Examining physical activity and inactivity in 9-12 years old children

Information about children's daily physical activity in Eastern-Europe is essential because of the increasing prevalence in overweight and obesity. Sixty-three children (age=11.16 ± 1.10 years; 33 boys and 30 girls) from two public elementary schools had their physical activity objectively measured using uni-axial accelerometer every 5 seconds for five consecutive days (3 weekdays, 2 weekend days). After data cleaning, 10 children were excluded from database. There were no significant differences in boys' and girls' BMI (17.6 ± 2.2 vs. 17.1 ± 2.4) and BF% (18.0 ± 5.2 vs. 19.4 ± 5.0). Children engaged in more sedentary, light, moderate, and vigorous physical activity and had higher counts per minute during weekdays compared to weekend days. There were no sex differences in moderate to vigorous physical activity (87.6 ± 22.4 vs. 93.5 ± 20.6 min and 53.6 ± 21.3 vs. 59.4 ± 22.0 min) during weekday and weekend days. Data indicated that 96% of the girls and 92% of the boys met the international physical activity guideline for children of 60 minutes of MVPA, on weekdays.     

One hundred years of growth: the evolution of height, mass, and body composition in Australian children, 1899-1999.

This paper summarizes 41 reports on the height and mass of Australian children aged between 5.00 and 16.99 years between 1899 and 1999. In all, data on 644,613 children were collated, including individual data on 68,196 children. After primary data treatment to correct for methodological and statistical artifacts, regressions were calculated to quantify the rate of change of height and mass over time. Distributional analysis was used to probe for changes in skewness of mass values, indicative of differentially greater increases at higher percentiles. In addition, studies reporting skin fold measurements were analyzed to assess changes in subcutaneous adiposity since 1976. The results show that height has been increasing at a rate of about 1.02 cm.decade(-1), and mass at a rate of about 0.99 kg.decade(-1). The height and mass of children continue to increase, after a slowing down in the rate of increase between 1950 and 1980. Increases in mass at the higher percentiles have been much greater than at lower percentiles, particularly since the mid-1980s, suggesting that the incidence of obesity is increasing in Australian children. Furthermore, a steady linear increase in subcutaneous skin fold thicknesses since 1976 suggests that the overall level of fatness is increasing in Australian children. These findings indicate that Australian children are following trends becoming evident elsewhere in the developed world, and that we may see an increasingly large subset of increasingly obese children in the early years of the 21st century.     

Illegal substance use among Italian high school students: trends over 11 years (1999-2009)

Purpose

To monitor changes in habits in drug use among Italian high school students.

Methods

Cross-sectional European School Survey Project on Alcohol and Other Drugs (ESPAD) carried out in Italy annually for 11 years (1999–2009) with representative samples of youth attending high school. The sample size considered ranges from 15,752 to 41,365 students and response rate ranged from 85.5% to 98.6%. Data were analyzed to obtain measures of life-time prevalence (LT), use in the last year (LY), use in the last 30 days (LM), frequent use. Comparisons utilized difference in proportion tests. Tests for linear trends in proportion were performed using the Royston p trend test.

Results

When the time-averaged value was considered, cannabis (30% LT) was the most, and heroin the least (2%) frequently used, with cocaine (5%), hallucinogens (2%) and stimulants (2%) in between. A clear gender gap is evident for all drugs, more obvious for hallucinogens (average M/F LY prevalence ratio 2, range 1.7–2.4, p<0.05), less for cannabis (average M/F LY prevalence ratio 1.3, range 1.2–1.5, p<0.05). Data shows a change in trend between 2005 and 2008; in 2006 the trend for cannabis use and availability dropped and the price rose, while from 2005 cocaine and stimulant use prevalence showed a substantial increase and the price went down. After 2008 use of all substances seems to have decreased.

Conclusions

Drug use is widespread among students in Italy, with cannabis being the most and heroin the least prevalent. Girls are less vulnerable than boys to illegal drug use. In recent years, a decrease in heroin use is overbalanced by a marked rise in hallucinogen and stimulant use.     

Visuo-motor synchronization in children of 7-8 years old

The group of 22 children of 7-8 years old and the group of 17 adults participated in the experiment in which they were asked to synchronize their movements (pressing a button) with an isochronous sequence of visual stimuli. The period of the sequence was varied between 500 to 2000 ms with the 300 ms step. Two successive phases of visuo-motor synchronization were studied: the synchronization phase and the initiation phase which corresponds to the process of transition between reacting to a visual stimulus and the stable synchronization. The initiation phase was characterized by the shape and duration of the asynchrony time course (relaxation curve). The statistical properties of asynchrony were analyzed in the framework of the phase correction of the central timer. It is shown that (1) the range of successful visuo-motor synchronization is narrower in children of 7-8 than in adults and it spans from 600-700 ms to approx. 1700 Mc; (2) The initiation phase lasts about the same time in children of 7-8 and adults and typical shapes of individual relaxation curves are similar in both adults and children. (3) Although the statistical properties of asynchrony are comparable in children and adults, the mechanism of phase correction of the central timer operates with a lower value of the correction gain factor in children than in adults. In children, the phase correction process is also characterized by a substantially higher level of the central and motor noise which leads to a higher asynchrony variability and more frequent and longer lasting synchronization losses.     

% fat of Nepali children (ranging from 6 to 18 years old) having different living style

A comparative study of % fat was carried out on Nepali children (Ranging from 6 to 18 years old) to clarify the cause of obesity attended with modernization. 126 males and 79 females who have a natural living style, in rural district (KV) and 166 males and 133 who have a living style affected by the rapid urbanization, in suburban district (BV) were selected as subjects. %Fat was estimated from skinfold thickness according to the method of Nagamine (1975). The results summarized as follows. 1) Mean %Fat of BV in each age were clearly higher than those of KV with coincidental age, especially in male subjects. 2) According to the previous reports (Yoshimizu et al., 1990; Ito et al., 1989), it's considered physical activities in the subjects of BV were lower than those of the subjects in KV. But we could not found the nutritional factors to explain the difference of % fat between BV and KV. From these results, it's considered the difference of % fat in both districts is due to the difference of their physical activities.     

Post-pandemic seroprevalence of pandemic influenza A (H1N1) 2009 infection (swine flu) among children <18 years in Germany

Background

We determined antibodies to the pandemic influenza A (H1N1) 2009 virus in children to assess: the incidence of (H1N1) 2009 infections in the 2009/2010 season in Germany, the proportion of subclinical infections and to compare titers in vaccinated and infected children.

Methodology/Principal Findings

Eight pediatric hospitals distributed over Germany prospectively provided sera from in- or outpatients aged 1 to 17 years from April 1^st to July 31^st 2010. Vaccination history, recall of infections and sociodemographic factors were ascertained. Antibody titers were measured with a sensitive and specific in-house hemagglutination inhibition test (HIT) and compared to age-matched sera collected during 6 months before the onset of the pandemic in Germany. We analyzed 1420 post-pandemic and 300 pre-pandemic sera. Among unvaccinated children aged 1–4 and 5–17 years the prevalence of HI titers (≥1∶10) was 27.1% (95% CI: 23.5–31.3) and 53.5% (95% CI: 50.9–56.2) compared to 1.7% and 5.5%, respectively, for pre-pandemic sera, accounting for a serologically determined incidence of influenza A (H1N1) 2009 during the season 2009/2010 of 25,4% (95% CI : 19.3–30.5) in children aged 1–4 years and 48.0% (95% CI: 42.6–52.0) in 5–17 year old children. Of children with HI titers ≥1∶10, 25.5% (95% CI: 22.5–28.8) reported no history of any infectious disease since June 2009. Among vaccinated children, 92% (95%-CI: 87.0–96.6) of the 5–17 year old but only 47.8% (95%-CI: 33.5–66.5) of the 1–4 year old children exhibited HI titers against influenza A virus (H1N1) 2009.

Conclusion

Serologically determined incidence of influenza A (H1N1) 2009 infections in children indicates high infection rates with older children (5–17 years) infected twice as often as younger children. In about a quarter of the children with HI titers after the season 2009/2010 subclinical infections must be assumed. Low HI titers in young children after vaccination with the AS03_B-adjuvanted split virion vaccine need further scrutiny.     

The influence of some socio-demographic factors on body weight and stature of 6-18 years old boys from Cairo, Egypt

Body weight and stature have been studied in a cross-sectional sample of 926 Egyptian boys aged 6-18 in relation to age, level of education of parents, sibship size and order of birth. The results show that education of either parent has obvious influence on body weight and to a lesser extent on stature. The impact of parental level of education on both characters is particularly significant, if the two parents are equally educated or not. The boys of smaller sibship size (3 or less) have heavier weight and taller stature than those of bigger sibship size (4 or more sibs). There is no consistancy in the relationship between birth order and either weight or stature. Body weight, however, is heavier for the first and second child than for the later children. Nevertheless, boys of any of the four studied categories (first, second, third, and fourth or more child) might be the tallest in one age group and the shortest in another.     

Age determination on long bones in a skeletal subadults sample (b-12 years)

The skeletal age on the basis of the diaphyseal length of long bones was assessed. To this aim a sample of subadults skeleton, dated to last century, coming from the cemetery of Bologna was studied. The sample is composed by 79 males and 70 females between 0 and 12 years, whose chronological age and sex are known. Some information can be obtained by the means, standard deviation and graphs of the specimens grouped in age classes. The comparison with other studies confirms the interest of using standards based on direct measurements on long bones of known age and similar to the skeletal populations under study.     

The kinematic consequences of invariant dynamics in children 6-18 years of age

The effect of limb dynamics on trajectory formation is unclear. The natural frequency of a limb is the major factor in its dynamics. It has previously been shown with an indirect measurement method that the natural frequency of body segments is invariant during human growth from the age of 6 to 18. The aim of our study was to determine, using a direct measurement method, whether human growth affects: (1) lower limb dynamics (i.e. the natural frequency of the lower leg) and (2) the maximum velocities of the knee during selected motor tasks. In 20 non-disabled children, 6-18 years of age, measurements were taken of the natural frequency of the lower leg (including the foot), and the maximum velocities of knee flexion and extension during voluntary movement (MVV) and at initial and terminal swing phases of self-paced walking (WAL). The velocities were also estimated using a dynamic model and the results were compared to the measured velocities with a paired t-test. Correlations among the frequencies, velocities, and body height (an indicator of growth) were calculated. The natural frequency of the lower leg (mean+/-standard deviation, omega(0)=6.58+/-0.54s(-1)), maximum velocities of knee extension and flexion during voluntary movement (MVV(e)=10.1+/-1.8rads(-1) and MVV(f)=7.8+/-1.3rads(-1), respectively), and maximum velocities of knee flexion and extension during the swing phase of walking (WAL(f)=5.4+/-0.6rads(-1) and WAL(e)=6.3+/-0.87rads(-1), respectively) were each found to be independent of body height. The MVV measured velocities were 22% larger and WAL(f) measured velocities were 25% smaller than the velocities predicted from the dynamic model (p<0.05). The study found that a segment's dynamic properties, as well as selected kinematics, may be considered invariant with human growth.     

Chromosome Abnormalities in Northeastern Mexico: Ten Years of Experience in a Private Laboratory (1999-2009)

Throughout the world, chromosome alterations are one of the main causes of major malformations in newborns and of multiple clinical characteristics in patients of other ages. The present study had as its principle objective to determine the distribution of chromosome alterations obtained from 1999-2009 at a private laboratory located in Monterrey, Nuevo Leon state, Mexico, and that received samples from other northeastern Mexican states. We studied 1,652 cases of peripheral blood karyotypes. Samples were obtained from patients in whom there was a suspicion of some chromosome alteration based on the clinical history. Of the karyotypes evaluated, 1,250 (76.0%) had normal karyotype, 320 (19.0%) presented chromosome alterations, among which 270 (84%) were numerical, 50 (16%) were structural, and 82 (5.0%) were polymorphisms. Chromosome alteration frequency and type found in the present study is similar to that found in studies conducted in other countries and to that reported in the literature.     

Mortality (1950-1999) and cancer incidence (1969-1999) in the cohort of Eldorado uranium workers

This study assessed the relationship between radon decay product (RDP) exposure and mortality and cancer incidence in a cohort of 17,660 Eldorado uranium workers first employed in 1932-1980 and followed up through 1999. The analysis was based on substantially revised identifying information and dosimetry for workers from the Beaverlodge and Port Radium uranium mines and for the first time includes workers from a radium and uranium refinery and processing facility in Port Hope, Canada. Overall, male workers had lower mortality rates of all causes and all cancers and lower incidence rates of all cancers compared with the general Canadian male population, a likely healthy worker effect. Individual cancer rates were also reduced except for lung cancer mortality (SMR = 1.31, P < 0.001) and incidence (SIR = 1.23, P < 0.001). The excess relative risk per 100 WLM (ERR/100 WLM) of lung cancer mortality (N = 618, ERR/100 WLM = 0.55, 95% CI: 0.37, 0.78, P < 0.01) and incidence (N = 626, ERR/100 WLM = 0.55, 95% CI: 0.37, 0.81, P < 0.001) increased linearly with increasing RDP exposure. Adjustment for effect modification by time since exposure, exposure rate and age at risk resulted in comparable estimates of risk of lung cancer for all three uranium worksites. RDP exposures and γ-ray doses were not associated with any other cancer site or other cause of death. The risk estimates are in agreement with the results of the pooled analysis of 11 miner cohorts and more recent studies of uranium workers. The current analysis provides more precise risk estimates and compares the findings from the mortality study with the incidence study. Future follow-up of the cohort and joint analysis with other uranium miners' studies should shed more light on the effects of low RDP exposures as experienced by current workers as well as help to understand and address the health risks associated with residential radon.     

Regional adiposity, body composition and central body fat distribution of 10-16 years old Bengalee boys of Nimta, North 24 Parganas, West Bengal, India

A cross-sectional study of 502 Bengalee boys aged 10-16 years of Nimta, North 24 Parganas, West Bengal, India, was undertaken to study regional adiposity, body composition and central body fat distribution. The subjects were classified into seven age groups: 10-10.9 years (n = 74), 11-11.9 (n = 53), 12-12.9 (n = 87), 13-13.9 (n = 116), 14-14.9 (n = 58), 15-15.9 (n = 57), 16-16.9 (n = 57). In general, there was a significant linear increasing trend from 10 to 16 years for all the anthropometric variables. There was a net increase of 30.5 cm and 22.8 kg in mean height and weight, respectively, between 10 and 16 years of age. Mean BMI increased by 3.7 kg/m2 during the same period. Among circumferences, the largest increase was in hip followed by chest while the smallest increase was in mid upper arm, between 10 and 16 years of age. Subscapular skinfold showed the largest increase followed by abdomen and suprailiac skinfolds, while the increase was least in forearm skinfold. Significant linear increasing trend was observed for all the body composition measures. The largest increase in percent of body fat (PBF) was observed between ages 10 and 11 years while mean fat mass (FM), fat free mass (FFM) and fat mass index (FMI) increased the most between 14 to 15 years. However, an overall decreasing trend was observed, in mean waist-to-hip ratio (WHR) from 10 to 16 years. Boys aged 10 years had the highest mean WHR while those aged 15 years had the lowest mean WHR. There was an increase in mean WHR among 16 years old boys.