Pediatric obesity
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Children's fast-food consumption increases risks for obesity and other diet-related diseases. To address concerns, from 2010 to 2016 U.S. fast-food restaurants implemented voluntary policies to offer healthier drinks and/or sides with kids' meals. ⋯ Existing healthier kids' meal policies may not improve children's fast-food consumption. Public health initiatives should examine more effective alternatives.
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Examine school children's physical activity (PA) and sedentary behaviours (SB) during 2015 to 2017 in China, and study their associations with children's weight status and relevant gender differences. ⋯ More screen time and less walking time were risk factors for developing obesity in urban Chinese children. The associations varied by gender.
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Data on the association between obesogenic behaviours and bullying victimization among adolescents are scarce from low- and middle-income countries. ⋯ In this large representative sample of adolescents from low- and middle-income countries, bullying victimization was found to be associated with several, but not all, obesogenic behaviours.
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Primary prevention of overweight is to be preferred above secondary prevention, which has shown moderate effectiveness. ⋯ A dynamic prediction model for overweight was developed with a good predictive ability using easily obtainable predictor information. External validation is needed to confirm that the model has potential for use in practice.
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Review
The paediatric weight management office visit via telemedicine: pre- to post-COVID-19 pandemic.
Telemedicine is a powerful tool that erases many logistical barriers to care and may increase access. Due to the need for social distancing, the COVID-19 pandemic has temporarily reduced in-person visits for clinical care. Providers, clinical staff and patients are pressed to acutely learn new skills and adapt clinical care through the use of telemedicine whilst administrators, policy makers and regulatory organizations make changes to existing policies to meet this national emergency. ⋯ We review the operationalization of our clinic's telemedicine visit prior to the pandemic. We discuss how telemedicine services are impacted by COVID-19 and key resources are provided. Finally, we reimagine telemedicine services post-pandemic to expand effective, coordinated health care, particularly for patients with chronic needs such as obesity.