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C M Renders - One of the best experts on this subject based on the ideXlab platform.

  • energy balance related behavior and anthropometric measures among adolescents across three Educational Levels a cross sectional study in dutch schools
    Health Education & Behavior, 2018
    Co-Authors: Monica A M Ridder, Maaike Koning, Tommy L S Visscher, R A Hirasing, J C Seidell, C M Renders
    Abstract:

    Energy balance–related behavior on schooldays and beliefs about school-based interventions may differ between students in different Educational Levels, sexes, and BMI (body mass index) categories. In Zwolle (the Netherlands), 1,084 adolescents (13-15 years) at 9 secondary schools completed a questionnaire. Overweight prevalence (boys 18.1%, girls 19.3%) increased with decreasing Educational level, especially in boys. Girls reported healthier behavior than boys regarding daily consumption of fruit (35% vs. 29%), vegetables (58% vs. 48%), ≤1 snack/candy (36% vs. 26%), ≤3 glasses of sugared drinks (80% vs. 73%; all p <.05). Unhealthier dietary behaviors were associated with lower Educational level, except for eating sugary and savory snacks. Snacks and sugared drinks consumed at school were mostly brought from home (61.6% and 68.5%, respectively). Overweight students reported less frequent consumption of daily breakfast, snacks, and sugared drinks than nonoverweight students. Of all students, 40% spent ≥1 hour per day cycling to school. Lower Educational level students reported less organized sports activities than higher level students, but more outside play and other activities. Overweight was associated with cycling to school (boys) and participating in organized sports (girls). More girls than boys were interested in lessons about healthy nutrition (44.4% vs. 31.7%). To stimulate physical activity, boys suggested more physical education classes (63%), girls advised more variation (47%) and choice (43%). A healthy school canteen (57%) and offering free fruit (67%) were suggested as promising interventions to stimulate healthy behavior. Educational and environmental interventions to tackle unhealthy dietary and physical activity behavior should be developed in collaboration with parents and tailored to Educational level and gender.

Gilles O. Einstein - One of the best experts on this subject based on the ideXlab platform.

Hein Raat - One of the best experts on this subject based on the ideXlab platform.

  • socioeconomic inequalities in placental vascular resistance a prospective cohort study
    Fertility and Sterility, 2014
    Co-Authors: Selma H Bouthoorn, Frank J Van Lenthe, Albert Hofman, Vincent W V Jaddoe, Romy Gaillard, Eric A P Steegers, Hein Raat
    Abstract:

    Objective To examine the association between socioeconomic position (SEP) and umbilical and uterine placental resistance indices in the second and third trimester, and to what extent this could be explained by lifestyle-related behaviors. Design Prospective cohort study. Setting Rotterdam, the Netherlands. Patient(s) 7,033 pregnant women of mean age (± standard deviation) 29.9 (±5.2) years. Intervention(s) None. Main Outcome Measure(s) Uterine artery resistance index (UARI) and umbilical artery pulsatility index (UAPI) in second and third trimester measured with Doppler ultrasound. Result(s) Third-trimester UARI and both second- and third-trimester UAPI were statistically significantly higher for women with lower Educational Levels as compared with those with higher Educational Levels. Educational level was strongly associated with the risk of continuously high Levels of UARI and UAPI from second to third trimester of pregnancy. Notching was not associated with SEP. Smoking was a significant contributor to the association of SEP and increased placental resistance indices; body mass index, folic acid supplementation use, and alcohol use were not. Conclusion(s) Women from low socioeconomic subgroups have higher placental resistance indices, which may cause a higher prevalence of pregnancy complications. This was mainly explained by maternal smoking during pregnancy.

  • head circumference of infants born to mothers with different Educational Levels the generation r study
    PLOS ONE, 2012
    Co-Authors: Selma H Bouthoorn, Frank J Van Lenthe, Anita C S Hokkenkoelega, Henriette A Moll, Henning Tiemeier, Albert Hofman, Johan P Mackenbach, Vincent W V Jaddoe, Hein Raat
    Abstract:

    textabstractObjective: Head circumference (HC) reflect growth and development of the brain in early childhood. It is unknown whether socioeconomic differences in HC are present in early childhood. Therefore, we investigated the association between socioeconomic position (SEP) and HC in early childhood, and potential underlying factors. Methods: The study focused on Dutch children born between April 2002 and January 2006 who participated in The Generation R Study, a population-based prospective cohort study in Rotterdam, the Netherlands. Maternal Educational level was used as indicator of SEP. HC measures were concentrated around 1, 3, 6 and 11 months. Associations and explanatory factors were investigated using linear regression analysis, adjusted for potential mediators. Results: The study included 3383 children. At 1, 3 and 6 months of age, children of mothers with a low education had a smaller HC than those with a high education (difference at 1 month: -0.42 SD; 95% CI: -0.54,-0.30; at 3 months: -0.27 SD; 95% CI -0.40,-0.15; and at 6 months: -0.13 SD; 95% CI -0.24,-0.02). Child's length and weight could only partially explain the smaller HC at 1 and 3 months of age. At 6 months, birth weight, gestational age and parental height explained the HC differences. At 11 months, no HC differences were found. Conclusion: Educational inequalities in HC in the first 6 months of life can be mainly explained by pregnancy-related factors, such as birth weight and gestational age. These findings further support public health policies to prevent negative birth outcomes in lower socioeconomic groups.

Emmanuelle Kesse-guyot - One of the best experts on this subject based on the ideXlab platform.

  • Differential association between adherence to nutritional recommendations and body weight status across Educational Levels: a cross-sectional study
    Preventive Medicine, 2013
    Co-Authors: Camille Lassalas, Pilar Galan, Katia Castetbon, Sandrine Péneau, Caroline Mejean, Serge Hercberg, Emmanuelle Kesse-guyot
    Abstract:

    Objective. The impact of diet quality and physical activity (PA) on weight might be different according to socioeconomic status. Our aim was to estimate associations between adherence to nutritional guidelines and BMI and the interaction with socioeconomic characteristics. Methods. A total of 11,931 men and 39,737 women from the NutriNet-Sante cohort (France, 2009-2012) were included in this cross-sectional analysis. The association between PNNS-GS (a score estimating adherence to French nutritional guidelines) and BMI was assessed by multivariate linear regression. A modified score (mPNNS-GS) separating diet quality from PA was also used. Results. BMI, overweight and obesity displayed an inverse gradient from less to more educated groups, whereas PNNS-GS increased. A higher PNNS-GS was associated with a lower BMI, more importantly in the less educated: BMI decrease ranged from -1.1% in less educated to -0.7% in more educated men and from -0.6% to -0.3% in women. The effect of mPNNS-GS and PA in particular was also stronger among less educated subjects. Conclusion. Overall, better adherence to nutritional recommendations was inversely associated with BMI, and this association was stronger in the less educated groups. This suggests that nutritional policies should still concentrate on promoting access to a healthier diet and PA, especially among less educated individuals. (C) 2013 Elsevier Inc. All rights reserved.

Emmanuelle Kesseguyot - One of the best experts on this subject based on the ideXlab platform.

  • differential association between adherence to nutritional recommendations and body weight status across Educational Levels a cross sectional study
    Preventive Medicine, 2013
    Co-Authors: Camille Lassale, Pilar Galan, Katia Castetbon, Sandrine Péneau, Caroline Mejean, Serge Hercberg, Emmanuelle Kesseguyot
    Abstract:

    Abstract Objective The impact of diet quality and physical activity (PA) on weight might be different according to socioeconomic status. Our aim was to estimate associations between adherence to nutritional guidelines and BMI and the interaction with socioeconomic characteristics. Methods A total of 11,931 men and 39,737 women from the NutriNet-Sante cohort (France, 2009–2012) were included in this cross-sectional analysis. The association between PNNS-GS (a score estimating adherence to French nutritional guidelines) and BMI was assessed by multivariate linear regression. A modified score (mPNNS-GS) separating diet quality from PA was also used. Results BMI, overweight and obesity displayed an inverse gradient from less to more educated groups, whereas PNNS-GS increased. A higher PNNS-GS was associated with a lower BMI, more importantly in the less educated: BMI decrease ranged from − 1.1% in less educated to − 0.7% in more educated men and from − 0.6% to − 0.3% in women. The effect of mPNNS-GS and PA in particular was also stronger among less educated subjects. Conclusion Overall, better adherence to nutritional recommendations was inversely associated with BMI, and this association was stronger in the less educated groups. This suggests that nutritional policies should still concentrate on promoting access to a healthier diet and PA, especially among less educated individuals.