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  1. Article ; Online: Obesity in children.

    Arteburn, David E

    BMJ clinical evidence

    2007  Volume 2007

    Abstract: Introduction: Obesity is the result of long-term energy imbalances, where daily energy intake exceeds daily energy expenditure. Along with long-term health problems, obesity in children is associated with short-term psychosocial problems, including ... ...

    Abstract Introduction: Obesity is the result of long-term energy imbalances, where daily energy intake exceeds daily energy expenditure. Along with long-term health problems, obesity in children is associated with short-term psychosocial problems, including social marginalisation, low self-esteem, and impaired quality of life. Most obese adolescents stay obese as adults. Obesity is increasing among children and adolescents, with 14% of boys and 17% of girls in the UK aged 2-15 years obese in 2004.
    Methods and outcomes: We conducted a systematic review and aimed to answer the following clinical question: What are the effects of lifestyle interventions for the treatment of childhood obesity? We searched: Medline, Embase, The Cochrane Library and other important databases up to August 2006 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA).
    Results: We found 10 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions.
    Conclusions: In this systematic review we present information relating to the effectiveness and safety of the following interventions: behavioural interventions, diet, multifactorial interventions, and physical activity.
    MeSH term(s) Behavior Therapy ; Body Mass Index ; Child ; Energy Intake ; Evidence-Based Medicine ; Humans ; Incidence ; Life Style ; Pediatric Obesity ; Quality of Life
    Language English
    Publishing date 2007-05-01
    Publishing country England
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 2393858-4
    ISSN 1752-8526 ; 1757-0816 ; 1475-9225
    ISSN (online) 1752-8526
    ISSN 1757-0816 ; 1475-9225
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Understanding Women Veterans' Family Planning Counseling Experiences and Preferences to Inform Patient-Centered Care.

    Callegari, Lisa S / Tartaglione, Erica V / Magnusson, Sara L / Nelson, Karin M / Arteburn, David E / Szarka, Jackie / Zephyrin, Laurie / Borrero, Sonya

    Women's health issues : official publication of the Jacobs Institute of Women's Health

    2019  Volume 29, Issue 3, Page(s) 283–289

    Abstract: Background: Women veterans' unique experiences in the military and burden of health comorbidities increase their risk of adverse pregnancy outcomes and may influence their counseling needs related to planning or preventing pregnancy. We investigated ... ...

    Abstract Background: Women veterans' unique experiences in the military and burden of health comorbidities increase their risk of adverse pregnancy outcomes and may influence their counseling needs related to planning or preventing pregnancy. We investigated women veterans' experiences of family planning counseling in the military and Veterans Affairs (VA) health care systems as well as their counseling preferences.
    Methods: We conducted 32 qualitative interviews among women veterans ages 18-44 years receiving primary care at the VA Puget Sound or VA Pittsburgh health care systems between March and June 2016 to explore their experiences and preferences related to counseling about pregnancy goals and planning and contraception. Transcripts were analyzed using inductive and deductive content analysis, and key themes were identified.
    Results: Nearly all participants described negative experiences in family planning counseling encounters in the military and/or VA, including perceptions of gender-based discrimination and pressure to choose certain contraceptive methods, perceived judgment of their reproductive choices, and a lack of continuity with providers. Some women also reported positive experiences in family planning encounters in the VA, including feeling respected, receiving comprehensive information about options, and having their perspectives and concerns elicited. Counseling preferences that emerged included that providers initiate and validate family planning discussions, establish trust and avoid judgment, elicit women's individual preferences, and engage them as equal partners in decision making.
    Conclusions: Women veterans reported a spectrum of negative and positive experiences in family planning encounters in the military and VA that, in conjunction with their preferences, provide key insights for patient-centered reproductive health care in VA.
    MeSH term(s) Adolescent ; Adult ; Family Planning Services/statistics & numerical data ; Female ; Hospitals, Veterans/statistics & numerical data ; Humans ; Mothers/psychology ; Mothers/statistics & numerical data ; Patient-Centered Care/statistics & numerical data ; Pregnancy ; Pregnant Women/psychology ; United States ; United States Department of Veterans Affairs ; Veterans/psychology ; Veterans/statistics & numerical data ; Young Adult
    Language English
    Publishing date 2019-04-10
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 1085396-0
    ISSN 1878-4321 ; 1049-3867
    ISSN (online) 1878-4321
    ISSN 1049-3867
    DOI 10.1016/j.whi.2019.03.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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