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One of the important aspects of today's research in the area of public health is the nutritional health of children populations which has been suffering from decades and now became a burning issue in public health. Scholars worldwide appointed themselves to understand the role of multiple factors working behind it such as demographic imbalance, socio-economic factors, food impurity, parental unconsciousness etc. Likewise, the present study is a small attempt to understand the nutritional health of the children of a particular population, residing in a peri-urban region of North 24 Parganas district, West Bengal, India, in light of maternal knowledge and practices regarding child's health and nutrition. A total of 96 under-five children have been accounted for in this study through random sampling from the ICDS centers of Madhyamgram town. Data on children's HAZ, BAZ, birth weight and maternal knowledge and practices has been collected through anthropometric measurements of children and interviews of mothers. Study reveals that according to HAZ they are in a satisfying condition as their prevalence percentage in low HAZ shows 3.12% but in case of low BAZ, the prevalence percentage shows unsatisfactory result (36.46%) as found in case of low-birth-weight (39.58%). The study also found insignificant association between children's socio-economic background and their nutritional failure but found some disparity among maternal knowledge and its practices. The study concludes that the studied children population is in unsatisfying nutritional condition only in terms of their BAZ which might be the result of inconsistency in the knowledge and it's practices of mothers. [ABSTRACT FROM AUTHOR]

Study Design: Retrospective.Objective: Assess the impact of varying severity of BMI on 30-day outcomes following posterior spinal fusions in neuromuscular scoliosis.Summary Of Background Data: Obesity in the pediatric population is shown to be associated with adverse outcomes across varying specialties. The weight-outcome relationship in neuromuscular scoliosis has not been thoroughly investigated.Methods: The 2012-2016 American College of Surgeons - National Surgical Quality Improvement (ACS-NSQIP) database was queried using Current Procedural Terminology codes 22800, 22802, and 22804 to identify patients undergoing posterior spinal fusion for neuromuscular scoliosis only. BMI was classified into four groups based on the Center for Disease Control (CDC) BMI-for-age percentile chart - Normal weight (BMI ≥5th to <85th percentile), Underweight (<5th percentile), Overweight (≥85th to <95th percentile) and Obese (≥95th percentile). Multivariate regression models were built to understand the impact of varying BMI severity classes on 30-day outcomes.Results: A total of 1291 patients underwent posterior spinal fusion for neuromuscular scoliosis. A total of 695 (53.8%) were normal weight, 286 (22.2%) were underweight, 145 (11.2%) were overweight, and 165 (12.8%) were obese. Obese patients versus normal weight patients were at a significantly higher risk of surgical site infections (OR 2.15; P = 0.035), wound dehiscence (OR 1.58; P = 0.037), urinary tract infections (OR 3.41; P = 0.010), and 30-day readmissions (OR 1.94; P = 0.029). Of note, overweight versus normal weight individuals had higher odds of cardiopulmonary complications (OR 8.82; P = 0.024). No significant associations were seen for varying BMI and other 30-day outcomes.Conclusions: Obese neuromuscular patients undergoing PSF have higher odds of experiencing adverse outcomes, particularly surgical site infections, urinary tract infections, and readmissions. Providers should promote prevention strategies, such as dietary modification and/or early physical activity in these high-risk patients to minimize the risks of experiencing complications in the acute postoperative period.Level Of Evidence: 3. [ABSTRACT FROM AUTHOR]

Summary Objective This paper investigates the association between behavioural factors and BMI-for-age among early adolescents (10–11 years old) in Hulu Langat district, Selangor. Methods This cross-sectional study was conducted among 333 primary school students. Body weight and height of the students were measured and their BMI-for-age was calculated. Eating behaviours, energy intake, energy expenditure, physical activity, and screen time were assessed using the Eating Behaviours Questionnaire and a 2-day dietary and physical activity recall, respectively. Data were analysed using multiple linear regression analysis. Results The prevalence of overweight and obesity (28.2%) was about twice the prevalence of thinness (11.1%). The mean energy intake and energy expenditure of the students was 1772 ± 441 kcal/day and 1705 ± 331 kcal/day, respectively. Three in five of the students (60.1%) skipped at least one meal and 98.2% snacked between meals daily. A majority of them (55.3%) were sedentary. Low energy intake ( p < 0.05) and low energy expenditure ( p < 0.05) were associated with high BMI-for-age. Energy expenditure ( β = −0.033) and energy intake ( β = −0.090) significantly explained 65.1% of the variances in BMI-for-age ( F = 119.170, p < 0.05). Conclusion These findings suggested that promoting healthy eating and active lifestyle should be targeted in the prevention and management of obesity among early adolescents. [ABSTRACT FROM AUTHOR]

Highlights: [•] The percent of obese (32.3) and overweight children (26.2) with ASD were higher than the values reported in previous studies and the values obtained with typically developing Turkish children. [•] The calcium, zinc, vitamin B6 and folate intake of the majority of children were inadequate. [•] The salt consumption in all age groups and cholesterol intake in normal, overweight and obese children were high. [•] Similar to the previous studies, food selectivity was found to be the most common feeding problem. [Copyright &y& Elsevier]

A possible role of dietary creatine for ensuring proper growth and development remains unknown. The main aim of this cross-sectional study was to quantify the amount of creatine consumed through regular diet among U.S. children and adolescents aged 2 to 19 years and investigate the relationship between creatine intake and growth indicators, using data from the 2001–2002 National Health and Nutrition Examination Survey (NHANES). We included data for NHANES 2001–2002 respondents (4291 participants, 2133 boys and 2158 girls) aged 2 to 19 years at the time of screening, who provided valid dietary information and examination measures (standing height and weight). Individual values for total grams of creatine consumed per day for each participant were computed using the average amount of creatine (3.88 g/kg) across all sources of meat-based foods. All participants were categorized for height-for-age and BMI-for-age categories. The average daily intake of creatine across the whole sample was 1.07 ± 1.07 g (95% CI, from 1.04 to 1.10). Height, weight, and BMI were significantly different across creatine quartiles (p < 0.001), with all measures significantly higher in the 4th quartile of creatine intake (≥1.5 g/day) than those in other quartiles (p < 0.05). The participants from the 3rd quartile of creatine intake (0.84–1.49 g/day) were significantly different from others with respect to having lower rates of normal stature and higher rates of tall stature (p < 0.05). Each additional 0.1 g of creatine consumed per day increases height by 0.60 cm (simple model) or 0.30 cm (adjusted model). The daily intake of creatine from a regular diet in taller children and adolescents was higher than in shorter peers aged 2–19 years. Future research has to monitor temporal changes in growth and dietary creatine and validate our findings in interventional studies across pediatric populations. [ABSTRACT FROM AUTHOR]

Considering the double burden of malnutrition in Malaysia, data on malnourished children living in welfare homes are limited. This study aimed to determine the body weight status of children living in welfare homes and its associated factors. A total of 307 children aged 7–17 years old living in 15 selected welfare homes completed a standardized questionnaire, and their body weight and height were measured by trained researchers. There were 54.4% orphans, 23.8% abandoned children, and 21.8% children from problematic families. There were 51.5% boys and 48.5% girls; 52.4% were Malays, followed by 31.3% Indians, 12.7% Chinese, and 3.6% from other ethnic groups. The prevalence of overweight and obesity (23.1%) was higher than the prevalence of thinness (8.5%). In bivariate analyses, socio-demographic factors of age (p = 0.003), sex (p = 0.0001), ethnicity (p = 0.001), and welfare home enrollment status (p = 0.003), and psychological factors of self-esteem (p = 0.003), body shape dissatisfaction (p = 0.0001), and underestimation of body weight status (p = 0.002), were significantly associated with body mass index (BMI)-for-age. In the multiple linear regression analysis, children who were either Malays (β = 0.492) or Chinese (β = 0.678), with a status of being abandoned (β = 0.409), with body shape dissatisfaction (β = 0.457), and underestimated body weight status (β = 0.628) significantly explained 39.7% of the variances in higher BMI-for-age (F = 39.550; p < 0.05). Besides socio-demographic background, the current findings emphasized the importance of incorporating body image perception in an obesity prevention intervention program in welfare homes. [ABSTRACT FROM AUTHOR]