolescents and adults with velocardiofacial syndrome (VCFS; also known as 22q11.2 deletion syndrome). Children with VCFS have a high prevalence of attention-deficit/hyperactivity disorder (ADHD), which may constitute a risk factor for the eventual development of bipolar disorder in this population. Therefore, we sought to determine whether children with VCFS exhibit more manic symptoms than community controls that also may have learning disorders and ADHD. The study population consisted of 86 children with VCFS and 36 community controls from ages 9 to 15 years, using measures of Young Mania Rating Scale-Parent Version, Schedule …

Objectively Measured Physical Activity And Fat Mass In A Large Cohort Of Children, Andy R. Ness, Sam D. Leary, Calum Mattocks, Steven N. Blair, John J. Reilly, Jonathan Wells, Sue Ingle, Kate Tilling, George Davey Smith, Chris J. Riddoch

Faculty Publications

Background: Previous studies have been unable to characterise the association between physical activity and obesity, possibly because most relied on inaccurate measures of physical activity and obesity.

Methods and Findings: We carried out a cross sectional analysis on 5,500 12-year-old children enrolled in the Avon Longitudinal Study of Parents and Children. Total physical activity and minutes of moderate and vigorous physical activity (MVPA) were measured using the Actigraph accelerometer. Fat mass and obesity (defined as the top decile of fat mass) were measured using the Lunar Prodigy dual x-ray emission absorptiometry scanner. We found strong negative associations between MVPA and …

Toward A Conceptual Framework Of Instrumental Antisocial Decision-Making And Behavior In Youth, Reid G. Fontaine

Reid G. Fontaine

This paper reviews and organizes relevant theory and research toward a conceptual framework of instrumental antisocial decision-making and behavior in youth. To date, social cognitive study of the development of youth antisocial functioning has largely focused on response patterns (e.g., cognitive responses to aversive cues). Though instrumental decision making is paid significant attention in research on adult criminality, there exists no framework by which youths' goal-driven behavioral decisions that are made in pursuit of antisocial motives and interests may be understood. This is a problem in that lessons from research on children and adolescents suggest that there are meaningful differences …

The Effects Of Different Regulation Systems On Television Food Advertising To Children, Bridget P. Kelly, Lesley King, Adrian Bauman, Ben J. Smith, Victoria M. Flood

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: The aim of this study was to model children’s potential exposure to television food advertisements under different regulatory scenarios to demonstrate the policy implications of regulatory change in Australia. Methods: Television advertising data was collected from Sydney commercial television channels from 14-20 May 2006. Extrapolating from these data, the patterns of food advertising under four regulatory scenarios were examined, including arrangements restricting the content, volume and timing of advertisements. Results: Each scenario resulted in a reduction of total and non-core food advertisements. The scenario to restrict non-core food advertisements during the major viewing period (7:00-20:30) led to the largest …

Television Food Advertising To Children: The Extent And Nature Of Exposure, Bridget P. Kelly, Ben J. Smith, Lesley King, Victoria M. Flood, Adrian Bauman

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: To describe the pattern and prevalence of food and drink advertisements to children on commercial television in Sydney, Australia, and compare these with advertising regulations set out in the Children’s Television Standards and results from a similar study in 2002. Design: Data were collected by recording television from 06.00 hours until 23.00 hours on all three commercial channels from Sunday 14 May 2006 to Saturday 20 May 2006 (357 h). The study analysed advertisements in two children’s viewing periods, one as defined in the 2002 study and the other according to current standards. Food advertisements were coded using 18 …

Children's Television Sub-Standards: A Call For Significant Amendments, Bridget P. Kelly, Josephine Chau

Faculty of Health and Behavioural Sciences - Papers (Archive)

Australia has one of the highest levels of food advertising on television in the developed world, with most advertisements being for foods that are high in fat, sugar, and/or salt. Evidence from international reviews suggests that television food advertising has an independent effect on children's food preferences and purchasing requests. While the size of this effect is indeterminate, and the evidence base is correlational and therefore inadequate for making causal inferences, there is a highly plausible link between television food advertising and overweight and obesity. It is important to examine whether current regulations protect Australian children from excessive exposure to …

A Pilot Study On The Impact Of Occupational Therapy Home Programming For Young Children With Cerebral Palsy, Iona Novak, Anne Cusick, Kevin Lowe

Faculty of Health and Behavioural Sciences - Papers (Archive)

Occupational therapy home programs are a common approach used to provide interventions for children with cerebral palsy, but there is little evidence to demonstrate the effectiveness of such programs. This singlegroup pretest–posttest design pilot study evaluated the impact of an occupational therapy home program implemented with 20 children who had spastic hemiplegic cerebral palsy (ages 2–7 years, mean 3.8). We measured impact using Goal Attainment Scaling (GAS), the Pediatric Evaluation of Disability Inventory (PEDI), and the Quality of Upper Extremity Skills Test (QUEST). We measured participation amount through a parent self-report log. Significant changes following intervention occured in scores on …

Educational Outcomes Of Children On Guardianship Or Custody Orders: A Pilot Study, Michelle Townsend

Illawarra Health and Medical Research Institute

The Australian Institute of Health and Welfare (AIHW) has recently released a report on the educational outcomes for children and young people on guardianship or custody orders. This report, four years in the making, represents one of the first comprehensive Australian assessments based on educational performance data from multiple jurisdictions for children on guardianship or custody orders. Developed for the National Child Protection and Support Services data group, the study was funded by the Community and Disability Services Ministers' Advisory Council (AIHW 2007).

Interference Control In Children With Ad/Hd: An Erp And Behavioural Analysis, Sarah Opychane, Stuart J. Johnstone

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

On A Multinational Assessment Of Rotavirus Disease In Europe, David O. Matson

Community & Environmental Health Faculty Publications

Rotaviruses were discovered in the 1960s in animals and in the 1970s in humans; the latter discovery was made by an intrepid group who performed duodenal biopsies on children with acute gastroenteritis (AGE) [1]. By the late 1970s, data already clearly indicated that rotavirus was the cause of the annual winter peak of AGE affecting young children, as well as a frequent cause of severe gastroenteritis in various animal species (e.g., [2–5]). Use of the retrospectroscope clarified or left as tantalizing the suggestion that rotaviruses were the cause of the annual “winter vomiting syndrome” first described in children in 1910 …

Pediatric Flexible Bronchoscopy, N. Prapphal

Chulalongkorn Medical Journal

No abstract provided.

Cryptosporidiosis Among Children Attending Al-Nasser Pediatric Hospital, Gaza, Palestine, Adnan Ibrahim Al-Hindi, Abdelraouf A. Elmanama, Kamal Jad Allah Elnabris

Turkish Journal of Medical Sciences

Aim: The present study was undertaken to determine the prevalence of cryptosporidiosis in patients with diarrhea who attended Al-Nasser Pediatric Hospital in Gaza. Materials and Methods: From January to May 2005, single stool specimens from each of 416 children attending Al-Nasser Hospital were examined by Ziehl Neelsen (ZN) stain and ELISA for the presence of Cryptosporidium oocysts. Results: Cryptosporidium oocysts were detected in 62 (14.9%) of the tested specimens by acid-fast staining technique and in 68 (16.3%) using ELISA kit. The number of infected females was found to be significantly higher than males (P = 0.03). The highest number of …