356. Children, Obesity and Exercise: Prevention

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356. Children, Obesity and Exercise: Prevention

CATEGORY: Fitness, Workout & Exercise 500 Courses

COURSE NUMBER: 01

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Syllabus

List of figures ix
List of tables x
List of boxes xi
List of contributors xii
1 Childhood obesity – an introduction 1
J. YEUNG AND A.P. HILLS
Introduction 1
Aetiology of obesity 2
The impact of the environment in the promotion of childhood
obesity 3
Behavioural determinants of obesity and the effect of the
environment 4
Necessary modifications to the environment to afford a shift in
activity levels 5
Role of different settings 6
2 Tracking of overweight and obesity from childhood into
adulthood: health consequences and implications for
further research 11
M.J.M. CHIN A PAW, A.S. SINGH, J.W.R. TWISK AND W. VAN MECHELEN
Introduction 11
Defining overweight and obesity 11
Tracking of overweight and obesity from childhood into
adulthood 12
Childhood obesity and long-term health consequences 20
Discussion 20
Conclusion 21

3 Clinical correlates of overweight and obesity 25
E. DENNEY-WILSON AND L.A. BAUR
Introduction 25
The prevalence of complications 25
The importance of abdominal fat 26
Complications occurring during childhood and adolescence 26
Adult complications arising from child and adolescent obesity 30
Conclusion 32
4 Body composition assessment in children and
adolescents – implications for obesity 37
A.P. HILLS AND M. KAGAWA
Introduction 37
Changes in body composition 37
Assessment of body composition 38
Anthropometry 39
Conclusions 46
5 The importance of physical activity in the growth and
development of children 50
N.M. BYRNE AND A.P. HILLS
Introduction 50
Physical activity and obesity prevention in youngsters 50
Physical activity during the growing years 52
Regular physical activity and normal motor development 54
Physical activity and public health challenges 55
Physical activity recommendations for children: what is the
evidence? 56
Summary 57
6 The role of perceived competence in the motivation of
obese children to be physically active 61
L.M. LYELL, S.C. WEARING AND A.P. HILLS
Introduction 61
Background 61
Definitions and models 63
Perceived competence and physical activity in the obese child 66
Recommendations for design and delivery of physical activity
interventions 67
Conclusions 74

7 Psychosocial aspects of childhood obesity 80
S.M. BYRNE AND M. LA PUMA
Introduction 80
Socioeconomic status 80
What might explain the relationship between SES and obesity in
developed countries? 81
Societal attitudes toward obesity and discrimination 81
What about overweight children’s views? 82
The influence of parents, families and peers on the development and
consequences of obesity 83
Psychological factors 85
Conclusions 89
8 Physical activity, appetite control and energy balance:
implications for obesity 92
N.A. KING
Introduction 92
Physical activity and energy balance regulation 92
Physical activity and obesity 93
Physical activity and appetite control 95
The role of physical activity in weight control 96
Conclusion 97
9 Eating behaviour in children and the measurement of
food intake 103
J. BRESSAN, A.P. HILLS AND H.H.M. HERMSDORFF
Introduction 103
Eating behaviour in children 103
Methods of dietary assessment 104
Assessment of energy intake 105
Measurement in children 107
Improvement of methods 109
Conclusions 110
10 Physical activity behaviour in children and the
measurement of physical activity 113
L.M. TOMSON, T.F. CUDDIHY, M. DAVIDSON AND R.P. PANGRAZI
Introduction 113
Children’s physical activity levels in Australia 116
Physical activity and girls 117

Schools as settings for promotion of physical activity 118
Physical activity out of school hours 119
Active transport to and from school 119
Monitoring and measuring physical activity levels 120
11 Environmental factors and physical activity in children:
implications for active transport programmes 130
J. YEUNG, S.C. WEARING AND A.P. HILLS
Introduction 130
Modifications to the environment necessary to afford a shift in activity
levels 131
The ANGELO framework – a means of understanding the obesogenic
environment 131
Obesogenic elements in microenvironmental settings 133
Macroenvironments 135
Active commuting to school – a sound investment? 136
Conclusion 138
12 Interventions for the prevention and management of
childhood obesity 142
B. DEFORCHE, I. DE BOURDEAUDHUIJ AND A.P. HILLS
Introduction 142
Interventions within the family 143
School-based interventions 145
Interventions within the community 146
Treatment of childhood obesity 146
Negative consequences of dietary interventions 150
Programmed exercise 151
Lifestyle activities 153
Decreasing sedentary activities 153
Family involvement 154
Behavioural modifications 154
Types of programme 158
Maintenance of weight loss 159
Index 164

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