Growing up strong: The importance of physical, mental, and emotional strength during childhood and adolescence with focus on dietary factors

Leidy, Heather J; Gwin, Jess A

doi:10.1139/apnm-2020-0058

Cited by 8 publications

(6 citation statements)

References 87 publications

(138 reference statements)

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“…Rather, ‘blinded’ weigh-ins, in which adolescents stand with their backs to the numerical display of weight, may prevent the possibly triggering effect of seeing one's weight and becoming distressed. Providers should openly discuss how differences in their patients’ bodies are affected by pubertal changes, and as such, conversations about puberty and growth should emphasize the normalcy of weight gain during adolescence [1,2,4 ▪▪ ]. Providers may find it helpful to show adolescents’ placement on a growth chart, rather than indicating they have a ‘normal’ or ‘bad’ BMI, to emphasize the dynamics of weight change and growth at this stage.…”

Section: Recommendations For Adolescent Carementioning

confidence: 99%

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Integrating Health at Every Size principles into adolescent care

Raffoul

Williams

2021

Current Opinion in Pediatrics

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Purpose of review Weight trends continue to increase in adolescents, but current weight-focused interventions have not demonstrated any lasting impact on overall health. Among adolescents, experiencing weight bias increases risks of harmful weight-related behaviors and decreases engagement in health-promoting behaviors, thus leading to worsened health outcomes. The Health at Every Size (HAES) approach may be an avenue to promote health holistically among adolescents without eliciting harmful weight-related behavior and improving provider-patient rapport. The purpose of this review is to summarize the literature on integrating HAES principles into healthcare and to generate recommendations for healthcare providers. Recent findings Research among adults shows that HAES-informed care can improve some physical health measures and generates improvements in behavioral and psychological outcomes, as well as promotion of social justice and equity. HAES-informed recommendations for adolescent care de-emphasize weight loss and focus on removing barriers to engaging in health-promoting behaviors at the point of assessment, in the diagnosis and management of medical complications, and in treatment. Summary HAES principles can be an invaluable tool for providers who aim to improve overall health whilst avoiding a focus on weight among their clients.

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Section: Recommendations For Adolescent Carementioning

confidence: 99%

“…Adolescence is a formative period of development when foundational messages regarding nutrition and body image take root [1,2]. The physical and psychological changes that occur in this period make adolescents especially vulnerable to disordered eating and body image concerns [1,3].…”

Section: Introductionmentioning

confidence: 99%

Integrating Health at Every Size principles into adolescent care

Raffoul

Williams

2021

Current Opinion in Pediatrics

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“…Childhood and adolescence are critical stages of human development, where rapid physical, mental, and social changes occur [1]. During these formative years, individuals engage in various lifestyle behaviours and form habits contributing to their overall physical and mental health [2, 3]. Previous evidence has shown that healthy lifestyle habits, characterised by adequate physical activity (PA) [4], reduced sedentary behaviour (SB) [5], and optimal sleep [6] developed during childhood and adolescence, can persist into adulthood.…”

Section: Introductionmentioning

confidence: 99%

Typologies of activity-related behaviours from childhood to adolescence and their transitions: A longitudinal analysis of the ELSPAC cohort

Janda,

Gába,

Ayala

et al. 2024

Preprint

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Objectives: To identify typologies of activity-related behaviours in childhood and adolescence and to explore transitions between the identified typologies. Additionally, we aimed to identify demographic indicators associated with the transitions and typology membership. Design: Prospective cohort study Setting: Czech Republic Participants: Individuals involved in the Czech part of the European Longitudinal Study of Pregnancy and Childhood (ELSPAC-CZ) study, aged 11 to 18 years. The study involved more than 563 individuals of which 380 provided complete data the analysis. Primary outcome measures: Time spent outdoors, participation in organised physical activity (PA) and sport activities, time watching television and using personal computer, and total sleep duration. Latent variables defined by the Latent Transition Analysis. Results: Four typologies of activity-related behaviours were identified and labelled to reflect their behavioural profiles: 1) Actives (high outdoor time and organised PA and sport participation, low screen time, optimal sleep duration), 2) Active screeners (median outdoor time, high organised PA and sport participation, high screen time, optimal sleep duration), 3) Poor sleepers (average outdoor time and organised PA and sport participation, low screen time, not meeting sleep guidelines), and 4) Averages (average duration of all behaviours and optimal sleep duration). A major shift in typology membership from 11 to 18 years was observed with a decreasing proportion of individuals in typologies characterised by a high proportion of outdoor time and participation in organised PA and sport activities (i.e. Actives; Active screeners). A high proportion of individuals also transitioned to the typology with poor sleeping habits (i.e. Poor sleepers). Sex and maternal education were associated with the typology membership and transition probabilities (p < 0.05). Conclusions: Our findings highlight the importance of implementing lifestyle interventions in childhood to prevent possible sleep disorders and low physical activity later in life.

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“…Childhood is a crucial period of growth and development [ 19 ]. Entering primary school, children markedly change their lifestyle.…”

Section: Introductionmentioning

confidence: 99%

Adherence to Dietary Recommendations of 7-Year-Old Children from a Birth Cohort in Friuli Venezia Giulia, Italy

et al. 2022

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Few Italian and European studies have assessed adherence to dietary recommendations in primary school children using dietary records. No Italian studies have provided an index-based nutritional adequacy assessment. We provided a comprehensive overview of dietary intake in 381 7-year-old children from NAC-II cohort study, Friuli Venezia Giulia (Italy). Energy, macro-, and micronutrient intakes were derived from 3-day dietary records. Standard (median and percentage) and index-based (Nutrient Adequacy Ratio (NAR) and Mean Adequacy Ratio (MAR)) approaches were used to evaluate adequacy to Italian dietary reference values at nutrient- and overall-diet-level. Percentage contribution of macronutrients to energy intake (%En) was unbalanced towards total fats and protein. In 25% of children, total fats intake exceeded the reference intake upper limit. In ~63% of children, protein intake was at least doubled in their child-specific population reference intake. Median intakes of sodium (1.7 g/day), saturated fatty acids (12.2 %En), and soluble carbohydrates (19.4 %En) exceeded the suggested dietary target in most (65–84%) children. Inadequacy was also observed for micronutrients, with median NARs ranging from 0.11 (vitamin D) to 0.90 (zinc). The median MAR was 0.75 (0.69–0.79), with 1 indicating optimal overall dietary intake. In conclusion, the enrolled children showed suboptimal intakes of several macro- and micronutrients, in line with Italian and European studies on primary school children. Based on the current findings, public health interventions may be targeted to specific nutrients or subpopulations.

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Growing up strong: The importance of physical, mental, and emotional strength during childhood and adolescence with focus on dietary factors

Cited by 8 publications

References 87 publications

Integrating Health at Every Size principles into adolescent care

Integrating Health at Every Size principles into adolescent care

Typologies of activity-related behaviours from childhood to adolescence and their transitions: A longitudinal analysis of the ELSPAC cohort

Adherence to Dietary Recommendations of 7-Year-Old Children from a Birth Cohort in Friuli Venezia Giulia, Italy

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