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1

Duckworth, Lauren Catherine. "Dietary Protein Manipulation in Overweight and Obese Adolescents." Thesis, Leeds Beckett University, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.517482.

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2

Markin, Carrie. "Mentors in motion : a physical activity intervention for obese adolescents." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=97961.

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Childhood overweight and obesity has become a significant health concern worldwide. Obese youth are now being diagnosed with health complications and chronic diseases previously observed only among older adults. In order to improve their health and decrease their risk of premature mortality, secondary prevention is essential. To help guide development of an effective intervention program for obese youth referred to specialized clinical care, a chart review was conducted on adolescents seeking physician treatment for obesity. Data indicate that this patient population suffers from obesity-related health complications, faces social issues and exhibits lifestyle practices predisposing them to weight gain. Given that physical inactivity is one major risk factor for obesity in this population, a logic model and training module have been developed for a physical activity intervention program, with nutrition interventions to soon be incorporated. This program, called Mentors in Motion, provides mentoring to obese youth as a means of enabling positive changes in physical activity behaviors, mental well-being and overall health. A pilot study research protocol was also developed as part of the thesis activity to test the effectiveness of Mentors in Motion and to determine further program needs and enhancements. The pilot study has been funded by the Canadian Institutes for Health Research and is underway.
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Kelly, Nichole. "PHYSICAL ACTIVITY, PHYSICAL FITNESS AND THE PSYCHOSOCIAL WELL-BEING OF OBESE ADOLESCENTS." VCU Scholars Compass, 2009. http://scholarscompass.vcu.edu/etd/1735.

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Overweight and obesity are associated with an array of negative physical and psychosocial symptoms in adolescents. Numerous pediatric obesity interventions have emerged in an attempt to address this significant public health concern. However, few have focused on African American females, a particularly high risk group for negative health behaviors and associated complications. Moreover, research examining the psychosocial changes associated with increases in physical activity and fitness, although promising in elder and adult populations, is nearly nonexistent in adolescents. Thus, the current study addressed limitations in the research and examined the psychosocial outcomes of adolescent participants in T.E.E.N.S., a culturally sensitive, multidisciplinary weight loss intervention. From baseline to 6 month post-testing, program participants demonstrated significant improvements in physical, emotional, and social functioning, as well as body dissatisfaction. Moreover, increases in physical activity and cardiorespiratory fitness were associated with significant enhancements in several domains of psychological well-being.
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4

Watts, Allison Whitney. "Influences in home, school and community environments on the dietary behaviours of overweight/obese adolescents." Thesis, University of British Columbia, 2014. http://hdl.handle.net/2429/50174.

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The research presented in this thesis explored relationships between healthful eating and food environments among overweight/obese adolescents. The three aims were to: 1) examine associations between parent and adolescent diets, 2) determine associations between a range of factors in the home food environment and adolescent diets, and 3) explore perceived factors that impede or facilitate healthful eating within home, school and community environments among adolescents. A secondary data analysis of baseline data collected from 176 parent-adolescent (11-16 years old) pairs who presented for an e-health intervention was conducted. Parent and adolescent intake of specific foods (vegetables and fruit (VF), total fat, sugar-sweetened beverages (SSB), desserts/treats, and snacks) was assessed from up to three 24-hour dietary recalls, while demographic and household factors were collected from questionnaires. Analyses examined associations between adolescent diets and the following parent and household factors: parent intake, parent modeling, parenting style, family meal practices, and home food and beverage availability. Upon completion of the intervention, a subset of 22 adolescents took part in a photovoice study to explore perceived barriers and facilitators to healthful eating within the home, school and community settings. Parent intake was positively associated with adolescent intake for all dietary components except for desserts/treats. Both parent modeling of healthful food choices and healthier family meal practices were associated with fewer high fat food items and soft drinks in the home, but neither were directly related to adolescent intake. The availability of less healthful foods at home was related to intake of fat, SSB, desserts/treats and snacks. These findings were further expanded by adolescents’ photographs depicting a struggle with an obesity-promoting environment. At home, themes that emerged included family meals, availability, parenting practices, modeling, celebrations, accessibility, and screen use. In the school and community, themes that emerged included availability, peers, convenience, price, school practices, marketing, and online influences. Targeting the home food environment through family-based obesity interventions and minimizing opportunities for less healthful eating in schools and communities may support dietary behaviour change among overweight/obese adolescents. Socio-ecological and systems-based approaches may help to conceptualize links between the multiple influences on dietary behaviour.<br>Medicine, Faculty of<br>Population and Public Health (SPPH), School of<br>Graduate
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5

Kaur, Kirandeep. "Does Dietary Behavior Mediate the Association Between Hedonic Hunger and BMI in Overweight/Obese Adolescents?" BYU ScholarsArchive, 2018. https://scholarsarchive.byu.edu/etd/6934.

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Heightened reward associated with palatable food, a construct referred to as hedonic reward, can promote excessive energy intake among adults. However, no known studies have examined the influence of hedonic reward on adolescents' eating behavior and weight status. The present study examined whether there was an association between hedonic hunger and weight status in overweight/obese adolescents and whether dietary behavior (caloric consumption) mediated this association. Baseline measures of body mass index, hedonic food reward, and dietary intake were collected from one hundred overweight and obese adolescents. Data were analyzed using mixture modeling. Mediation at varying levels of hedonic hunger was explored and three heterogeneous sub-classes were identified. Results indicated that for 65% participants there was a positive association between hedonic hunger and zBMI such that one unit of increase in hedonic hunger was associated with a 0.35 unit increase in zBMI. However, no conclusive evidence of caloric intake mediating the association between hedonic hunger and weight-status was found. Overall, our results suggest that exaggerated hedonic responses are associated with higher body mass in adolescents. These results provide a compelling argument that hedonic hunger can potentially override the homeostatic need for energy and may be associated with weight-gain.
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6

Scheps, Amanda. "An evaluation of cardiorespiratory responses and ventilatory efficiency during treadmill and cycling exercise in overweight adolescents." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2313.

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The assessment of ventilatory efficiency (VE/VCO2 slope) is increasingly being utilized to complement traditional cardiorespiratory fitness testing during graded exercise. The purpose of this study was to compare cardiorespiratory responses and ventilatory efficiency in obese children during a progressive exercise test to volitional fatigue performed on a treadmill and a cycle ergometer. Fifteen obese male (N=3) and female (N=12) adolescents aged 10 to 18 years were recruited in the study and completed both the treadmill and cycle ergometer trials. Mean age and BMI of the sample was 13.3 years and 38.0 kg/m2, respectively. Maximal oxygen consumption (VO2max) and ventilatory efficiency were determined during both exercise trials. Subsequently, overall VE/VCO2 slope and the slope below and above AT for ventilatory efficiency were compared between the two exercise modes. VO2max was significantly (p<0.05) greater during the treadmill trial (26.09±5.11 ml/kg/min) compared to the cycle ergometer trial (20.71± 4.31 ml/kg/min). The VO2 at anaerobic threshold (AT) was significantly (p<0.05) higher during the treadmill trial, however, the percentage of VO2max at AT was not significantly different between the two modes (treadmill-63.41± 6.29% and cycle ergometer (67.25± 6.99%). While there was no significant difference in the overall VE/VCO2 slope or the VE/VCO2 slope above anaerobic threshold obtained from the two modes, the VE/VCO2 slope below anaerobic threshold was significantly (p<0.05) higher in the treadmill trial (25.06±2.10) compared to the cycle ergometer trial (23.34± 2.12). In our small sample of obese adolescents, we observed a greater VE response for a given VCO2 during treadmill exercise below the anaerobic threshold. The differences observed may be related to a greater activation of muscle afferents during weight bearing exercise in obese adolescents.
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7

Walpole, Beverly. "Motivational Interviewing to Enhance Self-Efficacy and Promote Weight-loss in Overweight and Obese Adolescents: A Randomized Controlled Trial." Thesis, A portion of this thesis was published: Beverly Walpole, Elizabeth Dettmer, Barbara A. Morrongiello, Brian W. McCrindle, and Jill Hamilton. "Motivational Interviewing to Enhance Self-Efficacy and Promote Weight Loss in Overweight and Obese Adolescents: A Randomized Controlled Trial." in J. Pediatr. Psychol. first published online May 13, 2013 doi:10.1093/jpepsy/jst023 (10 pages), 2013. http://hdl.handle.net/10214/7261.

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Childhood obesity is associated with serious physiological and psychological consequences including type 2 diabetes, higher rates of depression and low self-esteem. With the population of overweight and obese youth increasing, appropriate interventions are needed that speak to the issue of motivation to maintain adherence to healthy behavior changes. The current investigation was a randomized controlled trial examining the efficacy of Motivational Interviewing (MI) as an intervention for promoting self-efficacy and weight-loss in a sample of overweight and obese youth. Participants (N = 42) ages 10-18, were randomly assigned to a control (social skills training) or treatment (MI) group. Both groups received individual therapy (~30 minutes/month) in addition to usual care of diet/exercise counseling. Pre and post (at 6 months follow-up) variables included measures of self-efficacy and anthropometrics. Results indicated that while significant between-group differences were not found, individuals in the MI group attended more sessions. Overall, participants in both groups showed significant increases in self-efficacy and a trend of decreased BMI z-scores. Though health benefits from participation in individual therapy may have been accrued, specific benefits attributable to MI were limited. Findings from the current study suggest that more than one type of counseling intervention (i.e., MI and social skills training) may be beneficial when providing integrative treatment for obese youth.<br>Canadian Institutes of Health and Research (CIHR)
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8

Ridel, Stephanie V. Sabyan M. A. "Friendship as a Modifying Factor of Depressive Symptoms and Social Self-Efficacy in Obese and Non-Overweight Children and Adolescents." Xavier University / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1385992942.

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9

Fenner, Ashley Adair. "A theory-based multi-disciplinary behavioural intervention to promote physical activity and healthy eating in overweight and obese adolescents." Thesis, Curtin University, 2014. http://hdl.handle.net/20.500.11937/1444.

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The current study integrated self-determination theory and goal setting theory in a multi-disciplinary family-based intervention for overweight and obese adolescents. Instructors and parents were trained in need-supportive behaviours and both adolescents and parents learned goal setting methods. Outcomes were assessed over a one-year period following an intensive 8-week intervention. Findings indicated positive changes in adolescent and parent outcomes, although no indirect pathways in the proposed mediation models were supported and changes were not sustained long-term.
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10

Bringeland, Nathalie. "DNA methylation correlation networks in overweight and normal-weight adolescents reveal differential coordination." Thesis, Uppsala universitet, Funktionell farmakologi, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-202863.

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Multiple health issues are associated with obesity and numerous factors are causative of the disease. The role of genetic factors is well established, as is the knowledge that dietary and sedentary behavior promotes weight gain. Although there is strong suspicion towards the role of epigenetics as a driving force toward disease, this field remains l in the context of obesity. DNA methylation correlation networks were profiled from blood samples of 69 adolescents of two distinct weight-classes; obese (n=35) and normal-weight (n=34). The network analysis revealed major differences in the organization of the networks where the network of the obese had less modularity compared to normal-weight. This is manifested by more and smaller clusters in the obese, pertaining to genes of related functions and pathways, than the network of the normal-weight. Consequently, this suggests that biological pathways have a lower order of coordination between each other in means of DNA methylation in obese than normal-weight. Analysis of highly connected genes, hubs, in the two networks suggests that the difference in coordination between biological pathways may be derived by changes of the methylation pattern of these hubs; highly connected genes in one network had an intriguingly low connectivity in the other. In conclusion, the results suggest differential regulation of transcription through changes in the coordination of DNA methylation in overweight and normal weighted individuals. The findings of this study are a major step towards understanding the role of DNA methylation in obesity and provide potential biomarkers for diagnosing and predicting obesity.
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11

Smith, Kyla Louise. "Diet and attitudes among overweight and obese adolescents before, during and after participation in Curtin University's Activity, Food and Attitudes Program." Thesis, Curtin University, 2014. http://hdl.handle.net/20.500.11937/241.

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Better evidence is needed to improve the development, delivery and evaluation of adolescent obesity interventions. This thesis examines overweight adolescent opinions of how to best offer healthy lifestyle interventions and how to support long term behaviour change. Further, it describes the diet of overweight adolescents and how diet changes following participation in a healthy lifestyle intervention. The findings from this thesis will be useful to inform future interventions and health services for overweight adolescents.
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12

Timpel, Patrick, Fernando Henpin Yue Cesena, Silva Costa Christiane da, et al. "Efficacy of gamification-based smartphone application for weight loss in overweight and obese adolescents: study protocol for a phase II randomized controlled trial." Sage, 2018. https://tud.qucosa.de/id/qucosa%3A35538.

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Background: Overweight and obesity are significant public health concerns that are prevalent in younger age cohorts. Preventive or therapeutic interventions are difficult to implement and maintain over time. On the other hand, the majority of adolescents in the United States have a smartphone, representing a huge potential for innovative digitized interventions, such as weight loss programs delivered via smartphone applications. Although the number of available smartphone applications is increasing, evidence for their effectiveness in weight loss is insufficient. Therefore, the proposed study aims to assess the efficacy of a gamification-based smartphone application for weight loss in overweight and obese adolescents. The trial is designed to be a phase II, single-centre, two-arm, triple-blinded, randomized controlled trial (RCT) with a duration of 6 months. Method: The intervention consists of a smartphone application that provides both tracking and gamification elements, while the control arm consists of an identically designed application solely with tracking features of health information. The proposed trial will be conducted in an urban primary care clinic of an academic centre in the United States of America, with expertise in the management of overweight and obese adolescents. Eligible adolescents will be followed for 6 months. Changes in body mass index z score from baseline to 6 months will be the primary outcome. Secondary objectives will explore the effects of the gamification-based application on adherence, as well as anthropometric, metabolic and behavioural changes. A required sample size of 108 participants (54 participants per group) was calculated. Discussion: The benefits of the proposed study include mid-term effects in weight reduction for overweight and obese adolescents. The current proposal will contribute to fill a gap in the literature on the mid-term effects of gamification-based interventions to control weight in adolescents. This trial is a well-designed RCT that is in line with the Consolidated Standards of Reporting Trials statement.
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13

Lee, Shirleatha T. "The effects of glucose tolerance, hypertension, and race on heart rate variability, QT interval duration, and left ventricular hypertrophy in overweight-obese adolescents." View the abstract Download the full-text PDF version, 2009. http://etd.utmem.edu/ABSTRACTS/2009-005-Lee-index.htm.

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Thesis (Ph.D.)--University of Tennessee Health Science Center, 2009.<br>Title from title page screen (viewed on August 27, 2009). Research advisor: Patricia A. Cowan, Ph.D. Document formatted into pages (x, 71). Vita. Abstract. Includes bibliographical references (p. 56-70).
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14

Dalton, Autumn G. "Examining General versus Condition-Specific Health Related Quality of Life across Weight Categories in an Adolescent Sample." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/243.

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Approximately 34% of adolescents are overweight or obese which can be accompanied by physical, psychosocial, and economic consequences. Increasingly, pediatric overweight/obesity research has focused on Health Related Quality of Life (HRQoL) as a health outcome. This study examined differences in HRQoL across weight categories in adolescents, specifically, the sensitivity of using a general versus condition-specific measure. Further, the influence of gender was explored. Data were extracted from Wave 2 of Team Up for Healthy Living, a school-based obesity prevention program targeting adolescents in Southern Appalachia. Participants (N = 918; 50% Female; 93% Caucasian; 90% 9th graders) completed the Pediatric Quality of Life (PedsQL) Inventory (general) and PedsQL Multidimensional Fatigue Scale (condition-specific) measures as part of a larger survey. Body mass index-for-age and -sex percentiles were calculated using actual height and weight, and students were classified as underweight, healthy weight, overweight, or obese according to Centers for Disease Control and Prevention (CDC) criteria. Two 4 (weight category: underweight vs. healthy weight vs. overweight vs. obese) x 2 (gender: male vs. female) factorial analyses of variance (ANOVAs) were calculated to compare mean scores of total HRQoL (both generic and condition-specific). Additionally, 7 factorial multivariate analyses of variance (MANOVAs) were conducted with each measure’s subdomains. Fisher’s Least Significant Difference post hoc analyses were run to assess differences between groups, at a significance level of p<0.05. The current study revealed no interaction effect between total HRQoL (assessed via the generic or condition-specific measure) and weight category and gender; however, main effects were found for both weight category (assessed via a generic measure only) and gender (assessed via both generic and condition-specific measures). Additional research is needed to examine the impact of utilizing different measures and the potential role of gender as well as other factors that may influence HRQoL across weight categories. These issues are important as researchers to date utilize a variety of HRQoL measures making interpretation of findings difficult and often do not consider other variables such as gender that may influence findings.
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15

Magier, Adam Z. "Design and Process Evaluation of a High Intensity Interval Training Program for Adolescents who are Overweight or Obese and are Enrolled in a Multi-modal Intervention." University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1554373454906181.

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16

Heitkamp, Melanie [Verfasser], Martin [Akademischer Betreuer] Halle, and Renate Maria [Akademischer Betreuer] Oberhoffer. "Long-term effects of an inpatient weight-loss program in overweight and obese children and adolescents / Melanie Heitkamp. Gutachter: Renate Maria Oberhoffer ; Martin Halle. Betreuer: Martin Halle." München : Universitätsbibliothek der TU München, 2014. http://d-nb.info/1072224828/34.

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17

Williams, D. Pauline. "The Effectiveness of a Structured, Long-Term, Multi-Component, Family-Based Weight Management Program in Reducing Body Mass Index Z-Scores and Improving Lifestyle Habits in Overweight /Obese Children and Adolescents." DigitalCommons@USU, 2011. https://digitalcommons.usu.edu/etd/921.

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Few studies have evaluated structured, long-term, family-based, weight management programs in children. This study’s purpose was to determine if completion of such a program resulted in reduced body mass index (BMI) z-scores and improved lifestyle habits. An observational study overtime from 2008-2010 was conducted with 89overweight/obese children. Subjects were divided into two groups, compliers (completed ≥ 7 intervention classes) and non-compliers (completed <7 intervention>classes.) The LiVe program, a 12-month structured, multi-component, family-based program, served as the study intervention. Anthropometric measurements and a written survey on lifestyle habits were used to obtain changes over 12 months in anthropometric, nutrition, activity, and behavior habits for subjects. Descriptive statistics, chi square, analysis of co-variance, and a mixed modellogistic regression were used to determine anthropometric and lifestyle habits changeover time as well as differences between age, gender, and compliance groups. Nodemographic differences were seen between compliance groups. Compliers had asignificant decrease in BMI z-score (-0.1903 p=.0004) and BMI percentile (-2.02p=.0235) over time. Compliers had a higher probability of meeting vegetable intake (pre 0.31%, post 55.67%; p=<.0001), and physical activity guidelines (pre 13.58%, post 56.58%; p=.0032) post intervention. Males were more likely than females to meet the physical activity guideline (p=.0007). Both compliers and non-compliers had a higher probability of meeting fruit (p=.0015) and sugar-sweetened beverage intake guidelines (p=.0337) at 12 months. No significant differences in age and gender were seen for changes in anthropometric or lifestyle habits except as noted above. Long-term, family-based, structured weight management programs are effectivein reducing BMI z-scores and improving lifestyle habits in children. Continueddevelopment and evaluation of these programs is warranted to address childhood obesity treatment methods.
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18

Hart, Robinson Tanga Deson. "Physical Activity and Dietary Interventions for Adolescent African Americans in Mississippi." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7806.

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African American (AA) adolescents have higher rates of obesity than many other ethnic groups, which increases their risk for obesity-related diseases. Culturally sensitive obesity preventive interventions have been unsuccessful, resulting in a steady increase of obesity among AA adolescents. AA adolescents in the southern region of the United States are at a higher risk for obesity and physical inactivity; knowledge and understanding of causative factors remains limited. To identify the impact of programs, a systematic review of the literature focused on structured physical activity and/or dietary education interventions in Mississippi. The ecological framework was used to guide this study. The Joanna Briggs Institute Critical Appraisal Checklist for Systematic Reviews and Research Syntheses was used to evaluate the effectiveness of programs on reducing the body mass index of AA adolescents in Mississippi. Two reviewers evaluated the identified articles and reached agreement in identifying the body of literature as well as including/excluding the same papers. Eight papers were selected for review. Recommendations from all 8 studies indicated that structured physical activity, dietary education programs, and parental/caregiver involvement in the development of healthy eating habits are necessary to decrease body mass index among AA adolescents. This project might contribute to social change by providing evidence to support programs to reduce obesity and improve health among AA adolescents in Mississippi.
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Morrison, Zachary J., and University of Lethbridge Faculty of Health Sciences. "Through their voices : experiences of overweight and obese adolescent boys / Zachary J. Morrison." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Health Sciences, c2010, 2010. http://hdl.handle.net/10133/2592.

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The purpose of this study was to explore the lives of overweight/obese adolescent boys. A qualitative case study focused on depth of understanding. Four boys volunteered to participate in the study. Findings further our understanding of the adolescent boys’ lifescapes; viable and non-viable recruitment strategies among this population; ethical obligations of ending research after establishing trust and rapport; and “Avoidance” as an Idiom of Distress among this sample of boys. Suggestions for future research are addressed in the study.<br>vi, 102 leaves ; 29 cm
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Lewis, A. S. "Sugar and glucose metabolism : short term effects in overweight/obese adults and long term effects in adolescence." Thesis, Queen's University Belfast, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.546379.

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Dove, Jacqueline Beckham Kreider Richard B. "Effects of a multicomponent school-based intervention on health markers, body composition, physical fitness, and psychological measures in overweight and obese adolescent females." Waco, Tex. : Baylor University, 2008. http://hdl.handle.net/2104/5253.

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22

Hartmann, Marco-Antonio S. "Depressive Symptoms in Adolescent Girls Who Are Overweight or Obese: The Roles of Weight-Related Teasing, Body Dissatisfaction, and Sociocultural Appearance Attitudes." Case Western Reserve University School of Graduate Studies / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=case1592419690663025.

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23

Tamam, Shlomi. "Effect of Activity on Appetite, Food Intake and Net Energy Balance After a Glucose Drink in Normal Weight, Overweight and Obese Boys." Thesis, 2010. http://hdl.handle.net/1807/26394.

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The effect of exercise (EXR) on food intake (FI), subjective appetite and net energy balance was investigated in normal weight (NW), overweight (OW) and obese (OB) boys. Each boy received in random order either a non-caloric sweetened control (CON) or glucose (GLU) drink after either EXR or sedentary activity. Normal weight and OW/OB boys exercised at their ventilation threshold (VeT) in experiment 1 and NW boys exercised at 25% above their VeT in experiment 2. Overweight/OB boys ate significantly more total food than NW boys but not when adjusted for body weight. Food intake was lower after the GLU drink. Although EXR increased average appetite it did not affect FI. However, net energy balance was reduced by EXR in OW/OB boys, but not in NW boys. Thus, while EXR increases subjective appetite, apparent intake compensation occurred only in NW, but not in OW/OB boys, resulting in reduced net energy balance in OW/OB boys.
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Axsel, Jenilee. "The psycho-educational perspective of the lived-experiences of overweight and obese adolescent boys." Thesis, 2015. http://hdl.handle.net/10210/14048.

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M.Ed. (Educational Psychology)<br>The World Health Organisation (2011) states that overweight and obesity is one of the most serious health problems of the 21st century. This is true of Africa as well. It is estimated that the number of overweight children in Africa has doubled since 1990 and growth rates of overweight and obesity are among the highest in Africa. South Africa’s overweight and obesity rates are among the highest in Africa. The South African National Health and Nutrition Survey (2013) found that the combined overweight and obesity prevalence in South Africa is 13,5% for children between the ages of six and 14 years; this is higher than the global prevalence of 10%. Therefore, overweight and obesity is threatening to become a major health concern in South Africa. When considering adolescents who are overweight and obese, it becomes apparent that it has a great impact on their mental health. Overweight and obesity during adolescence not only has a negative impact on their physical health but also their mental health, thus overweight and obesity should not only be addressed to improve the physical health but also the mental health of adolescents. The researcher aimed to explore the lived experiences of adolescent boys who are overweight and obese, to suggest guidelines to facilitate mental health in these boys. A qualitative, explorative, descriptive and contextual study design was followed. Research took place in two phases. The first phase was concerned with the description of the lived experiences of adolescent boys who are overweight and obese. In the second phase, guidelines were described to facilitate mental health in these boys. Ethical principles were adhered to from the onset of the study to ensure participants’ human rights were respected, that participants were treated with dignity and that no harm would come to them. Further, principles of fairness and justice were considered. The data were collected through in-depth phenomenological interviews. Interviews were conducted with 10 participants who met the sampling criteria and who were purposively selected. However, one participant’s interview was too short to be included. Consent was obtained from the participants.
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"Psychosocial adjustment of obese Chinese adolescent girls in Hong Kong." 1998. http://library.cuhk.edu.hk/record=b5889727.

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by Wong Wing Ki, Winnie.<br>Thesis (M.Phil.)--Chinese University of Hong Kong, 1998.<br>Includes bibliographical references (leaves 47-55).<br>ABSTRACT --- p.ii<br>TABLE OF CONTENTS --- p.iii<br>LIST OF TABLES --- p.iv<br>LIST OF FIGURES --- p.v<br>CHAPTER<br>Chapter 1 --- INTRODUCTION --- p.1<br>Chapter 2 --- METHOD --- p.16<br>Chapter 3 --- RESULTS --- p.23<br>Chapter 4 --- DISCUSSION --- p.39<br>REFERENCES --- p.47<br>APPENDICES --- p.56
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Ligege, Ntovhedzeni. "The investigation of eating and lifestyle habits of overweight and obese teenager aged between 13-18 years in Thulamela Municipality." Diss., 2015. http://hdl.handle.net/11602/1323.

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MSCNPT<br>Department of Nutrition<br>Context: A survey made worldwide (including South Africa) revealed that most teenagers are overweight and obese and that they eat little nutritious food. Obesity and overweight are public health problems and need to be addressed from a community perspective. The reason for exploring this problem in this study was that South Africa has one of the highest rates of overweight and obesity in the world among urban and rural black women. Objective: Investigating the eating and lifestyle habits of overweight and obese female teenagers in Thulamela Local Municipality, Limpopo province, South Africa. Design, setting and participants: This was an exploratory, descriptive study conducted in 2006–2007 amongst 125 female teenagers aged 13 to 18 years from rural schools in Thulamela Local Municipality. A hundred and twenty-five questionnaires were completed and data were gathered on the demographics, social and lifestyle habits, nutrition-related problems, dietary patterns and dietary history of the participants. Measurements: Eating and lifestyle habits, physical activity, meaning of healthy and unhealthy dietary habits, weight, height and body mass index were measured. Results: Seventy percent of the respondents actively consumed three meals in a day, 83% consumed starchy snacks between meals, whilst 72% of the respondents carried lunchboxes to school. Regarding lifestyle habits, 88% of the respondents slept more hours than recommended (8 hours) 88% performed sedentary activities and 66% did physical activities such as walking. Conclusion: The results pointed out unhealthy eating and lifestyle habits influencing teenagers’ weight. Identified factors must be considered in order to develop tailored nutrition interventions to improve teenagers’ consciousness about adopting a healthy lifestyle.<br>NRF
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Lee, Pei-Chin, and 李珮菁. "Effect of XBOX active video game and nutritional education intervention on weight control, fitness and the cardiovascular disease risk factors in overweight and obese adolescent girls." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/44689403950410600267.

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碩士<br>高雄醫學大學<br>運動醫學系碩士在職專班<br>105<br>Background: Obesity has reached epidemic proportions globally, with at least 2.8 million people dying each year as a result of being overweight or obese. In addition to increasing physical activity and decreasing sedentary lifestyle, active video game might have an additional effect on the prevention of obesity. Purpose: To evaluate the effects of active video game and/or nutritional education on weight control, fitness and the cardiovascular disease risk factors in overweight and obese among high school female students. Methods: This study was a parallel trial of 10-week period, 39 healthy, overweight or obese (BMI ≥ 22.7 – 32 kg/m2) subjects aged 15-18 y, were randomly assigned into three groups: the nutritional education group (Diet, n=13), the active video game group (XBOX, n=13) and combined group (XD, n=13). Diet group were provided five nutritional education classes and used 24-hour recalls to assess the dietary behaviors of food intake. XBOX group played XBOX ONE dancing exergaming (Just Dance 2016) 3 d/wk for at least 50 min. The potential combination effects were observed in XD group. Anthropometric measurements, fitness exams and fasting blood samples were measured at 0, 5 and 10 weeks. Results: In Diet group, there were significant improvement in cardiorespiratory fitness (800M walk/run), agility (20’ side-step) and decreases in waist-to-hip ratio after 10 weeks intervention. Blood triglyceride levels, diastolic blood pressure and pulse decreased significantly and muscular fitness (sit-ups) also improved significantly following 5 weeks of intervention. In XBOX group, total blood cholesterol, HDL-C, LDL-C, systolic blood pressure, diastolic blood pressure, body weight, BMI, body fat percentage and waist-to-hip ratio were significantly decreases after 10 weeks of dancing exergaming, and were significantly improved in cardiorespiratory fitness, muscular fitness, flexibility (sit and reach test) and agility. In XD group, there were significant decreases in the total blood cholesterol, HDL-C, LDL-C, body weight, BMI, waist-to-hip ratio, and were significant improvement in cardiorespiratory fitness and agility. Conclusion: Active video game and diet control could improve body composition and cardiorespiratory fitness, decrease hyperlipidemia, and lead more weight loss in overweight or obese among high school female students. We suggest that active video game can be an effective technological tool for weight management and health promotion in sedentary group.
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