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Article ; Online: Obesity in children/adolescents | Editorial CHAO

Kurt Widhalm

Child and Adolescent Obesity, Vol 5, Iss 1, Pp 1-

2022 Volume 2

Keywords	Pediatrics ; RJ1-570 ; Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2022-12-01T00:00:00Z
Publisher	Taylor & Francis Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Improvement of body composition in 8- to 11-year-old schoolboys

Paula Moliterno / Julia Matjazic / Kurt Widhalm

Child and Adolescent Obesity, Vol 5, Iss 1, Pp 28-

effects of a 6-months lifestyle intervention A retrospective evaluation of the “EDDY-Kids” prevention study

2022 Volume 41

Abstract: Background Childhood obesity prevention is crucial. This study aimed to assess the effect of a 6-month intervention with nutritional training and physical activity education on body fat, BMI-SDS, and consumption of sugary drinks and sweets in a sample of ...

Abstract	Background Childhood obesity prevention is crucial. This study aimed to assess the effect of a 6-month intervention with nutritional training and physical activity education on body fat, BMI-SDS, and consumption of sugary drinks and sweets in a sample of 69 Viennese schoolboys aged 8–11 years.Methods The “EDDY-Kids” study was a prevention project in a Viennese elementary school aiming to prevent excessive weight gain and obesity by increasing nutrition knowledge and daily physical activity. During the school year 2018/2019, 69 boys were recruited; weight, height, fat mass, and consumption of sugary drinks and sweets were examined at the beginning (December 2018) and at the end of the project (June 2019). Only the intervention group received nutrition lessons and physical activity education once and twice weekly, respectively.Results At baseline, 19/36 boys in the intervention group had overweight/obesity and 11/33 in the control group (p = 0.14). After the intervention, no significant differences in changes in BMI-SDS between the intervention and the control group were observed (p = 0.35). Body fat percentage changed from 30.5% (25.8–31.7%) to 29.4% (24.3–30.4%) in the intervention group, and from 23.3% (22.0–27.0%) to 23.7% (21.7–26.8%) in the control group (p = 0.013). At baseline, there were no differences in the consumption of sugary drinks and sweets between the intervention and the control group. After 6-months of intervention, the median consumption of sugary drinks and sweets remained similar in the intervention and the control group, and no differences between groups (p > 0.40) were found.Conclusion A 6-month combined intervention promoting healthier dietary and physical activity habits in schoolboys from Vienna positively and modestly affected the percentage of body fat. Reduced body fat may be beneficial independently of changes in BMI-SDS.
Keywords	obesity ; intervention (nutrition education and physical activity) ; body fat ; childhood ; Pediatrics ; RJ1-570 ; Public aspects of medicine ; RA1-1270
Subject code	796
Language	English
Publishing date	2022-12-01T00:00:00Z
Publisher	Taylor & Francis Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: A Comparison of Dynamic Hip Screw and Two Cannulated Screws in the Treatment of Undisplaced Intracapsular Neck Fractures—Two-Year Follow-Up of 453 Patients

Harald Kurt Widhalm / Richard Arnhold / Hannes Beiglböck / Alexandru Munteanu / Nikolaus Wilhelm Lang / Stefan Hajdu

Journal of Clinical Medicine, Vol 8, Iss 10, p

2019 Volume 1670

Abstract: One of the most common fractures is that of the intracapsular femoral neck; however, the optimal implant for head-preserving treatment remains controversial. The aim of the study was to compare the outcomes of treating undisplaced intracapsular femoral ... ...

Abstract	One of the most common fractures is that of the intracapsular femoral neck; however, the optimal implant for head-preserving treatment remains controversial. The aim of the study was to compare the outcomes of treating undisplaced intracapsular femoral neck fractures with either the dynamic hip screw (DHS) or the double cannulated screw fixation (CSFN). This retrospective cohort study analysed the data of 453 patients, with a mean age of 76.9 years, whose intracapsular fractures were treated with the DHS or CSFN between 2005 and 2013. The analysis focused on the rates of revision surgeries and complications; however, the impact of confounding exogenous factors, such as smoking and alcohol, were also considered. No significant difference was observed between the revision rates of DHS and CSFN (15.0% vs. 13.1%; p = 0.565). According to the complication rate, the advantage in favour of the CSFN was not significant (20.5% vs. 13.1%, p = 0.038). The use of the DHS was associated with a 13 min longer surgery ( p < 0.0001) and a one day longer hospitalization ( p = 0.242). Excessive consumption of alcohol was associated with an increased incidence of avascular necrosis (18.6% vs. 8.7%, p = 0.035). The choice of implant showed no significant impact on rates of revision surgery and complications. In terms of socioeconomic factors, the fixation with two cannulated screws was more favourable, making it the more cost-effective and less stressful method.
Keywords	osteosynthesis ; femoral neck fractures ; intracapsular ; dynamic hip screw ; cannulated screw ; avascular necrosis ; Medicine ; R
Subject code	616
Language	English
Publishing date	2019-10-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Risk Assessment and Clinical Management of Children and Adolescents with Heterozygous Familial Hypercholesterolaemia. A Position Paper of the Associations of Preventive Pediatrics of Serbia, Mighty Medic and International Lipid Expert Panel

Bojko Bjelakovic / Claudia Stefanutti / Željko Reiner / Gerald F. Watts / Patrick Moriarty / David Marais / Kurt Widhalm / Hofit Cohen / Mariko Harada-Shiba / Maciej Banach

Journal of Clinical Medicine, Vol 10, Iss 4930, p

2021 Volume 4930

Abstract: Heterozygous familial hypercholesterolaemia (FH) is among the most common genetic metabolic lipid disorders characterised by elevated low-density lipoprotein cholesterol (LDL-C) levels from birth and a significantly higher risk of developing premature ... ...

Abstract	Heterozygous familial hypercholesterolaemia (FH) is among the most common genetic metabolic lipid disorders characterised by elevated low-density lipoprotein cholesterol (LDL-C) levels from birth and a significantly higher risk of developing premature atherosclerotic cardiovascular disease. The majority of the current pediatric guidelines for clinical management of children and adolescents with FH does not consider the impact of genetic variations as well as characteristics of vascular phenotype as assessed by recently developed non-invasive imaging techniques. We propose a combined integrated approach of cardiovascular (CV) risk assessment and clinical management of children with FH incorporating current risk assessment profile (LDL-C levels, traditional CV risk factors and familial history) with genetic and non-invasive vascular phenotyping. Based on the existing data on vascular phenotype status, this panel recommends that all children with FH and cIMT ≥0.5 mm should receive lipid lowering therapy irrespective of the presence of CV risk factors, family history and/or LDL-C levels Those children with FH and cIMT ≥0.4 mm should be carefully monitored to initiate lipid lowering management in the most suitable time. Likewise, all genetically confirmed children with FH and LDL-C levels ≥4.1 mmol/L (160 mg/dL), should be treated with lifestyle changes and LLT irrespective of the cIMT, presence of additional RF or family history of CHD.
Keywords	familial hypercholesterolaemia ; children ; cardiovascular risk ; vascular phenotype ; Medicine ; R
Subject code	610
Language	English
Publishing date	2021-10-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Migration of the Lag Screw after Intramedullary Treatment of AO/OTA 31.A2.1-3 Pertrochanteric Fractures Does Not Result in Higher Incidence of Cut-Outs, Regardless of Which Implant Was Used

Nikolaus Wilhelm Lang / Robert Breuer / Hannes Beiglboeck / Alexandru Munteanu / Stefan Hajdu / Reinhard Windhager / Harald Kurt Widhalm

Journal of Clinical Medicine, Vol 8, Iss 5, p

A Comparison of Gamma Nail with and without U-Blade (RC) Lag Screw and Proximal Femur Nail Antirotation (PFNA)

2019 Volume 615

Abstract: The best intramedullary nail for the treatment of unstable AO/OTA 31.A2.1-3 fractures remains uncertain. A total of 237 patients (45 male, 192 female) were eligible for the assessment with an average age of 81.9 ± 10.5 years and a minimum follow-up of ... ...

Abstract	The best intramedullary nail for the treatment of unstable AO/OTA 31.A2.1-3 fractures remains uncertain. A total of 237 patients (45 male, 192 female) were eligible for the assessment with an average age of 81.9 ± 10.5 years and a minimum follow-up of six months. We assessed the cut-out rate, the TAD and calTAD (Tip Apex distance) of three different implants. An overall cut-out rate of 2.5% ( n = 6) was observed. The cut-out rate was 1.2% ( n = 1) in the Proximal Femur Nail Antirotation (PFNA) group, 3.7% ( n = 3) in the Gamma Nail group and 2.9% ( n = 2) in the Gamma3 ® with a U-Blade (RC) lag-screw group. The TAD and calTAD differed between the cut-out and non-cut group—20.0 mm vs. 18.5 mm and 13.1 mm vs. 15.3 mm, respectively. A significantly higher TAD of 32.5 mm could be seen in the cut-out after PFNA ( p < 0.0001). The only significant change in follow-up using Parker’s ratio was observed in the PFNA group ( p < 0.0001). The rate of patients requiring surgery after complications was 8.4% ( n = 20) without any significant difference between the three groups. The PFNA blade showed significant migration within the femoral head, however the cut-out rate remained the smallest compared to Gamma3 with or without additional U-Blade (RC) lag screw.
Keywords	AO/OTA 31.A2.1-3 femur fractures ; cut-out ; Proximal Femur Nail Antirotation (PFNA) ; Gamma Nail ; U-Blade RC lag-screw ; Medicine ; R
Language	English
Publishing date	2019-05-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Clinical outcomes after treatment of quadriceps tendon ruptures show equal results independent of suture anchor or transosseus repair technique used - A pilot study.

Stefan Plesser / Mohammad Keilani / Gyoergy Vekszler / Timothy Hasenoehrl / Stefano Palma / Martin Reschl / Richard Crevenna / Stefan Hajdu / Harald Kurt Widhalm

PLoS ONE, Vol 13, Iss 3, p e

2018 Volume 0194376

Abstract: Biomechanical studies have shown the use of suture anchors (SA) to be superior to the traditional transosseous sutures (TS) in the repair of quadriceps tendon rupture (QTR). This study aimed to analyze and compare the functional outcomes of patients ... ...

Abstract	Biomechanical studies have shown the use of suture anchors (SA) to be superior to the traditional transosseous sutures (TS) in the repair of quadriceps tendon rupture (QTR). This study aimed to analyze and compare the functional outcomes of patients treated for quadriceps tendon ruptures using suture anchors or transosseous sutures. Patients having undergone suture anchor repair or transosseous suture repair for quadriceps tendon rupture between 2010 and 2015 at one of the two participating hospitals were included. Patients from site A underwent TS repair (TS group) while patients from site B underwent SA repair (SA group). Exclusion criteria included previous or concomitant injuries of the involved knee, penetrating injuries and pre-existing neurological conditions. Clinical outcome was assessed by subjective scores (Lysholm and Tegner Scores, International Knee Documentation Committee (IKDC) Score, Visual Analog Scale (VAS) for pain), quadriceps isokinetic strength testing, Insall-Salvati Index (ISI), and physical examination. Non-parametrical statistical analysis was conducted using the Mann-Whitney U test. Twenty-seven patients were included in the study of which 17 patients (63%) were available for follow-up (SA group: 9, TS group: 8). All patients were male with a mean age of 62.7 (SD: 8.8) and 57.9 (SD: 12.7) years for the SA group and TS group, respectively. The groups did not differ in terms of demographic characteristics. No clinically significant differences were identified between the two groups. There were no re-ruptures in either group. Treatment of quadriceps tendon rupture using suture anchors provides a clinically valid alternative treatment to the gold-standard transosseous suture repair.
Keywords	Medicine ; R ; Science ; Q
Subject code	616
Language	English
Publishing date	2018-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Skipping breakfast is associated with adiposity markers especially when sleep time is adequate in adolescents

Elsie C. O. Forkert / Augusto Cesar Ferreira De Moraes / Heráclito Barbosa Carvalho / Yannis Manios / Kurt Widhalm / Marcela González-Gross / Angel Gutierrez / Anthony Kafatos / Laura Censi / Stefaan De Henauw / Luis A. Moreno

Scientific Reports, Vol 9, Iss 1, Pp 1-

2019 Volume 10

Abstract: Abstract Adolescence is a critical stage of development and has an important influence on energy balance-related behaviours (EBRBs). When adolescents are associated with obesity it can lead to increased cardiometabolic risk. Here we assess if EBRBs ... ...

Abstract	Abstract Adolescence is a critical stage of development and has an important influence on energy balance-related behaviours (EBRBs). When adolescents are associated with obesity it can lead to increased cardiometabolic risk. Here we assess if EBRBs adopted by adolescents included in a subsample are associated with markers of total and abdominal adiposity in a multicentre European study, Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA-CSS) and a Brazilian study, Brazilian Cardiovascular Adolescent Health (BRACAH study), and whether sleep duration influence the association between skipping breakfast, physical activity and sedentary behaviours, with total and abdominal obesity (AO). Multilevel linear regression models using fixed and random intercepts were used to analyse the association between markers of obesity and EBRBs. Skipping breakfast was the prevalent behaviour in association with obesity among European and Brazilian boys besides European girls, even after stratification by sleep time. Moreover, European boys who slept properly and skipped breakfast had an increased waist circumference (WC), while body mass index (BMI) increased in Brazilian boys. Among Brazilian boys less sleep was protective for total obesity (β = −0.93 kg/m2; 95% CI: −1.80; −0.07). European girls when they were more sedentary, showed an increase in WC, especially for those who reported they slept adequately. Skipping breakfast was associated with total and AO in adolescents independent of sleep duration.
Keywords	Medicine ; R ; Science ; Q
Subject code	796
Language	English
Publishing date	2019-04-01T00:00:00Z
Publisher	Nature Portfolio
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Obesity intervention on the healthy lifestyle in childhood

Sabine Dietrich / Angelo Pietrobelli / Sabine Dämon / Kurt Widhalm

Epidemiology, Biostatistics and Public Health, Vol 5, Iss

results of the PRESTO (PrEvention STudy of Obesity) Study

2008 Volume 1

Abstract: Background : Due to increasing problems with childhood and adolescent obesity in Austria PRESTO (PrEvention STudy of Obesity) created a school based intervention program for promoting a healthy lifestyle in Austrian youth. Methods : PRESTO was carried ... ...

Abstract	Background : Due to increasing problems with childhood and adolescent obesity in Austria PRESTO (PrEvention STudy of Obesity) created a school based intervention program for promoting a healthy lifestyle in Austrian youth. Methods : PRESTO was carried out by a multi-disciplinary team including a physician, a psychologist, a nutritionist and an exercise physiologist. The study was carried out in 12 first grade school classes in Austria (2002-2004), mainly in Vienna (N=260). The control group consisted of 231 subjects. Medical examinations were performed and the participantsf knowledge on good nutrition and dietary habits were collected. Twelve nutrition sessions, one hour per week in each class, were conducted. Teachers were advised to discuss health issues in their classes and specific exercise physiologists were informed about how to integrate appropriate exercises into their lessons. Results : In comparison with control group, classes who performed PRESTO showed a significant knowledge of nutrition, consuming less unhealthy foods. These effects could be observed in the short term (14 weeks) and at follow up (10 months). 24% subjects could be classified as being overweight (BMI .90.Perc.). Conclusions : School-oriented intervention programs/studies, like PRESTO, are a potential way to demonstrate positive effect on nutrition, physical activity and healthy behaviours in youth, especially if carried out on a long-term basis. Ultimately PRESTO has proven to be a suitable programme to be disseminated onto schools throughout Austria.
Keywords	Prevention ; children ; obesity ; Public aspects of medicine ; RA1-1270 ; Medicine ; R ; DOAJ:Public Health ; DOAJ:Health Sciences
Subject code	796
Language	English
Publishing date	2008-03-01T00:00:00Z
Publisher	PREX
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Development of a Genetic Risk Score to predict the risk of overweight and obesity in European adolescents from the HELENA study

Scientific Reports, Vol 11, Iss 1, Pp 1-

2021 Volume 11

Abstract: Abstract Obesity is the result of interactions between genes and environmental factors. Since monogenic etiology is only known in some obesity-related genes, a genetic risk score (GRS) could be useful to determine the genetic predisposition to obesity. ... ...

Abstract	Abstract Obesity is the result of interactions between genes and environmental factors. Since monogenic etiology is only known in some obesity-related genes, a genetic risk score (GRS) could be useful to determine the genetic predisposition to obesity. Therefore, the aim of our study was to build a GRS able to predict genetic predisposition to overweight and obesity in European adolescents. A total of 1069 adolescents (51.3% female), aged 11–19 years participating in the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) cross-sectional study were genotyped. The sample was divided in non-overweight (non-OW) and overweight/obesity (OW/OB). From 611 single nucleotide polymorphisms (SNP) available, a first screening of 104 SNPs univariately associated with obesity (p < 0.20) was established selecting 21 significant SNPs (p < 0.05) in the multivariate model. Unweighted GRS (uGRS) was calculated by summing the number of risk alleles and weighted GRS (wGRS) by multiplying the risk alleles to each estimated coefficient. The area under curve (AUC) was calculated in uGRS (0.723) and wGRS (0.734) using tenfold internal cross-validation. Both uGRS and wGRS were significantly associated with body mass index (BMI) (p < .001). Both GRSs could potentially be considered as useful genetic tools to evaluate individual’s predisposition to overweight/obesity in European adolescents.
Keywords	Medicine ; R ; Science ; Q
Subject code	616
Language	English
Publishing date	2021-02-01T00:00:00Z
Publisher	Nature Portfolio
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: What Is the Value Given by Consumers to Nutritional Label Information? Results from a Large Investigation in Europe

Gregori, Dario / Claus VÃ¶gele / Francesca Galasso / Ileana Baldi / Kurt Widhalm / Paola Berchialla / Simonetta Ballali

Journal of the American College of Nutrition. 2015 Mar. 4, v. 34, no. 2

2015

Abstract: Rationale: Nutrition labels on prepackaged foods have been widely advocated as a medium to foster healthier eating habits in the general population. Objective: The study is aimed at understanding how people value nutritional information on food labels, ... ...

Abstract	Rationale: Nutrition labels on prepackaged foods have been widely advocated as a medium to foster healthier eating habits in the general population. Objective: The study is aimed at understanding how people value nutritional information on food labels, in particular for front-of-pack labeling. Methods: A phone-assisted survey of 7550 consumers in 16 European countries was conducted. People were asked about their opinion on nutritional information provided at different levels, from the media to public institutions, and their commitment to healthy behavior. The value of pack labeling was estimated using a willingness-to-pay (WTP) elicitation technique. Results: Older age groups (>45Â years old), members of a larger family, people of low income or low education, and those who perceived themselves to be obese valued front-of-pack nutritional labeling. WTP estimates across all countries provided an average accepted added price of $4.32 to the overall yearly food expenditure (95% confidence interval, 3.33â3.68). Conclusions: Overall, perceived value of labeling is low. However, factors affecting the value for consumer of nutritional labeling appear to be strictly linked to the socioeconomic and health status of the respondents.
Keywords	confidence interval ; eating habits ; food purchasing ; foods ; health status ; healthy diet ; income ; low educational status ; low-income population ; nutrition information ; nutrition labeling ; nutritive value ; prices ; surveys ; willingness to pay ; Europe
Language	English
Dates of publication	2015-0304
Size	p. 120-125.
Publishing place	Routledge
Document type	Article
ZDB-ID	603204-7
ISSN	1541-1087 ; 0731-5724
ISSN (online)	1541-1087
ISSN	0731-5724
DOI	10.1080/07315724.2014.899936
Database	NAL-Catalogue (AGRICOLA)

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