Sample records for adolescent percentile values

  1. Using weight-for-age percentiles to screen for overweight and obese children and adolescents. (United States)

    Gamliel, Adir; Ziv-Baran, Tomer; Siegel, Robert M; Fogelman, Yacov; Dubnov-Raz, Gal


    There are relatively low rates of screening for overweight and obesity among children and adolescents in primary care. A simplified method for such screening is needed. The study objective was to examine if weight-for-age percentiles are sufficiently sensitive in identifying overweight and obesity in children and adolescents. We used data from two distinct sources: four consecutive cycles of the National Health and Nutrition Examination Surveys (NHANES) from the years 2005 to 2012, using participants aged 2-17.9 years for whom data on age, sex, weight, and height were available (n=12,884), and primary care clinic measurements (n=15,152). Primary outcomes were the threshold values of weight-for-age percentiles which best discriminated between normal weight, overweight, and obesity status. Receiver operating characteristic analyses demonstrated that weight-for-age percentiles well discriminated between normal weight and overweight and between non-obese and obese individuals (area under curve=0.956 and 0.977, respectively, both pobesity and overweight, respectively. These cutoffs had high sensitivity and negative predictive value in identifying obese participants (94.3% and 98.6%, respectively, for the 90th percentile) and in identifying overweight participants (93.2% and 95.9%, respectively, for the 75th percentile). The sensitivities and specificities were nearly identical across race and sex, and in the validation data from NHANES 2011 to 2012 and primary care. We conclude that weight-for-age percentiles can discriminate between normal weight, overweight and obese children, and adolescents. The 75th and 90th weight-for-age percentiles correspond well with the BMI cutoffs for pediatric overweight and obesity, respectively.

  2. Anthropometry of height, weight, arm, wrist, abdominal circumference and body mass index, for Bolivian adolescents 12 to 18 years: Bolivian adolescent percentile values from the MESA study Referencias antropométricas de los adolescentes bolivianos de 12 a 18 años: estatura, peso, circunferencia del brazo, muñeca y abdominal, índice de masa corporal: Percentiles de adolescentes bolivianos (PAB del estudio MESA

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    A. Baya Botti


    Full Text Available Anthropometry is important as clinical tool for individual follow-up as well as for planning and health policymaking at population level. Recent references of Bolivian Adolescents are not available. The aim of this cross sectional study was to provide age and sex specific centile values and charts of Body Mass Index, height, weight, arm, wrist and abdominal circumference from Bolivian Adolescents. Data from the MEtabolic Syndrome in Adolescents (MESA study was used. Thirty-two Bolivian clusters from urban and rural areas were selected randomly considering population proportions, 3445 school going adolescents, 12 to 18 y, 45% males; 55% females underwent anthropometric evaluation by trained personnel using standardized protocols for all interviews and examinations. Weight, height, wrist, arm and abdominal circumference data were collected. Body Mass Index was calculated. Smoothed age- and gender specific 3rd, 5th, 10th, 25th, 50th, 75th, 85th, 90th, 95th and 97th Bolivian adolescent percentiles(BAP and Charts(BAC where derived using LMS regression. Percentile-based reference data for the antropometrics of for Bolivian Adolescents are presented for the first time.La antropometría es una herramienta clínica importante para el seguimiento individual de los pacientes así como para la planificación de políticas públicas. En Bolivia no existen referencias antropométricas nacionales para adolescentes. El objetivo de este estudio transversal fue de desarrollar percentiles y diagramas de crecimiento para peso, talla, índice de masa corporal, presión arterial sistólica y diastólica, circunferencia de muñeca, brazo y abdominal de adolescentes bolivianos. Los datos antropométricos en el estudio MESA (Síndrome metabólico en adolescentes bolivianos fueron obtenidos a partir de 32 unidades muestrales, considerando proporcionalidad muestral con reposición. Fueron evaluados 3445 adolescentes de 12 a 18, 45% hombres; 55% mujeres, de colegios de

  3. Motor performance reference values: Percentile charts based on Cole and Green LMS method

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    Raquel Nichele de Chaves


    Full Text Available The main purpose of this study was to construct reference standards for physical fitness (PF values, and to graphically highlight differences between Vouzela children and adolescents’ PF levels with those from other national and international references samples. Sample comprised 1920 children and adolescents aged 7 to 17 years. PF was assessed by five tests: handgrip, standing jump, shuttle run, 50-yard dash and 1-mile walk/run. Centile charts were constructed using the LMS method using the LMSchartmarker Pro software. Results suggest pervasive interindividual differences in motor performance. Boys showed higher values than girls for all tests, mainly during the pubertal period. Vouzela children and adolescents had similar performance to other samples in handgrip test, while the 50th percentile values from US sample were higher in standing jump, shuttle run, 50-yard dash tests. Vouzela performance in one mile walk/run was better than Azores and US samples.

  4. Percentile Values for Running Sprint Field Tests in Children Ages 6-17 Years: Influence of Weight Status (United States)

    Castro-Pinero, Jose; Gonzalez-Montesinos, Jose Luis; Keating, Xiaofen D.; Mora, Jesus; Sjostrom, Michael; Ruiz, Jonatan R.


    The aim of this study was to provide percentile values for six different sprint tests in 2,708 Spanish children (1,234 girls) ages 6-17.9 years. We also examined the influence of weight status on sprint performance across age groups, with a focus on underweight and obese groups. We used the 20-m, 30-m, and 50-m running sprint standing start and…

  5. Associated Factors and Standard Percentiles of Blood Pressure among the Adolescents of Jahrom City of Iran, 2014 (United States)

    Sarikhani, Yaser; Emamghorashi, Fatemeh; Jafari, Fatemeh; Tabrizi, Reza; Karimpour, Saeed; Kalateh sadati, Ahmad; Akbari, Maryam


    Background. High blood pressure in adults is directly correlated with increased risk of cardiovascular diseases. Hypertension in childhood and adolescence could be considered among the major causes of this problem in adults. This study aimed to investigate the factors associated with hypertension among the adolescents of Jahrom city in Iran and also standard percentiles of blood pressure were estimated for this group. Methods. In this community-based cross-sectional study 983 high school students from different areas of the city were included using a multistage random cluster sampling method in 2014. Blood pressure, weight, and height of each student measured using standard methods. Data were analyzed by statistical software SPSS 16. Results. In total, 498 male and 454 female students were included in this study. Average systolic blood pressure of students was 110.27 mmHg with a variation range of 80.6–151.3. Average diastolic blood pressure was 71.76 mmHg with the variation range of 49.3–105. Results of this study indicated that there was a significant relationship between gender, body mass index, and parental education level with systolic and diastolic blood pressure of the students (P < 0.05). Conclusions. Body mass index was one of the most important changeable factors associated with blood pressure in adolescents. Paying attention to this factor in adolescence could be effective in prevention of cardiovascular diseases in adulthood. PMID:28191019

  6. Body Mass Index Percentile Curves for 7 To 18 Year Old Children and Adolescents; are the Sample Populations from Tehran Nationally Representative?

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    Mostafa Hosseini


    Full Text Available Background: The children’s body composition status is an important indicator of health condition evaluated through their body mass index (BMI. We aimed to provide standardized percentile curves of BMI in a population of Iranian children and adolescents. We assessed the nationally representative of sample populations from Tehran. Materials and Methods: A total sample of 14,865 children aged 7-18 years was gathered. The Lambda-Mu-Sigma method was used to derive sex-specific smoothed centiles for age via the Lambda-Mu-Sigma Chart Maker Program. Finally, the prevalence of overweight and obesity with 95% confidence interval (CI was calculated. Results: BMI percentiles obtained from Tehran’s population, except for the 10th percentile, seem to be very slightly greater than the urban boys from all over Iran. BMI percentiles have an increasing trend by age that is S-shaped with a slight slope. Only in the 90th and 97th percentiles of BMI for girls, this rising trend seems to stop. Boys generally have higher BMIs than girls. The exceptions are younger ages of 90th and 97th percentiles and older ages of 3rd and 10th percentiles. A total number of 1,008 (13.20%; 95% CI: 12.46-13.98 boys and 603 (8.34%; 95% CI: 7.72-9.00 girls were categorized as overweight and obese. Obesity were observed in 402 (5.27%; 95% CI: 4.79-5.79 boys and 274 (3.76%; 95% CI: 3.35-4.22 girls. Conclusion: We construct BMI percentile curves by age and gender for 7 to 18 years Iranian children and adolescents. It can be concluded that sample populations from Tehran are nationally representative.

  7. Body Fat Percentile Curves for Korean Children and Adolescents: A Data from the Korea National Health and Nutrition Examination Survey 2009-2010


    Kim, Kirang; Yun, Sung Ha; Jang, Myoung Jin; Oh, Kyung Won


    A valid assessment of obesity in children and adolescents is important due to significant change in body composition during growth. This study aimed to develop percentile curves of body fat and fat free mass using the Lambda, Mu, and Sigma method, and to examine the relationship among body mass index (BMI), fat mass and fat free mass in Korean children and adolescents, using the Korea National Health and Nutrition Examination Survey (KNHANES) 2009-2010. The study subjects were 834 for boys an...

  8. Triceps and Subscapular Skinfold Thickness Percentiles and Cut-Offs for Overweight and Obesity in a Population-Based Sample of Schoolchildren and Adolescents in Bogota, Colombia (United States)

    Ramírez-Vélez, Robinson; López-Cifuentes, Mario Ferney; Correa-Bautista, Jorge Enrique; González-Ruíz, Katherine; González-Jiménez, Emilio; Córdoba-Rodríguez, Diana Paola; Vivas, Andrés; Triana-Reina, Hector Reynaldo; Schmidt-RioValle, Jacqueline


    The assessment of skinfold thickness is an objective measure of adiposity. The aims of this study were to establish Colombian smoothed centile charts and LMS L (Box–Cox transformation), M (median), and S (coefficient of variation) tables for triceps, subscapular, and triceps + subscapular skinfolds; appropriate cut-offs were selected using receiver operating characteristic (ROC) analysis based on a population-based sample of children and adolescents in Bogotá, Colombia. A cross-sectional study was conducted in 9618 children and adolescents (55.7% girls; age range of 9–17.9 years). Triceps and subscapular skinfold measurements were obtained using standardized methods. We calculated the triceps + subscapular skinfold (T + SS) sum. Smoothed percentile curves for triceps and subscapular skinfold thickness were derived using the LMS method. ROC curve analyses were used to evaluate the optimal cut-off point of skinfold thickness for overweight and obesity, based on the International Obesity Task Force definitions. Subscapular and triceps skinfolds and T + SS were significantly higher in girls than in boys (p < 0.001). The ROC analysis showed that subscapular and triceps skinfolds and T + SS have a high discriminatory power in the identification of overweight and obesity in the sample population in this study. Our results provide sex- and age-specific normative reference standards for skinfold thickness values from a population from Bogotá, Colombia. PMID:27669294

  9. Triceps and Subscapular Skinfold Thickness Percentiles and Cut-Offs for Overweight and Obesity in a Population-Based Sample of Schoolchildren and Adolescents in Bogota, Colombia

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    Robinson Ramírez-Vélez


    Full Text Available The assessment of skinfold thickness is an objective measure of adiposity. The aims of this study were to establish Colombian smoothed centile charts and LMS L (Box–Cox transformation, M (median, and S (coefficient of variation tables for triceps, subscapular, and triceps + subscapular skinfolds; appropriate cut-offs were selected using receiver operating characteristic (ROC analysis based on a population-based sample of children and adolescents in Bogotá, Colombia. A cross-sectional study was conducted in 9618 children and adolescents (55.7% girls; age range of 9–17.9 years. Triceps and subscapular skinfold measurements were obtained using standardized methods. We calculated the triceps + subscapular skinfold (T + SS sum. Smoothed percentile curves for triceps and subscapular skinfold thickness were derived using the LMS method. ROC curve analyses were used to evaluate the optimal cut-off point of skinfold thickness for overweight and obesity, based on the International Obesity Task Force definitions. Subscapular and triceps skinfolds and T + SS were significantly higher in girls than in boys (p < 0.001. The ROC analysis showed that subscapular and triceps skinfolds and T + SS have a high discriminatory power in the identification of overweight and obesity in the sample population in this study. Our results provide sex- and age-specific normative reference standards for skinfold thickness values from a population from Bogotá, Colombia.

  10. Is the 90th Percentile Adequate? The Optimal Waist Circumference Cutoff Points for Predicting Cardiovascular Risks in 124,643 15-Year-Old Taiwanese Adolescents.

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    Jason Jiunshiou Lee

    Full Text Available Adolescent obesity has increased to alarming proportions globally. However, few studies have investigated the optimal waist circumference (WC of Asian adolescents. This study sought to establish the optimal WC cutoff points that identify a cluster of cardiovascular risk factors (CVRFs among 15-year-old ethnically Chinese adolescents. This study was a regional population-based study on the CVRFs among adolescents who enrolled in all the senior high schools in Taipei City, Taiwan, between 2011 and 2014. Four cross-sectional health examinations of first-year senior high school (grade 10 students were conducted from September to December of each year. A total of 124,643 adolescents aged 15 (boys: 63,654; girls: 60,989 were recruited. Participants who had at least three of five CVRFs were classified as the high-risk group. We used receiver-operating characteristic curves and the area under the curve (AUC to determine the optimal WC cutoff points and the accuracy of WC in predicting high cardiovascular risk. WC was a good predictor for high cardiovascular risk for both boys (AUC: 0.845, 95% confidence interval [CI]: 0.833-0.857 and girls (AUC: 0.763, 95% CI: 0.731-0.795. The optimal WC cutoff points were ≥78.9 cm for boys (77th percentile and ≥70.7 cm for girls (77th percentile. Adolescents with normal weight and an abnormal WC were more likely to be in the high cardiovascular risk group (odds ratio: 3.70, 95% CI: 2.65-5.17 compared to their peers with normal weight and normal WC. The optimal WC cutoff point of 15-year-old Taiwanese adolescents for identifying CVRFs should be the 77th percentile; the 90th percentile of the WC might be inadequate. The high WC criteria can help health professionals identify higher proportion of the adolescents with cardiovascular risks and refer them for further evaluations and interventions. Adolescents' height, weight and WC should be measured as a standard practice in routine health checkups.

  11. Percentile values for aerobic performance running/walking field tests in children aged 6 to 17 years: influence of weight status Valores de percentiles de los tests de campo de capacidad aeróbica en niños de 6 a 17 años: influencia del peso corporal

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    J. Castro-Piñero


    Full Text Available The aim of this study was to provide percentiles values for four different aerobic performance tests in 2752 (1,261 girls Spanish children aged 6 to 17.9 years. Aerobic performance was assessed by the shuttle run test (20mSRT, 1-mile, 1/2-mile and 1/4-mile run/walk tests. Height and weight were measured, and body mass index was calculated. Boys had significantly better score than girls in the studied tests in all age groups, except in 1/4-mile test in 6-7 year old children. Underweight children had similar performance than their normalweight counterparts, and underweight boys had better performance than their obese counterparts. Overweight and obese children had lower performance than their normalweight counterparts. Having percentile values of the most used field tests to measure aerobic performance in youth may help to identify children and adolescents at risk for the major chronic diseases, as well as to evaluate the effects of alternative interventions.El propósito de este estudio fue proporcionar los valores de percentiles para cuatro pruebas de rendimiento aeróbico en 2752 (1261 chicas niños españoles con edades de 6 a 17,9 años. El rendimiento aeróbico se evalúo mediante la carrera durante 20 minutos (20mSRT, y las pruebas de correr / caminar 1 milla, ½ milla y ¼ de milla. Se midieron el peso y la talla y se calculó el índice de masa corporal. Los chicos tuvieron puntuaciones significativamente mejores que las chicas en las pruebas evaluadas y para todos los grupos de edad, excepto en la prueba de ¼ de milla en el grupo de 6-7 años. Los niños con peso bajo mostraron un rendimiento similar a sus homólogos con peso normal y los primeros tuvieron un rendimiento mejor que sus homólogos obesos. Los niños obesos y con sobrepeso tuvieron un menor rendimiento que sus homólogos con peso normal. El disponer de valores de percentiles para las pruebas empleadas más habitualmente para evaluar el rendimiento aeróbico en los j

  12. Which percentile-based approach should be preferred for calculating normalized citation impact values? An empirical comparison of five approaches including a newly developed citation-rank approach (P100)

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    Bornmann, L.; Leydesdorff, L.; Wang, J.


    For comparisons of citation impacts across fields and over time, bibliometricians normalize the observed citation counts with reference to an expected citation value. Percentile-based approaches have been proposed as a non-parametric alternative to parametric central-tendency statistics. Percentiles

  13. Tutorial: Calculating Percentile Rank and Percentile Norms Using SPSS (United States)

    Baumgartner, Ted A.


    Practitioners can benefit from using norms, but they often have to develop their own percentile rank and percentile norms. This article is a tutorial on how to quickly and easily calculate percentile rank and percentile norms using SPSS, and this information is presented for a data set. Some issues in calculating percentile rank and percentile…

  14. Counselor Values and the Pregnant Adolescent Client. (United States)

    Kennedy, Bebe C.; And Others


    Reviews options counselors can suggest to pregnant adolescents, including abortion, adoption, marriage, and single parenthood. Discusses the need for counselors to be aware of their own values and help the client explore her values. (JAC)

  15. Blood Pressure Percentiles for School Children

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    İsmail Özanli


    Full Text Available Objective: The prevalence of hypertension in childhood and adolescence is gradually increasing. We aimed to in­vestigate the blood pressure (BP values of children aged 7-18 years. Methods: This study was conducted in a total of 3375 (1777 females, 1598 males children from 27 schools. Blood pressures of children were measured using sphyg­momanometer appropriate to arm circumference. Results: A positive relationship was found between sys­tolic blood pressure (SBP and diastolic blood pressure (DBP and the body weight, height, age and body mass index (BMI in male and female children. SBP was high­er in males than females after the age of 13. DBP was higher in males than the females after the age of 14. The mean annual increase of SBP was 2.06 mmHg in males and 1.54 mmHg in females. The mean annual increase of DBP was 1.52 mmHg in males and 1.38 mmHg in fe­males. Conclusion: In this study, we identified the threshold val­ues for blood pressure in children between the age of 7 and 18 years in Erzurum province. It is necessary to com­bine and evaluate data obtained from various regions for the identification of BP percentiles according to the age, gender and height percentiles of Turkish children.

  16. Dosimetry of infant exposure to power-frequency magnetic fields: variation of 99th percentile induced electric field value by posture and skin-to-skin contact. (United States)

    Li, Congsheng; Wu, Tongning


    Infant exposure to 50 Hz magnetic fields from power lines was numerically analyzed in this study. Dosimetric variability due to posture and skin-to-skin contact was evaluated using human anatomical models including a recently developed model of a 12-months-old infant. As proposed by the International Commission on Non-Ionizing Radiation Protection, the induced E-field strength (99th percentile value, E99 ) for the central nerve systems (E99_CNS ) and peripheral nerve system (E99_PNS ), were used as metrics. Results showed that the single (free of contact with others) infant model has lower E99 (E99_CNS and E99_PNS inclusive) compared with single adult and child models when exposed to the same power-frequency magnetic field. Also, studied postures of sitting, standing, or arm-up, would not change E99 _PNS . However, skin-to-skin contact with other models could significantly raise induced E-field strength in the infant (e.g., contact on 0.93% of the infant's total surface increased E99_PNS by 213%). Simulations with canonical models were conducted to assess different factors contributing to the E99 enhancement. Results indicated the importance of thoroughly investigating the conservativeness of current safety guidelines in the case of skin-to-skin contact, especially with infants.


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    Joanna KOSSEWSKA


    Full Text Available Adolescence is the core stage for the development of the value system, one of the most important determinants of the human identity. The issue discussed in this paper is the perception of the value system by the people with impaired hearing who constitute a cultural minority. Such assumption can be made based on the cross-cultural value survey conducted by S.H. Schwartz. The Schwartz’s approach was chosen in this research to measure the culture on individual level.Sixty-six deaf adolescent students from secondary residential schools aged between15 and 20 years (29 male, 37 female and 93 hearing students from boarding middle schools aged between 15 and 17 years (39 male and 54 female were tested by using the Schwartz Portrait Values Questionnaire.The results showed that the intergroup value system differences were modified by gender. Hearing adolescent males considered bene­volence, hedonism and stimulation as more important than female adolescents did. In the deaf subgroup, the females valued security, power and achievement more than males. The mode of communication within the family had only one significant effect: the use of signing language implies significantly higher level of conformity in comparison to the people who communicate verbally.

  18. Harnessing adolescent values to motivate healthier eating (United States)

    Bryan, Christopher J.; Yeager, David S.; Hinojosa, Cintia P.; Chabot, Aimee; Bergen, Holly; Kawamura, Mari; Steubing, Fred


    What can be done to reduce unhealthy eating among adolescents? It was hypothesized that aligning healthy eating with important and widely shared adolescent values would produce the needed motivation. A double-blind, randomized, placebo-controlled experiment with eighth graders (total n = 536) evaluated the impact of a treatment that framed healthy eating as consistent with the adolescent values of autonomy from adult control and the pursuit of social justice. Healthy eating was suggested as a way to take a stand against manipulative and unfair practices of the food industry, such as engineering junk food to make it addictive and marketing it to young children. Compared with traditional health education materials or to a non–food-related control, this treatment led eighth graders to see healthy eating as more autonomy-assertive and social justice-oriented behavior and to forgo sugary snacks and drinks in favor of healthier options a day later in an unrelated context. Public health interventions for adolescents may be more effective when they harness the motivational power of that group’s existing strongly held values. PMID:27621440

  19. Harnessing adolescent values to motivate healthier eating. (United States)

    Bryan, Christopher J; Yeager, David S; Hinojosa, Cintia P; Chabot, Aimee; Bergen, Holly; Kawamura, Mari; Steubing, Fred


    What can be done to reduce unhealthy eating among adolescents? It was hypothesized that aligning healthy eating with important and widely shared adolescent values would produce the needed motivation. A double-blind, randomized, placebo-controlled experiment with eighth graders (total n = 536) evaluated the impact of a treatment that framed healthy eating as consistent with the adolescent values of autonomy from adult control and the pursuit of social justice. Healthy eating was suggested as a way to take a stand against manipulative and unfair practices of the food industry, such as engineering junk food to make it addictive and marketing it to young children. Compared with traditional health education materials or to a non-food-related control, this treatment led eighth graders to see healthy eating as more autonomy-assertive and social justice-oriented behavior and to forgo sugary snacks and drinks in favor of healthier options a day later in an unrelated context. Public health interventions for adolescents may be more effective when they harness the motivational power of that group's existing strongly held values.

  20. Using Microsoft Excel to compute the 5% overall site X/Q value and the 95th percentile of the distribution of doses to the nearest maximally exposed offsite individual (MEOI). (United States)

    Vickers, Linda D


    This paper describes the method using Microsoft Excel (Microsoft Corporation One Microsoft Way Redmond, WA 98052-6399) to compute the 5% overall site X/Q value and the 95th percentile of the distribution of doses to the nearest maximally exposed offsite individual (MEOI) in accordance with guidance from DOE-STD-3009-1994 and U.S. NRC Regulatory Guide 1.145-1982. The accurate determination of the 5% overall site X/Q value is the most important factor in the computation of the 95th percentile of the distribution of doses to the nearest MEOI. This method should be used to validate software codes that compute the X/Q. The 95th percentile of the distribution of doses to the nearest MEOI must be compared to the U.S. DOE Evaluation Guide of 25 rem to determine the relative severity of hazard to the public from a postulated, unmitigated design basis accident that involves an offsite release of radioactive material.

  1. 50th Percentile Rent Estimates (United States)

    Department of Housing and Urban Development — Rent estimates at the 50th percentile (or median) are calculated for all Fair Market Rent areas. Fair Market Rents (FMRs) are primarily used to determine payment...

  2. A Comparison of Three Conditional Growth Percentile Methods: Student Growth Percentiles, Percentile Rank Residuals, and a Matching Method (United States)

    Wyse, Adam E.; Seo, Dong Gi


    This article provides a brief overview and comparison of three conditional growth percentile methods; student growth percentiles, percentile rank residuals, and a nonparametric matching method. These approaches seek to describe student growth in terms of the relative percentile ranking of a student in relationship to students that had the same…

  3. 上海市儿童青少年腰围百分位数值及曲线%Waist circumference and waist circumference percentile curves for children and adolescents in Shanghai

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    吴艳强; 杨漾; 彭宁宁; 洪茯园; 严卫丽; 周国耀


    Objective To construct the age-and gender-specific waist circumference and waist-height-ratio percentile curves for children and adolescents in Shanghai and to provide data for the study of excess central adiposity in the group. Methods With stratified cluster sampling method, 14 301 students aged 7-18 years in Shanghai were selected as research subjects, LMS method was used to establish the centile curves. Results Age- and gender-specific percentiles of P5, P10, P15; P50;, P85; P90 and P95 of waist circumference and waist-height-ratio and curves were accessed. Conclusion The centiles of waist circumference and waist-height-ratio percentile curves for children and adolescents in Shanghai have area and gender differences, and these data will provide a point of reference for the prevention of abdominal obesity.%目的 建立适合上海市儿童青少年生长发育特点的年龄别腰围、腰围指数的百分位数及曲线,为科学评价儿童青少年生长发育水平及中心性肥胖的防治提供参考.方法 以2010年上海市学生体质健康调研的7 ~18岁中小学生14 301名为样本,应用国际通用的LMS法分性别建立年龄别腰围、腰围指数正常值及百分位数曲线.结果 腰围百分位数曲线随年龄增长呈递增趋势,符合儿童青少年生长发育规律;腰围指数的P50百分位数曲线具有明显性别差异,7 ~12岁男生逐年上升,且高于女生,自13岁开始经交叉后低于女生.获得上海市7 ~18岁儿童青少年男女年龄别腰围、腰围指数百分位数(P5,P10,P15,P50,P85,P95,P95)及曲线.结论 儿童青少年年龄别腰围、腰围指数百分位数存在地区、性别差异.本研究所获得的百分位数及曲线可为进一步研究儿童青少年中心性肥胖提供基本数据.

  4. The Mexican American Cultural Values Scale for Adolescents and Adults (United States)

    Knight, George P.; Gonzales, Nancy A.; Saenz, Delia S.; Bonds, Darya D.; German, Miguelina; Deardorff, Julianna; Roosav, Mark W.; Updegraff, Kimberly A.


    This research evaluates the properties of a measure of culturally linked values of Mexican Americans in early adolescence and adulthood. The article discusses the items derived from qualitative data provided by focus groups in which Mexican Americans' (adolescents, mothers, and fathers) perceptions of key values were discussed. The focus groups…

  5. Waist Circumferences of Chilean Students: Comparison of the CDC-2012 Standard and Proposed Percentile Curves (United States)

    Gómez-Campos, Rossana; Lee Andruske, Cinthya; Hespanhol, Jefferson; Sulla Torres, Jose; Arruda, Miguel; Luarte-Rocha, Cristian; Cossio-Bolaños, Marco Antonio


    The measurement of waist circumference (WC) is considered to be an important means to control overweight and obesity in children and adolescents. The objectives of the study were to (a) compare the WC measurements of Chilean students with the international CDC-2012 standard and other international standards, and (b) propose a specific measurement value for the WC of Chilean students based on age and sex. A total of 3892 students (6 to 18 years old) were assessed. Weight, height, body mass index (BMI), and WC were measured. WC was compared with the CDC-2012 international standard. Percentiles were constructed based on the LMS method. Chilean males had a greater WC during infancy. Subsequently, in late adolescence, males showed values lower than those of the international standards. Chilean females demonstrated values similar to the standards until the age of 12. Subsequently, females showed lower values. The 85th and 95th percentiles were adopted as cutoff points for evaluating overweight and obesity based on age and sex. The WC of Chilean students differs from the CDC-2012 curves. The regional norms proposed are a means to identify children and adolescents with a high risk of suffering from overweight and obesity disorders. PMID:26184250

  6. Waist Circumferences of Chilean Students: Comparison of the CDC-2012 Standard and Proposed Percentile Curves

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    Rossana Gómez-Campos


    Full Text Available The measurement of waist circumference (WC is considered to be an important means to control overweight and obesity in children and adolescents. The objectives of the study were to (a compare the WC measurements of Chilean students with the international CDC-2012 standard and other international standards, and (b propose a specific measurement value for the WC of Chilean students based on age and sex. A total of 3892 students (6 to 18 years old were assessed. Weight, height, body mass index (BMI, and WC were measured. WC was compared with the CDC-2012 international standard. Percentiles were constructed based on the LMS method. Chilean males had a greater WC during infancy. Subsequently, in late adolescence, males showed values lower than those of the international standards. Chilean females demonstrated values similar to the standards until the age of 12. Subsequently, females showed lower values. The 85th and 95th percentiles were adopted as cutoff points for evaluating overweight and obesity based on age and sex. The WC of Chilean students differs from the CDC-2012 curves. The regional norms proposed are a means to identify children and adolescents with a high risk of suffering from overweight and obesity disorders.

  7. On the calculation of percentile-based bibliometric indicators

    CERN Document Server

    Waltman, Ludo


    A percentile-based bibliometric indicator is an indicator that values publications based on their position within the citation distribution of their field. The most straightforward percentile-based indicator is the proportion of frequently cited publications, for instance the proportion of publications that belong to the top 10% most frequently cited of their field. Recently, more complex percentile-based indicators were proposed. A difficulty in the calculation of percentile-based indicators is caused by the discrete nature of citation distributions combined with the presence of many publications with the same number of citations. We introduce an approach to calculating percentile-based indicators that deals with this difficulty in a more satisfactory way than earlier approaches suggested in the literature. We show in a formal mathematical framework that our approach leads to indicators that do not suffer from biases in favor of or against particular fields of science.

  8. Parenting and adolescents' accuracy in perceiving parental values. (United States)

    Knafo, Ariel; Schwartz, Shalom H


    What determines adolescents' accuracy in perceiving parental values? The current study examined potential predictors including parental value communication, family value agreement, and parenting styles. In the study, 547 Israeli adolescents (aged 16 to 18) of diverse socioeconomic backgrounds participated with their parents. Adolescents reported the values they perceive their parents want them to hold. Parents reported their socialization values. Accuracy in perceiving parents' overall value system correlated positively with parents' actual and perceived value agreement and perceived parental warmth and responsiveness, but negatively with perceived value conflict, indifferent parenting, and autocratic parenting in all gender compositions of parent-child dyads. Other associations varied by dyad type. Findings were similar for predicting accuracy in perceiving two specific values: tradition and hedonism. The article discusses implications for the processes that underlie accurate perception, gender differences, and other potential influences on accuracy in value perception.


    Directory of Open Access Journals (Sweden)

    Aneta Barakoska


    Full Text Available In this paper is reviewed the concept of values and value orientations, as to the role of education in the process of their forming among adolescents from middle and late adolescence. Presented and discussed are the results of a larger research regarding the differences in values and value orientations in adolescents with different kind of education and: а adolescents learning religious subjects and ethics b adolescents learning ethics and c adolescents learning neither religious subjects, nor ethics.The findings obtained testify for the presence of differences in the system of values in adolescents with different education type as regarding to the following instrumental values: cooperation, honesty, determination, capability, assistance, clarity, generosity, logics and competing. There are also differences regarding the terminal values: exciting life, peace in the world, self-respecting, peace of mind, equality, economic welfare, pleasure and social justice. As regarding to the examined life styles, differences are found between the examined groups of adolescents in the following value orientations: family, altruistic, utilitary, popular and individual, as to religious, hedonism and power.

  10. Gender, Values, and Occupational Interests among Children, Adolescents, and Adults (United States)

    Weisgram, Erica S.; Bigler, Rebecca S.; Liben, Lynn S.


    Work fulfills personal values, perhaps differently for males and females. Explored here was the role values play in shaping occupational interests. Study 1 examined children's, adolescents', and adults' (N = 313) occupational values (regarding money, power, family, altruism), occupational interests, and perceptions of values afforded by…

  11. Gender Influencers on Work Values of Black Adolescents. (United States)

    Thomas, Veronica G.; Shields, Leslie C.


    Examined work values and key influencers of a sample of black male and female adolescents (N=145). Indicated that boys and girls valued both the intrinsic and extrinsic rewards of work; however, girls reported slighter stronger extrinsic values than did boys. In addition, the sexes reported differences in the importance of specific work values.…

  12. Valoración de la aptitud física en niños y adolescentes: construcción de cartas percentílicas para la región central del Perú Evaluation of physical fitness levels in children and adolescents: establishing percentile charts for the central region of Peru

    Directory of Open Access Journals (Sweden)

    Alcibíades Bustamante


    Full Text Available Objetivos. Establecer cartas percentílicas y valores de referencia estratificada por edad y sexo de los niveles de aptitud física (AF en niños y adolescentes de la región central del Perú. Materiales y métodos. El tamaño de la muestra comprendió a 7843 escolares (4155 mujeres y 3688 varones entre los seis y los diecisiete años de edad. Los niveles de aptitud física fueron evaluados mediante el uso de seis pruebas motoras provenientes de las baterías EUROFIT, FITNESSGRAM y AAPHERD. Las cartas percentílicas fueron construidas por separado para cada sexo, utilizando el método matemático LMS implementado en el programa LMSchartmaker. Resultados. Se verifica valores superiores de AF en los varones, a excepción de la prueba de flexibilidad; la AF incrementa con la edad. Conclusiones. Existe variabilidad interindividual en ambos sexos. Los valores de referencia específicos por edad y sexo pueden utilizarse para la evaluación e interpretación de los niveles de AF de niños y adolescentes de la región central del Perú. Estos hallazgos pueden ayudar en la evaluación de programas de educación física en las escuelas.Objectives. Construct percentile charts and physical fitness (PF reference values stratified by age and sex of children and adolescents from Peru’s central region. Materials and methods. The sample was comprised of 7,843 subjects (4,155 females and 3,688 males between the ages of 6 to 17 years old. Physical fitness was assessed using six tests developed by EUROFIT, FITNESSGRAM and AAPHERD. Percentile charts were developed separately for males and females using the LMS method calculated with LMSchartmaker software. Results. Males showed higher PF values with the exception of flexibility; a clear increase in PF with increasing age was verified. Conclusions. Inter-individual variability in both sexes is substantial. Charts and specific reference values by age and sex may be used for the assessment and interpretation of

  13. Similarities and differences in values between Vietnamese parents and adolescents

    Directory of Open Access Journals (Sweden)

    Truong Thi Khanh Ha


    Full Text Available Background The purpose of this study was to analyse similarities and differences in the motivational value system of Vietnamese parents and adolescents, in the context of Schwartz’s value theory. Also, the transmission of values between two generations was studied. Participants and procedure The study was performed in three different cities of Vietnam – Hanoi, Hue and Ho Chi Minh City – on adolescents, their fathers and mothers (N = 2226. The hierarchy of values was measured with a Vietnamese version of the Portrait Value Questionnaire (PVQ-40. Additionally, expectations of parents toward children and preferences of children were measured with a list of 28 features and attitudes prepared for the study. Results The results show that both parents and their adolescent children highly respect universalism, conformity, and benevolence in contrast to power and stimulation, which is still typical for a collectivistic culture. The differences arise in higher-order values: while parents value conservatism (security, conformity and tradition, their children prefer more openness to change (self-direction and hedonism values, which is typical for a more individualistic culture. The results also reveal that parents in Vietnam expect and transfer to children some attitudes and features such as studiousness, filial piety and diligence, but not riskiness, desire or humour. Although adolescents are aware of their parents’ expectations, they do not fully accept them. Conclusions The results provide hints for parents to plan their strategy on appropriate education of their children, in the current context of global integration and cultural changes.

  14. Reference values for serum total adiponectin in healthy non-obese children and adolescents

    DEFF Research Database (Denmark)

    Lausten-Thomsen, Ulrik; Christiansen, Michael; Fonvig, Cilius Esmann


    optimization. RESULTS: In a generalized linear model adjusted for BMI SDS, total serum adiponectin concentrations were correlated to age in girls (psexes combined (psexes was found. Reference intervals were calculated using...... age as a continuous variable. The best fitted reference curve for both sexes was: 50th percentile: Y=-0.1478∗X+6.046; 2.5th percentile: Y=-0.06256∗X+2.34; 97.5th percentile: Y=-0.4086∗X+22.39, where Y=adiponectin in μg/mL and X=years of age (from 6 to 18years). CONCLUSION: We developed a pediatric...... reference levels for total serum adiponectin in a sample of 1193 Danish children and adolescents aged 6-18years. A correlation with age was demonstrated in children, but no significant difference was seen between the sexes....

  15. Life values structure in a Spanish sample of adolescents

    Directory of Open Access Journals (Sweden)

    María Tejerina-Arreal


    Full Text Available We examined the structure of personal life values as a representation of underlying motivation, in a Spanish sample of children and adolescents 12 - 16 years old. In general, results showed that youth put higher priority on intrinsic life goals (meaningful relationships, being physically healthy, self-acceptance than extrinsic life goals (image, money, power. Gender differences were found in specific life goals. When comparing our results with another longitudinal American study using the same instrument and methodology, we found similar results, although Spanish youth value priorities goals related to support rather than striving as in American adolescents. Cultural and age trend in life priorities are discussed.

  16. EJSCREEN States Percentiles Lookup Table--2015 Intranet (United States)

    U.S. Environmental Protection Agency — The States table provides percentile breaks of important EJSCREEN elements (demographic indicators and indexes, environmental indicators and indexes) at the state...

  17. EJSCREEN Regions Percentiles Lookup Table--2015 Intranet (United States)

    U.S. Environmental Protection Agency — The Regions table provides percentile breaks of important EJSCREEN elements (demographic indicators and indexes, environmental indicators and indexes) at the EPA...

  18. EJSCREEN National Percentiles Lookup Table--2015 Intranet (United States)

    U.S. Environmental Protection Agency — The USA table provides percentile breaks of important EJSCREEN elements (demographic indicators and indexes, environmental indicators and indexes) at the national...

  19. Centile Curves and Reference Values for Height, Body Mass, Body Mass Index and Waist Circumference of Peruvian Children and Adolescents

    Directory of Open Access Journals (Sweden)

    Alcibíades Bustamante


    Full Text Available This study aimed to provide height, body mass, BMI and waist circumference (WC growth centile charts for school-children, aged 4–17 years, from central Peru, and to compare Peruvian data with North-American and Argentinean references. The sample consisted of 8753 children and adolescents (4130 boys and 4623 girls aged 4 to 17 years, from four Peruvian cities: Barranco, La Merced, San Ramón and Junín. Height, body mass and WC were measured according to standardized techniques. Centile curves for height, body mass, BMI and WC were obtained separately for boys and girls using the LMS method. Student t-tests were used to compare mean values. Overall boys have higher median heights than girls, and the 50th percentile for body mass increases curvilinearly from 4 years of age onwards. In boys, the BMI and WC 50th percentiles increase linearly and in girls, the increase presents a curvilinear pattern. Peruvian children are shorter, lighter and have higher BMI than their counterparts in the U.S. and Argentina; in contrast, age and sex-specific WC values are lower. Height, body mass and WC of Peruvian children increased with age and variability was higher at older ages. The growth patterns for height, body mass, BMI and WC among Peruvian children were similar to those observed in North-American and Argentinean peers.

  20. Shaping Academic Task Engagement with Percentile Schedules (United States)

    Athens, Elizabeth S.; Vollmer, Timothy R.; St. Peter Pipkin, Claire C.


    The purpose of this study was to examine the use of percentile schedules as a method of quantifying the shaping procedure in an educational setting. We compared duration of task engagement during baseline measurements for 4 students to duration of task engagement during a percentile schedule. As a secondary purpose, we examined the influence on…

  1. Discrimination and Mexican-Origin Adolescents' Adjustment: The Moderating Roles of Adolescents', Mothers', and Fathers' Cultural Orientations and Values (United States)

    Delgado, Melissa Y.; Updegraff, Kimberly A.; Roosa, Mark W.; Umana-Taylor, Adriana J.


    Drawing on Garcia Coll et al.'s integrative framework and the risk and resilience model, this study examined the relationships between adolescents' perceived discrimination and psychosocial adjustment and the moderating roles of adolescents', mothers', and fathers' cultural orientations and values, and adolescent gender in a sample of 246…

  2. Waist circumference percentiles among Turkish children under the age of 6 years. (United States)

    Hatipoglu, Nihal; Mazicioglu, M Mumtaz; Poyrazoglu, Serpil; Borlu, Arda; Horoz, Duygu; Kurtoglu, Selim


    Waist circumference, a proxy measure of abdominal obesity, is associated with cardio-metabolic risk factors in childhood and adolescence. Although there are numerous studies about waist circumference percentiles in children, only a few studies cover preschool children. The aim of this study was to develop age- and gender-specific waist circumference smoothed reference curves in Turkish preschool children to determine abdominal obesity prevalence and to compare them with reference curves obtained from different countries. The design of the study was cross-sectional. A total of 2,947 children (1,471 boys and 1,476 girls) aged 0-6 years were included in the study. The subjects were divided according to their gender. Waist circumference was measured by using a standardized procedure. The age- and gender-specific waist circumference reference curves were constructed and smoothed with LMS method. The reference values of waist circumference, including 3rd, 10th 25th, 50th, 75th, 90th, and 97th percentiles, and standard deviations were given for preschool children. Waist circumference values increased with age, and there were differences between genders. The prevalence of abdominal obesity was calculated as 10.1 % for boys and 10.7 % for girls. Having compared our data with two other countries' data, we found that our waist circumference data were significantly lower. This is the first cross-sectional study for age- and gender-specific references of 0- to 6-year-old Turkish children. The gender- and age-specific waist circumference percentiles can be used to determine the risk of central obesity.

  3. Self-image and value orientations of adolescents

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    Joksimović Snežana


    Full Text Available Self-image or self-consciousness comprises thoughts, feelings, evaluations and predictions about oneself and one's own behavior. Subject of the research is the linkage between self-conceptualization of adolescents and their value orientations. The aim is to determine whether there exists a correlation between locus of control and general self-esteem as elements of self-conceptualisation, on the one side, and value orientations of adolescents on the other. The Rosenberg Self-Esteem Scale and the locus of control scale by Bezinović and Savčić were used for studying the components of self-conceptualisation. Values were operationalised using the desirability of certain goals in life and preference of different lifestyles. Research was conducted on the sample of 176 grammar school pupils aged 15 to 18. The findings indicate that adolescents who are characterized by the external locus of control accept hedonist, activist, social and cognitive lifestyle in a larger degree. Self-esteem is positively correlated with the aspiration towards becoming rich, and negatively with the desire for acquiring knowledge, care about others and activist way of living. The finding that the young of higher self-esteem are not oriented towards education, helping others and advocating for common good, can be ascribed to insufficient appreciation of these values in the environment they live in. The obtained findings point out to the need to reaffirm and encourage these values in youth, as well as to pay more attention to value education of pupils in school.


    Directory of Open Access Journals (Sweden)

    Nina Vitalyevna Vasilets


    Full Text Available Radical changes in the modern family attach special importance to the studies of the role of parents in the formation of value-need sphere of their children-teenagers. The study allowed to reveal the peculiarities of gender influence of parents on social and generic value-need sphere of personality (VNSP of the adolescent, as well as to consider the interconnection of value profiles of each of the parents and their adolescent children. To identify the hierarchy of values of adolescents and their parents the study used a complex of experimental psychological methods, integrated into the «System of psychological diagnosis of value-need sphere of the personality» developed by V.G. Morogin. As a result of the empirical research it was found that values of fathers make a greater impact on the VNSP of adolescents. Values of male adolescents are more connected with values of their parents than values of female adolescents. Value profiles of social substructure of teenagers and their parents are practically the same, while generic profiles are more variable. In general, the generic substructure of adolescent daughters is more related to VNSP of fathers and adolescent sons - with VNSP of mothers. The results of the study can be used to develop specific measures to support family education, as well as in the practical work of professionals working with families.

  5. Parenting and Adolescents' Values and Behaviour: The Moderating Role of Temperament (United States)

    Padilla-Walker, Laura M.; Nelson, Larry J.


    The purpose of this study was to examine the impact of parenting and adolescent fearfulness on adolescents' pro-social values and pro-social and antisocial behaviour. A total of 134 adolescents (M age = 16.22, 72 girls, 62 boys) responded to questions regarding their own fearfulness, pro-social values and pro-social and antisocial behaviour, as…

  6. Multiplicative models for survival percentiles: estimating percentile ratios and multiplicative interaction in the metric of time

    Directory of Open Access Journals (Sweden)

    Andrea Bellavia


    Full Text Available Evaluating percentiles of survival was proposed as a possible method to analyze time-to-event outcomes. This approach sets the cumulative risk of the event of interest to a specific proportion and evaluates the time by which this proportion is attainedIn this context, exposure-outcome associations can be expressed in terms of differences in survival percentiles, expressing the difference in survival time by which different subgroups of the study population experience the same proportion of events, or in terms of percentile ratios, expressing the strength of the exposure in accelerating the time to the event. Additive models for conditional survival percentiles have been introduced, and their use to estimate multivariable-adjusted percentile differences, and additive interaction on the metric of time has been described. On the other hand, the percentile ratio has never been fully described, neither statistical methods have been presented for its models-based estimation. To bridge this gap, we provide a detailed presentation of the percentile ratio as a relative measure to assess exposure-outcome associations in the context of time-to-event analysis, discussing its interpretation and advantages. We then introduce multiplicative statistical models for conditional survival percentiles, and present their use in estimating percentile ratios and multiplicative interactions in the metric of time. The introduction of multiplicative models for survival percentiles allows researchers to apply this approach in a large variety of context where multivariable adjustment is required, enriching the potentials of the percentile approach as a flexible and valuable tool to evaluate time-to-event outcomes in medical research.

  7. Personal values as a mediator between parent and peer expectations and adolescent behaviors. (United States)

    Padilla-Walker, Laura M; Carlo, Gustavo


    The current study examined the mediating role of adolescents' personal values on the relation between maternal and peer expectations for prosocial behaviors and adolescents' self-reported prosocial and antisocial behaviors. One hundred thirty-four adolescents (mean age = 16.22 years, 54% girls) completed measures of their own values and behaviors, as well as their perceptions of the positive expectations that their mother and their best friend(s) had for their (the adolescents') prosocial behaviors. Stepwise regression analyses suggested that adolescents' personal prosocial values mediated the relation between adolescents' perceptions of both maternal and peer expectations and adolescents' prosocial behaviors. In addition, for boys, perceptions of positive peer expectations were directly and negatively related to antisocial behaviors. The current study has important implications for parents, educators, and practitioners who are concerned about promoting adolescents' positive behaviors and discouraging negative behaviors.

  8. Materialistic Values among Chinese Adolescents: Effects of Parental Rejection and Self-Esteem (United States)

    Fu, Xinyuan; Kou, Yu; Yang, Ying


    Background: Materialistic values among today's adolescents have been a concern around the world, yet few studies concerning Chinese adolescents' materialistic values have been conducted. Additionally, the joint effects of parental rejection and self-esteem on materialistic values remain unclear. Objective: We examined materialistic values in a…

  9. Maternal Cultural Values and Parenting Practices: Longitudinal Associations with Chinese Adolescents' Aggression (United States)

    Shuster, Michael M.; Li, Yan; Shi, Junqi


    Interrelations among cultural values, parenting practices, and adolescent aggression were examined using longitudinal data collected from Chinese adolescents and their mothers. Adolescents' overt and relational aggression were assessed using peer nominations at Time 1 (7th grade) and Time 2 (9th grade). Mothers reported endorsement of cultural…

  10. Morality, values, traditional bullying, and cyberbullying in adolescence. (United States)

    Menesini, Ersilia; Nocentini, Annalaura; Camodeca, Marina


    The aim of the present study was to investigate moral aspects and human values in traditional bullying and cyberbullying, in order to detect differences between the two types of bullying and to test the role of immoral and disengaged behaviours in mediating the relationships between personal values and involvement in bullying. Sample comprised 390 adolescents aged 14-18, balanced for gender, attending different high schools. Traditional and cyberbullying were detected by means of two self-report measures, while the Portrait Values Questionnaire was used to assess 10 values in four dimensions according to the value system model by Schwartz (1992): self-trascendence, self-enhancement, openness to change, and conservation. Finally, immoral and disengaged behaviours were assessed by means of five items about behavioural and personal aspects salient for morality. Results showed that, irrespective of gender, self-enhancement and self-trascendence moderately predicted cyber and traditional bullying, respectively, while immoral and disengaged behaviours predicted both. Indirect effects showed that self-enhancement and openness to change predicted both forms of bullying through immoral behaviour. Results are discussed in terms of similarities and differences between cyber and traditional bullying and with attention to the central role of morality in explaining bullying nature.

  11. Materialistic Values among Chinese Adolescents: Effects of Parental Rejection and Self-Esteem (United States)

    Fu, Xinyuan; Kou, Yu; Yang, Ying


    Background: Materialistic values among today's adolescents have been a concern around the world, yet few studies concerning Chinese adolescents' materialistic values have been conducted. Additionally, the joint effects of parental rejection and self-esteem on materialistic values remain unclear. Objective: We examined materialistic…

  12. Relationship between Values and Religious Identity in Buddhist Adolescents

    Directory of Open Access Journals (Sweden)

    Shorokhova V.A.,


    Full Text Available The paper describes results of a social psychological study on religious identity in Buddhist schoolchil- dren. The study involved 184 students of 9—10 classes of a school in the Aginskoye settlement (Aginsky Buryatsky Okrug, Zabaykalsky Krai. According to G. Allport’s concept and R. Gorsuch & S. McPherson measurements, religious identity is considered not only as practicing Buddhism, but as a complex social psychological formation with a four-factor structure base on the following scales: personal/social and in- trinsic/extrinsic. Different components of religious identity are explored in the context of their relation- ship with value orientations (as described by S. Schwartz and G. Hofstede. The following techniques were employed: the adapted version of D. Van Camp’s Individual/Social Religious Identity Measure, Schwartz’s Portrait Values Questionnaire (PVQ-R2, and Hofstede’s Values Survey Module. As it was revealed, al- most all values related to various components of religious identity of the Buddhist adolescents refer to the social focus. The paper concludes that religious identity in modern Buddhist young people has a distinctive social character.

  13. Accounting for the Uncertainty in the Evaluation of Percentile Ranks

    CERN Document Server

    Leydesdorff, Loet


    In a recent paper entitled "Inconsistencies of Recently Proposed Citation Impact Indicators and how to Avoid Them," Schreiber (2012, at arXiv:1202.3861) proposed (i) a method to assess tied ranks consistently and (ii) fractional attribution to percentile ranks in the case of relatively small samples (e.g., for n < 100). Schreiber's solution to the problem of how to handle tied ranks is convincing, in my opinion (cf. Pudovkin & Garfield, 2009). The fractional attribution, however, is computationally intensive and cannot be done manually for even moderately large batches of documents. Schreiber attributed scores fractionally to the six percentile rank classes used in the Science and Engineering Indicators of the U.S. National Science Board, and thus missed, in my opinion, the point that fractional attribution at the level of hundred percentiles-or equivalently quantiles as the continuous random variable-is only a linear, and therefore much less complex problem. Given the quantile-values, the non-linear a...

  14. Development of a percentile based three-dimensional model of the buttocks in computer system (United States)

    Wang, Lijing; He, Xueli; Li, Hongpeng


    There are diverse products related to human buttocks, which need to be designed, manufactured and evaluated with 3D buttock model. The 3D buttock model used in present research field is just simple approximate model similar to human buttocks. The 3D buttock percentile model is highly desired in the ergonomics design and evaluation for these products. So far, there is no research on the percentile sizing system of human 3D buttock model. So the purpose of this paper is to develop a new method for building three-dimensional buttock percentile model in computer system. After scanning the 3D shape of buttocks, the cloud data of 3D points is imported into the reverse engineering software (Geomagic) for the reconstructing of the buttock surface model. Five characteristic dimensions of the buttock are measured through mark-points after models being imported into engineering software CATIA. A series of space points are obtained by the intersecting of the cutting slices and 3D buttock surface model, and then are ordered based on the sequence number of the horizontal and vertical slices. The 1st, 5th, 50th, 95th, 99th percentile values of the five dimensions and the spatial coordinate values of the space points are obtained, and used to reconstruct percentile buttock models. This research proposes a establishing method of percentile sizing system of buttock 3D model based on the percentile values of the ischial tuberosities diameter, the distances from margin to ischial tuberosity and the space coordinates value of coordinate points, for establishing the Nth percentile 3D buttock model and every special buttock types model. The proposed method also serves as a useful guidance for the other 3D percentile models establishment for other part in human body with characteristic points.

  15. Cultural/interpersonal values and smoking in an ethnically diverse sample of Southern California adolescents. (United States)

    Unger, Jennifer B; Shakib, Sohaila; Gallaher, Peggy; Ritt-Olson, Anamara; Mouttapa, Michele; Palmer, Paula H; Johnson, C Anderson


    In ethnically diverse school contexts, values from multiple cultures might influence adolescents' attitudes and behaviors. This study developed scales to assess cultural values among Southern California 6'-grade adolescents (N=2281) and evaluated the associations between values and smoking. The scales assessed values salient in many Hispanic and Asian cultures: Respect for Adults (e.g., filial piety, respeto), Interpersonal Harmony (e.g., saving face, simpatia), and Differentiated Gender Roles (e.g., machismo). In cross-sectional and one-year longitudinal models, Respect for Adults and Interpersonal Harmony were associated with a lower risk of lifetime smoking. The associations were significant even after controlling for demographic characteristics, friends' smoking, and parents' smoking, indicating that values influence adolescents' behavior over and above the effects of modeling and peer influence. Increased understanding of adolescents' values could inform the creation of smoking prevention programs for ethnically diverse adolescents.

  16. Adolescent Expectancy-Value Motivation, Achievement in Physical Education, and Physical Activity Participation (United States)

    Zhu, Xihe; Chen, Ang


    This study examined the relation between adolescent expectancy-value motivation, achievements, and after-school physical activity participation. Adolescents (N = 854) from 12 middle schools completed an expectancy-value motivation questionnaire, pre and posttests in psychomotor skill and health-related fitness knowledge tests, and a three-day…

  17. Anticipating Their Future: Adolescent Values for the Future Predict Adult Behaviors (United States)

    Finlay, Andrea K.; Wray-Lake, Laura; Warren, Michael; Maggs, Jennifer


    Adolescent future values--beliefs about what will matter to them in the future--may shape their adult behavior. Utilizing a national longitudinal British sample, this study examined whether adolescent future values in six domains (i.e., family responsibility, full-time job, personal responsibility, autonomy, civic responsibility, and hedonistic…

  18. BMI percentile-for-age overestimates adiposity in early compared with late maturing pubertal children

    DEFF Research Database (Denmark)

    Sørensen, Kaspar; Juul, Anders


    .041) was found with early compared with late maturation, despite similar BIA-estimated body fat percentage (BIA-BF%). Neither BMI nor BIA-BF% differed for a given stage of maturation. BMI percentile-for-age and prevalence of overweight/obesity were higher in the early compared with late matured pubertal children......OBJECTIVE: Early pubertal timing is consistently associated with increased BMI percentile-for-age in pubertal girls, while data in boys are more ambiguous. However, higher BMI percentile-for-age may be a result of the earlier puberty per se rather than vice versa. The aim was to evaluate markers...... of adiposity in relation to pubertal timing and reproductive hormone levels in healthy pubertal boys and girls. STUDY DESIGN: Population-based cross-sectional study (The Copenhagen Puberty Study). Eight-hundred and two healthy Caucasian children and adolescents (486 girls) aged 8.5-16.5 years participated. BMI...

  19. Impact of parenting styles on adolescents' self-esteem and internalization of values in Spain. (United States)

    Martínez, Isabel; García, José Fernando


    The relationship of parenting styles with adolescents' outcomes was analyzed within a sample of Spanish adolescents. A sample of 1456 teenagers from 13 to 16 years of age, of whom 54.3% were females, reported on their parents' child-rearing practices. The teenagers' parents were classified into one of four groups (authoritative, authoritarian, indulgent, or neglectful). The adolescents were then contrasted on two different outcomes: (1) priority given to Schwartz's self-transcendence (universalism and benevolence) and conservation (security, conformity, and tradition) values and (2) level of self-esteem (appraised in five domains: academic, social, emotional, family and physical). The results show that Spanish adolescents from indulgent households have the same or better outcomes than adolescents from authoritative homes. Parenting is related with two self-esteem dimensions--academic and family--and with all the self-transcendence and conservation values. Adolescents of indulgent parents show highest scores in self-esteem whereas adolescents from authoritarian parents obtain the worst results. In contrast, there were no differences between the priority given by adolescents of authoritative and indulgent parents to any of the self-transcendence and conservation values, whereas adolescents of authoritarian and neglectful parents, in general, assign the lowest priority to all of these values.

  20. Modified Moment, Maximum Likelihood and Percentile Estimators for the Parameters of the Power Function Distribution

    Directory of Open Access Journals (Sweden)

    Azam Zaka


    Full Text Available This paper is concerned with the modifications of maximum likelihood, moments and percentile estimators of the two parameter Power function distribution. Sampling behavior of the estimators is indicated by Monte Carlo simulation. For some combinations of parameter values, some of the modified estimators appear better than the traditional maximum likelihood, moments and percentile estimators with respect to bias, mean square error and total deviation.

  1. The examination of relationship between human values and moral maturity in adolescence

    Directory of Open Access Journals (Sweden)

    Hakan Sarıçam


    Full Text Available This study was aim to examine both human values and moral maturity of adolescence within gender and age variables and the relationship between human values and moral maturity in adolescence. The study was conducted with 341 adolescences[N=108 (32% male, 233’ü (68% female] attending to Agrı high schools in 2011 -2012 school year in and their age ranged from 13 to 18. All adolescences were chosen in this study randomly. In this study The Moral Maturity Scale (Dilmaç, 2007 and The Human Values Scale (Selçuk ve Kaya, 2008 were used. As a result of the study it was found that female adolescences got significantly higher score than male adolescences in human values and in moral maturity level (p<.05. Moreover adolescences with 16-18 age got significantly higher score than adolescences with 13-15 age (p<.01. In this study it was also found that all gender were at Kohlberg conventional moral level. Moreover human values and its sub constructs are significantly correlated with moral maturity and five sub construct except forbearance explain 24 % variance of moral maturity (p<.01. The findings of this research were discussed in the light of the literature and some recommendations and suggestions were presented for the further research.

  2. Percentile distribution of blood pressure readings in relation to body mass index: a populationbased cross-sectional study ADOPOLNOR

    Directory of Open Access Journals (Sweden)

    Krzyżaniak Alicja


    Full Text Available Recent upward trends toward elevated blood pressure and increased weight expressed in terms of body mass index in children and adolescents call for regular monitoring of their physical growth and age-related changes in blood pressure. This requires adequate tools - reference values of a normal blood pressure range. The main objective of this study was to provide sex- and BMI-specific percentile reference values for systolic and diastolic blood pressure based on the adolescent Polish population, participants in the ADOPOLNOR study. A cross-sectional survey was carried out on a representative, randomly selected cohort of 4,941; 2,451 male and 2,490 female students aged 10-18 years, residents in Wielkopolska province and its capital, the city of Poznań. All examinations were performed in school nursery rooms during morning hours according to standard procedures. Body height and weight were measured and BMI was calculated. Blood pressure was measured twice on each occasion on the right arm using a fully calibrated TECH MED TM-Z mercury gauge sphygmomanometer with sets of exchangeable cuffs and a clinical stethoscope. The blood pressure classification was determined using the surveillance method. For each participant, the mean of measurements taken on each of the three occasions was calculated and served as his/her final blood pressure value. Using the LMS method, fitted percentile curves were created for BMI-related systolic and diastolic blood pressure. The findings revealed that age related blood pressure pattern was similar in boys and girls. It showed a steady increase of systolic and diastolic blood pressure with age. There was a positive correlation between the systolic and diastolic blood pressure indicating that when systolic blood pressure increased so diastolic did (r=0.61 at p<0.01. Boys were likely to have relatively higher mean values of systolic and diastolic blood pressure and steeper slope for BMI-related change in blood pressure

  3. Personal values and involvement in problem behaviors among Bahamian early adolescents: a cross-sectional study

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    Li Xiaoming


    Full Text Available Abstract Background Few studies, particularly in developing countries, have explored the relationship between adolescents and parental values with adolescent problem behaviors. The objectives of the study are to (1 describe adolescents' personal values, their problem behaviors, and the relationships thereof according to gender and (2 examine the relationship between parental values, adolescent values, and adolescents' problem behaviors among sixth-grade students and one of their parents. Methods The data used in these analyses were from the baseline assessment of a school-based HIV risk reduction intervention being conducted and evaluated among sixth grade students and one of their parents across 9 elementary schools in The Bahamas. Personal values were measured by the Portrait Values Questionnaire (PVQ. Seven reported problem behaviors were queried from the students, which included physical fight with a friend, drank alcohol, beer, or wine, smoked a cigarette, pushed or carried any drugs, carried a gun, knife, screwdriver or cutlass to use as a weapon, had sex and used marijuana or other illicit drugs over the past 6 months. Multilevel modeling for binary data was performed to estimate the associations between adolescent and parental values and adolescent problem behaviors. Results Among 785 students, 47% of the students reported at least one problem behavior. More boys (54% reported having one or more problem behaviors than girls (41%, p Conclusion In designing interventions for reducing adolescents' problem behaviors, it may be important to understand the values associated with specific problem behaviors. Further exploration regarding lack of association between adolescent and parental values and problem behaviors is needed.

  4. The Quest for Values in Contemporary Adolescent Fiction. (United States)

    Blackburn, William

    A comparison of a highly acclaimed, recent realistic adolescent novel, Richard Peck's "Are You in the House Alone?" with J. M. Barrie's "Peter Pan" yields some surprises. For all its realism of subject matter (including rapes, birth control, and corrupt adults) and its skillful exposition of the traumas of growing up, too often…

  5. Evidential Value That Exercise Improves BMI z-Score in Overweight and Obese Children and Adolescents. (United States)

    Kelley, George A; Kelley, Kristi S


    Background. Given the cardiovascular disease (CVD) related importance of understanding the true effects of exercise on adiposity in overweight and obese children and adolescents, this study examined whether there is evidential value to rule out excessive and inappropriate reporting of statistically significant results, a major problem in the published literature, with respect to exercise-induced improvements in BMI z-score among overweight and obese children and adolescents. Methods. Using data from a previous meta-analysis of 10 published studies that included 835 overweight and obese children and adolescents, a novel, recently developed approach (p-curve) was used to test for evidential value and rule out selective reporting of findings. Chi-squared tests (χ (2)) were used to test for statistical significance with alpha (p) values z-score in overweight and obese children and adolescents, an important therapeutic strategy for treating and preventing CVD.

  6. The Interplay between Values and Aggression in Adolescence: A Longitudinal Study (United States)

    Benish-Weisman, Maya


    Values, or the guiding standards of adolescents' lives, influence which behaviors are considered more justified than others. The relationship between values and social behavior has been established across many studies including the relationship of values and aggression. But only a few studies have examined these relationships among youth.…

  7. The Change of Work Value Endorsement among Korean Adolescents and Its Association with Socioeconomic Status (United States)

    Lee, Bora; Landberg, Monique; Lee, Ki-Hak


    This study examined how the endorsement of work values changed over time and investigated the role of socioeconomic status in the development of work values. A 5-year longitudinal sample of Korean adolescents was used. Three work values were measured: Extrinsic reward, working conditions, and personal development. Findings indicate that Korean…

  8. Cultural values associated with substance use among Hispanic adolescents in southern California. (United States)

    Soto, Claradina; Unger, Jennifer B; Ritt-Olson, Anamara; Soto, Daniel W; Black, David Scott; Baezconde-Garbanati, Lourdes


    Cultural values can shape people's attitudes toward substance use and influence their risk of experimentation with drugs. This article examines the relationships between cultural values (familism, respeto, and machismo), fatalism (a culturally encouraged personality disposition), and substance use among Hispanic adolescents. In 2005, cross-sectional data were collected from 1,616 Hispanic ninth grade students in Los Angeles. Each cultural value was associated with lifetime substance use; however, these relationships depended on the type of substance and gender. Our findings suggest that it might be useful to incorporate the cultural values and address the personality trait of fatalism in prevention programs for Hispanic adolescents. The study's limitations are noted.

  9. EJSCREEN National Percentiles Lookup Table--2015 Public Release (United States)

    U.S. Environmental Protection Agency — The USA table provides percentile breaks of important EJSCREEN elements (demographic indicators and indexes, environmental indicators and indexes) at the national...

  10. EJSCREEN States Percentiles Lookup Table--2015 Public Release (United States)

    U.S. Environmental Protection Agency — The States table provides percentile breaks of important EJSCREEN elements (demographic indicators and indexes, environmental indicators and indexes) at the state...

  11. EJSCREEN Regions Percentiles Lookup Table--2015 Public Release (United States)

    U.S. Environmental Protection Agency — The Regions table provides percentile breaks of important EJSCREEN elements (demographic indicators and indexes, environmental indicators and indexes) at the EPA...

  12. Walking the Walk: The Moderating Role of Proactive Parenting on Adolescents' Value-Congruent Behaviors (United States)

    Padilla-Walker, Laura M.; Fraser, Ashley M.; Harper, James M.


    The current study longitudinally examined adolescents' internalization of values in four domains (drug use, prosocial, school, friends), and how these values were differentially related to behaviors (delinquency, prosocial behavior, school engagement, and deviant peer association) as a function of proactive parenting. Participants included 335…

  13. The Relations of Maternal and Social Environments to Late Adolescents' Materialistic and Prosocial Values. (United States)

    Kasser, Tim; And Others


    Examined relationships between unsupportive environments and adolescents' valuing financial success relatively more than affiliation, community, and self-acceptance. Eighteen-year olds who rated the importance of financial success aspirations higher than other values were found to have mothers who were less nurturant. Further, these subjects grew…

  14. Sex and Age Differences in Adolescents' Value Judgments of Historically Important Events: Theory, Stereotypes and Data. (United States)

    Kunen, Seth; And Others


    Examined how younger and older adolescents differed in their value judgments of historically important events. Subjects (n=154) between the ages of 11 and 27 listed 10 most important events to United States since 1900. Three most frequently cited events were World Wars I and II and Vietnam. Age was much better predictor of value judgments than…

  15. Rock Music and the Socialization of Moral Values in Early Adolescence. (United States)

    Leming, James S.


    Links between rock music, moral values, and youth behavior are difficult to establish. This study shows that while young people are influenced by the content of songs, they sometimes disagree with and criticize lyrics. Thus the premise of adolescents as passive receptors of negative values portrayed in music is not warranted. (VM)


    Directory of Open Access Journals (Sweden)

    Pyotr N. Kondrashov


    Full Text Available The purpose of the article is to show immanent interrelation between structure of terminal and tool vital values of adolescents of the Post-Soviet period and predisposition to perpetrate of corruption actions. Methods. The methods involve philosophical analysis, supervision, questioning under the formalized questionnaire, conversation, and longitudinal research. The program of research includes the questions connected with different aspects, factors and motives of valuable orientations of adolescents.Results. Results of longitudinal research (1998–2014 of dynamics of vital values of adolescents are presented. It is established that the structure of adolescent’s axio-sphere has radically changed for the studied period. In 1998, the most important life values were money, material well-being; in contrast to 2014 when the values are good health and love. Thus, there is a reorientation of adolescents from mercantile values to spiritual values. On the other hand, the system of instrumental values changes. In 90-s, the main means of achieving life goals were money, violence and helping of other people; it is in contrast to 2014 when teenagers are guided more by their own strength.Scientific novelty. It is for the first time shown that feature of vital values of modern city teenagers is inability of long expectation of realization of the vital purposes. It is burdened also by the fact that many vital values (education, health, love, friendship turn into exchange values (costs in modern capitalist society. Therefore teenagers prefer to use money as means of instant achievement of the purposes. These factors form real predisposition of adolescents to perpetrate corruption actions.Practical significance. The presented investigation can be interesting to parents, tutors of preschool institutions, teachers of schools, experts in the field of psychology, sociologists, lawyers, and law enforcement officers.

  17. The use of percentiles and percentile rank classes in the analysis of bibliometric data: Opportunities and limits

    NARCIS (Netherlands)

    Bornmann, L.; Leydesdorff, L.; Mutz, R.


    Percentiles have been established in bibliometrics as an important alternative to mean-based indicators for obtaining a normalized citation impact of publications. Percentiles have a number of advantages over standard bibliometric indicators used frequently: for example, their calculation is not bas

  18. Morality, Values, Traditional Bullying, and Cyberbullying in Adolescence (United States)

    Menesini, Ersilia; Nocentini, Annalaura; Camodeca, Marina


    The aim of the present study was to investigate moral aspects and human values in traditional bullying and cyberbullying, in order to detect differences between the two types of bullying and to test the role of immoral and disengaged behaviours in mediating the relationships between personal values and involvement in bullying. Sample comprised 390…

  19. Latino cultural values as protective factors against sexual risks among adolescents. (United States)

    Ma, Mindy; Malcolm, Lydia R; Diaz-Albertini, Kristine; Klinoff, Vera A; Leeder, Elisa; Barrientos, Sohani; Kibler, Jeffrey L


    The study objective was to examine the associations between cultural values and sexual risk factors among Latino youth. A sample of 226 Latino adolescents ages 13-16 completed a survey on cultural and sexual variables. Results indicate higher levels of Latino cultural orientation were related to greater sexual self-efficacy and fewer sexual partners for female adolescents and greater condom use self-efficacy for both males and females. Greater endorsement of simpatia (belief in interpersonal relationship harmony) was associated with sexual abstinence and greater sexual self-efficacy for all adolescents, and with being older at sexual debut for females. Stronger endorsement of respeto (respect towards parents and other authority figures) was correlated with a lower intention to have sex during secondary school and greater condom use self-efficacy. American cultural orientation was associated with less condom use. Our findings indicate Latino cultural values may serve as protective factors against sexual risk behaviors among Latino youth.

  20. Reference percentiles for FEV1 and BMI in European children and adults with cystic fibrosis

    Directory of Open Access Journals (Sweden)

    Boëlle Pierre-Yves


    Full Text Available Abstract Background The clinical course of Cystic Fibrosis (CF is usually measured using the percent predicted FEV1 and BMI Z-score referenced against a healthy population, since achieving normality is the ultimate goal of CF care. Referencing against age and sex matched CF peers may provide valuable information for patients and for comparison between CF centers or populations. Here, we used a large database of European CF patients to compute CF specific reference equations for FEV1 and BMI, derived CF-specific percentile charts and compared these European data to their nearest international equivalents. Methods 34859 FEV1 and 40947 BMI observations were used to compute European CF specific percentiles. Quantile regression was applied to raw measurements as a function of sex, age and height. Results were compared with the North American equivalent for FEV1 and with the WHO 2007 normative values for BMI. Results FEV1 and BMI percentiles illustrated the large variability between CF patients receiving the best current care. The European CF specific percentiles for FEV1 were significantly different from those in the USA from an earlier era, with higher lung function in Europe. The CF specific percentiles for BMI declined relative to the WHO standard in older children. Lung function and BMI were similar in the two largest contributing European Countries (France and Germany. Conclusion The CF specific percentile approach applied to FEV1 and BMI allows referencing patients with respect to their peers. These data allow peer to peer and population comparisons in CF patients.

  1. The role of gender, values, and culture in adolescent bystanders' strategies. (United States)

    Tamm, Anni; Tulviste, Tiia


    We examined the relationship between adolescent bystanders' strategies for intervening in the bullying-like situation and their gender, values, and cultural origin. The sample consisted of 682 Estonian and Russian-Estonian adolescents (M age = 13.02 years). They were shown a video of a bullying-like situation with a non-intervening adult bystander and asked to describe what they would do if they, instead of the adult, witnessed that situation. Only 10% said that they would not intervene. Girls were more likely than boys to suggest multiple actions. Adolescents who valued conformity were less likely to propose using physical aggression. Doing nothing was less likely suggested by those who placed more importance on conformity and less on power. Estonian adolescents were more likely than their Russian-Estonian peers to suggest finding out what is going on, and less likely to say that they would do nothing. The findings suggest that although most adolescents express willingness to help the victim, they might not actually know how to intervene.

  2. Fitkids Treadmill Test : Age- and Sex-Related Normative Values in Dutch Children and Adolescents

    NARCIS (Netherlands)

    Kotte, Elles M W; de Groot, Janke F; Bongers, Bart C; Winkler, Alexander M F; Takken, Tim


    BACKGROUND: Recent research has shown that the Fitkids Treadmill Test (FTT) is a valid and reproducible exercise test for the assessment of aerobic exercise capacity in healthy children and adolescents. OBJECTIVE: To provide sex- and age-related normative values for FTT performance in healthy and ty

  3. The Fitkids Treadmill Test: age- and sex-related normative values in Dutch children and adolescents.

    NARCIS (Netherlands)

    Kotte, E.M.W.; Groot, J.F. de; Bongers, B.C.; Winkler, L.M.F.; Takken, T.


    Background: Recent research has shown that the Fitkids Treadmill Test (FTT) is a valid and reproducible exercise test for the assessment of aerobic exercise capacity in children and adolescents who are healthy. Objective: The study objective was to provide sex- and age-related normative values for F

  4. Reference values for anaerobic performance and agility in ambulatory children and adolescents with cerebral palsy

    NARCIS (Netherlands)

    Verschuren, Olaf; Bloemen, Manon; Kruitwagen, Cas; Takken, Tim


    Aim The aim of this study was to provide reference values of anaerobic performance and agility in a group of children and adolescents with spastic cerebral palsy (CP). Method A total of 300 children (184 males, 116 females) with spastic CP were recruited from 26 rehabilitation centres in six differe

  5. Indian Adolescents' Cyber Aggression Involvement and Cultural Values: The Moderation of Peer Attachment (United States)

    Wright, Michelle F.; Kamble, Shanmukh V.; Soudi, Shruti P.


    Although research on cyberbullying and cyber aggression is growing, little attention has been given to examinations of these behaviors among adolescents in Asian countries, particularly in India. The present study examined the relationships among cyber aggression involvement and cultural values (i.e. individualism, collectivism), along with peer…

  6. Adolescents' Affective Engagement with Theatre: Surveying Middle School Students' Attitudes, Values, and Beliefs (United States)

    Omasta, Matt


    This essay explores how viewing a single Theatre for Young Audiences production might affect the attitudes, values, and/or beliefs of adolescent spectators. Data is drawn from a mixed-methods case study performed with middle school students who viewed a professional performance for young people, and is considered through the lens of cognitive…

  7. Interactions among Domain-Specific Expectancies, Values, and Gender: Predictors of Test Anxiety during Early Adolescence (United States)

    Selkirk, Laura C.; Bouchey, Heather A.; Eccles, Jacquelynne S.


    This research focuses on the interaction between students' domain-specific expectancies and values as a predictor of test anxiety. A subsample of adolescents from the MSALT dataset are used in the current study; students complete measures during the spring of sixth grade and again during the spring of seventh grade. Overall, findings provide…

  8. Reference values for frequency volume chart and uroflowmetry parameters in adolescent and adult enuresis patients

    NARCIS (Netherlands)

    Hofmeester, Ilse; Brinker, Astrid E.; Steffens, Martijn G.; Mulder, Zwaan; van Capelle, Jan Willem; Feitz, Wout F.J.; Blanker, Marco H.


    Aims: Reference values of Frequency Volume Chart (FVC) and uroflowmetry parameters for adolescent and adult enuresis patients are lacking. In this study, we aim to describe those parameters, in order to interpret findings from FVCs and uroflowmetries in those patients. Methods: Retrospective, descri

  9. Characterization of bathtub distributions via percentile residual life functions


    Franco-Pereira, Alba M.; Lillo, Rosa E.; Romo, Juan


    In reliability theory and survival analysis, many set of data are generated by distributions with bathtub shaped hazard rate functions. Launer (1993) established several relations between the behaviour of the hazard rate function and the percentile residual life function. In particular, necessary conditions were given for a special type of bathtub distributions in terms of percentile residual life functions. The purpose of this paper is to complete the study initiated by Launer...

  10. Reference values of hematological indices of infants, children, and adolescents in Port Harcourt, Nigeria

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    FI Buseri


    Full Text Available FI Buseri1, IJ Siaminabo2, ZA Jeremiah11Hematology and Blood Transfusion Sciences Unit, Department of Medical Laboratory Sciences, Niger Delta University, Wilberforce Island, Bayelsa State, Nigeria; 2Department of Hematology and Blood Transfusion, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, NigeriaBackground: Lack of standard local reference values have been a problem facing hematological practice in Nigeria. Our aim was to establish reference hematological values from infancy to adolescence for future use in Nigeria.Methods: A total of 1,021 apparently healthy Nigerian children aged 0–17 years were recruited for this cross-sectional descriptive study from the University of Port Harcourt Teaching ­Hospital, Port Harcourt, during preparatory exercises for immunization for Hepatitis B vaccine and from the Rivers State University of Science and Technology Day Care/Nursery, Primary, and International Demonstration Secondary School, Port Harcourt, during their standard medical examination prior to starting school. All hematological parameters were carried out using International Committee on Standardization in Hematology (ICSH approved manual methods.Results: We report a reference range study conducted in Port Harcourt infants (aged 1 day to less than 1 year, children (1 to less than 5 years, 5 to less than 9 years, 9 to 14 years, and adolescents (14 to 17 years old, establishing reference intervals for hematological parameters. Several differences were observed when compared to previously established values from Caucasians, most notably in hemoglobin, packed cell volume, platelets, total white blood cell count, and neutrophil values.Conclusion: The values reported in this study can be used as local reference values for Port Harcourt infants, children, and adolescents.Keywords: reference values, hematologic indices, infants, children, adolescents, Port Harcourt, Nigeria

  11. Value systems among adolescents: Novel method for assessing level of ego-development. (United States)

    Kjellström, Sofia; Sjölander, Per; Almers, Ellen; Mccall, Mary E


    Children's value systems develop through youth and influence attitudes and actions. But there is a lack of appropriate measures for children and adolescents. The objective of this study was to construct and validate a questionnaire that reveals distinct value systems among adolescents, and to evaluate the identified value systems' relationship to degree of ego-development and moral development. A quantitative study in a Swedish School with ages 12 through 16 (grades 6 to 9) was performed (N = 204). A set of pattern recognition statistical analyses has been used to identify different profiles of values systems and demonstrate that these systems can be arranged in a hierarchical order similar to other development. Results revealed three value systems in this sample. The identified value systems reflect different degrees of moral and ego-development among children in the study. Three distinct value systems were identified: the first (n = 9) and the second value systems (n = 35) correspond to pre-conventional stages, and the third value system (n = 155) corresponds to early conventional stages of ego development. Ego development scoring of test statements to assess stages. The value system was significantly related to moral development in the personal interest and the maintaining norms schemas of the Defining Issues Test (DIT). However, many students did not complete the entire DIT, so those results should be looked at with caution. It appears that this new test (Test for Adolescent Value Systems - TAVS) does relate to an established ego development rating scale.

  12. C-reactive protein and its relation to high blood pressure in overweight or obese children and adolescents

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    Juliana Andreia F. Noronha


    Full Text Available OBJECTIVE To investigate the association between C-reactive protein (CRP and high blood pressure (BP in overweight or obese children and adolescents. METHODS Cross-sectional study with 184 overweight or obese children and adolescents aged from two to 18 years old, from April, 2009 to April, 2010. The classification of nutritional status used the body mass index (BMI. Based on the Centers for Disease Control and Prevention curve, individuals were classified as: overweight (BMI between the 85th-95th percentiles, obesity (BMI between 95th-97th percentiles and severe obesity (BMI >97th percentile. Abnormal values were considered for systolic BP (SBP and/or diastolic (DBP if ≥90th percentile of the BP curve recommended for children and adolescents in the V Brazilian Guidelines on Hypertension, for waist circumference (WC if ≥90th percentile of the curve established by the National Cholesterol Education Program, and for high sensitive CRP (hs-CRP if >3mg/dL. To evaluate the association of inadequate values of CRP and the studied groups, chi-square test and analysis of variance were applied, using the Statistical Package for the Social Sciences version 17.0 and adopting a significance level of 5%. RESULTS Among the evaluated sample, 66.3% were female, 63.5%, non-white, 64.1% had severe obesity, 78.3% had altered WC and 70.6% presented high BP. There was a significant association of CRP high levels with altered WC and BMI ≥97th percentile. In adolescents, high CRP was related to high SBP. CRP mean values were higher in individuals with elevated SBP. CONCLUSIONS Inadequate values of hs-CRP were associated with severe obesity and high SBP in the studied population. These markers can be used to identify children and adolescents at higher risk for developing atherosclerosis.

  13. Sex-specific relationships among attachment security, social values, and sensation seeking in early adolescence: implications for adolescents' externalizing problem behaviour. (United States)

    Sarracino, Diego; Presaghi, Fabio; Degni, Silvia; Innamorati, Marco


    In early adolescence, attachment security reflects not only the quality of ongoing relationships with parents, but also how adolescents process social relationships with "others" - that is, their "social value orientation" - with possible implications for adolescents' risk-taking. In this study, a sample of Italian early adolescents were administered self-report measures in order to examine the relationships (a) between early adolescents' perceived attachment security to mothers and fathers, social values (related to family and the socio-cultural context), and sensation seeking (as a temperamental predisposition to risk-taking), and (b) between these variables and adolescents' externalizing problem behaviour. Adolescents were more securely attached to the same-sexed parent. Further, attachment security with the opposite-sexed parent predicted more conservative social value orientations, and lower levels of problem behaviour. In contrast, sensation seeking predicted self-enhancement and openness-to-change values to a greater extent, and, in girls, lower levels of attachment security to mothers and fathers.

  14. The relationship of value orientations in older adolescents with high status position in a student group

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    V.D. Kuteynikova


    Full Text Available We present study results of social and psychological characteristics of group and individual value orientations in older adolescents. We considered the main criteria to be content and orientation of values, and level of value-oriented student group unity. The study involved 86 high school students of IX-XI grades of Moscow schools. We used a set of socio-psychological methods and instructional techniques: sociometry, referentometry, a technique of defining the informal intragroup power structure in a contact community, "Values and orientation of the individual" method by L.N.Silantieva, a method of determining the degree of value-orientation of group unity. The results obtained show that in high school there is a relationship between the student's status in the group and his system of individual and group value orientations. The most significant differences among students with different status position were detected in the content and direction of value orientations.

  15. Transmission of Cultural Values among Mexican American Parents and their Adolescent and Emerging Adult Offspring (United States)

    Perez-Brena, Norma J.; Updegraff, Kimberly A.; Umaña-Taylor, Adriana J.


    The integration of the U.S. and Mexican culture is an important process associated with Mexican-origin youths’ adjustment and family dynamics. The current study examined the reciprocal associations in parents’ and two offspring’s cultural values (i.e., familism and respect) in 246 Mexican-origin families. Overall, mothers’ values were associated with increases in youths’ values five years later. In contrast, youths’ familism values were associated with increases in fathers’ familism values five years later. In addition, developmental differences emerged where parent-to-offspring effects were more consistent for youth transitioning from early to late adolescence than for youth transitioning from middle adolescence to emerging adulthood. Finally, moderation by immigrant-status revealed a youth-to-parent effect for mother-youth immigrant dyads, but not for dyads where youth were U.S.-raised. Our findings highlight the reciprocal nature of parent-youth value socialization and provide a nuanced understanding of these processes through the consideration of familism and respect values. As Mexican-origin youth represent a large and rapidly growing segment of the U.S. population, research that advances our understanding of how these youth develop values that foster family cohesion and support are crucial. PMID:25470657

  16. Percentile growth charts for biomedical studies using a porcine model. (United States)

    Corson, A M; Laws, J; Laws, A; Litten, J C; Lean, I J; Clarke, L


    Increasing rates of obesity and heart disease are compromising quality of life for a growing number of people. There is much research linking adult disease with the growth and development both in utero and during the first year of life. The pig is an ideal model for studying the origins of developmental programming. The objective of this paper was to construct percentile growth curves for the pig for use in biomedical studies. The body weight (BW) of pigs was recorded from birth to 150 days of age and their crown-to-rump length was measured over the neonatal period to enable the ponderal index (PI; kg/m3) to be calculated. Data were normalised and percentile curves were constructed using Cole's lambda-mu-sigma (LMS) method for BW and PI. The construction of these percentile charts for use in biomedical research will allow a more detailed and precise tracking of growth and development of individual pigs under experimental conditions.

  17. Adolescent sexuality and sexually transmitted diseases: attitudes, beliefs, knowledge, and values. (United States)

    Johnson, L S; Rozmus, C; Edmisson, K


    This study described rural adolescents' attitudes, beliefs, knowledge, and values with regard to sexuality and sexually transmitted diseases (STDs). Rotter's Social Learning Theory (1954) provided the theoretical framework for this descriptive, correlational design. The convenience sample consisted of 170 students from one rural high school. Consistent with past studies, results included the following: participants had more correct than incorrect knowledge related to sexual intercourse and STDs; the majority had positive attitudes toward condom use and believed it was OK for peers to have sex with a "steady;" the value of an exciting life correlated positively with attitudes toward sex; knowledge of sexual intercourse correlated positively with attitudes toward condom use; and the value health correlated positively with knowledge of sex and attitudes toward condom use, and negatively with attitudes toward sex. The findings in this study suggest the need for ongoing research with adolescents in the area of sexuality and STDs. Additionally, the findings support past studies, which revealed that knowledge of sexual intercourse and STDs has little impact on attitudes toward sexual intercourse. With the serious nature of some of the undesired consequences of adolescent sexual behavior, current and accurate information on this population is needed to assist health educators in developing interventions in this area.

  18. Cut-Off Values of Visceral Adiposity to Predict NAFLD in Brazilian Obese Adolescents

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    Ana Paula Grotti Clemente


    Full Text Available Objectives. The present study aimed at determining cut-off points of visceral fat to predict NAFLD and analyzed metabolic disorders of obese adolescents. Methods. Cross-sectional study involved 165 obese adolescents ranged in age from 15 to 19 years. Glycemia, hepatic transaminases, lipid profile, and insulin resistance were analyzed. Visceral and subcutaneous fat were measured by ultrasound and body composition by plesthysmography. Results. The NAFLD adolescents had significantly higher values for body mass, BMI-for-age, BMI, total fat, waist circumference, and visceral fat when compared with non-NAFLD obese adolescents in both genders. Moreover, there were significant positive correlations between visceral fat with the variables BMI-for-age (r=0.325,, TG (r=0.277, AST (r=0.509, ALT (r=0.519, WC (r=0.390, and visceral/subcutaneous ratio (r=0.790 for NAFLD group. Total fat, triglycerides, and visceral fat were the independent predictors to NAFLD. Analysis of the ROC curves revealed cut-off points of visceral fat of 4.47 cm for girls and 4.21 cm for boys. Conclusions. The results may suggest that abdominal ultrasonography procedure may be a safe alternative method of assessing visceral adiposity aiming to be considered to the development of preventive and treatment strategies in obese individuals. This clinial trial is registered with (NCT01358773.

  19. Low body weight in male children and adolescents with schizoid personality disorder or Asperger's disorder. (United States)

    Hebebrand, J; Henninghausen, K; Nau, S; Himmelmann, G W; Schulz, E; Schäfer, H; Remschmidt, H


    This study explored the hypothesis that body weight is reduced in male children and adolescents with schizoid personality disorder or Asperger's disorder. The body weights of 33 consecutively admitted male subjects with one of these disorders were retrospectively assessed with percentiles for the body mass index (BMI). The mean percentile (+/- SD) for the BMI was 31.6 +/- 27.6 and differed significantly from the expected value of 50 (Pschizoid personality disorder and Asperger's disorder and (b) reduced to a greater extent in patients with abnormal eating behaviour. During childhood and adolescence both diagnoses are associated with an increased risk of being underweight. Population-based BMI percentiles are useful for detecting associations between specific psychopathological syndromes and body weight.

  20. Value Similarities among Fathers, Mothers, and Adolescents and the Role of a Cultural Stereotype: Different Measurement Strategies Reconsidered (United States)

    Roest, Annette M. C.; Dubas, Judith Semon; Gerris, Jan R. M.; Engels, Rutger C. M. E.


    In research on value similarity and transmission between parents and adolescents, no consensus exists on the level of value similarity. Reports of high-value similarities coexist with reports of low-value similarities within the family. The present study shows that different conclusions may be explained by the use of different measurement…

  1. Value Similarities Among Fathers, Mothers, and Adolescents and the Role of a Cultural Stereotype: Different Measurement Strategies Reconsidered

    NARCIS (Netherlands)

    Roest, A.M.C.; Dubas, J.S.; Gerris, J.R.M.; Engels, R.C.M.E.


    In research on value similarity and transmission between parents and adolescents, no consensus exists on the level of value similarity. Reports of high-value similarities coexist with reports of low-value similarities within the family. The present study shows that different conclusions may be expla

  2. I Can Do Maths: Changing Children's Mathematics Percentile Ranking. (United States)

    Le Grice, Bonny; Mabin, Tony; Graham, Sue

    Three groups of children aged 8-10 who scored below the 22nd percentile on the PATests were taught basic math skills for 16 hours. One group received individual instruction using Precision Teaching and Direct Instruction, the second group received group instruction using Precision Teaching and Direct Instruction, and the third group received group…

  3. Statewide analysis of the drainage-area ratio method for 34 streamflow percentile ranges in Texas (United States)

    Asquith, William H.; Roussel, Meghan C.; Vrabel, Joseph


    The drainage-area ratio method commonly is used to estimate streamflow for sites where no streamflow data are available using data from one or more nearby streamflow-gaging stations. The method is intuitive and straightforward to implement and is in widespread use by analysts and managers of surface-water resources. The method equates the ratio of streamflow at two stream locations to the ratio of the respective drainage areas. In practice, unity often is assumed as the exponent on the drainage-area ratio, and unity also is assumed as a multiplicative bias correction. These two assumptions are evaluated in this investigation through statewide analysis of daily mean streamflow in Texas. The investigation was made by the U.S. Geological Survey in cooperation with the Texas Commission on Environmental Quality. More than 7.8 million values of daily mean streamflow for 712 U.S. Geological Survey streamflow-gaging stations in Texas were analyzed. To account for the influence of streamflow probability on the drainage-area ratio method, 34 percentile ranges were considered. The 34 ranges are the 4 quartiles (0-25, 25-50, 50-75, and 75-100 percent), the 5 intervals of the lower tail of the streamflow distribution (0-1, 1-2, 2-3, 3-4, and 4-5 percent), the 20 quintiles of the 4 quartiles (0-5, 5-10, 10-15, 15-20, 20-25, 25-30, 30-35, 35-40, 40-45, 45-50, 50-55, 55-60, 60-65, 65-70, 70-75, 75-80, 80-85, 85-90, 90-95, and 95-100 percent), and the 5 intervals of the upper tail of the streamflow distribution (95-96, 96-97, 97-98, 98-99 and 99-100 percent). For each of the 253,116 (712X711/2) unique pairings of stations and for each of the 34 percentile ranges, the concurrent daily mean streamflow values available for the two stations provided for station-pair application of the drainage-area ratio method. For each station pair, specific statistical summarization (median, mean, and standard deviation) of both the exponent and bias-correction components of the drainage-area ratio

  4. Psychometric Properties and Normative values of Early Maladaptive Schema Questionnaires Set for Children and Adolescents (SQS). (United States)

    Güner, Olcay


    The Early Maladaptive Schema Questionnaires Set for Children and Adolescents (SQS) was developed to assess early maladaptive schemas in children between the ages of 10 and 16 in Turkey. The SQS consists of five questionnaires that represent five schema domains in Young's schema theory. Psychometric properties (n = 983) and normative values (n = 2250) of SQS were investigated in children and adolescents between the ages of 10 and 16. Both exploratory and confirmatory factor analyses were performed. Results revealed 15 schema factors under five schema domains, with good fit indexes. A total of 14 schema factors were in line with Young's early maladaptive schemas. In addition to these factors, one new schema emerged: self-disapproval. Reliability analyses showed that SQS has high internal consistency and consistency over a 1-month interval. Correlations of SQS with the Adjective Check List (ACL), the Inventory of Parent and Peer Attachment (IPPA), the Symptom Assessment (SA-45) and the Young Schema Questionnaire (YSQ) were investigated to assess criterion validity, and the correlations revealed encouraging results. SQS significantly differentiated between children who have clinical diagnoses (n = 78) and children who have no diagnosis (n = 100). Finally, general normative values (n = 2,250) were determined for age groups, gender and age/gender groups. In conclusion, the early maladaptive schema questionnaires set for children and adolescents turned out to be a reliable and valid questionnaire with standard scores.Copyright © 2016 John Wiley & Sons, Ltd.

  5. Trust and Mindreading in Adolescents: The Moderating Role of Social Value Orientation

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    Jeffrey eDerks


    Full Text Available In adolescence, aspects of cognition that are required to deal with complex cooperation situations, such as mentalising and social value orientation, are still in development. In the Trust Game, cooperation may lead to better outcomes for both players, but can also lead to exploitation by the trustee. In the present study, we explore how mindreading, a crucial aspect of mentalising, and social value orientation (whether someone is prosocial or proself are related to trust. In a group of 217 students (51% girls, Mage = 15.1 social value orientation, mindreading and trust (using the Trust Game were measured. The result show that social value orientation moderates the relation between mindreading and trust. In the group of prosocials, we find no correlation between mindreading and trust. In the group of proselfs, mindreading is negatively correlated to trust, indicating that proselfs use their mentalising skills to assess that the trustee is likely to exploit them.

  6. The effects of traditional family values on the coming out process of gay male adolescents. (United States)

    Newman, B S; Muzzonigro, P G


    The development of a gay or lesbian identity (often referred to as the coming out process) has been widely studied in adults; however, few studies have examined the process in gay adolescents. Even among these studies, little research has investigated the effects of race or family values on the coming out process. A small sample of African-American, Hispanic/Latino, Asian/Eurasian, and Caucasian gay male adolescents participated in this survey study. Coming out was operationalized in three stages: sensitization; awareness with confusion, denial, guilt, and shame; and acceptance. The majority of respondents reported feeling different from other boys as children. The average age of first crush on another boy was 12.7 years; average age for realizing they were gay was 12.5 years. Most respondents reported feeling confused during their first awareness that they were gay. Denial of identity was a coping strategy for about half the sample. Traditional family values played a greater role in predicting coming out experiences than did race. Families were categorized as having high or low traditional values based upon (1) the importance of religion, (2) emphasis on marriage, (3) emphasis on having children, and (4) whether a non-English language was spoken in the home. Families with a strong emphasis on traditional values were perceived as less accepting of homosexuality than were the low traditional families. Those who work with adolescents need to be aware that some will recognize their sexual orientation as gay, lesbian, or bisexual during this time of their lives. These youth need support in the coming out process because they may encounter stigmatization and disapproval not only from the larger society, but also from their families, peers, and sometimes the gay community itself.

  7. Examination The Effect of Values Education Which is Given Adolescents on Self-Regulation Strategies

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    Sinem Ergün Kaplan


    Full Text Available The purpose of this study is to test the effect of values education which is applied to adolescents on their self-regulation strategies. The research was carried on the third grade students in Çumra Trade Vocational High School in Konya in 2011-2012 education years. Six female and five male students were tested in both experimental and control group. Firstly, pretest was conducted on experimental and control groups in the research. Secondly, values education activities which consist 20 sessions were conducted on experimental group twice a week out of the lessons. Activities were performed by the researcher. On the other hand, no activities were applied on control group. It is seen, there is a significant difference between the pre-test scores and post-test scores of the experimental group in favour of the post-test in the aspect of selfregulation at the end of the research. Also, It is found that, there is a crucial difference in utilization of cognitive strategy, self-efficacy, intrinsic value and test anxiety of students between experimental and control group. According to the findings, it is concluded that the values education which was applied to adolescents, has positive effects on the development of the self-regulation strategies.

  8. The therapeutic value of adolescents' blogging about social-emotional difficulties. (United States)

    Boniel-Nissim, Meyran; Barak, Azy


    Research shows that writing a personal diary is a valuable therapeutic means for relieving emotional distress and promoting well-being, and that diary writing during adolescence helps in coping with developmental challenges. Current technologies and cultural trends make it possible and normative to publish personal diaries on the Internet through blogs--interactive, online forms of the traditional personal diary. We examined the therapeutic value of blogging for adolescents who experience social-emotional difficulties. The field experiment included randomly assigned adolescents, preassessed as having social-emotional difficulties, to 6 groups (26-28 participants in each): Four groups were assigned to blogging (writing about their difficulties or free writing; either open or closed to responses), a group assigned to writing a diary on personal computers, and a no-treatment control group. Participants in the 5 writing groups were instructed to post messages at least twice a week over 10 weeks. Outcome measures included scales of social-emotional difficulties and self-esteem, a social activities checklist, and textual analyses of participants' posts. Measurement took place at pre- and postintervention and at follow-up 2 months later. Results showed that participants maintaining a blog significantly improved on all measures. Participants writing about their difficulties in blogs open to responses gained the most. These results were consistent in the follow-up evaluation.

  9. Trend estimates of AERONET-observed and model-simulated AOT percentiles between 1993 and 2013 (United States)

    Yoon, Jongmin; Pozzer, Andrea; Chang, Dong Yeong; Lelieveld, Jos


    Recent Aerosol Optical thickness (AOT) trend studies used monthly or annual arithmetic means that discard details of the generally right-skewed AOT distributions. Potentially, such results can be biased by extreme values (including outliers). This study additionally uses percentiles (i.e., the lowest 5%, 25%, 50%, 75% and 95% of the monthly cumulative distributions fitted to Aerosol Robotic Network (AERONET)-observed and ECHAM/MESSy Atmospheric Chemistry (EMAC)-model simulated AOTs) that are less affected by outliers caused by measurement error, cloud contamination and occasional extreme aerosol events. Since the limited statistical representativeness of monthly percentiles and means can lead to bias, this study adopts the number of observations as a weighting factor, which improves the statistical robustness of trend estimates. By analyzing the aerosol composition of AERONET-observed and EMAC-simulated AOTs in selected regions of interest, we distinguish the dominant aerosol types and investigate the causes of regional AOT trends. The simulated and observed trends are generally consistent with a high correlation coefficient (R = 0.89) and small bias (slope±2σ = 0.75 ± 0.19). A significant decrease in EMAC-decomposed AOTs by water-soluble compounds and black carbon is found over the USA and the EU due to environmental regulation. In particular, a clear reversal in the AERONET AOT trend percentiles is found over the USA, probably related to the AOT diurnal cycle and the frequency of wildfires.

  10. Hand-Held Dynamometry Isometric Torque Reference Values for Children and Adolescents


    Hébert, Luc J.; Maltais, Désirée B.; Lepage, Céline; Saulnier, Joanne; Crête, Mélanie


    Purpose: To establish hand-held dynamometry (HHD) maximal isometric muscle torque (MIT) reference values for children and adolescents who are developing typically. Methods: The MIT of 10 upper and lower limb muscle groups was assessed in 351 Caucasian youth (4 years 2 months to 17 years) using a standardized HHD protocol, previously shown to be feasible, valid, and reliable. Results: The mean MIT and 95% confidence interval of the mean for all muscle groups, for each of the 14 age groups (1 y...

  11. Dynamic Contrast-Enhanced MRI of Cervical Cancers: Temporal Percentile Screening of Contrast Enhancement Identifies Parameters for Prediction of Chemoradioresistance

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    Andersen, Erlend K.F. [Department of Medical Physics, Oslo University Hospital, Oslo (Norway); Hole, Knut Hakon; Lund, Kjersti V. [Department of Radiology, Oslo University Hospital, Oslo (Norway); Sundfor, Kolbein [Department of Gynaecological Oncology, Oslo University Hospital, Oslo (Norway); Kristensen, Gunnar B. [Department of Gynaecological Oncology, Oslo University Hospital, Oslo (Norway); Institute for Medical Informatics, Oslo University Hospital, Oslo (Norway); Lyng, Heidi [Department of Radiation Biology, Oslo University Hospital, Oslo (Norway); Malinen, Eirik, E-mail: [Department of Medical Physics, Oslo University Hospital, Oslo (Norway); Department of Physics, University of Oslo, Oslo (Norway)


    Purpose: To systematically screen the tumor contrast enhancement of locally advanced cervical cancers to assess the prognostic value of two descriptive parameters derived from dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI). Methods and Materials: This study included a prospectively collected cohort of 81 patients who underwent DCE-MRI with gadopentetate dimeglumine before chemoradiotherapy. The following descriptive DCE-MRI parameters were extracted voxel by voxel and presented as histograms for each time point in the dynamic series: normalized relative signal increase (nRSI) and normalized area under the curve (nAUC). The first to 100th percentiles of the histograms were included in a log-rank survival test, resulting in p value and relative risk maps of all percentile-time intervals for each DCE-MRI parameter. The maps were used to evaluate the robustness of the individual percentile-time pairs and to construct prognostic parameters. Clinical endpoints were locoregional control and progression-free survival. The study was approved by the institutional ethics committee. Results: The p value maps of nRSI and nAUC showed a large continuous region of percentile-time pairs that were significantly associated with locoregional control (p < 0.05). These parameters had prognostic impact independent of tumor stage, volume, and lymph node status on multivariate analysis. Only a small percentile-time interval of nRSI was associated with progression-free survival. Conclusions: The percentile-time screening identified DCE-MRI parameters that predict long-term locoregional control after chemoradiotherapy of cervical cancer.

  12. Linkages between mental health need and help-seeking behavior among adolescents: Moderating role of ethnicity and cultural values. (United States)

    Guo, Sisi; Nguyen, Hannah; Weiss, Bahr; Ngo, Victoria K; Lau, Anna S


    Risk of developing emotional and behavioral mental health problems increases markedly during adolescence. Despite this increasing need, most adolescents, particularly ethnic minority youth, do not seek professional help. Informed by conceptual models of health behavior, the current study examined how cultural values are related to help seeking among adolescents from 2 distinct racial/ethnic groups. Using a prospective survey design, 169 Vietnamese American and European American youth in 10th and 11th grade reported on their mental health need, as measured by emotional/behavioral mental health symptoms and stressful life events, with participants reporting on their help-seeking behavior at 6-month follow-up assessments. Multinomial logistic regression analyses indicated that mental health need interacted with cultural values and ethnicity to predict help-seeking behavior. Specifically, associations between symptoms and stressful life events, and help-seeking behavior were smaller among Vietnamese American adolescents, and among adolescents with strong family obligation values. These results underscore the complex sociocultural factors influencing adolescents' help-seeking behavior, which have important implications for engaging youth in needed mental health care.

  13. Sibling relationship quality and Mexican-origin adolescents' and young adults' familism values and adjustment. (United States)

    Killoren, Sarah E; De Jesús, Sue A Rodríguez; Updegraff, Kimberly A; Wheeler, Lorey A


    We examined profiles of sibling relationship qualities in 246 Mexican-origin families living in the United States using latent profile analyses. Three profiles were identified: Positive, Negative and Affect-Intense. Links between profiles and youths' familism values and adjustment were assessed using longitudinal data. Siblings in the Positive profile reported the highest familism values, followed by siblings in the Affect-Intense profile and, finally, siblings in the Negative profile. Older siblings in the Positive and Affect-Intense profiles reported fewer depressive symptoms than siblings in the Negative profile. Further, in the Positive and Negative profiles, older siblings reported less involvement in risky behaviors than younger siblings. In the Negative profile, younger siblings reported greater sexual risk behaviors in late adolescence than older siblings; siblings in opposite-sex dyads, as compared to same-sex dyads, engaged in riskier sexual behaviors. Our findings highlight sibling relationship quality as promotive and risky, depending on sibling characteristics and adjustment outcomes.

  14. Eating Disorder Behaviors, Strength of Faith, and Values in Late Adolescents and Emerging Adults: An Exploration of Associations (United States)

    King, Stephanie L.


    Adolescents entering college are often affected by eating disorders and during this transition to emerging adulthood, individuals begin to establish personal values and beliefs, which makes this population interesting when studying Eating Disorders, values, and faith. This research project seeks to examine the association among strength of…

  15. The Impact of a Values Education Programme for Adolescent Romanies in Spain on Their Feelings of Self-Realisation (United States)

    Soriano, Encarnacion; Franco, Clemente; Sleeter, Christine


    This study analysed the effects a values education programme can have on the feelings of self-realisation, self-concept and self-esteem of Romany adolescents in southern Spain. To do this, an experimental group received a values education intervention but a control group did not. The intervention programme was adapted to the Romany culture. The…

  16. Development of T2-relaxation values in regional brain sites during adolescence. (United States)

    Kumar, Rajesh; Delshad, Sean; Macey, Paul M; Woo, Mary A; Harper, Ronald M


    Brain tissue changes accompany multiple neurodegenerative and developmental conditions in adolescents. Complex processes that occur in the developing brain with disease can be evaluated accurately only against normal aging processes. Normal developmental changes in different brain areas alter tissue water content, which can be assessed by magnetic resonance (MR) T2 relaxometry. We acquired proton-density (PD) and T2-weighted images from 31 subjects (mean age±S.D., 17.4±4.9 years; 18 male), using a 3.0-T MR imaging scanner. Voxel-by-voxel T2-relaxation values were calculated, and whole-brain T2-relaxation maps constructed and normalized to a common space template. We created a set of regions of interest (ROIs) over cortical gray and white matter, basal ganglia, amygdala, thalamic, hypothalamic, pontine and cerebellar sites, with sizes of ROIs varying from 12 to 243 mm(3); regional T2-relaxation values were determined from these ROIs and normalized T2-relaxation maps. Correlations between R2 (1/T2) values in these sites and age were assessed with Pearson's correlation procedures, and gender differences in regional T2-relaxation values were evaluated with independent-samples t tests. Several brain regions, but not all, showed principally positive correlations between R2 values and age; negative correlations emerged in the cerebellar peduncles. No significant differences in T2-relaxation values emerged between males and females for those areas, except for the mid pons and left occipital white matter; males showed higher T2-relaxation values over females. The findings indicate that T2-relaxation values vary with development between brain structures, and emphasize the need to correct for such age-related effects during any determination of potential changes from control values.

  17. Body Fat Equations and Electrical Bioimpedance Values in Prediction of Cardiovascular Risk Factors in Eutrophic and Overweight Adolescents

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    Franciane Rocha Faria


    Full Text Available The aim of this study was to analyze body fat anthropometric equations and electrical bioimpedance analysis (BIA in the prediction of cardiovascular risk factors in eutrophic and overweight adolescents. 210 adolescents were divided into eutrophic group (G1 and overweight group (G2. The percentage of body fat (% BF was estimated using 10 body fat anthropometric equations and 2 BIA. We measured lipid profiles, uric acid, insulin, fasting glucose, homeostasis model assessment-insulin resistance (HOMA-IR, and blood pressure. We found that 76.7% of the adolescents exhibited inadequacy of at least one biochemical parameter or clinical cardiovascular risk. Higher values of triglycerides (TG (P=0.001, insulin, and HOMA-IR (P<0.001 were observed in the G2 adolescents. In multivariate linear regression analysis, the % BF from equation (5 was associated with TG, diastolic blood pressure, and insulin in G1. Among the G2 adolescents, the % BF estimated by (5 and (9 was associated with LDL, TG, insulin, and the HOMA-IR. Body fat anthropometric equations were associated with cardiovascular risk factors and should be used to assess the nutritional status of adolescents. In this study, equation (5 was associated with a higher number of cardiovascular risk factors independent of the nutritional status of adolescents.

  18. Economic Reliability Acceptance Sampling Plans from Truncated Life Tests based on the Burr Type XII Percentiles

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    Abdur Razzaque Mughal (Corresponding Author


    Full Text Available In this article, economic reliability acceptance sampling plan (ERASP is developed for the Burr type XII distribution when the life test is truncated at pre-specified designed parameters. The minimum termination time is necessary to ensure that the specified life percentile is found under a given producer’s risk. The operating characteristic values of the proposed plan are presented for various parameters. A comparative study of proposedplan and existing plan developed by Lio et al. (2010 is also discussed. The result is illustrated by a real dataset example.

  19. Trajectories of Mexican American and mainstream cultural values among Mexican American adolescents. (United States)

    Knight, George P; Basilio, Camille D; Cham, Heining; Gonzales, Nancy A; Liu, Yu; Umaña-Taylor, Adriana J


    Mexican Americans are one of the largest and fastest growing ethnic groups in the United States, yet we have limited knowledge regarding changes (i.e., developmental trajectories) in cultural orientation based upon their exposure to the Mexican American and mainstream cultures. We examined the parallel trajectories of Mexican American and mainstream cultural values in a sample of 749 Mexican American adolescents (49 % female) across assessments during the fifth grade (approximately 11 years of age), the seventh grade (approximately 13 years of age) and the tenth grade (approximately 16 years of age). We expected that these values would change over this developmental period and this longitudinal approach is more appropriate than the often used median split classification to identify distinct types of acculturation. We found four distinct acculturation trajectory groups: two trajectory groups that were increasing slightly with age in the endorsement of mainstream cultural values, one of which was relatively stable in Mexican American cultural values while the other was declining in their endorsement of these values; and two trajectory groups that were declining substantially with age in their endorsement of mainstream cultural values, one of which was also declining in Mexican American cultural values and the other which was stable in these values. These four trajectory groups differed in expected ways on a number of theoretically related cultural variables, but were not highly consistent with the median split classifications. The findings highlight the need to utilize longitudinal data to examine the developmental changes of Mexican American individual's adaptation to the ethnic and mainstream culture in order to understand more fully the processes of acculturation and enculturation.

  20. [Normal values of temporal parameters of ECG in children according to results of clinico-epidemiological study ECG-screening of children and adolescents in Russian federation]. (United States)

    Miklashevich, I M; Shkol'nikova, M A; Kalinin, L A; Abdullatipova, I V; Osokina, G G; Deev, A D; Blinova, A V; Drozdova, A I; Lebed'kova, S E; Muratov, R A; Verevkina, O N; Timukova, A K; Lunegova, E V; Kozlova, L V; Svintsova, L I; Khomiakova, O I; Ashcheulova, N L


    In order to obtain reliable information about time-domain ECG parameters in Russian children and to analyse their links with physiological changes the Project "ECG screening of children and adolescents of the Russian Federation" was carried out in 2003-2008. Time domain ECG parameters were studied in the representative sample of 5387 healthy individuals aged 0 to 18 years. In each age group, lower and upper limits of the norm for heart rate (HR), P wave, PQ and QRS intervals were defined as 2nd and 98th percentiles of their distribution. The equivalent limits of QT interval duration were defined as its 5th and 95th percentiles. Relationship between time domain parameters of pediatric ECG and HR was analyzed as well as relationship of these parameters with sex and age. The most important differences from prior pediatric studies completed 30 years ago were obtained for the heart rate limits. Among children aged 0 to 3, there was a tendency toward lowering of age-specific lower limits and elevation of age-specific upper limits. At ages older than 3 years, there was a tendency toward lowering of both the upper and the lower limits of HR. The newly obtained 2nd percentiles of the heart rate were lower than the known lower limits in nearly all ages. This indicates the necessity for revision of criteria of bradicardia in children. The present study showed that 5th and 95th percentiles of QTc interval (Bazett's formula) varied between 340 ms and 465 ms and were not significantly dependent on children's age and only for ages under 13 also on sex. Results of the study allowed to build age-specific ranges of norm for the time domain ECG parameters presented in a tabular form.

  1. Escala Argentina de Inteligencia Sensorio-motriz (EAIS: Percentiles nacionales

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    Full Text Available El estudio del desarrollo psicomotor de niños menores de 3 años permite observar que algunas veces, el área intelectual no es considerada en su real dimensión, como un logro específico de los niños en ese período. La Escala Argentina de Inteligencia Sensorio-motriz (EAIS es el primer instrumento creado en Argentina para la evolución del desarrollo cognitivo en bebés de 6 a 30 mese. Dado que no se contaba con percentiles nacionales en niños argentinos, se propuso como objetivo la realización de una validación nacional de la EAIS. La muestra estuvo conformada por niños nacidos a término, sin patología y con desarrollo psicomotor normal, provenientes de 10 provincias argentinas. Se conformaron grupos interdisciplinarios de trabajo en las provincias participantes para la evaluación del desarrollo congnitivo mediante la administración de las EAIS. Se logró una muestra total de 800 niños. Se contruyeron tablas de percentiles nacionales para la EASIS a partir del estadío mediano obtenido en la prueba y para cada una de las series que ña conforman...

  2. Adolescent Alcohol Exposure Amplifies the Incentive Value of Reward-Predictive Cues Through Potentiation of Phasic Dopamine Signaling. (United States)

    Spoelder, Marcia; Tsutsui, Kimberly T; Lesscher, Heidi M B; Vanderschuren, Louk J M J; Clark, Jeremy J


    Adolescent alcohol use remains a major public health concern due in part to well-established findings implicating the age of onset in alcohol use in the development of alcohol use disorders and persistent decision-making deficits in adults. We have previously demonstrated that moderate adolescent alcohol consumption in rats promotes suboptimal decision making and an associated perturbation in mesolimbic dopamine transmission in adulthood. Dopamine-dependent incentive learning processes are an integral component of value-based decision making and a fundamental element to many theoretical accounts of addiction. Thus we tested the hypothesis that adolescent alcohol use selectively alters incentive learning processes through perturbation of mesolimbic dopamine systems. To assess incentive learning, behavioral and neurochemical measurements were made during the acquisition, maintenance, extinction, and reacquisition of a Pavlovian conditioned approach procedure in adult rats with a history of adolescent alcohol consumption. We show that moderate adolescent alcohol consumption potentiates stimulus-evoked phasic dopamine transmission, measured in vivo by fast-scan cyclic voltammetry, in adulthood and biases individuals toward a dopamine-dependent incentive learning strategy. Moreover, we demonstrate that animals exposed to alcohol in adolescence are more sensitive to an unexpected variation in reward outcomes. This pattern of phasic dopamine signaling and the associated bias in learning may provide a mechanism for the well-documented vulnerability of individuals with early-life alcohol use for alcohol use disorders in adulthood.

  3. "El Sexo no es Malo": Maternal Values Accompanying Contraceptive Use Advice to Young Latina Adolescent Daughters. (United States)

    Romo, Laura F; Bravo, Magali; Cruz, Maria Elena; Rios, Rebeca M; Kouyoumdjian, Claudia


    In this study, we utilized observational methods to identify maternal values and concerns accompanying contraceptive use advice in Latina mother-daughter sexuality conversations. The sample included non-sexually active early adolescents around 12 years of age and their mostly Spanish-speaking Latina mothers. Videotaped conversations were coded for the prevalence of messages related to four sexual values (abstinence, delay sex until older, sex is "normal", sex is "improper") and concerns about pregnancy and STD transmission. We examined whether the duration of time spent conversing about these messages was associated with participant characteristics, general communication openness, and the amount of time the dyads spent discussing contraceptive use. Results indicated that Latina mothers who had fewer years of education and lower family income talked longer to their daughters about the need to delay sex, avoid risky situations that would increase their chances of getting pregnant or acquiring an STD, and engage in self-protective practices. Less perceived openness in general communication as reported by both the mothers and the daughters was associated with increased time discussing that sex is improper. Although the duration of contraceptive use messages was brief, mothers and daughters who discussed the fact that sex is normal, and who communicated more about the importance of delaying sex, talked longer about contraceptive use practices compared to mothers and daughters who engaged in minimal discussion of these sexual values.

  4. Discrimination and Adjustment for Mexican American Adolescents: A Prospective Examination of the Benefits of Culturally Related Values (United States)

    Berkel, Cady; Knight, George P.; Zeiders, Katharine H.; Tein, Jenn-Yun; Roosa, Mark W.; Gonzales, Nancy A.; Saenz, Delia


    Mexican American adolescents face disparities in mental health and academic achievement, perhaps in part because of discrimination experiences. However, culturally related values, fostered by ethnic pride and socialization, may serve to mitigate the negative impact of discrimination. Guided by the Stress Process Model, the current study examined…

  5. Features of Social Attitudes and Value Orientations of Youths and Adolescents Prone to Auto-Aggressive Behavior (United States)

    Salakhova, Valentina B.; Oschepkov, Aleksey A.; Lipatova, Nadezda V.; Popov, Pavel V.; Mkrtumova, Irina V.


    The relevance of the study is due to the growth of social symptoms of aggression directed forwards the Self, which is especially visible in environment of young people. The presented article is aimed at research relations between value orientations and social attitudes among youths and adolescents prone to auto-aggressive behavior. The…

  6. Enjoyment and Perceived Value of Two School-Based Interventions Designed To Reduce Risk Factors for Eating Disorders in Adolescents. (United States)

    Wade, Tracey D.; Davidson, Susan; O'Dea, Jennifer A.


    Investigates the enjoyment and perceived value associated with two interventions designed to reduce risk factors for eating disorders in young adolescents, a media literacy program or a self-esteem program. Overall, the media literacy program was the intervention preferred by students. Students in both interventions said that they had learnt to…

  7. A Study on the Effect of a Program Teaching Healthy Sexuality Values on Adolescent Sexual Awareness and Sexual Behavior (United States)

    Moon, Sang Huy


    This study was conducted to explore the effectiveness of a program teaching healthy sexuality values on adolescent sexual awareness and sexual behavior. For this study, the present researcher, along with two other professors, developed a 4-h program on 4 different subjects, and conducted the full education program through four different 4-h…

  8. Characteristics and Dietary Patterns of Adolescents Who Value Eating Locally Grown, Organic, Nongenetically Engineered, and Nonprocessed Food (United States)

    Robinson-O'Brien, Ramona; Larson, Nicole; Neumark-Sztainer, Dianne; Stat, Peter Hannan M.; Story, Mary


    Objective: To examine characteristics of adolescents who value eating locally grown, organic, nongenetically engineered, and/or nonprocessed food and whether they are more likely than their peers to meet Healthy People 2010 dietary objectives. Design: Cross-sectional analysis using data from a population-based study in Minnesota (Project EAT:…

  9. Puerto Rican Adolescents' Disclosure and Lying to Parents about Peer and Risky Activities: Associations with Teens' Perceptions of Latino Values (United States)

    Villalobos, Myriam; Smetana, Judith G.


    Disclosure and lying to mothers and fathers about different activities, as defined within social domain theory, were examined as a function of Latino family values in 109 Puerto Rican lower socioeconomic status middle adolescents (M = 15.58 years, SD = 1.18) living in the United States. Questionnaires revealed that teens sometimes disclosed to…

  10. Who I Am: The Meaning of Early Adolescents' Most Valued Activities and Relationships, and Implications for Self-Concept Research (United States)

    Tatlow-Golden, Mimi; Guerin, Suzanne


    Self-concept research in early adolescence typically measures young people's self-perceptions of competence in specific, adult-defined domains. However, studies have rarely explored young people's own views of valued self-concept factors and their meanings. For two major self domains, the active and the social self, this mixed-methods study…


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    Katherinа Zhurba


    Full Text Available The article presents the conceptual approaches to the upbringing in the education of life-meaningful values of teenagers and early adolescence in Ukraine. The definition of life-meaningful values has been given up. The major problems and contradictions in the upbringing of the Ukrainian children were paid attention to. The dependence of the result of upbringing, from the desire and the participation of all actors: children, parents, teachers is pointed out. Conceptual approaches to education of life values meaning are analyzed on the methodological, theoretical and practical levels. The aspects of the previous researches have been underlined. In this context, a systematic approach determines the integrity of the educational process in primary and high school. Synergetic approach combines the organization and self-organization of the growing personality. Humanistic approach recognizes each child's highest value at school, family, and society. Personal-centered approach provides individual attention to him, to free choice of that or other life-meaningful values. Activity approach provides practice and deed activity of children and shows how the value of the meaning of life affects the behavior of the individual. The theoretical level of substantiation of the concept of education of children of teenagers and early youth gives ability to define key points and concepts. Practical level implies the corresponding experimental activity, the determination of propriate pedagogical conditions, the selection of content, forms and methods of education of teenagers and early adolescence. Conceptual approaches offer the opportunity to develop a modern system of education of the values of the meaning of life of teenagers and early adolescence in Ukraine. Implementation of conceptual approaches aimed at qualitative changes in the education of life-meaningful values among of teenagers and early adolescence.

  12. Mexican American Adolescents' Family Obligation Values and Behaviors: Links to Internalizing Symptoms across Time and Context (United States)

    Telzer, Eva H.; Tsai, Kim M.; Gonzales, Nancy; Fuligni, Andrew J.


    Family obligation is an important aspect of family relationships among families from Mexican backgrounds and can have significant implications for adolescents' well-being. Prior research and theory regarding youths' obligations offer conflicting hypotheses about whether it is detrimental or beneficial for adolescents' well-being. In the current…

  13. Early metabolic improvement following bariatric surgery in morbidly obese adolescents. (United States)

    Teeple, E A; Teich, S; Schuster, D P; Michalsky, M P


    Bariatric surgery results in durable weight loss and improved comorbidities. The objectives of this study were to examine the efficacy of gastric bypass in reducing comorbid burden and improving metabolic status among morbidly obese adolescents. The medical records of 15 gastric bypass patients were retrospectively reviewed. Changes in metabolic markers were determined at baseline, 1 and 2 years post-operatively. Comparative analysis demonstrated significant improvement in weight, BMI, insulin, HbA1C, C-peptide, %B, %S, IR, cholesterol, percentile cholesterol, TG, percentile TG, HDL, percentile HDL, LDL, percentile LDL, and VLDL. Results support bariatric surgery as a treatment for morbidly obese adolescents with comorbidities.

  14. The Value "Social Responsibility" as a Motivating Factor for Adolescents' Readiness to Participate in Different Types of Political Actions, and Its Socialization in Parent and Peer Contexts (United States)

    Schmid, Christine


    Based on a sample of tetrads (N = 839), including 16 year-old adolescents, their mothers, fathers, and same-sex friends, it was analyzed in which way the value social responsibility is related to adolescents' readiness for different types of political participation. Results showed that social responsibility was positively linked to readiness for…

  15. Reference Values for the Six-Minute Walk Test in Healthy Children and Adolescents: a Systematic Review (United States)

    Cacau, Lucas de Assis Pereira; de Santana-Filho, Valter Joviniano; Maynard, Luana G.; Gomes Neto, Mansueto; Fernandes, Marcelo; Carvalho, Vitor Oliveira


    Objective The aim of the study is to compare the available reference values and the six-minute walk test equations in healthy children/adolescents. Our systematic review was planned and performed in accordance with the PRISMA guidelines. We included all studies that established reference values for the six-minute walk test in healthy children/adolescents. Methods To perform this review, a research was performed in PubMed, EMBASE (via SCOPUS) and Cochrane (LILACS), Bibliographic Index Spanish in Health Sciences, Organization Collection Pan-American Health Organization, Publications of the World Health Organization and Scientific Electronic Library Online (SciELO) via Virtual Health Library until June 2015 without language restriction. Results The initial research identified 276 abstracts. Twelve studies met the inclusion criteria and were fully reviewed and approved by both reviewers. None of the selected studies presented sample size calculation. Most of the studies recruited children and adolescents from school. Six studies reported the use of random samples. Most studies used a corridor of 30 meters. All studies followed the American Thoracic Society guidelines to perform the six-minute walk test. The walked distance ranged 159 meters among the studies. Of the 12 included studies, 7 (58%) reported descriptive data and 6 (50%) established reference equation for the walked distance in the six-minute walk test. Conclusion The reference value for the six-minute walk test in children and adolescents ranged substantially from studies in different countries. A reference equation was not provided in all studies, but the ones available took into account well established variables in the context of exercise performance, such as height, heart rate, age and weight. Countries that did not established reference values for the six-minute walk test should be encouraged to do because it would help their clinicians and researchers have a more precise interpretation of the test

  16. The value "social responsibility" as a motivating factor for adolescents' readiness to participate in different types of political actions, and its socialization in parent and peer contexts. (United States)

    Schmid, Christine


    Based on a sample of tetrads (N = 839), including 16 year-old adolescents, their mothers, fathers, and same-sex friends, it was analyzed in which way the value social responsibility is related to adolescents' readiness for different types of political participation. Results showed that social responsibility was positively linked to readiness for participation in legal protest actions. No relationships with readiness for participation in federal elections or with readiness for participation in illegal protest actions occurred, and a negative relationship with readiness for participation in political violent actions was found. In a second step, the socialization of the value social responsibility in the parents and peer context was the focus. Value similarities between adolescents, their parents and friends, as well as other contextual factors were considered. Multiple regression analyses revealed differential effects for male and female adolescents. In male adolescents, authoritative parenting and political discussions with parents were positively linked to social responsibility. Furthermore, peer-group membership had a negative impact. For female adolescents, significant value similarities with their parents, especially with their mothers, occurred. Value similarities with their friend were found in both gender groups, but appeared to be higher in the female group. Also, in both gender groups, a positive parent-child relationship quality was linked to higher social responsibility. In sum, findings show that parents as well as peer contextual factors were contributing to the adolescents' value acquisition.

  17. Colorado Growth Model--Brief Report: Student Growth Percentiles and FRL Status. Accountability & Data Analysis Unit (United States)

    Colorado Department of Education, 2013


    This report examines the relationship between socioeconomic status, as defined by a free-and-reduced lunch proxy variable, and student growth percentiles by elementary, middle, and high school grade levels for math, reading, and writing. Comparisons were made between median growth percentiles for each educational level by free and reduced lunch…

  18. The Cut-off Values of Triglycerides and Glucose Index for Metabolic Syndrome in American and Korean Adolescents. (United States)

    Moon, Shinje; Park, Joon Sung; Ahn, Youhern


    The aim of this study was to establish ethnic- and gender-specific cut-off values of triglycerides and glucose index (TyG index) for clinical usefulness in a representative sample of Mexican American, Non-Hispanic White, Non-Hispanic Black, and Korean adolescents. The data were collected from datasets of the National Health and Nutrition Examination Survey between 1999 and 2012, and the Korean National Health and Nutrition Examination Survey between 2005 and 2013. Receiver operating characteristic curve analysis was used to find valid cut-off values of the TyG index for metabolic syndrome. The total number of eligible participants was 3,164 in the US and 4,873 in Korea. The optimal cut-off value with the Cook et al. definition revealed 8.55 in Mexican American, 8.55 in Non-Hispanic White, 8.35 in Non-Hispanic Black, and 8.45 in Korean, respectively. The cut-off value with the de Ferranti et al. definition was 8.45, 8.45, 8.15, and 8.35, and the cut-off value with the International Diabetes Federation definition was 8.65, 8.65, 8.15, and 8.55, respectively. These findings may be clinically useful for evaluating insulin resistance for determining metabolic abnormalities in adolescents.

  19. Reference values of lead in blood and related factors among Korean adolescents: the Korean National Health and Nutrition Examination Survey 2010-2013


    Choi, Min-Gyu; Park, Mi-Jung; Kim, Shin-Hye


    Purpose This study aimed to assess the reference values and factors influencing blood lead levels among Korean adolescents. Methods The study population consisted of 1,585 adolescents (801 males, 784 females; aged 10-19 years) who participated in the Korea National Health and Nutrition Examination Survey 2010-2013. We analyzed blood lead concentrations in relation to demographic/lifestyle characteristics for all participants. "Reference values" of blood lead levels were calculated as the uppe...

  20. The (mal) adaptive value of mid-adolescent dating relationship labels. (United States)

    Howard, Donna E; Debnam, Katrina J; Cham, H J; Czinn, Anna; Aiken, Nancy; Jordan, Jessica; Goldman, Rachel


    The aim of this study was to explore adolescent dating relationships through the prism of high school girls' narratives. We probed the contexts and meanings associated with different forms of dating to better understand the developmental significance of romantic relationships during adolescence. Cross-sectional, in-depth semi-structured interviews were conducted with 20 high school females. The analytic approach was phenomenological and grounded in the narratives rather than based on an a priori theoretical framework. Interviews were digitally recorded, transcribed verbatim by research staff and entered into ATLAS.ti 6, a qualitative data-management software package, prior to analysis. Teen relationships were found to vary along a Dis-Continuum from casual hookups to "official" boyfriend/girlfriend. There was a lack of consensus, and much ambiguity, as to the substantive meaning of different relationships. Labeling dating relationships seem to facilitate acquisition of important developmental needs such as identity, affiliation, and status, while attempting to manage cognitive dissonance and emotional disappointments. Findings underscore the confusion and complexity surrounding contemporary adolescent dating. Adolescent girls are using language and social media to assist them in meeting developmental goals. Sometimes their dating labels are adaptive, other times they are a cause of stress, or concealment of unmet needs and thwarted desires. Programs focused on positive youth development need to resonate with the realities of teens' lives and more fully acknowledge the complicated dynamics of teen dating relationships and how they are formalized, publicized and negotiated.


    Rodríguez-Bautista, Yenni Paola; Correa-Bautista, Jorge Enrique; González-Jiménez, Emilio; Schmidt-RioValle, Jacqueline; Ramírez-Vélez, Robinson


    Objetivo: determinar los valores del índice cintura/cadera (ICC) en una población escolar de Bogotá, Colombia, pertenecientes al estudio FUPRECOL. Métodos: estudio descriptivo y transversal, realizado en 3.005 niños y 2.916 adolescentes de entre 9 y 17,9 años de edad, pertenecientes a instituciones educativas oficiales de Bogotá, Colombia. Se tomaron medidas de peso, talla, circunferencia de cintura, circunferencia de cadera y estado de maduración sexual por autorreporte. Se calcularon los percentiles (P3, P10, P25, P50, P75, P90 y P97) según sexo y edad y se realizó una comparación entre los valores del ICC observados y los estándares internacionales. Resultados: de la población general (n = 5.921), el 57,0% eran chicas (promedio de edad 12,7 ± 2,3 años). En todas las edades el ICC fue mayor en los chicos que en las chicas, observándose un descenso en la media de los valores obtenidos desde los 9 hasta los 17,9 años. En los chicos, los valores del ICC mayores del P90 (asociados a riesgo cardiovascular) estuvieron en el rango 0,87 y 0,93 y en las chicas entre 0,85 y 0,89. Al comparar los resultados de este estudio, por grupos de edad y sexo, con trabajos internacionales de niños y adolescentes de Europa, Suramérica, Asia y África, se observa que los valores del ICC fueron menores en este estudio en ambos sexos, con excepción de los escolares originarios de Grecia y Venezuela. Conclusiones: se presentan percentiles del ICC según edad y sexo que podrán ser usados como de referencia en la evaluación del estado nutricional y en la predicción del riesgo cardiovascular desde edades tempranas.

  2. Long-term influence of divorce and single parenting on adolescent family- and work-related values, behaviors, and aspirations. (United States)

    Barber, B L; Eccles, J S


    Following a summary of the relevant divorce research, this article examines possible long-term influences of both divorce and living with a single mother on the development of adolescents' values and plans. We examine how divorce affects children both directly and indirectly through its impact on the mother's resources, attitudes, and socialization goals. Particular focus is placed on those aspects of family interaction that impact on identity formation as it is linked to educational and occupational goals and to gender-role related behaviors associated with marriage, family, and job plans. Possible benefits as well as potential costs of living with a single mother are discussed.

  3. Developmental relations between sympathy, moral emotion attributions, moral reasoning, and social justice values from childhood to early adolescence. (United States)

    Daniel, Ella; Dys, Sebastian P; Buchmann, Marlis; Malti, Tina


    This study examined the development of sympathy, moral emotion attributions (MEA), moral reasoning, and social justice values in a representative sample of Swiss children (N = 1273) at 6 years of age (Time 1), 9 years of age (Time 2), and 12 years of age (Time 3). Cross-lagged panel analyses revealed that sympathy predicted subsequent increases in MEA and moral reasoning, but not vice versa. In addition, sympathy and moral reasoning at 6 and 9 years of age were associated with social justice values at 12 years of age. The results point to increased integration of affect and cognition in children's morality from middle childhood to early adolescence, as well as to the role of moral development in the emergence of social justice values.

  4. Waist circumference reference values for screening cardiovascular risk factors in Chinese children and adolescents aged 7-18 years%中国7~18岁学龄儿童青少年腰围界值点研究

    Institute of Scientific and Technical Information of China (English)

    马冠生; 杜松明; 房红芸; 蒋竞雄; 季成叶; 马军; 米杰; 宋银子; 熊丰; 严卫丽; 胡小琪; 李艳平


    目的 根据儿童不同腰围水平罹患心血管疾病的危险,研究中同学龄儿童青少年腰围的适宜界值点.方法 利用受试者工作特征曲线(ROC)法分析从全国汇总的65 898名7~18岁学龄儿童青少年腰围及其相关代谢指征数据,探索预测心血管疾病的腰围最佳界值点.结果 儿童青少年腰围值小于第75百分位数(P75)时,收缩压、舒张压、血糖、总胆固醇、甘油三酯和低密度脂蛋白胆固醇水平以及血压升高率、血糖升高率、血脂异常率随腰围变化趋势不明显,当腰围大于P75后,上述指标逐渐增加,从P90开始,增加趋势明显,高密度脂蛋白胆固醇的变化趋势相反.ROC曲线结果表明,预测血压增加的腰围最佳界值点为P75;预测至少两项心血管疾病危险因素聚集的最佳界值点为P90.与腰围低于P75,的儿童青少年相比,在腰围处于P75~P90者中至少聚集两项心血管疾病危险因素的比例增加了1倍,腰围大于P90者中该比例则增加了5倍.按体重指数分类标准分层后,儿童青少年血压升高率仍然随腰围增加而显著增加.结论 建议将中国儿童青少年腰围的年龄别性别P7,和P90作为儿童青少年心血管病危险开始增加和明显增加的界值点.%Objective To explore the optimal threshold values of waist circumference (WC) in detecting the risk on cardiovascular (CV) among the Chinese children and adolescents. Methods Association of WC and CV risk factors were studied among 65 898 children and adolescents aged 7-18 years whose data were pooled from nine studies carried out in China. Receive-operating characteristic analysis (ROC) and logistic regression were employed to derive optimal age- and sex-specific waist circumference references for predicting the CV risk factors. Results A slight increasing trend of CV risk factors was observed starting from the 75th percentile of waist circumference in the study population, while a remarkable

  5. Personal Values and Moral Disengagement Promote Aggressive and Rule-Breaking Behaviours in Adolescents With Disruptive Behaviour Disorders: A Pilot Study. (United States)

    Paciello, Marinella; Muratori, Pietro; Ruglioni, Laura; Milone, Annarita; Buonanno, Carlo; Capo, Rosario; Lochman, John E; Barcaccia, Barbara


    The pilot study presented in this article investigated the role of moral-cognitive features in understanding aggressive and rule-breaking behaviours in adolescents with Disruptive Behaviour Disorder (DBD). We collected two samples. The community sample was composed of 85 adolescents, whereas the DBD sample was composed of 30 adolescents. Compared with a community sample, adolescents with DBD are more inclined to use moral disengagement (MD) to legitimize their aggressive and rule-breaking behaviours. Moreover, regression models showed that self-enhancement values and MD foster externalizing behaviours taking into account both gender and the group they belonged to, that is, either clinical or community sample. Instead, self-transcendence values could prevent externalizing problems by inhibiting MD. Implications of these findings for assessment and therapeutic interventions are discussed.

  6. Blast Mitigation Sea Analysis - Evaluation of Lumbar Compression Data Trends in 5th Percentile Female Anthropomorphic Test Device Performance Compared to 50th Percentile Male Anthropomorphic Test Device in Drop Tower Testing (United States)


    in 5th Percentile Female Anthropomorphic Test Device Performance Compared to 50th Percentile Male Anthropomorphic Test Device in Drop Tower Testing ...for advertising or product endorsement purposes. UNCLASSIFIED UNCLASSIFIED • Baseline drop tower data collected from Anthropomorphic Test Devices (ATDs...development • Testing completed with: – 5th Percentile Female ATDs and 50th Percentile Male Hybrid III ATDs – 200 g or 350 g pulse • ATD data quality

  7. Characteristics of Deep Neck Infection in Children According to Weight Percentile



    Objectives To evaluate the effect of weight percentile on deep neck infections in children. Methods A retrospective evaluation of 79 patients who were treated for deep neck infections. The patients were divided into six groups according to weight percentile. Patients who had systemic and/or congenital disease were excluded. Their demographics, etiology, localization, laboratory, and treatment results were reviewed. Results In total, 79 pediatric patients were recorded: 48.1% were females and ...

  8. Charting the Eccles' expectancy-value model from mothers' beliefs in childhood to youths' activities in adolescence. (United States)

    Simpkins, Sandra D; Fredricks, Jennifer A; Eccles, Jacquelynne S


    The Eccles' expectancy-value model posits that a cascade of mechanisms explain associations between parents' beliefs and youths' achievement-related behaviors. Specifically, parents' beliefs predict parents' behaviors; in turn, parents' behaviors predict youths' motivational beliefs, and youths' motivational beliefs predict their behaviors. This investigation focused on testing this model with mothers in sports, music, math, and reading over a 12-year period. Data were drawn from mother, youth, and teacher questionnaires collected as part of Childhood and Beyond Study (92% European American; N = 723). Mothers' beliefs in sports, music, and math positively predicted their behaviors in these areas 1 year later, which predicted youths' self-concepts of ability and values (i.e., their motivational beliefs) in these domains 1 year later. Adolescents' motivational beliefs predicted time spent in organized sport activities, playing music, and reading after school measured 4 years later as well as the number of math courses taken in high school. Furthermore, except in reading, mothers' behaviors mediated the relations between mothers' and youths' beliefs, and youths' beliefs mediated the relations between mothers' behaviors and youths' behaviors. Although there were mean-level differences in several indicators based on child gender, in most cases the relations among these indicators did not significantly vary by child gender. This study highlights the processes by which mothers' beliefs during their children's childhood can predict children's activities in adolescence.

  9. Reference values for FEV1 and FVC in male adolescents and young adults of Ibo origin. (United States)

    Ele, P U


    Forced vital capacity (FVC) and one second forced expiratory volume (FEV1) were measured in 245 healthy Nigerian Ibo males aged 12-23 years. Analysis showed strong correlation between anthropometric factors (age, height, weight) and spirometric measurements (r----0.808-0.994). In the young adult group (18-23 years), FEV1 did not correlate so strongly with weight, however (r----0.654). Prediction equations, based on age and height have been developed for use among male Ibo adolescents and young adults.

  10. Serum Fatty Acid Reference Ranges: Percentiles from a New Zealand National Nutrition Survey

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    Timothy J. Green


    Full Text Available Serum fatty acids are increasingly used in cross-sectional surveys and cohort studies as biomarkers of dietary fat intake; however, it is currently difficult to judge whether an individual has low or high fatty acid status, or whether the distribution of fatty acids of a group of people is low or high due to a lack of appropriate reference values. In the absence of interpretive criteria, the distribution of serum fatty acids from a suitable reference population can be used as an alternative. We describe the distribution of the fatty acid composition of the three most commonly reported lipid classes in serum; cholesterol ester, phospholipid and triacylgycerol. Results for each serum lipid class are presented as means (SD and percentiles (5, 10, 25, 50, 75, 90, and 95 of serum fatty acids in non-fasting blood samples collected from a population based cross-sectional survey of New Zealand adults (n = 2793. These serum fatty acid reference ranges are applicable and relevant to Australia, United Kingdom, and United States as well as other countries where fat intakes are similar to New Zealand.

  11. High blood pressure in children and adolescents. (United States)

    Riley, Margaret; Bluhm, Brian


    High blood pressure in children and adolescents is a growing health problem that is often overlooked by physicians. Normal blood pressure values for children and adolescents are based on age, sex, and height, and are available in standardized tables. Prehypertension is defined as a blood pressure in at least the 90th percentile, but less than the 95th percentile, for age, sex, and height, or a measurement of 120/80 mm Hg or greater. Hypertension is defined as blood pressure in the 95th percentile or greater. A secondary etiology of hypertension is much more likely in children than in adults, with renal parenchymal disease and renovascular disease being the most common. Overweight and obesity are strongly correlated with primary hypertension in children. A history and physical examination are needed for all children with newly diagnosed hypertension to help rule out underlying medical disorders. Children with hypertension should also be screened for other risk factors for cardiovascular disease, including diabetes mellitus and hyperlipidemia, and should be evaluated for target organ damage with a retinal examination and echocardiography. Hypertension in children is treated with lifestyle changes, including weight loss for those who are overweight or obese; a healthy, low-sodium diet; regular physical activity; and avoidance of tobacco and alcohol. Children with symptomatic hypertension, secondary hypertension, target organ damage, diabetes, or persistent hypertension despite nonpharmacologic measures should be treated with antihypertensive medications. Thiazide diuretics, angiotensin-converting enzyme inhibitors, angiotensin II receptor blockers, beta blockers, and calcium channel blockers are safe, effective, and well tolerated in children.

  12. Valores poblacionales de referencia del perfil de salud CHIP-AE a partir de una muestra representativa de adolescentes escolarizados Reference population values for the Spanish Child Health and Illness Profile-Adolescent Edition [CHIP-AE] using a representative school-based sample

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    V. Serra-Sutton


    Full Text Available Objetivo: El perfil de salud CHIP-AE (Child Health and Illness Profile, Adolescent Edition es un instrumento genérico para adolescentes de 12 a 19 años que ha sido adaptado para uso en España. El objetivo del estudio fue obtener los valores poblacionales de referencia de la versión española del CHIP-AE. Métodos: Se administró el CHIP-AE a una muestra representativa de adolescentes escolarizados de Barcelona, mediante muestreo por conglomerados, estratificado según la titularidad del centro (público o concertado y el índice de capacidad económica familiar (bajo, medio y alto. Se estandarizaron las puntuaciones a una media de 20 y desviación estándar (DE de 5. Se calcularon las medias y los percentiles. Las medias se compararon por edad, género y nivel socioeconómico mediante análisis de la varianza. Resultados: Las proporción de respuesta fue del 81% (n = 902. Las puntuaciones presentaron un amplio rango de distribución, y aunque en general fueron algo sesgadas hacia las puntuaciones de buena salud, sugieren que la muestra de población general no está exenta de problemas de salud. El 25% presentó puntuaciones por debajo de 17,2 en la dimensión de bienestar, lo que indica un tamaño de efecto de 0,56 unidades estandarizadas de DE. La distribución de las puntuaciones de las muestras de referencia de Barcelona fueron muy similares a las originales de Baltimore (Estados Unidos, con diferencias mínimas en riesgo individual. Conclusiones: El CHIP-AE recoge de manera sistemática las dimensiones propias de la salud de los adolescentes. Los resultados permitirán establecer comparaciones con adolescentes de otras regiones, y/o con diferentes problemas de salud y analizar las desigualdades en salud durante la adolescencia.Aim: The Child Health and Illness Profile (CHIP-AE is a generic health status instrument for adolescents aged 12-19 years adapted for use in Spain. The aim of this study was to obtain reference population values

  13. Sensitivity analysis for high percentiles of ochratoxim-a exposure distribution

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    Albert, I.; Gauchi, J. P.


    High percentile estimations of the exposure to the mycotoxin Ochratoxin-A (OTA) in food, for the French population, were calculated in a previous study by a Monte Carlo type simulation method from real consumption and contamination data. In this paper, from the same data (but only for the children class), we focus on sensitivity analysis (SA) of the high 95 th and 99 th percentiles (the simulation outputs), relatively to the variation of the parameters of the fitted probability density functions (the simulation inputs), necessary for having a relevant and stable estimation of these percentiles. After some preliminary trials, we postulated a quadratic polynomial model and we used an experimental design approach depending on a resolution-V fractional factorial design of 6561 experiments to lead to an optimal estimation of the polynomial model parameters. The factors ranges were established by bootstrap sampling taking into account the consumption dependencies by the Iman and Conover method and, eventually, taking into account the parameter correlation of the fitted probability densities. Finally, we have validated and useful parsimonious polynomial models for each desired percentile showing a major influence of the distribution parameters of the two foods Cereals and Pork, and eventually three with Fruit Juices in the sensitivity of the percentiles. (Author) 7 refs.

  14. Teachers' Intentions to Stay in Teaching: The Role of Values and Knowledge of Adolescent Development (United States)

    Battle, Ann A.; Looney, Lisa


    Researchers examining teacher retention often focus on reasons why teachers exit the profession. In this study we argue for the inclusion of a psychological theoretical framework for understanding teacher retention. To this end, we used Eccles' et al., (1983) expectancy-value theory to explore 46 in-service teachers' valuing of teaching and…

  15. Estimation of a monotone percentile residual life function under random censorship. (United States)

    Franco-Pereira, Alba M; de Uña-Álvarez, Jacobo


    In this paper, we introduce a new estimator of a percentile residual life function with censored data under a monotonicity constraint. Specifically, it is assumed that the percentile residual life is a decreasing function. This assumption is useful when estimating the percentile residual life of units, which degenerate with age. We establish a law of the iterated logarithm for the proposed estimator, and its n-equivalence to the unrestricted estimator. The asymptotic normal distribution of the estimator and its strong approximation to a Gaussian process are also established. We investigate the finite sample performance of the monotone estimator in an extensive simulation study. Finally, data from a clinical trial in primary biliary cirrhosis of the liver are analyzed with the proposed methods. One of the conclusions of our work is that the restricted estimator may be much more efficient than the unrestricted one.

  16. How much do different ways of calculating percentiles influence the derived performance indicators? - A case study

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    Schreiber, Michael


    Bibliometric indicators can be determined by comparing specific citation records with the percentiles of a reference set. However, there exists an ambiguity in the computation of percentiles because usually a significant number of papers with the same citation count are found at the border between percentile rank classes. The present case study of the citations to the journal Europhysics Letters (EPL) in comparison with all physics papers from the Web of Science shows the deviations which occur due to the different ways of treating the tied papers in the evaluation of the percentage of highly cited publications. A strong bias can occur, if the papers tied at the threshold number of citations are all considered as highly cited or all considered as not highly cited.

  17. The role of mass media in adolescents' sexual behaviors: exploring the explanatory value of the three-step self-objectification process. (United States)

    Vandenbosch, Laura; Eggermont, Steven


    This longitudinal study (N = 730) explored whether the three-step process of self-objectification (internalization of appearance ideals, valuing appearance over competence, and body surveillance) could explain the influence of sexual media messages on adolescents' sexual behaviors. A structural equation model showed that reading sexualizing magazines (Time 1) was related to the internalization of appearance ideals and valuing appearance over competence (Time 2). In turn, the internalization of appearance ideals was positively associated with body surveillance and valuing appearance over competence (all at Time 2). Valuing appearance over competence was also positively associated with body surveillance (all at Time 2). Lastly, body surveillance (Time 2) positively related to the initiation of French kissing (Time 3) whereas valuing appearance over competence (Time 2) positively related to the initiation of sexual intercourse (Time 3). No significant relationship was observed for intimate touching. The discussion focused on the explanatory role of self-objectification in media effects on adolescents' sexual behaviors.

  18. Measuring and valuing health-related quality of life among children and adolescents in mainland China--a pilot study.

    Directory of Open Access Journals (Sweden)

    Fei Xu

    Full Text Available BACKGROUND: The Child Health Utility 9D (CHU9D, a new generic preference-based health-related quality of life (HRQoL instrument, has been validated for use in young people in both the UK and Australia. The main objectives of this study were to examine the feasibility of using a Chinese version of the CHU9D (CHU9D-CHN to assess HRQoL and to investigate the association of physical activity, homework hours and sleep duration with HRQoL in children and adolescents in Mainland China. METHODS: Data were collected using a multi-stage sampling method from grades 4-12 students in May 2013 in Nanjing, China. Consenting participants (N = 815 completed a self-administered questionnaire including the CHU9D-CHN instrument and information on physical activity, homework and sleep duration, self-reported health status, and socio-demographic characteristics. Descriptive and multivariate linear regression analyses were undertaken. CHU9D-CHN utility scores were generated by employing two scoring algorithms currently available for the instrument, the first derived from UK adults utilising the standard gamble (SG valuation method and the second derived from Australian adolescents utilising the best-worst scaling (BWS method. RESULTS: It was found that CHU9D utility scores discriminated well in relation to self-reported health status and that better health status was significantly associated with higher utility scores regardless of which scoring algorithm was employed (both p<0.001. The adjusted mean utilities were significantly higher for physically active than inactive students (0.023 by SG, 0.029 by BWS scoring methods, p<0.05. An additional hour of doing homework and sleep duration were, separately, associated with mean utilities of -0.019 and 0.032 based on SG, and -0.021 and 0.040 according to BWS scoring algorithms (p<0.01. CONCLUSION: The CHU9D-CHN shows promise for measuring and valuing the HRQoL of children and adolescents in China. Levels of self

  19. Who Gets More Out of Sport? The Role of Value and Perceived Ability in Flow and Identity-Related Experiences in Adolescent Sport (United States)

    Drane, Catherine F.; Barber, Bonnie L.


    Sport is a context that provides positive developmental benefits to adolescents. However, these benefits are not distributed equally to all participants. This study examined whether the motivational constructs of attainment value and ability self-concept were related to positive developmental experiences in sport, and tested intensity of…

  20. Adolescents' Values, Sexuality, and Contraception in a Rural New York County. (United States)

    McCormick, Naomi; And Others


    Examined personal values and sexual and contraceptive experiences of 75 male and 88 female high school students from a rural county of New York. Results suggested that religiosity was unrelated to students' sexual behavior and use of contraceptives. The different groups of high school students exhibited remarkably homogeneous sexual and…

  1. Reference value for the 6-minute walk test in children and adolescents : A systematic review

    NARCIS (Netherlands)

    Mylius, C F; Paap, D; Takken, T


    INTRODUCTION: The 6-minute walk test is a submaximal exercise test used to quantify the functional exercise capacity in clinical populations. It measures the distance walked within a period of 6-minutes. Obtaining reference values in the pediatric population is especially demanding due to factors as

  2. Prognostic Value of Bone Mineral Density on Curve Progression: A Longitudinal Cohort Study of 513 Girls with Adolescent Idiopathic Scoliosis (United States)

    YIP, Benjamin Hon Kei; YU, Fiona Wai Ping; WANG, Zhiwei; HUNG, Vivian Wing Yin; LAM, Tsz Ping; NG, Bobby Kin Wah; ZHU, Feng; CHENG, Jack Chun Yiu


    Osteopenia has been found to occur in about 30% of Adolescent Idiopathic Scoliosis (AIS) patients. This study aimed to investigate its prognostic value on the risk of curve progression to surgical threshold. Newly diagnosed AIS girls (N = 513) with Cobb angle 10°–40° were recruited with follow-up till maturity. Bilateral hips were assessed with dual-energy x-ray absorptiometry (DXA). Distal radius of a subgroup of 90 subjects was further assessed with high-resolution peripheral quantitative computed tomography (HR-pQCT). 55 patients progressed to surgical threshold or underwent spine surgery at the end of follow-up. Cox model with osteopenia status performed significantly better than the model without (p = 0.010). Osteopenic patients had significantly higher risk of surgery (HR2.25, p = 0.011), even after adjustment for menarche status, age and initial Cobb angle. The incremental predictive value of osteopenia was, however, not statistically significant. In the subgroup analysis, cortical bone density was identified as a better marker to improve the sensitivity of the prediction, but requires further larger study to validate this finding. These consistent results of bone density measured at different sites suggest a systemic effect, rather than local effect to the deformed spine, and support to the link of abnormal bone density to the etiopathogenesis in AIS patients. PMID:27991528

  3. Birthweight percentiles for twin birth neonates by gestational age in China (United States)

    Zhang, Bin; Cao, Zhongqiang; Zhang, Yiming; Yao, Cong; Xiong, Chao; Zhang, Yaqi; Wang, Youjie; Zhou, Aifen


    Localized birthweight references for gestational ages serve as an essential tool in accurate evaluation of atypical birth outcomes. Such references for twin births are currently not available in China. The aim of this study was to construct up-to-data sex specific birth weight references by gestational ages for twin births in China. We conducted a population-based analysis on the data of 22,507 eligible living twin infants with births dated between 8/01/2006 and 8/31/2015 from all 95 hospitals within the Wuhan area. Gestational ages in complete weeks were determined using a combination of last-menstrual-period based (LMP) estimation and ultrasound examination. Smoothed percentile curves were created by the Lambda Mu Sigma (LMS) method. Reference of the 3rd, 10th, 25th, 50th, 75th, 90th, 97th percentiles birth weight by sex and gestational age were made using 11,861 male and 10,646 female twin newborns with gestational age 26–42 weeks. Separate birthweight percentiles curves for male and female twins were constructed. In summary, our study firstly presents percentile curves of birthweight by gestational age for Chinese twin neonates. Further research is required for the validation and implementation of twin birthweight curves into clinical practice. PMID:27506479

  4. A Percentile Regression Model for the Number of Errors in Group Conversation Tests. (United States)

    Liski, Erkki P.; Puntanen, Simo

    A statistical model is presented for analyzing the results of group conversation tests in English, developed in a Finnish university study from 1977 to 1981. The model is illustrated with the findings from the study. In this study, estimates of percentile curves for the number of errors are of greater interest than the mean regression line. It was…

  5. Why do teens smoke? American Indian and Hispanic adolescents' perspectives on functional values and addiction. (United States)

    Quintero, Gilbert; Davis, Sally


    Tobacco use by the young is one of the greatest public health concerns in the United States and is targeted by a number of prevention and control programs. A fuller understanding of the social and cultural values that youths attach to smoking is important in achieving focused, effective prevention strategies. Drawing on data collected through individual and focus group interviews, this article examines reasons that Hispanic and American Indian youths give to explain their smoking. The analysis presented here focuses on two interrelated sets of reasons: the functional values of tobacco use (including mood management, peer influences, and image maintenance) and addiction. This article concludes with a discussion of the implications these data may have for prevention and cessation programs aimed at youth and outlines ideas for an anthropological research agenda on youth and tobacco.

  6. Plaqueta e leptina em adolescentes com obesidade Platelet and leptin in obese adolescents

    Directory of Open Access Journals (Sweden)

    Denis Foschini


    Full Text Available OBJETIVOS: Analisar a influência de obesidade na contagem de células imunológicas e na concentração dos hormônios cortisol e leptina, a fim de estabelecer uma relação entre as variáveis analisadas. MÉTODOS: Foram recrutados 27 adolescentes obesos [índice de massa corporal (IMC ≥ percentil 95[ e 21 não-obesos (IMC ≤ percentil 75, de ambos os sexos, com idade entre 15 e 19 anos, na fase pós-púbere. O IMC foi calculado através da divisão do peso pela altura ao quadrado e a composição corporal foi estimada por pletismografia no sistema Bod PodTM. Amostras de sangue foram colhidas para análise de leucócitos, neutrófilos, linfócitos, monócitos, plaquetas, cortisol e leptina. O teste de Kolmogorov-Smirnov foi utilizado, seguido pelo teste t de Student independente supondo distribuição normal. O nível de significância estabelecido foi p OBJECTIVE: To analyze the influence of obesity status on immune cell count and concentration of the hormones cortisol and leptin, in order to establish a relationship among the variables analyzed. METHODS: We recruited 27 obese [body mass index (BMI ≥ 95th percentile[ and 21 non-obese (BMI ≤ 75th percentile adolescent boys and girls, aged 15-19 years at the post-pubertal stage. BMI was calculated as body weight divided by height squared, and body composition was estimated by plethysmography in the Bod PodTM system. Blood samples were collected to analyze leukocytes, neutrophils, lymphocytes, monocytes, platelets, cortisol, and leptin. The Kolmogorov-Smirnov test was performed, followed by the independent Student t test in case of normal distribution. Significance values were set at p < 0.05 and expressed as means ± standard deviation. The statistical package SPSS for Windows version 12.0 was used. RESULTS: There was no difference between obese and non-obese adolescents in terms of leukocyte, neutrophil, lymphocyte, monocyte and cortisol serum concentrations. The group of obese

  7. Acculturation determines BMI percentile and noncore food intake in Hispanic children. (United States)

    Wiley, James F; Cloutier, Michelle M; Wakefield, Dorothy B; Hernandez, Dominica B; Grant, Autherene; Beaulieu, Annamarie; Gorin, Amy A


    Hispanic children in the United States are disproportionately affected by obesity. The role of acculturation in obesity is unclear. This study examined the relation between child obesity, dietary intake, and maternal acculturation in Hispanic children. We hypothesized that children of more acculturated mothers would consume more unhealthy foods and would have higher body mass index (BMI) percentiles. A total of 209 Hispanic mothers of children aged 2-4 y (50% female, 35.3 ± 8.7 mo, BMI percentile: 73.1 ± 27.8, 30% obese, 19% overweight) were recruited for an obesity prevention/reversal study. The associations between baseline maternal acculturation [Brief Acculturation Rating Scale for Mexican Americans-II (Brief ARSMA-II)], child BMI percentile, and child diet were examined. Factor analysis of the Brief ARSMA-II in Puerto Rican mothers resulted in 2 new factors, which were named the Hispanic Orientation Score (4 items, loadings: 0.64-0.81) and U.S. Mainland Orientation Score (6 items, loadings: -0.61-0.92). In the total sample, children who consumed more noncore foods were more likely to be overweight or obese (P acculturation to the United States consumed more noncore foods (P acculturation served fewer noncore foods (P acculturation to the United States served more noncore foods (P acculturation and child BMI percentile in this subgroup. These mothers, however, served fewer sugar-sweetened beverages (P acculturation, noncore food consumption, and child BMI percentile in Puerto Rican and non-Puerto Rican Hispanic children.

  8. Glycemic index and glycemic load of thirteen year old children whose waist circumference (WC ≥ 90 percentile dependent on BMI

    Directory of Open Access Journals (Sweden)

    Zuzanna Goluch-Koniuszy


    Full Text Available Background. One of the reasons for the accumulation of fat tissue (including visceral fat tissue in the body is an unbalanced diet in respect of the amount and the structure of carbohydrates and the value of the glycemic index (GI and the glycemic load (GL. The research describing the dependence between the BMI (Body Mass Index, WC (Waist Circumference, WHtR (Waist-to-Height Ratio, and GI and GL indexes in adults exists but only a limited number of works discuss children during the pubertal spurt. Therefore the objective of this research is the evaluation of the state of nutrition of 13-year-old children with waist circumference ≥ 90 percentile with various BMI, taking into consideration GL and GL of their meals. Material and methods.The state of nutrition (BMI, WC, WHtR of 871 thirteen-year-old children of both sexes was evaluated and 230 children with WC ≥ 90 percentile were selected (26.4% of the total number examined and divided into three groups regarding the BMI. In 71 children (30.9% of the selected group the method of nutrition, energy and nutritive value of menus, structure of consumption of food groups and GI and GL value were evaluated, on the basis of the analysis of their three day menus, which had been documented. Results.Significantly higher values of BMI and WC were ascertained in boys than in girls. No essential differences in values of WHtR index were ascertained between boys and girls. The analysis of children’s menus, in both sexes with a waist circumference ≥ 90 percentile showed, regardless of BMI value, a low realisation of recommended energetic value of the diet and low realisation of recommended supply of: dietary fibre, fat, mineral components (K, Ca, P, Mg, Fe, Zn, Cu, vitamins (E, B1, PP and liquids with simultaneous occurrence of protein in general and animal protein, sodium and vitamins (A, B2, B6 supply. A significantly higher supply of the most of aforementioned ingredients was ascertained in the

  9. Reference values for serum leptin in healthy non-obese children and adolescents

    DEFF Research Database (Denmark)

    Lausten-Thomsen, Ulrik; Christiansen, Michael; Louise Hedley, Paula


    of reference values from pediatric settings. Accordingly, this study aims to evaluate serum concentrations of leptin, soluble leptin receptor (sOB-R), and free leptin index (FLI) in healthy Danish schoolchildren aged 6-18 years and subsequently to establish reference intervals across sex and age groups...... leptin index were calculated using the General Additive Model for Location Scale and Shape (GAMLSS). RESULTS: Significant age and sex-dependent differences in circulating leptin levels were found. In boys, the median leptin concentration for all ages combined was 3.35 μg/L (95%-interval: 0.......71-22.47) and in girls, it was 9.89 ng/L (95%-interval: 2.06-41.49). For SOB-R, no sex-specific difference was found, and the median sOB-R concentration was 8.24 μg/L (IQR: 3.58-23.74; range: 

  10. Population-referenced percentiles for waist-worn accelerometer-derived total activity counts in U.S. youth: 2003 - 2006 NHANES.

    Directory of Open Access Journals (Sweden)

    Dana L Wolff-Hughes

    Full Text Available The total activity volume performed is an overall measure that takes into account the frequency, intensity, and duration of activities performed. The importance of considering total activity volume is shown by recent studies indicating that light physical activity (LPA and intermittent moderate-to-vigorous physical activity (MVPA have health benefits. Accelerometer-derived total activity counts (TAC per day from a waist-worn accelerometer can serve as a proxy for an individual's total activity volume. The purpose of this study was to develop age- and gender-specific percentiles for daily TAC, minutes of MVPA, and minutes of LPA in U.S. youth ages 6 - 19 y.Data from the 2003 - 2006 NHANES waist-worn accelerometer component were used in this analysis. The sample was composed of youth aged 6 - 19 years with at least 4 d of ≥ 10 hours of accelerometer wear time (N = 3698. MVPA was defined using age specific cutpoints as the total number of minutes at ≥4 metabolic equivalents (METs for youth 6 - 17 y or minutes with ≥2020 counts for youth 18 - 19 y. LPA was defined as the total number of minutes between 100 counts and the MVPA threshold. TAC/d, MVPA, and LPA were averaged across all valid days.For males in the 50th percentile, the median activity level was 441,431 TAC/d, with 53 min/d of MVPA and 368 min/d of LPA. The median level of activity for females was 234,322 TAC/d, with 32 min/d of MVPA and 355 min/d of LPA.Population referenced TAC/d percentiles for U.S. youth ages 6-19 y provide a novel means of characterizing the total activity volume performed by children and adolescents.

  11. The substantive and practical significance of citation impact differences between institutions: Guidelines for the analysis of percentiles using effect sizes and confidence intervals


    Williams, Richard; Bornmann, Lutz


    In our chapter we address the statistical analysis of percentiles: How should the citation impact of institutions be compared? In educational and psychological testing, percentiles are already used widely as a standard to evaluate an individual's test scores - intelligence tests for example - by comparing them with the percentiles of a calibrated sample. Percentiles, or percentile rank classes, are also a very suitable method for bibliometrics to normalize citations of publications in terms o...

  12. Relationships between walking and percentiles of adiposity inolder and younger men

    Energy Technology Data Exchange (ETDEWEB)

    Williams, Paul T.


    To assess the relationship of weekly walking distance to percentiles of adiposity in elders (age {ge} 75 years), seniors (55 {le} age <75 years), middle-age men (35 {le} age <55 years), and younger men (18 {le} age <35 years old). Cross-sectional analyses of baseline questionnaires from 7,082 male participants of the National Walkers Health Study. The walkers BMIs were inversely and significantly associated with walking distance (kg/m{sup 2} per km/wk) in elders (slope {+-} SE: -0.032 {+-} 0.008), seniors (-0.045 {+-} 0.005), and middle-aged men (-0.037 {+-} 0.007), as were their waist circumferences (-0.091 {+-} 0.025, -0.045 {+-} 0.005, and -0.091 {+-} 0.015 cm per km/wk, respectively), and these slopes remained significant when adjusted statistically for reported weekly servings of meat, fish, fruit, and alcohol. The declines in BMI associated with walking distance were greater at the higher than lower percentiles of the BMI distribution. Specifically, compared to the decline at the 10th BMI percentile, the decline in BMI at the 90th percentile was 5.1-fold greater in elders, 5.9-fold greater in seniors, and 6.7-fold greater in middle-age men. The declines in waist circumference associated with walking distance were also greater among men with broader waistlines. Exercise-induced weight loss (or self-selection) causes an inverse relationship between adiposity and walking distance in men 35 and older that is substantially greater among fatter men.

  13. Reduced quality of life in very overweight Mexican American adolescents. (United States)

    Tyler, Chermaine; Johnston, Craig A; Fullerton, Ginny; Foreyt, John P


    Quality of life (Pediatric Quality of Life Inventory, PedsQL) was assessed for 175 Mexican American adolescents with measured height and weight used to determine body mass index (BMI) percentile/weight classification. Main effects for weight classification were detected using One-way ANOVAs (p < .05 for total, physical, and psychosocial), with the heaviest adolescents demonstrating the lowest ratings.

  14. Predictive Relationship between Humane Values of Adolescents Cyberbullying and Cyberbullying Sensibility (Relaciones predictivas entre los valores humanos de los adolescentes, el acoso cibernético y la sensibilidad al acoso cibernético) (United States)

    Dilmac, Bülent; Yurt, Eyüp; Aydin, Mustafa; Kasarci, Ismail


    Introduction: Cyberbullying has been more common than the traditional bullying in recent years. As with the traditional bullying, humane values likely to explain the reason why adolescents tend to bully via cyber-means. Cyber-bullying behaviors also reasoned by adolescents' sensibility towards it. This study investigates the predictive…

  15. Values for gender roles and relations among high school and non-high school adolescents in a Maya community in Chiapas, Mexico. (United States)

    Manago, Adriana M


    In the current study, I describe values for gender roles and cross-sex relations among adolescents growing up in a southern Mexican Maya community in which high school was introduced in 1999. A total of 80 adolescent girls and boys, half of whom were attending the new high school, provided their opinions on two ethnographically derived vignettes that depicted changes in gender roles and relations occurring in their community. Systematic coding revealed that adolescents not enrolled in high school tended to prioritise ascribed and complementary gender roles and emphasise the importance of family mediation in cross-sex relations. Adolescents who were enrolled in high school tended to prioritise equivalent and chosen gender roles, and emphasised personal responsibility and personal fulfillment in cross-sex relations. Perceptions of risks and opportunities differed by gender: girls favourably evaluated the expansion of adult female role options, but saw risks in personal negotiations of cross-sex relations; boys emphasised the loss of the female homemaker role, but favourably evaluated new opportunities for intimacy in cross-sex relations.

  16. impact of life style on body Weight in adolescents on the basis of questionnaire findings in selected group of youth from rural and urban areas

    Directory of Open Access Journals (Sweden)

    Monika Ścibor


    Full Text Available Introduction: Overweight and primary obesity in children and adolescents is a crucial problem in public health. Obese children and adolescents are especially susceptible to obesity in adulthood and consequently exposed to many obesity related diseases. Objective: Evaluation of overweight and primary obesity in urban and rural youth populations and comparison of life style concerning: physical activity, sedentary behaviors, dietary habits among overweight and obese adolescents and their peers with proper Body Mass Index value. Materials and methods: The study was performed in the group of 136 students from junior high school. The students with BMI value over 85th percentile of sex-specific growth charts were classified as overweight. Research tool was a questionnaire. Results: 15,9% of adolescents were overweight, out of which 4,5% were obese. There was not a significant relation between Body Mass Index and the place of residence. Overweight and obese adolescents revealed lower physical activity and tendency to spend much more time playing computer games. Adolescents with overweight or obesity did not regularly have breakfast at weekends, more often had sweets and sweet drinks and also high energy and very salty snacks instead. Conclusions: Overweight and obesity is a serious problem among students from junior high school population which calls for taking immediate preventive measures to promote healthy lifestyle among children and adolescents.

  17. Population-based biochemistry, immunologic and hematological reference values for adolescents and young adults in a rural population in Western Kenya.

    Directory of Open Access Journals (Sweden)

    Clement Zeh

    Full Text Available BACKGROUND: There is need for locally-derived age-specific clinical laboratory reference ranges of healthy Africans in sub-Saharan Africa. Reference values from North American and European populations are being used for African subjects despite previous studies showing significant differences. Our aim was to establish clinical laboratory reference values for African adolescents and young adults that can be used in clinical trials and for patient management. METHODS AND FINDINGS: A panel of 298, HIV-seronegative individuals aged 13-34 years was randomly selected from participants in two population-based cross-sectional surveys assessing HIV prevalence and other sexually transmitted infections in western Kenya. The adolescent (<18 years-to-adults (≥ 18 years ratio and the male-to-female ratio was 1∶1. Median and 95% reference ranges were calculated for immunohematological and biochemistry values. Compared with U.S-derived reference ranges, we detected lower hemoglobin (HB, hematocrit (HCT, red blood cells (RBC, mean corpuscular volume (MCV, neutrophil, glucose, and blood urea nitrogen values but elevated eosinophil and total bilirubin values. Significant gender variation was observed in hematological parameters in addition to T-bilirubin and creatinine indices in all age groups, AST in the younger and neutrophil, platelet and CD4 indices among the older age group. Age variation was also observed, mainly in hematological parameters among males. Applying U.S. NIH Division of AIDS (DAIDS toxicity grading to our results, 40% of otherwise healthy study participants were classified as having an abnormal laboratory parameter (grade 1-4 which would exclude them from participating in clinical trials. CONCLUSION: Hematological and biochemistry reference values from African population differ from those derived from a North American population, showing the need to develop region-specific reference values. Our data also show variations in hematological

  18. Growth patterns of adolescents in Bahrain. (United States)

    Mater, A M; Alekri, S A; Mahdi, A R; Musaiger, A O


    Weight and height of adolescents in Bahrain (15.5-19.5 years) was measured to evaluate their growth patterns. A cross-sectional survey was done on 825 students that represented 5% of total secondary students. The results showed that median height and weight of Bahraini adolescents were below the 50th percentiles of the Western standard. However, when compared with earlier surveys in Bahrain, the growth pattern has improved. This is because of improvement in health and in the environment.

  19. Ensemble hydrological prediction of streamflow percentile at ungauged basins in Pakistan (United States)

    Waseem, Muhammad; Ajmal, Muhammad; Kim, Tae-Woong


    Streamflow records with sufficient spatial and temporal coverage at the site of interest are usually scarce in Pakistan. As an alternative, various regional methods have been frequently adopted to derive hydrological information, which in essence attempt to transfer hydrological information from gauged to ungauged catchments. In this study, a new concept of ensemble hydrological prediction (EHP) was introduced which is an improved regional method for hydrological prediction at ungauged sites. It was mainly based on the performance weights (triple-connection weights (TCW)) derived from Nash Sutcliffe efficiency (NSE) and hydrological variable (here percentiles) calculated from three traditional regional transfer methods (RTMs) with suitable modification (i.e., three-step drainage area ratio (DAR) method, inverse distance weighting (IDW) method, and three-step regional regression analysis (RRA)). The overall results indicated that the proposed EHP method was robust for estimating hydrological percentiles at ungauged sites as compared to traditional individual RTMs. The comparative study based on NSE, percent bias (PBIAS) and the relative error (RE) as performance criteria resulted that the EHP is a constructive alternative for hydrological prediction of ungauged basins.

  20. 青少年的婚恋价值观及其影响因素分析%The values and attitudes towards romance and marriage among adolescents

    Institute of Scientific and Technical Information of China (English)

    廉启国; 左霞云; 楼超华


    观念、性道德及性行为等信息。结果:大部分调查对象未婚(96%),约15%的青少年有婚前性行为史,且男性(18%)比例高于女性(13%)。此外,女性、低年龄段、未婚、偏好传统文化、未发生婚前性行为的青少年认为自己(将来)的配偶保持婚前忠贞重要的比例较高,均有统计学差异。结论:青少年对异性的贞操观在改变,女性的地位越来越高,并催生了“处男情结”,与“处女情结”对峙。%Objectives:To evaluate the values and attitudes towards romance and marriage among adolescents, and to provide basic information on better sex education among them.Methods:6299 adolescents aged between 15 and 24 from urban and rural areas in Shanghai were investigated anonymously with the technology of computer assisted self -in-terview (CASI).Results:Most of the respondents were single (96%)and few (15%)had premarital sex (males, 18%;females,13%).Besides,the people who were females,younger age group,single and preferred to western cul-tures and hadn’t had premarital sex had more severe virgin complex on their partners,with statistically significant differ-ence.Conclusion:The values and attitudes towards romance and marriage among adolescents are changing.The status of women is higher and many of them also have virgin complex on their male partners.

  1. Development of a simplified finite element model of the 50th percentile male occupant lower extremity. (United States)

    Schwartz, Doron; Moreno, Daniel P; Stitzel, Joel D; Gayzik, F Scott


    A simplified lower extremity model was developed using the geometry from the Global Human Body Models Consortium (GHBMC) 50th percentile male occupant model v4.1.1 (M50) as a base. This simplified model contains 31.4x103 elements and has structures that represent bone (assumed rigid) and soft tissue. This element total is substantially reduced compared to 117.7x103 elements in the original M50 lower extremity. The purpose of this simplified computational model is to output rapid kinematic and kinetic data when detailed structural response or injury prediction data is not required. The development process included evaluating the effects of element size, material properties, and contact definitions on total run time and response. Two simulations were performed to analyze this model; a 4.9 m/s knee bolster impact and a 6.9 m/s lateral knee impact using LS-DYNA R6.1.1. The 40 ms knee bolster impact and lateral knee impact tests required 5 and 7 minutes to run, respectively on 4 cores. The original detailed M50 lower extremity model required 94 and 112 minutes to run the same boundary conditions, on the same hardware, representing a reduction in run time of on average 94%. A quantitative comparison was made by comparing the peak force of the impacts between the two models. This simplified leg model will become a component in a simplified full body model of the seated, 50th percentile male occupant. The significantly reduced run time will be valuable for parametric studies with a full body finite element model.

  2. The effects of individualistic-collectivistic value orientations on non-fatal suicidal behavior and attitudes in Turkish adolescents and young adults. (United States)

    Eskin, Mehmet


    This study aimed at investigating the effects of individualistic-collectivistic value orientations on non-fatal suicidal behavior and attitudes in Turkish adolescents and young adults. A questionnaire containing measures of individualism, collectivism (INDCOL), non-fatal suicidal behaviors and suicidal attitudes was used to collect the data. The results showed that both suicidal ideation and attempts were significantly more frequent in participants classified as individualist than those who were classified as collectivist on the basis of INDCOL scale scores. Participants with individualistic tendencies displayed more permissive attitudes toward suicide than those with collectivistic tendencies but collectivists believed to a greater extent than the individualists that people should communicate suicidal problems to others. Participants with collectivistic tendencies showed more accepting and helping reactions to an imagined suicidal friend than those with individualistic tendencies. Suicidal ideation and attempts were more common among adolescents than young adults. The findings suggest that individualistic and collectivistic value orientations and developmental status specific stressors play a role in the distribution of nonfatal suicidal behavior and the nature of suicidal attitudes.

  3. Moving away from a cultural deficit to a holistic perspective: Traditional gender role values, academic attitudes, and educational goals for Mexican descent adolescents. (United States)

    Piña-Watson, Brandy; Lorenzo-Blanco, Elma I; Dornhecker, Marianela; Martinez, Ashley J; Nagoshi, Julie L


    Latina/o youth lag behind Asian American and non-Latina/o White youth in many academic areas. Previous research has taken a deficit approach to understand the factors that affect academic outcomes for Latina/o youth often neglecting to highlight both the potential positive and negative contributions of gender role values. The present study took a holistic perspective to understand the affect of traditional Latina/o gender role values (i.e., marianismo, machismo, and caballerismo) on the academic attitudes and educational goals of Mexican descent youth. Structural equation models were tested to examine the associations of "positive" and "negative" gender role values on educational goals using 524 Mexican descent adolescents from a mid-sized city in southern Texas. We hypothesized that positive aspects of traditional Latina/o gender role values (i.e., "positive marianismo" and caballerismo) would be associated with more positive attitudes toward academics and higher educational goals. We further expected negative gender role values (i.e., "negative marianismo" and machismo) to have the opposite effect. Additionally, based on the theory of planned behavior and gender schema theory, academic attitudes were hypothesized to mediate the relation between gender role values and educational goals. An alternative model was tested in which educational goals mediated the relation between gender roles and academic attitudes. Results indicated that both models fit the data well, and recommendations are made for future longitudinal research aimed at disentangling the directionality of the relations in the model. Implications for research and practice are discussed.

  4. Valores percibidos en el medio televisivo por adolescentes en contextos transculturales Values Perceived in Television by Adolescents in Different Cross-cultural Contexts

    Directory of Open Access Journals (Sweden)

    Concepción Medrano Samaniego


    Full Text Available El objetivo general de este trabajo fue conocer los valores percibidos en su personaje favorito de televisión en una muestra de 1.238 adolescentes pertenecientes a ocho contextos culturales y establecer las posibles diferencias entre dichos contextos. Se parte de la hipótesis básica de que el medio televisivo trasmite valores y es una agente de socialización, entre otros, en la etapa de la adolescencia. La muestra total estuvo constituida por: tres submuestras españolas, cuatro latinoamericanas y una irlandesa. El instrumento utilizado para indagar los valores percibidos ha sido Val.Tv 0.2 que es una adaptación de la escala de Schwartz. La recogida de datos se realizó a través de una plataforma on-line y presencialmente. Respecto a los hallazgos encontrados, tomados globalmente, los valores que más perciben los adolescentes son autodirección y benevolencia. Respecto a las diferencias contextuales los datos nos indican que, a pesar de que existen diferencias significativas en todos los valores, éstas no son muy destacables. Hay que exceptuar los valores de hedonismo y logro, donde no se encontraron diferencias significativas entre los diferentes contextos. Las diferencias más relevantes se hallaron en los valores de conformidad, tradición, benevolencia y universalismo. Desde una perspectiva educativa se concluye que el instrumento de medición utilizado puede ser una herramienta adecuada para decodificar los valores percibidos por los adolescentes en sus personajes preferidos.This study was carried out on a sample group of 1,238 adolescents from eight different cultural contexts, and aimed to determine the values perceived by subjects in their favorite television characters. It also aimed to identify any possible differences between cultural contexts. The basic hypothesis for the study was that television conveys values and constitutes one of the forces for socialization at play during adolescence. The total sample group was made up

  5. Adolescent Summer Care Arrangements and Risk for Obesity the Following School Year (United States)

    Mahoney, Joseph L.


    This longitudinal study identified common summer care arrangements for adolescents and examined whether those arrangements predicted risk for obesity (Body Mass Index (BMI) [greater than or equal to] 85th percentile for age and gender) the following school year. Participants were a nationally representative sample of 1766 adolescents ages 10-18…

  6. Effects that different types of sports have on the hearts of children and adolescents and the value of two-dimensional strain-strain-rate echocardiography. (United States)

    Binnetoğlu, Fatih Köksal; Babaoğlu, Kadir; Altun, Gürkan; Kayabey, Özlem


    Whether the hypertrophy found in the hearts of athletes is physiologic or a risk factor for the progression of pathologic hypertrophy remains controversial. The diastolic and systolic functions of athletes with left ventricular (LV) hypertrophy usually are normal when measured by conventional methods. More precise assessment of global and regional myocardial function may be possible using a newly developed two-dimensional (2D) strain echocardiographic method. This study evaluated the effects that different types of sports have on the hearts of children and adolescents and compared the results of 2D strain and strain-rate echocardiographic techniques with conventional methods. Athletes from clubs for five different sports (basketball, swimming, football, wrestling, and tennis) who had practiced regularly at least 3 h per week during at least the previous 2 years were included in the study. The control group consisted of sedentary children and adolescents with no known cardiac or systemic diseases (n = 25). The athletes were grouped according to the type of exercise: dynamic (football, tennis), static (wrestling), or static and dynamic (basketball, swimming). Shortening fraction and ejection fraction values were within normal limits for the athletes in all the sports disciplines. Across all 140 athletes, LV geometry was normal in 58 athletes (41.4 %), whereas 22 athletes (15.7 %) had concentric remodeling, 20 (14.3 %) had concentric hypertrophy, and 40 (28.6 %) had eccentric hypertrophy. Global LV longitudinal strain values obtained from the average of apical four-, two-, and three-chamber global strain values were significantly lower for the basketball players than for all the other groups (p < 0.001).

  7. Helping parents to motivate adolescents in mathematics and science: an experimental test of a utility-value intervention. (United States)

    Harackiewicz, Judith M; Rozek, Christopher S; Hulleman, Chris S; Hyde, Janet S


    The pipeline toward careers in science, technology, engineering, and mathematics (STEM) begins to leak in high school, when some students choose not to take advanced mathematics and science courses. We conducted a field experiment testing whether a theory-based intervention that was designed to help parents convey the importance of mathematics and science courses to their high school-aged children would lead them to take more mathematics and science courses in high school. The three-part intervention consisted of two brochures mailed to parents and a Web site, all highlighting the usefulness of STEM courses. This relatively simple intervention led students whose parents were in the experimental group to take, on average, nearly one semester more of science and mathematics in the last 2 years of high school, compared with the control group. Parents are an untapped resource for increasing STEM motivation in adolescents, and the results demonstrate that motivational theory can be applied to this important pipeline problem.

  8. What You See Is What You Get: The Role of Early Adolescents' Perceptions in the Intergenerational Transmission of Academic Values (United States)

    Gniewosz, Burkhard; Noack, Peter


    The present research addresses processes involved in academic value transmission within family. Drawing on expectancy x value and social learning theory, a two-wave longitudinal study based on data from 1014 students, 878 mothers, and 748 fathers was conducted to examine the mechanisms of parental influence. Structural equation modeling provided…

  9. Teachers' Intentions to Stay in Teaching: The Role of Values and Knowledge of Adolescent Development (United States)

    Battle, Ann A.; Looney, Lisa


    Researchers examining teacher retention often focus on reasons why teachers exit the profession. In this study we argue for the inclusion of a psychological theoretical framework for understanding teacher retention. To this end, we used Eccles' et al., (1983) expectancy-value theory to explore 46 in-service teachers' valuing of teaching…

  10. Association between Birth Weight and Cardiovascular Risk Factors in Adolescents

    Energy Technology Data Exchange (ETDEWEB)

    Sousa, Maria Amenaide Carvalho Alves de, E-mail: [Escola Bahiana de Medicina e Saúde Pública, Salvador, BA (Brazil); Guimarães, Isabel Cristina Britto; Daltro, Carla [Universidade Federal da Bahia, Salvador, BA (Brazil); Guimarães, Armênio Costa [Escola Bahiana de Medicina e Saúde Pública, Salvador, BA (Brazil)


    Birth weight (BW) is a medium- and long-term risk determinant of cardiovascular risk factors. To assess the association between BW and cardiovascular risk factors in adolescents of the city of Salvador, Bahia state. Cross-sectional study with comparison of BW groups. Sample comprising 250 adolescents classified according to the BMI as follows: high-normal (≥ 50th percentile and < 85th percentile); overweight (≥ 85th percentile and < 95th percentile); and obesity (≥ 95th percentile). The risk variables compared were as follows: waist circumference (WC); arterial blood pressure; lipid profile; glycemia; serum insulin; HOMA-IR; and metabolic syndrome. The BW was informed by parents and classified as follows: low (BW ≤ 2,500g); normal (BW > 2,500g and < 4,000g); and high (BW ≥ 4,000g). One hundred and fifty-three (61.2%) girls, age 13.74 ± 2.03 years, normal BW 80.8%, low BW 8.0%, and high BW 11.2%. The high BW group as compared with the normal BW group showed a higher frequency of obesity (42.9%, p=0.005), elevated SBP and DBP (42.9%, p=0.000 and 35.7%, p=0.007, respectively), and metabolic syndrome (46.4%, p=0.002). High BW adolescents as compared with normal BW adolescents had a prevalence ratio for high SBP 3.3 (95% CI: 1.7-6.4) and obesity 2.6 (95% CI: 1.3-5.2). The WC of high BW adolescents was 83.3 ± 10.1 (p=0.038). The lipid profile showed no statistically significant differences. Our findings suggest that obesity, elevated SBP and DBP, and metabolic syndrome during adolescence might be associated with high BW.

  11. Percentile Data Analysis of Snowfall in J&K and Saichen Glaciers Region

    Directory of Open Access Journals (Sweden)

    G. P. Shrivastava


    Full Text Available The Indian Himalayas are located between eastings 72° to 96° and the northings 26° to 37°stretching to about 43000 km2 area. There are five major ranges in this region, ie, Pir Panjal,Greater Himalayas, Zanskar, Laddakh, and Karakoram. Saltoro range is the major branch ofwidespread Karakoram ranges which falls in Indian territory. Saichen glaciers are located inSaltoro range. Percentile data of snowfall gives first-hand information about the snowfall patternin Jammu and Kashmir and Saichen glaciers, the two distinguished areas of Indian Himalayaswhich would help in prediction of avalanche activity in these areas. Western disturbanceoriginating from Caspian sea basically dictates the weather condition in this region. Westerndisturbance approaches from western side and hits Pir Panjal range and Greater Himalayan rangefirst, and then either it moves to further north or towards north-eastern region. Westerndisturbance yields maximum precipitation during winter season over north-west Himalayas, butas it moves further, it looses the moisture content, hence reducing the solid snowfall quantitybut stays for a longer duration due to extremely low temperatures observed in the region ofSaichen glaciers. The data analysis shows that the snowfall takes place in Saichen glacierthroughout the year whereas in Jammu and Kashmir area, snowfall takes place only during winterseason. Change in snowfall pattern in these two regions is attributed to the variation intemperature in these regions, movement of weather system, and the difference in altitude. In thepresent study, four locations at varied altitudes from Jammu and Kashmir area and the completeSaichen glaciers region have been covered to analyse the snowfall pattern for the period from1995-2000.

  12. Parental Activity as Influence on Childrenˋs BMI Percentiles and Physical Activity

    Directory of Open Access Journals (Sweden)

    Nanette Erkelenz, Susanne Kobel, Sarah Kettner, Clemens Drenowatz, Jürgen M. Steinacker and the Research Group "Join the Healthy Boat - Primary School"


    Full Text Available Parents play a crucial role in the development of their children’s lifestyle and health behaviour. This study aims to examine associations between parental physical activity (PA and children’s BMI percentiles (BMIPCT, moderate to vigorous PA (MVPA as well as participation in organised sports. Height and body weight was measured in 1615 in German children (7.1 ± 0.6 years, 50.3% male and converted to BMIPCT. Parental BMI was calculated based on self-reported height and body weight. Children’s MVPA and sports participation as well as parental PA were assessed via parental questionnaire. Analysis of covariance (ANCOVA, controlling for age and family income was used to examine the association between parental and children’s PA levels as well as BMIPCT. 39.7% of the parents classified themselves as physically active and 8.3% of children were classified as overweight or obese. Lower BMIPCT were observed with both parents being physically active (44.5 ± 26.3 vs. 50.2 ± 26.9 and 52.0 ± 28.4, respectively. There was no association between parental and children’s PA levels but children with at least one active parent displayed a higher participation in organised sports (102.0 ± 96.6 and 117.7 ± 123.6 vs. 73.7 ± 100.0, respectively. Children of active parents were less likely to be overweight and obese. The lack of association between subjectively assessed parental PA and child MVPA suggests that parental support for PA in children is more important than parents being a role model. More active parents, however, may be more likely to facilitate participation in organised sports. These results underline the importance of the inclusion of parents in health promotion and obesity prevention programmes in children.

  13. The value of different Risser grading systems in determining growth maturity of girls with adolescent idiopathic scoliosis. (United States)

    Wang, Weijun; Zhen, Xin; Sun, Xu; Zhu, Zezhang; Zhu, Feng; Lam, T P; Cheng, Jack C Y; Qiu, Yong


    A grading system for ossification of the iliac apophysis (Risser sign) was developed for skeletal maturity assessment in the United States (US) then adopted with modifications in France (Fr) and other countries. Despite the same name, these systems have important differences. With the aim to analyzing the difference between US and Fr Risser grading systems in determining the growth maturity of girls with adolescent idiopathic scoliosis (AIS), Fifty-three AIS girls undergoing posterior spinal correction with autogenous bone graft were recruited. The Risser grades were recorded for the non-dominant side iliac crest apophysis according to the US and Fr grading systems. Growth activity was determined by standard histologic grades (HGs) on iliac crest cartilage. As a result, Kappa statistics showed poor agreement between two grading systems. The US system showed higher correlation with HGs compared to Fr system by Spearman correlation analysis. It was also found that growth cessation could be determined by Risser grade 5 of US system or Risser grade 4 of Fr system. Furthermore, by employing Receiver Operating Characteristic (ROC) curve analysis, it was found that the Risser grade 4-5 of US system with two years after menarche could be used in determining growth cessation with the highest sensitivity, specificity and accuracy. Hence it was concluded that the US Risser grading system was better in determining maturity of girls with AIS than Fr Risser grading system. By combining years since menarche, the accuracy of Risser grades in determining growth cessation could be enhanced, and the time of weaning from a brace could be advanced.

  14. Risk factors for obesity: further evidence for stronger effects on overweight children and adolescents compared to normal-weight subjects.

    Directory of Open Access Journals (Sweden)

    Andreas Beyerlein

    Full Text Available BACKGROUND: We recently showed that in preschoolers risk factors for overweight show stronger associations with BMI in children with high BMI values. However, it is unclear whether these findings might also pertain to adolescents. METHODS: We extracted data on 3-10 year-old (n = 7,237 and 11-17 year-old (n = 5,986 children from a representative cross-sectional German health survey (KiGGS conducted between 2003 and 2006 and calculated quantile regression models for each age group. We used z-scores of children's body mass index (BMI as outcome variable and maternal BMI, maternal smoking in pregnancy, low parental socioeconomic status, exclusive formula-feeding and high TV viewing time as explanatory variables. RESULTS: In both age groups, the estimated effects of all risk factors except formula-feeding on BMI z-score were greatest for children with the highest BMI z-score. The median BMI z-score of 11-17 year-old children with high TV viewing time, for example, was 0.11 [95% CI: 0.03, 0.19] units higher than the median BMI z-score of teenage children with low TV viewing time. This risk factor was associated with an average difference of 0.18 [0.06, 0.30] units at the 90(th percentile of BMI z-score and of 0.20 [0.07, 0.33] units at the 97(th percentile. CONCLUSIONS: We confirmed that risk factors for childhood overweight are associated with greater shifts in the upper parts of the children's BMI distribution than in the middle and lower parts. These findings pertain also to teenagers and might possibly help to explain the secular shift in the upper BMI percentiles in children and adolescents.

  15. Physical fitness normative values for 6-18-year-old Greek boys and girls, using the empirical distribution and the lambda, mu, and sigma statistical method. (United States)

    Tambalis, Konstantinos D; Panagiotakos, Demosthenes B; Psarra, Glykeria; Daskalakis, Stelios; Kavouras, Stavros A; Geladas, Nickos; Tokmakidis, Savas; Sidossis, Labros S


    The aim of the this study was to establish age- and gender-specific physical fitness normative values and to compare percentiles and Z scores values in a large, nationwide sample of Greek children aged 6-18 years. From March 2014 to May 2014, a total of 424,328 boys and girls aged 6-18 years who attended school in Greece were enrolled. The studied sample was representative, in terms of age-sex distribution and geographical region. Physical fitness tests (i.e. 20 m shuttle run test (SRT), standing long jump, sit and reach, sit-ups, and 10 × 5 m SRT) were performed and used to calculate normative values, using the percentiles of the empirical distributions and the lambda, mu, and sigma statistical method. Normative values were presented as tabulated percentiles for five health-related fitness tests based on a large data set comprising 424,328 test performances. Boys typically scored higher than girls on cardiovascular endurance, muscular strength, muscular endurance, and speed/agility, but lower on flexibility (all p values <0.001). Older boys and girls had better performances than younger ones (p < 0.001). Physical fitness tests' performances tended to peak at around the age of 15 years in both sexes. The presented population-based data are the most up-to-date sex- and age-values for the health-related fitness of children and adolescents in Greece and can be used as standard values for fitness screening and surveillance systems and for comparisons among the same health-related fitness scores of children from other countries similar to Greece. Schools need to make efforts to improve the fitness level of the schoolchildren through the physical education curriculum to prevent cardiovascular risk.

  16. The Role of Friends in Early Adolescents' Academic Self-Competence and Intrinsic Value for Math and English (United States)

    Bissell-Havran, Joanna M.; Loken, Eric


    In a sample of 207 eighth grade students, we examined similarities between students and their friends in achievement motivation and whether friendship support moderated these associations. Academic self-competence and intrinsic value for math and English were assessed using both perceptions of friends and actual friend reports collected through…

  17. Relations between Mothers and Adolescent Daughters in the Israeli Bedouin Society Characterized by Education of Traditional Values (United States)

    Suwaed, Muhammad; Swaid, Faten


    In recent decades, the Bedouin population in Galilee, in Northern Israel, experienced significant multifaceted changes. Exposure to other cultures and other social components, with which this population had very limited interaction in the past, had affected its norms and behavior patterns and caused adaption of manners and values that had not been…

  18. Mamakind or Papakind? [Mom's Child or Dad's Child]: Parent-Specific Patterns in Early Adolescents' Intergenerational Academic Value Transmission (United States)

    Gniewosz, Burkhard; Noack, Peter


    The present study investigates the intergenerational transmission of the valuing of math within family. We tested if there are groups of students showing differential intergenerational transmission patterns. Based on a two-wave longitudinal sample of 1198 German fifth graders, their mothers (N = 874), and fathers (N = 733), structural equation…

  19. Reference values for salivary testosterone in adolescent boys and girls determined using Isotope-Dilution Liquid-Chromatography Tandem Mass Spectrometry (ID-LC-MS/MS). (United States)

    Büttler, Rahel M; Peper, Jiska S; Crone, Eveline A; Lentjes, Eef G W; Blankenstein, Marinus A; Heijboer, Annemieke C


    The measurement of testosterone in saliva is an attractive alternative to serum analysis due to the simple and non-invasive sample collection. In children and adolescents salivary testosterone is mainly measured to investigate whether puberty has started or not. This study aimed to establish reference values for salivary testosterone during puberty in boys and girls. We measured salivary testosterone using ID-LC-MS/MS in a cohort of 131 girls and 123 boys of whom each had salivary testosterone measured at two time points during puberty. Salivary testosterone concentrations start to increase with the start of puberty around eight years and continuously increase up to adult concentrations in the following ten years. Reference values were calculated using the Lambda-Mu-Sigma (LMS)-curve fitting method and provided per year from 8 to 26 years of age in boys and girls. These reference ranges may help clinicians and researchers to interpret salivary testosterone results in both individual patients and study subjects.


    Marrodán Serrano, María Dolores; González-Montero de Espinosa, Marisa; Herráez, Ángel; Alfaro, Emma Laura; Felipe Bejarano, Ignacio; Carmenate, María Margarita; Prado, Consuelo; Beatriz Lomaglio, Delia; López-Ejeda, Noemí; Martínez, Antonio; Mesa, María Soledad; Méndez Pérez, Betty; Meléndez, Juana María; Moreno Romero, Susana; Pacheco, Jose Luis; Vázquez, Vanessa; Dipierri, José E


    Introducción: la evaluacion del grosor de los pliegues subcutáneos es una medida objetiva de la adiposidad. Es por tanto una herramienta útil para el diagnóstico nutricional y la prevención del riesgo metabólico asociado al exceso de grasa en la infancia y adolescencia. Objetivo: proporcionar valores percentilares de los pliegues adiposos subcutáneos subescapular y tricipital para escolares hispanoamericanos y compararlos con los valores publicados por los Centros para el Control y Prevención de Enfermedades (CDC) de los Estados Unidos, que comunmente se emplean como referencia en estos países. Métodos: se midió el pliegue subescapular y tricipital en 9.973 escolares entre 4 y 19 años procedentes de España, Argentina, Cuba, Venezuela y México con un calibre Holtain de 0,2 mm de precisión. Los percentiles fueron calculados mediante el método estadístico LMS y presentados en tablas divididas en intervalos de seis meses y en gráficos de curvas. La diferencia entre los valores medios hispanoamericanos y los valores del CDC se muestran para el P3, P50 y P97 en mm, y también gráficamente. Resultados: las medidas de los pliegues subcutáneos se incrementan obviamente con la edad pero, en niños, este incremento es mucho más marcado en los percentiles superiores entre los 8 y 13 años; este máximo es alcanzado antes que en la referencia del CDC. En ambos sexos, todos los percentiles analizados fueron superiores en los escolares hispanoamericanos, exceptuando el P97 por encima de los 10 o 13 años, donde resultó notablemente inferior. Conclusiones: los percentiles de pliegues adiposos de los niños y adolescentes hispanoamericanos difieren de la referencia del CDC. Los valores del pliegie subescapular y tricipital proporcionados en este estudio podrían ser aplicados en poblaciones de similar origen étnico, especialmente en estudios comparativos de la composición corporal.

  1. Adolescent development (United States)

    Development - adolescent; Growth and development - adolescent ... During adolescence, children develop the ability to: Understand abstract ideas. These include grasping higher math concepts, and developing moral ...

  2. Prevalence of abdominal obesity in Spanish children and adolescents. Do we need waist circumference measurements in pediatric practice?

    Directory of Open Access Journals (Sweden)

    Helmut Schröder

    Full Text Available BACKGROUND: Evidence indicates that central adiposity has increased to a higher degree than general adiposity in children and adolescents in recent decades. However, waist circumference is not a routine measurement in clinical practice. OBJECTIVE: This study aimed to determine the prevalence of abdominal obesity based on waist circumferences (WC and waist to height ratio (WHtR in Spanish children and adolescents aged 6 to 17 years. Further, the prevalence of abdominal obesity (AO among normal and overweight individuals was analyzed. DESIGN: Data were obtained from a study conducted from 1998 to 2000 in a representative national sample of 1521 children and adolescents aged 6 to 17 years (50.0% female in Spain. WC and WHtR measurements were obtained in addition to BMI. AO was defined as WHtR ≥0.50 (WHtR-AO, sex and age specific WC≥90(th percentile (WC-AO1, and sex and age specific WC cut-off values associated with high trunk fat measured by by dual-energy X-ray absorptiometry (WC-AO2. RESULTS: IOTF- based overweight and obsity prevalence was 21.5% and 6.6% in children and 17.4% and 5.2% in adolescents, respectively. Abdominal obesity (AO was defined as WHtR≥0.50 (WHtR-AO, sex- and age-specific WC≥90th percentile (WC-AO1, and sex- and age-specific WC cut-off values associated with high trunk fat measured by dual-energy X-ray absorptiometry (WC-AO2. The respective prevalence of WHtR-AO, WC-AO1, and WC-AO2 was 21.3% (24.6% boys; 17.9% girls, 9.4% (9.1% boys; 9.7% girls, and 26.8% (30.6% boys;22.9% girls in children and 14.3% (20.0% boys; 8.7% girls, 9.6% (9.8% boys; 9.5% girls, and 21.1% (28.8% boys; 13.7% girls in adolescents. CONCLUSION: The prevalence of AO in Spanish children and adolescents is of concern. The high proportion of AO observed in young patients who are normal weight or overweight indicates a need to include waist circumference measurements in routine clinical practice.

  3. Diet and physical activity interventions do have effects on body composition and metabolic syndrome parameters in overweight and obese adolescents and their mothers. (United States)

    Nişancı Kılınç, Fatma; Çağdaş, Deniz N


    To determine the effects of lifestyle intervention and diet on body composition, anthropometric measurements, and metabolic syndrome (MS) in obese and overweight adolescents and their mothers, a diet and lifestyle intervention program was administered for 16 weeks to 19 9-17-year-old (12.52 ± 2.85 years) adolescents (female/male, 8/11) with a body mass index (BMI) value over the 90th percentile; hemoglobin (Hb)A1C, fasting insulin, homeostasis model assessment of insulin resistance (HOMA-IR), fibrinogen, and C-reactive protein levels of the adolescents and anthropometric measurements of the mothers were compared. In some of the anthropometric values (body weight (BW), BMI, waist circumference (WC), skinfold thicknesses, body fat tissue, and lean tissue mass), a statistically significant difference was observed in pre- and post-application measurements (p0.05). MS was observed in 52.6% of the participants at baseline, and this rate was found as 15.8% based on the measurements carried out at week 16, which is a statistically significant decrease (pdiet and lifestyle intervention program for overweight and obese adolescents involving their mothers resulted in significant improvement in obesity and MS treatment.

  4. Percentile-Based Journal Impact Factors: A Neglected Collection Development Metric (United States)

    Wagner, A. Ben


    Various normalization techniques to transform journal impact factors (JIFs) into a standard scale or range of values have been reported a number of times in the literature, but have seldom been part of collection development librarians' tool kits. In this paper, JIFs as reported in the Journal Citation Reports (JCR) database are converted to…

  5. Reference Curves for the Gross Motor Function Measure: Percentiles for Clinical Description and Tracking Over Time Among Children With Cerebral Palsy


    Hanna, Steven E.; Bartlett, Doreen J; Rivard, Lisa M; Russell, Dianne J


    Background and Purpose: Physical therapists frequently use the 66-item Gross Motor Function Measure (GMFM-66) with the Gross Motor Function Classification System (GMFCS) to examine gross motor function in children with cerebral palsy (CP). Until now, reference percentiles for this measure were not available. The aim of this study was to improve the clinical utility of this gross motor measure by developing cross-sectional reference percentiles for the GMFM-66 within levels of the GMFCS.

  6. 感度分布的分位点估计%Percentiles Estimation for a Response Distribution

    Institute of Scientific and Technical Information of China (English)

    田玉斌; 牟可典


    在对数Logistic模型下,将Wetherill变换响应方法和Robbins-Monro序贯试验设计相结合,给出了模型参数的极大似然估计存在唯一的充分必要条件和极大似然估计的计算公式.在对该方法进行模拟研究的基础上,将其应用于65#雷管.模拟和实例结果表明,在无感度分布模型的信息时,使用该方法所得分位点的估计是稳健的.%To estimate percentiles of a response distribution, the transformed response rule of Wetherill and Robbins-Monro sequential design were proposed under Log-Logistic model. Based on responses data, a necessary and sufficient condition for the existence of maximum likelihood estimators and then the calculating formula were presented. After a simulation study, the proposed approach was applied to 65# detonator. Numerical results showed that estimators of percentiles from the proposed approach are robust to the parametric models lacking information on the original response distribution.

  7. Prevalence and socio-demographic factors associated with overweight and obesity among adolescents in Kaski district, Nepal

    Directory of Open Access Journals (Sweden)

    Bishwas Acharya


    Full Text Available Background: The occurrence of overweight and obesity is at increasing level in low income and developing countries and is not limited to high income countries only. Adolescent is at high risk for its development. Rationale: To find out the prevalence and associated socio-demographic factors responsible for overweight and obesity which are unrecognized health problems and are risk factors for non-communicable disease. To date no study has been done focusing overweight and obesity in Kaski district, Nepal and very few in context of Nepal. Objectives: To determine the prevalence of overweight and obesity and their association with socio demographic factors among higher secondary school level adolescents in Kaski district, Nepal. Methods: A cross sectional study was conducted in Kaski district among 838 adolescents randomly selected from 12 schools using multistage cluster sampling from 24th October to 4th December, 2013 using self-administered questionnaire and anthropometric assessment. BMI for age was calculated using WHO Anthroplus software v.1.0.4 using cut off value of 85th percentile and 95th percentile for overweight and obesity respectively. Statistical analysis was done using SPSSv. 16.  Results: The study revealed 8.1% prevalence of overweight and obesity of among higher secondary level school adolescents with 5.8% overweight and 2.3% obese. Urban respondents were found significantly more overweight/obese than village respondents (p=0.001, OR=2.360. Adolescents of ethnic/indigenous group (p<0.001, OR=2.56, fathers’ with government job (p=0.011, OR=2.08, mothers’ with teaching job (p=0.038, OR=2.57 and average monthly family income more than or equal to NRs.25, 000 (p=0.007, OR=1.97 were found significantly more overweight and obese. But, other socio demographic factors like gender (p=0.26, birth order (p=0.404 and parents’ education (p=0.121 for fathers’ and p=0.282 for mothers’ education weren’t significantly associated

  8. Report on Childhood Obesity in China (2)Verification of BMI Classification Reference for Overweight and Obesity in Chinese Children and Adolescents

    Institute of Scientific and Technical Information of China (English)


    Objective To verify Working Group for Obesity in China (WGOC) recommended body mass index (BMI) classification reference for overweight and obesity in Chinese children and adolescents using the data of 2002 China Nationwide Nutrition and Health Survey. Methods Pediatric metabolic syndrome (MetS) and abnormality of each risk factor for MetS were defined using the criteria for US adolescents. Definition of hyper-TC, LDL, and dyslipidemia in adults was applied as well. The average level and abnormality rate of the metabolic indicators were described by BMI percentiles and compared with general linear model analysis. Receiver operating characteristic analysis was used to summarize the potential of BMI to discriminate between thepresence and absence of the abnormality of these indicators. Results There was neither significantly increasing nor significantly decreasing trend of biochemical parameter levels in low BMI percentile range (<65th). Slight increasing trend from the 75th and a significant increase were found when BMI≥85th percentile. In general, the prevalence of the examined risk factors varied slightly when BMI percentile<75th, and substantial increases were consistently seen when BMI percentile≥75th. As an indicator of hyper-TG, hypertension and MetS, the sensitivity and specificity were equal at the point of BMI<75th percentile, and the Youden's index of risk factors also reached peak point before 75th percentile except for MetS. When the BMI percentile was used as the screening indicator of MetS, Youden's index reached peak point at 85th percentile, just the point in the ROC graph that was nearest to the upper left corner. Conclusion The BMI classification reference for overweight and obesity recommended by WGOC is rational to predict and prevent health risks in Chinese children and adolescents. Lower screening cut-off points, such as 83th percentile or 80th percentile, should not be excluded when they are considered as overweight criteria in

  9. (1)H MRS assessment of hepatic steatosis in overweight children and adolescents

    DEFF Research Database (Denmark)

    Chabanova, Elizaveta; Bille, Dorthe S; Thisted, Ebbe;


    children and adolescents up to 20 years of age with a body mass index above the 97th percentile according to age and gender. Proton MRS for each patient was performed in both 1T and 3T using point resolved spectroscopy sequence in a single volume positioned in the right liver lobe. RESULTS: Average T2...

  10. Food Consumption Patterns of Nigerian Adolescents and Effect on Body Weight (United States)

    Olumakaiye, M. F.; Atinmo, Tola; Olubayo-Fatiregun, M. A.


    Objective: Association between nutritional status of adolescents and food consumption pattern. Design: Data on number of meals and snacks consumed daily were collected using structured questionnaires. Nutritional status was assessed as weight-for-age body mass index score less than fifth percentile of the National Center for Health…

  11. Using Ecological Momentary Assessment to Examine Interpersonal and Affective Predictors of Loss of Control Eating in Adolescent Girls (United States)

    Ranzenhofer, Lisa M.; Engel, Scott G.; Crosby, Ross D.; Anderson, Micheline; Vannucci, Anna; Cohen, L. Adelyn; Cassidy, Omni; Tanofsky-Kraff, Marian


    Objective Pediatric loss of control (LOC) eating is predictive of partial- and full-syndrome binge eating disorder. The interpersonal model proposes that LOC eating is used to cope with negative mood states resulting from interpersonal distress, possibly on a momentary level. We therefore examined temporal associations between interpersonal problems, negative affect, and LOC eating among overweight adolescent girls using ecological momentary assessment (EMA). Method Thirty overweight and obese (≥85th body mass index (BMI) percentile; BMI: M = 36.13, SD = 7.49 kg/m2) adolescent females (Age: M = 14.92, SD = 1.54 y; 60.0% African American) who reported at least two LOC episodes in the past month completed self-report momentary ratings of interpersonal problems, state affect, and LOC eating for 2 weeks. A series of 2-level multilevel models with centering within subjects was conducted. Results Between- and within-subjects interpersonal problems (p’s < .05), but not between- (p = .12) or within- (p = .32) subjects negative affect predicted momentary LOC eating. At the between-subjects level, interpersonal problems significantly predicted increases in negative affect (p < 001). Discussion Naturalistic data lend support to the predictive value of interpersonal problems for LOC eating among adolescents. Interventions targeting interpersonal factors on a momentary basis may be useful during this developmental stage. PMID:25046850

  12. Equações preditivas e valores de normalidade para pressões respiratórias máximas na infância e adolescência Predictive equations and normal values for maximal respiratory pressures in childhood and adolescence

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    Diana Amélia de Freitas


    Full Text Available OBJETIVO: Pesquisar equações preditivas e valores de normalidade para pressões respiratórias máximas disponíveis na literatura para a faixa etária compreendida entre a infância e a adolescência. FONTES DE DADOS: Estudos publicados em inglês e em português no período entre 1980 e 2009. As bases de dados eletrônicas Lilacs e Medline foram consultadas utilizando-se as palavras-chave "capacidade respiratória máxima", "músculos respiratórios", "valores de referência", "adolescente" e "criança". SÍNTESE DOS DADOS: Foram incluídos oito artigos na revisão, totalizando 1.463 crianças e adolescentes avaliados. A faixa etária da população estudada variou de sete a 18 anos. Geralmente o indivíduo é avaliado na posição sentada e com um clipe nasal. Os esforços máximos são realizados a partir do volume residual e da capacidade pulmonar total e sustentados por um a três segundos. Valores de normalidade e equações de predição foram propostos em oito e dois estudos, respectivamente. Nestes, demonstra-se incremento nas pressões respiratórias máximas desde a infância à adolescência e a ocorrência de maiores valores de pressão expiratória máxima quando comparados à pressão inspiratória máxima em crianças e adolescentes de ambos os sexos. CONCLUSÕES: As pressões respiratórias máximas constituem um meio efetivo para avaliar a força muscular respiratória e diversos fatores contribuem para a grande variedade de equações preditivas e de valores de normalidade disponíveis. É preciso buscar um consenso para normatizar os métodos requeridos ao avaliar a força muscular respiratória em crianças e adolescentes.OBJECTIVE: To investigate predictive equations and normal values for maximal respiratory pressures available in the literature for children and adolescents. DATA SOURCES: Studies in English and Portuguese published from 1980 to 2009. Lilacs and Medline databases were consulted using the key

  13. Caribbean and Filipino adolescents' and parents' perceptions of parental authority, physical punishment, and cultural values and their relation to migratory characteristics. (United States)

    Hassan, Ghayda; Rousseau, Cécile; Measham, Toby; Lashley, Myrna


    This article describes the perceptions of parents and adolescents of physical punishment in relation to family and migratory characteristics. Adolescents and their parents of Caribbean (n=118) and of Filipino (n=136) heritage responded to questions on their attitude toward physical discipline, their family relations, and their socio-demographic and migratory characteristics. Data analyses show that many Caribbean (78%) and Filipino (41.9%) parents perceive that they should have the right to physically punish their children, while youth disagree with this. The dissonance between parents' and their children's attitudes is related to acculturation factors due to the earlier and more intense exposure of youth to their host society. Further studies should be conducted on the impact of the divergence between parents and their youth's opinions on the actual shifts in power in the parent-child relationship, as well as on immigrant parents' discipline strategies and on the family's adaptation to the challenges of migration.

  14. Erratum to: Six years ahead: a longitudinal analysis regarding course and predictive value of the Strengths and Difficulties Questionnaire (SDQ) in children and adolescents. (United States)

    Becker, Andreas; Rothenberger, Aribert; Sohn, Alexander; Ravens-Sieberer, Ulrike; Klasen, Fionna


    Erratum to: Eur Child Adolesc PsychiatryDOI 10.1007/s00787‑014‑0640‑x Unfortunately, the names of two authors, Ulrike Ravens- Sieberer and Fionna Klasen, were omitted in the original publication of the article. Please find the correct author list below:Andreas Becker · Aribert Rothenberger · Alexander Sohn · Ulrike Ravens-Sieberer · Fionna Klasen · The BELLA study group

  15. Adolescents and their music. Insights into the health of adolescents. (United States)

    Brown, E F; Hendee, W R

    During adolescence, teenagers are expected to develop standards of behavior and reconcile them with their perceptions of adult standards. In this context, music, a powerful medium in the lives of adolescents, offers conflicting values. The explicit sexual and violent lyrics of some forms of music often clash with the themes of abstinence and rational behavior promoted by adult society. Identification with rock music, particularly those styles that are rejected by adults, functions to separate adolescents from adult society. Some forms of rock music extend well beyond respectability in fulfilling this definitional role. Total immersion into a rock subculture, such as heavy metal, may be both a portrait of adolescent alienation and an unflattering reflection of an adolescent's perception of the moral and ethical duplicity of adult society. Physicians should be aware of the role of music in the lives of adolescents and use music preferences as clues to the emotional and mental health of adolescents.

  16. Nonalcoholic hepatic steatosis: association with metabolic syndrome and cardiovascular risk factors in obese adolescents

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    Wener Barbosa Resende


    Full Text Available Objective: To evaluate the association between nonalcoholic hepatic steatosis (NAHS, metabolic syndrome (MS and cardiovascular risk factors (CRF in obese adolescents. Methods: Cross-sectional observational study with a quantitative approach, carried out from June to August 2011. The volunteers were randomly selected and referred to clinical evaluation in the endocrinology and cardiology units at the clinics hospital of the Federal University of Uberlândia, being included 34 adolescents of 14-19 years above the 95th percentile of the growth curve. NAHS was assessed by ultrasonography. The MS and CRF were diagnosed by the International Diabetes Federation criteria. Results: The sample consisted of 14 male and 20 female patients aged 16.8 ± 1.6 and body mass index (BMI of 35.7 ± 3.9. The occurrence of NAHS and MS was 76.5% and 50%, respectively. Males had a higher incidence of NAHS (78.6%, SM (64.3% and association of NAHS with MS (50%. Regarding the CRF, 100% (n=34, 61.8% (n=21 and 52.9% (n=18 of the adolescents had elevated values of waist circumference (WC, low-density lipoprotein cholesterol (LDL-C and systolic blood pressure (SBP, respectively, and 52.9% (n=18 showed low levels of high-density lipoprotein cholesterol (HDL-C. There were correlations between MS and triglycerides; systolic and diastolic blood pressure and HDL-C; and between NAHS and BMI and WC. Conclusion: A high occurrence of NAHS, SM and CRF was observed in obese adolescents. A strong correlation was observed between MS and NAHS, and between FRC and NAHS and SM. doi:10.5020/18061230.2014.p131

  17. Misperceptions of weight status among adolescents: sociodemographic and behavioral correlates

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    Bodde AE


    Full Text Available Amy E Bodde,1 Timothy J Beebe,1 Laura P Chen,2 Sarah Jenkins,3 Kelly Perez-Vergara,4 Lila J Finney Rutten,5 Jeanette Y Ziegenfuss6 1Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN, USA; 2Seattle Children’s Hospital, Seattle, WA, USA; 3Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, USA; 4Children’s Hospital, Boston, MA, USA; 5Division of Epidemiology, Mayo Clinic, Rochester, MN USA; 6HealthPartners Institute for Education and Research, Minneapolis, MN, USA Objective: Accurate perceptions of weight status are important motivational triggers for weight loss among overweight or obese individuals, yet weight misperception is prevalent. To identify and characterize individuals holding misperceptions around their weight status, it may be informative for clinicians to assess self-reported body mass index (BMI classification (ie, underweight, normal, overweight, obese in addition to clinical weight measurement. Methods: Self-reported weight classification data from the 2007 Current Visit Information – Child and Adolescent Survey collected at Mayo Clinic in Rochester, MN, were compared with measured clinical height and weight for 2,993 adolescents. Results: While, overall, 74.2% of adolescents accurately reported their weight status, females, younger adolescents, and proxy (vs self reporters were more accurate. Controlling for demographic and behavioral characteristics, the higher an individual's BMI percentile, the less likely there was agreement between self-report and measured BMI percentile. Those with high BMI who misperceive their weight status were less likely than accurate perceivers to attempt weight loss. Conclusion: Adolescents’ and proxies’ misperception of weight status increases with BMI percentile. Obtaining an adolescent's self-perceived weight status in addition to measured height and weight offers clinicians valuable baseline information to discuss motivation for weight

  18. Risk factors for overweight and obesity in adolescents of a Brazilian University: a case-control study Factores de riesgo para el sobrepeso y a obesidad en adolescentes de una Universidad de Brasil: un estudio de casos-control


    I. H. Carvalho Francescantonio Menezes; M. Borges Neutzling; J. A. de Aguiar Carrazedo Taddei


    Objective:To analyze the risk factors associated to overweight and obesity in freshmen of a public university in the Center-West region of Brazil. Methods: A case-control study comprising 1,465 adolescents, identifying 106 cases (Body Mass Index (BMI)> = 85th percentile of National Center for Health Statistics -NCHS) and 233 controls (BMI > 5th and < 85th percentile of NCHS). Interviews were made to collect information on socioeconomic data, eating habits, physical activity and health habits....

  19. Mathematical Model for the Optimal Utilization Percentile in M/M/1 Systems: A Contribution about Knees in Performance Curves

    CERN Document Server

    Gonzalez-Horta, Francisco A; Ramirez-Cortes, Juan M; Martinez-Carballido, Jorge; Buenfil-Alpuche, Eldamira


    Performance curves of queueing systems can be analyzed by separating them into three regions: the flat region, the knee region, and the exponential region. Practical considerations, usually locate the knee region between 70-90% of the theoretical maximum utilization. However, there is not a clear agreement about where the boundaries between regions are, and where exactly the utilization knee is located. An open debate about knees in performance curves was undertaken at least 20 years ago. This historical debate is mainly divided between those who claim that a knee in the curve is not a well defined term in mathematics, or it is a subjective and not really meaningful concept, and those who define knees mathematically and consider their relevance and application. In this paper, we present a mathematical model and analysis for identifying the three mentioned regions on performance curves for M/M/1 systems; specifically, we found the knees, or optimal utilization percentiles, at the vertices of the hyperbolas tha...

  20. Adolescence physical activity is associated with higher tibial pQCT bone values in adulthood after 28-years of follow-up--the Cardiovascular Risk in Young Finns Study. (United States)

    Tolonen, S; Sievänen, H; Mikkilä, V; Telama, R; Oikonen, M; Laaksonen, M; Viikari, J; Kähönen, M; Raitakari, O T


    High peak bone mass and strong bone phenotype are known to be partly explained by physical activity during growth but there are few prospective studies on this topic. In this 28-year follow-up of Cardiovascular Risk in Young Finns Study cohort, we assessed whether habitual childhood and adolescence physical activity or inactivity at the age of 3-18 years were associated with adult phenotype of weight-bearing tibia and the risk of low-energy fractures. Baseline physical activity and data on clinical, nutritional and lifestyle factors were assessed separately for females and males aged 3-6-years (N=395-421) and 9-18-years (N=923-965). At the age of 31-46-years, the prevalence of low-energy fractures was assessed with a questionnaire and several tibial traits were measured with pQCT (bone mineral content (BMC; mg), total and cortical cross-sectional areas (mm(2)), trabecular (for the distal site only) and cortical (for the shaft only) bone densities (mg/cm(3)), stress-strain index (SSI; mm(3), for the shaft only), bone strength index (BSI; mg(2)/cm(4), for the distal site only) and the cortical strength index (CSI, for the shaft only)). For the statistical analysis, each bone trait was categorized as below the cohort median or the median and above and the adjusted odds ratios (OR) were determined. In females, frequent physical activity at the age of 9-18-years was associated with higher adulthood values of BSI, total and cortical areas, BMC, CSI and SSI at the tibia independently of many health and lifestyle factors (ORs 0.33-0.53, P≤0.05; P-values for trend 0.002-0.05). Cortical density at the tibial shaft showed the opposite trend (P-value for trend 0.03). Similarly in males, frequent physical activity was associated with higher values of adult total and cortical areas and CSI at the tibia (ORs 0.48-0.53, P≤0.05; P-values for trend 0.01-0.02). However, there was no evidence that childhood or adolescence physical activity was associated with lower risk of low

  1. Frequency of overweight and obesity in children and adolescents with autism and attention deficit/hyperactivity disorder

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    Arthur Kummer


    Full Text Available Abstract Objective: To assess the frequency of overweight and obesity in children and adolescents with autism spectrum disorder (ASD and with attention deficit/hyperactivity disorder (ADHD and their parents, in comparison with children and adolescents without developmental disorders. Methods: Anthropometric measures were obtained in 69 outpatients with ASD (8.4±4.2 years old, 23 with ADHD (8.5±2.4 and 19 controls without developmental disorders (8.6±2.9 between August and November 2014. Parents of patients with ASD and ADHD also had their anthropometric parameters taken. Overweight was defined as a percentile ≥85; obesity as a percentile ≥95; and underweight as a percentile ≤5. For adults, overweight was defined as a BMI between 25 and 30kg/m2 and obesity as a BMI higher than 30kg/m2. Results: Children and adolescents with ASD and ADHD had higher BMI percentile (p<0.01 and z-score (p<0.01 than controls, and increased frequency of overweight and obesity (p=0.04. Patients with ASD and ADHD did not differ between them in these variables, nor regarding abdominal circumference. Parents of children with ASD and ADHD did not differ between themselves. Conclusions: Children and adolescents with ASD and ADHD are at a higher risk of overweight and obesity than children without developmental problems in the community.

  2. Mediating Effect of Body Image Distortion on Weight Loss Efforts in Normal-Weight and Underweight Korean Adolescent Girls (United States)

    Choi, Jeong-Sil; Kim, Ji-Soo


    Background: We explored the relationship between body mass index-for-age percentile, body image distortion, and unnecessary weight loss efforts in Korean adolescent girls who are underweight and normal weight and examined the mediating effect of body image distortion on weight loss efforts. Methods: This study used data from the 2013 Korea Youth…

  3. Parent-adolescent conversations about eating, physical activity and weight: prevalence across sociodemographic characteristics and associations with adolescent weight and weight-related behaviors. (United States)

    Berge, Jerica M; MacLehose, Richard F; Loth, Katie A; Eisenberg, Marla E; Fulkerson, Jayne A; Neumark-Sztainer, Dianne


    This paper aims to describe the prevalence of parent-adolescent conversations about eating, physical activity and weight across sociodemographic characteristics and to examine associations with adolescent body mass index (BMI), dietary intake, physical activity and sedentary behaviors. Data from two linked epidemiological studies were used for cross-sectional analysis. Parents (n = 3,424; 62% females) and adolescents (n = 2,182; 53.2% girls) were socioeconomically and racially/ethnically diverse. Fathers reported more parent-adolescent conversations about healthful eating and physical activity with their sons and mothers reported more weight-focused conversations with their daughters. Parents of Hispanic/Latino and Asian/Hmong youth and parents from lower socioeconomic status categories engaged in more conversations about weight and size. Adolescents whose mothers or fathers had weight-focused conversations with them had higher BMI percentiles. Adolescents who had two parents engaging in weight-related conversations had higher BMI percentiles. Healthcare providers may want to talk about the types of weight-related conversations parents are having with their adolescents and emphasize avoiding conversations about weight specifically.

  4. Parent-Adolescent Conversations about Eating, Physical Activity and Weight: Prevalence across Sociodemographic Characteristics and Associations with Adolescent Weight and Weight-Related Behaviors (United States)

    Berge, Jerica M.; MacLehose, Richard F; Loth, Katie A.; Eisenberg, Marla E.; Fulkerson, Jayne A.; Neumark-Sztainer, Dianne


    This paper aims to describe the prevalence of parent-adolescent conversations about eating, physical activity and weight across sociodemographic characteristics and to examine associations with adolescent BMI, dietary intake, physical activity and sedentary behaviors. Data from two linked epidemiological studies were used for cross-sectional analysis. Parents (n=3,424; 62% females) and adolescents (n=2,182; 53.2% girls) were socioeconomically and racially/ethnically diverse. Fathers reported more parent-adolescent conversations about healthful eating and physical activity with their sons and mothers reported more weight-focused conversations with their daughters. Parents of Hispanic/Latino and Asian/Hmong youth and parents from lower SES categories engaged in more conversations about weight and size. Adolescents whose mothers or fathers had weight-focused conversations with them had higher BMI percentiles. Adolescents who had two parents engaging in weight-related conversations had higher BMI percentiles. Healthcare providers may want to talk about the types of weight-related conversations parents are having with their adolescents and emphasize avoiding conversations about weight specifically. PMID:24997555

  5. Insulin resistance in adolescents with Down syndrome: a cross-sectional study

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    Beserra Izabel CR


    Full Text Available Abstract Background The prevalence of diabetes mellitus is higher in individuals with Down syndrome (DS than in the general population; it may be due to the high prevalence of obesity presented by many of them. The aim of this study was to evaluate the insulin resistance (IR using the HOMA (Homeostasis Model Assessment method, in DS adolescents, describing it according to the sex, body mass index (BMI and pubertal development. Methods 15 adolescents with DS (8 males and 7 females were studied, aged 10 to 18 years, without history of disease or use of medication that could change the suggested laboratory evaluation. On physical examination, the pubertal signs, acanthosis nigricans (AN, weight and height were evaluated. Fasting plasma glucose and insulin were analysed by the colorimetric method and RIA-kit LINCO, respectively. IR was calculated using the HOMA method. The patients were grouped into obese, overweight and normal, according to their BMI percentiles. The EPIINFO 2004 software was used to calculate the BMI, its percentile and Z score. Results Five patients were adults (Tanner V or presence of menarche, 9 pubertal (Tanner II – IV and 1 prepubertal (Tanner I. No one had AN. Two were obese, 4 overweight and 9 normal. Considering the total number of patients, HOMA was 1.7 ± 1.0, insulin 9.3 ± 4.8 μU/ml and glucose 74.4 ± 14.8 mg/dl. The HOMA values were 2.0 ± 1.0 in females and 1.5 ± 1.0 in males. Considering the nutritional classification, the values of HOMA and insulin were: HOMA: 3.3 ± 0.6, 2.0 ± 1.1 and 1.3 ± 0.6, and insulin: 18.15 ± 1.6 μU/ml, 10.3 ± 3.5 μU/ml and 6.8 ± 2.8 μU/ml, in the obese, overweight and normal groups respectively. Considering puberty, the values of HOMA and insulin were: HOMA: 2.5 ± 1.3, 1.4 ± 0.6 and 0.8 ± 0.0, and insulin: 13.0 ± 5.8 μU/ml, 7.8 ± 2.9 μU/ml and 4.0 ± 0.0 μU/ml, in the adult, pubertal and prepubertal groups respectively. Conclusion The obese and overweight, female and

  6. Commitment among Arab Adolescents in Israel. (United States)

    Ben-Ari, Adital Tirosh; Azaiza, Faisal


    Examines 662 Arab adolescents' commitments to their own self-development, family, Arab people, and village along with the order in which these commitments are structured. Reveals that the two prevalent patterns of adolescent commitment, individualistic and collectivistic, demonstrate the adolescents' struggle with these value systems and the…

  7. Adolescent Literature Revisited after Four Years. (United States)

    Donelson, Ken, Ed.


    The articles collected in this bulletin survey a wide range of topics concerning adolescent literature. Some of the titles included are "Seven Myths about Adolescent Literature" (Paul B. Janeczko), "The Book as Enemy" (Thomas Weaver), "Popular Non-Fiction Titles for Adolescents" (Noma Russell), "Values and Paperback Power" (Nel Ward), "An Approach…

  8. The examination of relationship between human values and moral maturity in adolescenceErgenlerde insani değerler ve ahlaki olgunluk arasındaki ilişkinin incelenmesi

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    Hakan Sarıçam


    Full Text Available This study was aim to examine both human values and moral maturity of adolescence within gender and age variables and the relationship between human values and moral maturity in adolescence. The study was conducted with 341 adolescences[N=108  (32% male, 233’ü (68% female]  attending to Agrı high schools in 2011 -2012 school year in and their age ranged from 13 to 18.  All adolescences were chosen in this study randomly. In this study The Moral Maturity Scale (Dilmaç, 2007 and The Human Values Scale (Selçuk ve Kaya, 2008 were used.  As a result of the study it was found that female adolescences got significantly higher score than male adolescences in human values and in moral maturity level  (p<.05. Moreover adolescences with 16-18 age got significantly higher score than adolescences with 13-15 age (p<.01. In this study it was also found that all gender were at Kohlberg conventional moral level. Moreover human values and its sub constructs are significantly correlated with moral maturity and five sub construct except forbearance explain 24 % variance of moral maturity  (p<.01. The findings of this research were discussed in the light of the literature and some recommendations and suggestions were presented for the further research. ÖzetBu çalışmanın amacı ergenlerdeki insani değerleri ve ahlaki olgunluğu yaş ve cinsiyet bağlamında değerlendirmektir ve beraberinde ergenlerdeki insani değerler ile ahlaki olgunluk arasındaki ilişkiyi incelemektir. Araştırma 2011-2012 eğitim öğretim döneminde Ağrı lise öğrenimine devam eden tesadüfî yöntemle seçilmiş yaşları 13 ile 18 yaş arasında değişen 341 ergen üzerinde [N=108’si (32% erkek, 233’ü (68% kız öğrenci] yürütülmüştür. Araştırmada İnsani Değerler Ölçeği (Dilmaç, 2007 Ahlaki Olgunluk Ölçeği (Şengül ve Kaya 2008 kullanılmıştır. Araştırmanın sonucunda kız öğrencilerin ahlaki olgunluk düzeyleri erkek öğrencilere g

  9. Nutrient intake amongst rural adolescent girls of Wardha

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    Maliye C


    Full Text Available Objective: To assess the nutrient intake of rural adolescent girls. Materials and Methods: The cross-sectional study was carried in four adopted villages of the Department of Community Medicine, M.G.I.M.S., Sewagram. A household survey was carried out in the villages. A list of all the adolescent girls in the age group of 10-19 years was prepared by enumeration through house-to-house visit. All adolescent girls were included in the study. A pre-designed and pre-tested questionnaire was used to collect data on socio-demographic variables and anthropometric variables. A 24 h recall method was used to assess nutrient intake. Data generated was entered and analyzed using epi_info 2000. Nutrient intake was compared with ICMR Recommended Dietary Allowances. Nutritional status was assessed by BMI for age. Results: The mean height of the adolescent girls was 142.9 cm. Overall, 57% of the adolescents were thin (BMI for age <5 th percentile for CDC 2000 reference and 43% of the adolescents were normal (BMI for age between 5 th - 85 th percentile for CDC 2000 reference. The average energy intake, which was 1239.6±176.4 kcal/day, was deficient of RDA by 39%. The average protein intake was 39.5±7 gm/day. It was deficient by 36% and the average iron intake, which was 13.2±2.5 mg/day, was deficient by 48%. Conclusion: The findings reiterate the dietary deficiency among adolescent girls which adversely affects the nutritional status. If the poor nutritional status is not corrected promptly before they become pregnant, it adversely affects the reproductive outcome. If we have to meet out the goals of Reproductive and Child Health Program, intervention strategies to improve the dietary intake of adolescent girls are needed so that their requirements of energy, protein, vitamins and minerals are met.

  10. An Integrated Approach to Moral, Value, and Civic Education with Adolescents: An Analysis of Current Theory and Practice and Recommendations for Program Implementation. (United States)

    Lickona, Thomas

    Six value education methodologies for use on the secondary level are described and recommendations for implementing values/moral/civic education are presented. The first and second sections describe Lawrence Kohlberg's six-stage moral development approach to value education. The use of moral dilemma discussions to develop moral reasoning is…

  11. 叙事治疗对情绪障碍儿童家庭环境和价值观的影响%Influence of narrative therapy on the family environment and values in adolescents with emotional disorder

    Institute of Scientific and Technical Information of China (English)

    赵兆; 杜文东; 陈一心; 陈图农; 吴丹丹; 李沙沙; 顾思梦


    目的 探讨叙事治疗对情绪障碍儿童家庭环境和价值观改变的影响.方法 采用方便取样选取在南京医科大学附属脑科医院确诊的情绪障碍儿童35例,对患儿及其家庭成员实施叙事治疗,采用家庭环境量表中文版(FES-CV)比较治疗前后家庭环境的变化.结果 完成治疗28例.治疗后FES-CV在亲密度、独立性、知识性、娱乐性、组织性等5个因素评分[分别为(6.89±2.56)分、(5.54±1.35)分、(4.75±2.07)分、(4.07 ±2.65)分、(3.68±1.77)分]高于治疗前[分别为(4.21±3.21)分、(4.68±1.51)分、(3.50±2.12)分、(2.50±2.32)分、(2.50±1.62)分],差异有统计学意义(P<0.05);在矛盾性上评分[(2.75±2.44)分]低于治疗前[(5.25 ±2.50)分],差异有统计学意义(P<0.05).治疗后患儿和父母价值观都发生积极改变.结论 叙事治疗可以使儿童情绪障碍家庭环境和价值观产生良性的改变.%Objective To explore the effect of narrative therapy on family environment and values in adolescents with emotional disorder.Methods 35 adolescents with emotional disorder and their parents from Affiliated Brain Hospital,Nanjing Medical University were enrolled and treated by narrative therapy.Family environment was assessed using Family Environment Scale-Chinese Version (FES-CV)and was compared between pre-and posttherapy.Results 28 adolescents with emotional disorder and their parents completed therapy.The cohesion,independence,intellectual orientation,active-recreation orientation and organization in FES-CV showed higher scores at post-therapy than at pre-therapy ((6.89 ± 2.56) vs.(4.21 ± 3.21) ; (5.54 ± 1.35) vs.(4.68 ± 1.51) ;(4.75±2.07)vs.(3.50±2.12);(4.07±2.65)vs.(2.50±2.32);(3.68±1.77)vs.(2.50±1.62)respectively).The contradict in FES-CV showed lower scores at post-therapy than at pre-therapy ((2.75 ± 2.44) vs (5.25 ± 2.50)).The values of adolescents with emotional disorder and their parents had a positive change after

  12. [The pregnant adolescent]. (United States)

    Grenon-Plante, D


    According to the Canadian Association of Family Planning 85% of adolescents are unprotected at their 1st intercourse, and 16% become pregnant; only 20% of those having a regular sex life use contraception. Women below 20 contributed to 17% of births in 1976 in Canada; in the same year 41.5% of all new mothers were unmarried, and only 27.5% of new fathers accepted responsibility for their paternity. These figures give an idea of the extent of the problem of unwanted pregnancy among adolescents, a problem shared by all Western countries. The adolescent mother is too young to know what she wants, not to mention to accept responsibility for the caring of an infant. Risk of maternal mortality is twice as great among teenage mothers, and so is risk of infant death, mostly due to prematurity. Nurses can play a very important role in helping adolescent mothers, and they must never project their moral values on their young patients.

  13. Health counseling of adolescents. (United States)

    Joffe, A; Radius, S M


    Health counseling is a fundamental aspect of health care for adolescents and is a natural extension of the concept of anticipatory guidance. It is a dynamic process involving active participation by adolescents. Pediatricians are a valued source of health-relevant information, but must also recognize how their attitudes and beliefs can affect the counseling process. Knowledge of the multitude of changes occurring during adolescence and an understanding of the role of health-risking behaviors in meeting various developmental needs are critical to successful counseling. Particular attention must be focused on ways to help adolescents develop the skills necessary to maintain health-promoting lifestyles and to resist peer pressure to engage in health-risking behaviors.

  14. Relative validation of the KiGGS Food Frequency Questionnaire among adolescents in Germany

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    Truthmann Julia


    Full Text Available Abstract Background The aim of this study was to determine the relative validity of the self-administered Food Frequency Questionnaire (FFQ "What do you eat?", which was used in the German National Health Interview and Examination Survey for Children and Adolescents (KiGGS 2003-2006. Methods The validation was conducted in the EsKiMo Nutrition Module, a subsample of KiGGS. The study population included 1,213 adolescents aged between 12 and 17. A modified diet history interview DISHES (Dietary Interview Software for Health Examination Studies was used as the reference method. In order to compare the food groups, the data assessed with both instruments were aggregated to 40 similar food groups. The statistical analysis included calculating and comparing Spearman's correlation coefficients, calculating the mean difference between both methods, and ranking participants (quartiles according to food group consumption, including weighted kappa coefficients. Correlations were also evaluated for relative body weight and socioeconomic status subgroups. Results In the total study population the Spearman correlation coefficients ranged from 0.22 for pasta/rice to 0.69 for margarine; most values were 0.50 and higher. The mean difference ranged between 1.4% for milk and 100.3% for pasta/rice. The 2.5 percentiles and 97.5 percentiles indicated a wide range of differences. Classifications in the same and adjacent quartile varied between 70.1% for pasta/rice and 90.8% for coffee. For most groups, Cohen's weighted kappa showed values between 0.21 and 0.60. Only for white bread and pasta/rice were values less than 0.20. Most of the 40 food groups showed acceptable to good correlations in all investigated subgroups concerning age, sex, body weight and socio-economic status. Conclusions The KiGGS FFQ showed fair to moderate ranking validity except for pasta/rice and white bread. However, the ability to assess absolute intakes is limited. The correlation coefficients

  15. Metabolic syndrome among children and adolescents from Southern Italy: contribution from the Calabrian Sierras Community Study (CSCS). (United States)

    Martino, Francesco; Puddu, Paolo Emilio; Pannarale, Giuseppe; Colantoni, Chiara; Zanoni, Cristina; Martino, Eliana; Barillà, Francesco


    Among 1657 children and adolescents aged 6 to 14 years (787, 47% girls and 870, 53% boys) from primary and secondary schools in a 14-town Southern Italian community, HDL cholesterol (54 ± 15 mg/dl), triglycerides (61 ± 29 mg/dl), blood glucose (78 ± 10 mg/dl), systolic (101 ± 11 mm Hg) and diastolic (62 ± 10 mm Hg) blood pressures, waist circumference (WC) (66 ± 10 cm) and WC/height (0.46 ± 0.006) and triglycerides/HDL cholesterol (1.31 ± 0.99) ratios were measured. The distributions were similar in both genders. Age did not affect triglycerides/HDL cholesterol ratio, whereas there was a slightly positive correlation (pchildren or adolescents with low HDL cholesterol, 162 (9.77%) with high triglycerides, 178 (10.74%) with high blood glucose, 178 (10.74%) with high WC, 244 (20.76%) with high systolic or diastolic BP and 126 (7.6%) with high systolic and diastolic BP. Abnormally high BP was seen in 470 (28.36%) children or adolescents. Using abnormal percentile values of 3 of 5 of its components, metabolic syndrome (MS) was diagnosed in 70 (4.2%) subjects, similarly in both genders. To assess out-of-limit distributions of all 5 individual MS components in children and adolescents gender- and age-distributions derived from local epidemiological data should be used: these distributions are presented and they might now be used both for comparative and applicative purposes at least in Southern Europe.

  16. [Placental weight percentiles and its relationship with fetal weight according to gestational age in an urban area of Buenos Aires]. (United States)

    Grandi, Carlos; Roman, Estela; Dipierri, Jose


    Antecedentes: El peso placentario (PP) y los índices de su relación con el peso al nacer (PN) (PN/PP, PP/PN) predicen morbi-mortalidad perinatal y resultados alejados de la salud. Objetivos: Calcular percentilos del PP e índices por sexo y edad gestacional correspondientes a 867 RNV de la Maternidad Sardá de Buenos Aires, Argentina y compararlos con referencias internacionales. Material y métodos: Se excluyeron feto muerto, embarazo múltiple, edad gestacional 42 semanas y PP2500g. Características maternas y fetales: edad, educación, tabaco, paridad, diabetes, preeclampsia, corioamnionitis, restricción del crecimiento, malformación congénita y prematurez. Se calcularon estadísticos de resumen y percentilos con el método LMS. Las comparaciones se realizaron con test t-Student, ANOVA y referencias internacionales. Resultados: Edad materna media 24 años, educación 10.1 años, 24.5% primíparas, 12.6% fumadoras, 4.9% presentaron diabetes, 8.7% preeclampsia, 7.9% corioamnionitis y 13.0% restricción del crecimiento fetal. El 55.3% de los RN fueron varones, 51.6% prematuros, 18.9% PEG y 7.1% malformados. El PN y EG promedio fue de 2581g y 35.6 semanas respectivamente. Elevada correlación positiva de la EG con PP y PN/PP y negativa con PP/PN (p%lt;0.001); el peso de la placenta e índices fueron mayores en varones. Se presentan los percentiles de PP, PN/PP y PP/PN. Las diferencias con las referencias oscilaron de 0.46% -13%, 4.91% -12.1% y 5.81% -14% para el PP, PN/PP y PP/PN respectivamente. Conclusiones: los percentilos generados son aplicables en investigaciones sobre la relación de la placenta con resultados perinatales y la salud durante el ciclo vital.

  17. Reference values of tricuspid annular peak systolic velocity in healthy pediatric patients, calculation of z score, and comparison to tricuspid annular plane systolic excursion. (United States)

    Koestenberger, Martin; Nagel, Bert; Ravekes, William; Avian, Alexander; Heinzl, Bernd; Cvirn, Gerhard; Fritsch, Peter; Fandl, Andrea; Rehak, Thomas; Gamillscheg, Andreas


    The tricuspid annular peak systolic velocity (TAPSV) is an echocardiographic measurement assessing right ventricular systolic function in children and adults. We determined the growth-related changes of the TAPSV to establish the references values for the entire pediatric age group. A prospective study was conducted of a group of 860 healthy pediatric patients (age 1 day to 18 years; body surface area [BSA] 0.14 to 2.30 m(2)). We determined the effects of age, gender, and BSA on the TAPSV values. Stepwise linear multiple regression analysis was used to estimate the TAPSV from the age, BSA, and gender. A correlation of normal TAPSV with normal tricuspid annular plane systolic excursion values was performed. The TAPSV ranged from a mean of 7.2 cm/s (z score ± 2: 4.8 to 9.5 cm/s) in the newborn to 14.3 cm/s (z score ± 2: 10.6 to 18.6 cm/s) in the 18-year-old adolescent. The TAPSV values showed a positive correlation with age and BSA, with a nonlinear course. No significant difference was found in the TAPSV values according to gender. A significant correlation was found between the TAPSV and tricuspid annular plane systolic excursion values in our pediatric population. In conclusion, the z scores of the TAPSV values were calculated, and percentile charts were established to serve as reference data for patients with congenital heart disease.

  18. BMI or BIA: Is Body Mass Index or Body Fat Mass a Better Predictor of Cardiovascular Risk in Overweight or Obese Children and Adolescents?

    Directory of Open Access Journals (Sweden)

    Barbara Bohn


    Full Text Available Background: Body fat (BF percentiles for German children and adolescents have recently been published. This study aims to evaluate the association between bioelectrical impedance analysis(BIA-derived BF and cardiovascular risk factors and to investigate whether BF is better suited than BMI in children and adolescents. Methods: Data of 3,327 children and adolescents (BMI > 90th percentile were included. Spearman's correlation and receiver operating characteristics (ROCs were applied determining the associations between BMI or BF and cardiovascular risk factors (hypertension, dyslipidemia, elevated liver enzymes, abnormal carbohydrate metabolism. Area under the curve (AUC was calculated to predict cardiovascular risk factors. Results: A significant association between both obesity indices and hypertension was present (all p Conclusion: BIA-derived BF was not superior to BMI to predict cardiovascular risk factors in overweight or obese children and adolescents.

  19. A Study of Food Consumption Patterns of and Obesity in Female Adolescents in Khorramshahr High Schools

    Directory of Open Access Journals (Sweden)



    Full Text Available Background One consequence of an industrial age is overweight and obesity. The accelerating rate of obesity, especially in adolescent girls, has led to growing concern regarding the health of this generation. Objectives The objective of this study was to examine the food consumption patterns of and obesity in female adolescents in Khorramshahr high schools. Materials and Methods This cross-sectional study involved 200 high school girls from Khorramshahr. The study sample was selected via multistage random sampling. Body weight and height were measured and the body mass index (BMI values were calculated. Underweight, overweight, and obesity were defined as the 5th, 85th, and 95th percentiles, respectively, using the centers for disease control and prevention (CDC BMI-for-age growth charts for girls. More data were collected by using the Food frequency questionnaire. Analysis was done using the SPSS software, Kruskal-Wallis test, and median measures. Results Findings showed that according to their BMI, 3% of the students were underweight, 82% had normal weight, 11% were overweight, and 4% were obese. There were significant relationships between the consumption of bread, dough, and sugar cubes and the BMI (P < 0.05. The highest bread consumption was among overweight students (min 90, max 360, mean 180 palms per month. In addition, students with normal weight had the highest consumption of rice and sugar cubes (160 plates and 360 cubes per month, respectively. Conclusions The findings of this study offer information regarding the current dietary patterns among adolescent girls that can be used to design educational programs to promote healthy eating in this group.

  20. Acompanhamento da pressão arterial: estudo com crianças e adolescentes com história familiar de hipertensão Acompañamiento de la presión arterial: investigación con niños y adolescentes con historia familiar de hipertensión Blood pressure tracking: study with children and adolescents with familial history of hypertension

    Directory of Open Access Journals (Sweden)

    Emilia Soares Chaves


    complicaciones.The purpose of this study is to analyze the evolution of the percentiles of blood pressure in children and adolescents with familial history of arterial hypertension. This is a longitudinal study developed in a community in Fortaleza, Ceará, Brazil. The blood pressure was evaluated in five home visits from January, 2004 to December, 2006. The group was composed of 141 participants, of which 92 were children and 49 adolescents. Of the children, 67,4% remained with no alterations of the percentiles of blood pressure in all the evaluations; of the adolescents, 65,3% remained in the same condition. Most individuals kept their values and percentiles of systolic blood pressure and diastolic blood pressure, and many that did not initially present alterations started to show some during the follow up. As a result, routine monitoring of blood pressure of children and adolescents proves necessary for the early detection and prevention of complications.

  1. 广州市儿童及青少年代谢综合征肥胖指标诊断界值的研究%Diagnosis boundary values of metabolic syndrome obesity index for Children and adolescents

    Institute of Scientific and Technical Information of China (English)

    黄瑞娟; 黄志平; 苏喆; 赵喆; 孔卫乾; 麦艳君; 佘文; 黎巨成; 曾智勇; 黄淑贤


    目的:研究广州市6~18岁人群腰围(WC)、腰围身高比(WHtR)的分布特征,在心血管疾病(CVD)危险因素评估的基础上提出6~18岁人群WC和WHtR的适宜界值。方法:利用受试者工作特征曲线(ROC)法分析广州市15000名6~18岁儿童及青少年身高、体质量、WC及其相关代谢指征数据(血压、空腹血糖、血脂),探索预测心血管疾病的WC和WHtR的最佳界值点。结果:当WC百分比达到P85时,WHtR达到0.48时,空腹血糖、血压、血脂等心血管危险因素检出率明显增高。结论:建议将中国儿童青少年WC的第85百分位值,WHtR 0.48作为预测儿童青少年心血管病危险因素增加的适宜界值。WC和WHtR作为相对简单的检查方法,能很好地预测心血管疾病,建议列入学生体检的常规测量项目。%Objective: To determine the distribution characteristics of waist circumference (WC), waist height ratio (WHtR) of 6–18 years olds in Guangzhou, and to put forward the WC and WHtR appropriate boundary values for 6–18 years olds on the basis of cardiovascular disease (CVD) risk factor assessment. Methods: We analyzed the height, weight, WC and its metabolic indication data (blood pressure, fasting blood glucose, and blood lipids) of 15 000 children in Guangzhou, aged 6–18, with the receiver-operating characteristic curve (ROC), and explored the best value point of WC and WHtRfor the prediction of cardiovascular diseases. Results: When the WC percent reached P85, and WHtR reached 0.48, the cardiovascular risk factors of fasting blood-glucose, blood pressure, and blood fat were signiifcantly higher. Conclusion: The 85th percentile value of WC and 0.48 of WHtR are the appropriate boundary values in increasing the cardiovascular disease risk factors in Chinese children and teenagers. WC and WHtR as a relatively simple inspection method, can well predict cardiovascular diseases, and be used in the conventional measuring items among

  2. Ethnicity and acculturation: do they predict weight status in a longitudinal study among Asain, Hispanic, and non-Hispanic White early adolescent females? (United States)

    The prevalence of overweight and obesity among adolescents has increased over the past decade. Prevalence rates are disparate among certain racial and ethnic groups. In this study, the relationship between overweight status (> 85th percentile according to the Centers for Disease Control and Prevent...

  3. Assessment of nutritional status among adolescents: a hospital based cross sectional study

    Directory of Open Access Journals (Sweden)

    J. P. Singh


    Full Text Available Background: Adolescence, a period of transition between childhood and adulthood, occupies a crucial position in the life of human beings. The primary causes of under nutrition in India are its large population, socio-economic differences and inadequate access to health facilities. Nutritional assessments among adolescents are important as they are the future parents and constitute a potentially susceptible group. Studies on the assessment of nutritional status of adolescents are less in number and a National database has not yet been developed. Methods: The present hospital based cross sectional study was conducted in year 2013 among 344 rural adolescents of 10-19 years age (166 boys and 178 girls attending the outpatient department at rural health training centre (RHTC Dhaura Tanda, district Bareilly, Uttar Pradesh, belonging to the Muslim and Hindu caste communities. The nutritional status was assessed in terms of under nutrition (weight-for-age below 3rd percentile, stunting (Height-for-age below 3rd percentile and thinness (BMI-for-age below 5th percentile. Diseases were accepted as such as diagnosed by pediatrician, skin specialist and medical officer. Results: The prevalence of underweight, stunting and thinness were found to be 32.8%, 19.5% and 26.7% respectively. The maximum prevalence of malnutrition was observed among early adolescents (28%-47% and the most common morbidities were URTI (38.6%, diarrhea (16.8%, carbuncle / furuncle (16% and scabies (9.30%. Conclusion: The study concluded that the most common morbidities among adolescents were related to nutrition and personal hygiene. Regular health programmes should focus to educate and promote health among adolescent. [Int J Res Med Sci 2014; 2(2.000: 620-624

  4. Weight status and body image perceptions in adolescents: current perspectives. (United States)

    Voelker, Dana K; Reel, Justine J; Greenleaf, Christy


    Adolescence represents a pivotal stage in the development of positive or negative body image. Many influences exist during the teen years including transitions (eg, puberty) that affect one's body shape, weight status, and appearance. Weight status exists along a spectrum between being obese (ie, where one's body weight is in the 95th percentile for age and gender) to being underweight. Salient influences on body image include the media, which can target adolescents, and peers who help shape beliefs about the perceived body ideal. Internalization of and pressures to conform to these socially prescribed body ideals help to explain associations between weight status and body image. The concepts of fat talk and weight-related bullying during adolescence greatly contribute to an overemphasis on body weight and appearance as well as the development of negative body perceptions and dissatisfaction surrounding specific body parts. This article provides an overview of the significance of adolescent development in shaping body image, the relationship between body image and adolescent weight status, and the consequences of having a negative body image during adolescence (ie, disordered eating, eating disorders, and dysfunctional exercise). Practical implications for promoting a healthy weight status and positive body image among adolescents will be discussed.

  5. Emotional Openness, problematic eating behaviours, and overweight in adolescents. (United States)

    Walther, Mireille; Hilbert, Anja


    Overweight, a common health condition in adolescence, has been linked with difficulties in emotional processing. This study investigates associations between emotional processing, conceptualised through the model of Emotional Openness (EO), problematic eating behaviours, including Eating in the Absence of Hunger and disinhibited eating, and overweight in adolescents. Several self-report instruments were completed by 160 youngsters (mean age: 14.36±0.61years) from the community, including 39 overweight and obese adolescents (24.5%). In girls, bootstrap analyses supported a mediating effect of restrained eating on the relation between three EO dimensions and body mass index percentile, in particular the communication of emotions, the cognitive-conceptual representation of emotions, and the perception of bodily indicator of emotions. No mediating effect was found in boys. These results have important implications for psychological weight management interventions, as they underline the relevance of work on emotional processing in order to reduce problematic eating behaviours.

  6. Reference values for digital X-ray radiogrammetry parameters in children and adolescents in comparison to estimates in patients with distal radius fractures. (United States)

    Renz, Diane M; Malich, Ansgar; Ulrich, Andreas; Pfeil, Alexander; Mentzel, Hans-Joachim; Streitparth, Florian; Maurer, Martin H; Teichgräber, Ulf K; Böttcher, Joachim


    The first objective of this study was to determine normative digital X-ray radiogrammetry (DXR) values, based on original digital images, in a pediatric population (aged 6-18 years). The second aim was to compare these reference data with patients suffering from distal radius fractures, whereas both cohorts originated from the same geographical region and were evaluated using the same technical parameters as well as inclusion and exclusion criteria. DXR-BMD and DXR-MCI of the metacarpal bones II-IV were assessed on standardized digital hand radiographs, without printing or scanning procedures. DXR parameters were estimated separately by gender and among six age groups; values in the fracture group were compared to age- and gender-matched normative data using Student's t tests and Z scores. In the reference cohort (150 boys, 138 girls), gender differences were found in bone mineral density (DXR-BMD), with higher values for girls from 11 to 14 years and for boys from 15 to 18 years (p technique can be accurately applied in pediatric populations ≥ 6 years of age. The lower DXR-BMD and DXR-MCI values in the fracture group suggest promising early identification of individuals with increased fracture risk, without the need for additional radiation exposure, enabling the initiation of prevention strategies to possibly reduce the incidence of osteoporosis later in life.

  7. Adolescents' perceptions of healthy eating and communication about healthy eating

    DEFF Research Database (Denmark)

    Chan, Kara; Prendergast, Gerard; Grønhøj, Alice


    limiting the generalisabilty of the findings. Originality/value - The study serves as a guideline for social services marketing professionals targeting adolescents. Social services marketers might consider influencing adolescents' eating habits through the parents and school teachers. Restricting selling...

  8. Expectation values of dental esthetics for adolescents with malocclusion: a prospective study%青少年错颌畸形患者牙齿美观期待的前瞻性研究

    Institute of Scientific and Technical Information of China (English)

    付素伟; 郭宇红; 曾庆磊


    Objective To investigate the expectation values of dental esthetics during the orthodontic treatment in adolescents with malocclusion.Methods 14~18 year-old adolescents with malocclusion were randomly divided into the treatment group (30 cases) and the control group (21 group) for a prospective study with a period of 1.5 years (0,0.5,1.0,1.5 year respectively),esthetics components of index of orthodontic treatment need (IOTN-AC) and self-made sheet for expectation values of dental esthetics were used to evaluate the values during the follow-up.Results During the follow-up,the IOTN-AC values in the treatment group were decreasing,conversely,the values in the control group were increasing,the expectation values of dental esthetics were increasing in both of the two groups,the differences above were significantly.Conclusions Expectation values of dental esthetics were higher during the follow-up in both of the treatment and untreatment cases,so the dentists and the nurses should encourage the consolidation therapy in treatment cases,and persuade the untreatment cases for orthodontic therapy in order to improve their psychological needs.%目的 探讨青少年错颌畸形患者在正畸治疗过程中牙齿美观主观感受和牙齿美观期待的动态变化.方法 随机选择30例14~18周岁错颌畸形治疗患者作为治疗组进行长达1.5年的前瞻性随访研究,采用正畸治疗需要指数的美观量表(IOTN-AC)调查患者对自我错颌畸形的评价,用自制的牙齿美观期待量表进行期待值评估;随机选择该年龄段错颌畸形未治疗者21例作为对照组进行随访;随访时间点均为治疗开始前、治疗开始后0.5,1.0,1.5年.结果 随着随访时间的延长,治疗组患者IOTN-AC分值逐渐降低,对照组患者IOTN-AC分值逐渐升高;治疗组和对照组患者牙齿美观期待值均呈现逐渐升高的趋势;2组比较差异显著.结论 针对青少年错颌畸形患者,对于治疗者,在治疗

  9. On Training of Adolescent Interpersonal Values Under the Network Environment%网络环境下青少年人际价值观培养的思考

    Institute of Scientific and Technical Information of China (English)



    Under the environment of network, interpersonal communication among teenages is infinity in time and space, indirect in ways of communication. Additionally, the roles of communication are virtual, the relationship is equal and the content of communication is open. All these features can affect the targets, methods and evaluation of the value of interpersonal communica- tion, leading to negative effects, such as the interpersonal indifference, crisis of confidence and desalination of sense of social re- sponsibility and so on. Under the environment of network, the ways to help teenages develop correct values of interpersonal com- munication including optimizing the network environment, promoting the ordering and normalization of network communication. What' s more, we need to occupy the normal position of network education, promote the theme of education for interpersonal communication values, train teenages' communication skills in real life through social practice.%网络环境下青少年人际交往具有交往时空的无限性、交往方式的间接性、交往角色的虚拟性、交往关系的平等性、交往内容的开放性等特点。这些特点在一定范围内影响着青少年人际价值目标、人际价值手段、人际价值评价,带来青少年人际关系淡漠、人际信任危机、社会责任感淡化等负面影响。网络环境下培养青少年人际价值观的途径在于优化网络环境,促进青少年网络交往的有序化、正规化;占领网络德育阵地,弘扬人际价值观教育的主旋律;开展社会实践活动,锻炼青少年现实的人际交往能力。

  10. Adolescent male health. (United States)

    Westwood, Michael; Pinzon, Jorge


    Although adolescent males have as many health issues and concerns as adolescent females, they are much less likely to be seen in a clinical setting. This is related to both individual factors and the health care system itself, which is not always encouraging and set up to provide comprehensive male health care. Working with adolescent boys involves gaining the knowledge and skills to address concerns such as puberty and sexuality, substance use, violence, risk-taking behaviours and mental health issues. The ability to engage the young male patient is critical, and the professional must be comfortable in initiating conversation about a wide array of topics with the teen boy, who may be reluctant to discuss his concerns. It is important to take every opportunity with adolescent boys to talk about issues beyond the presenting complain, and let them know about confidential care. The physician can educate teens about the importance of regular checkups, and that they are welcome to contact the physician if they are experiencing any concerns about their health or well-being. Parents of preadolescent and adolescent boys should be educated on the value of regular health maintenance visits for their sons beginning in their early teen years.

  11. Prevalência de sobrepeso e obesidade em adolescentes escolares do município de Fortaleza, Brasil Prevalence of overweight and obesity among adolescent students in the city of Fortaleza, Brazil

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    Lício de Albuquerque Campos


    Full Text Available OBJETIVOS: determinar a prevalência de sobrepeso e obesidade em adolescentes escolares do Município de Fortaleza, Brasil, e estimar a diferença entre a prevalência nas escolas públicas e privadas segundo sexo e faixa etária (adolescência precoce e tardia. MÉTODOS: estudo de corte transversal realizado no período de março a maio de 2003 com 1158 adolescentes, sendo 571 de escolas públicas e 587 de escolas privadas. Sobrepeso foi definido como indice de massa corporal (IMC igual ou superior ao percentil 85 e inferior ao percentil 95; obesidade, IMC igual ou maior ao percentil 95, ambos para idade e sexo. RESULTADOS: a prevalência total de sobrepeso e obesidade foi 19,5%. Nas escolas privadas, sobrepeso/obesidade alcançou 23,9%, freqüência maior do que nas públicas (18,0% (p = 0,018. A prevalência de sobrepeso/obesidade encontrada no sexo masculino (19,6% foi semelhante ao do feminino (19,0% (p = 0,80; na adolescência precoce, a prevalência foi (24,1 % maior do que a encontrada na adolescência tardia (15,0 % (p OBJECTIVES: to determine overweight and obesity prevalence in adolescent students in the Municipality of Fortaleza, Brazil and to estimate prevalence rates of public and private schools according to gender and age group (early and late adolescence. METHODS: a cross sectional study performed in the period of March to May 2003 comprised of 1158 adolescents, 571 from public schools and 587 from private schools. Overweight was defined when body mass index (BMI was determined to be equal or above percentile 85 and under percentile 95; obesity was defined when BMI was determined as equal or over percentile 95, regardless of age and gender. RESULTS: total prevalence of overweight and obesity was of 19.5%. In private schools, overweight/obesity reached 23.9%, a rate higher than in public schools (18.0% (p = 0.018. Overweight/ obesity prevalence in the male gender (19.6% was similar to the female gender (19.0% p = 0.80, in early

  12. Study on Reference Values of Energy Expenditure of Physical Activity for Shanghai Adolescents%上海市11~16岁青少年体力活动能量消耗参考值研究

    Institute of Scientific and Technical Information of China (English)

    李海燕; 庄洁; 陈佩杰


    目的:建立上海市青少年体力活动能量消耗的参考值.方法:以上海市11~16岁青少年为调查对象,进行体质健康项目测试,并进行体力活动问卷调查.在BMI正常、肺活量和耐力、柔韧力量、速度灵巧项目在及格以上的青少年中,按每2岁一个年龄段分组,每组随机选取男女各200人,用统计学方法分别建立中等强度和大强度体力活动能量消耗的95%置信区间;每年龄组再随机选取男女各20人进行回代检验.结果:11~12岁、13~14岁、15~16岁中等强度体力活动能量消耗(kcal/w)95%置信区间分别为:男生971.19~1271.58、1081.16~1492.94、1324.56~1712.37,女生1139.82~1437.37、1046.69~1398.77、1113.15~1427.22;大强度体力活动能量消耗(kcal/w)95%置信区间分别为:男生1167.75 ~1486.57、1226.24~1715.26、1117.23 ~1453.33,女生843.53 ~1141.61、676.01 ~1006.54、1142.53~1392.51.回代检验时,各年龄组有75%~87%的对象在所建立的95%置信区间内.结论:初步建立了上海市11~16岁青少年中等强度和大强度体力活动能量消耗的参考值.%Objective To establish reference values of energy expenditure of physical activity for adolescents in Shanghai. Methods Adolescents,aged 11-16,in Shanghai were recruited in this study. BMI,vital capacity and endurance capacity of the subjects were measured,and physical activity were investigated by questionnaire. Subjects who met the inclusion criteria of normal BMI,vital capacity, endurance capacity,strength,speed,and agility were grouped by every two years of age(n = 400 for each group,including 200 males and 200 females). 95% confidence interval of moderate and vigorous intensity physical activity were established by statistical methods. Back substitution test was performed in each age group (males = 20,females =20) selected randomly from the subjects. Results Reference values of energy expenditure (kcal/w) in moderate

  13. Adolescent Loneliness. (United States)

    Goldenberg, Sheila

    Research has suggested that the incidence of loneliness peaks at adolescence and decreases with age. Changes in the determinants of loneliness during adolescence were investigated for grade 8, grade 11, and university students. Subjects (N=410) completed a written questionnaire which included ten items from the UCLA Loneliness Scale, the…

  14. Positively Adolescent! (United States)

    Williamson, Sue


    Believes that music teachers should reassess their views toward adolescent behavior in the music classroom by learning to see their behavior in a positive light. Describes teaching strategies that build on four adolescent behaviors: (1) desire for peer acceptance; (2) abundant energy; (3) love of fun; and (4) limited time-managing skills. (CMK)

  15. Punishing adolescents

    DEFF Research Database (Denmark)

    Ryberg, Jesper


    Should an adolescent offender be punished more leniently than an adult offender? Many theorists believe the answer to be in the affirmative. According to the diminished culpability model, adolescents are less mature than adults and, therefore, less responsible for their wrongdoings and should...

  16. A comparison of the nutritional status of adolescents from selected schools of South India and UAE : A cross-sectional study

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    Haboubi Ghalib


    Full Text Available Objective: To assess the nutritional status of adolescents of Indian origin living in India and the United Arab Emirates to see how variable the prevalence is of stunting and wasting among adolescents of the same ethnic background living in different socio-economic and demographic environments. Materials and Methods : A cross-sectional survey. Setting: Schools in South India and the United Arab Emirates. Participants: A total of 2459 adolescent boys and girls between the ages of 10 and 16 years old. Results and Discussion: Anthropometric measurements from 2459 adolescents between the ages of 10-16 years old, 1200 from India and 1259 from UAE, were collected. The subjects were divided into six age groups with 1-year intervals. Adolescents falling below the age and gender-specific 5 th percentile and 3 rd percentile of the WHO recommended standards were defined as having thinness and stunting accordingly. Regardless of gender, the rate of stunting was higher in Indian adolescents from India (25.5-51% when compared with Indian adolescents in UAE (3.1-21%. Thinness was also more in those in India (42-75.4%. When compared with adolescents living in the UAE (4.5-14.4%. The study was done in two groups having a common ethnicity but living in different socio-economic environments. With the results of this study, we can say that improved economic conditions favor better expression of genetic potential for physical growth.

  17. How Can Journal Impact Factors be Normalized across Fields of Science? An Assessment in terms of Percentile Ranks and Fractional Counts

    CERN Document Server

    Leydesdorff, Loet; Bornmann, Lutz


    Using the CD-ROM version of the Science Citation Index 2010 (N = 3,705 journals), we study the (combined) effects of (i) fractional counting on the impact factor (IF) and (ii) transformation of the skewed citation distributions into a distribution of 100 percentiles and six percentile rank classes (top-1%, top-5%, etc.). Do these approaches lead to field-normalized impact measures for journals? In addition to the two-year IF (IF2), we consider the five-year IF (IF5), the respective numerators of these IFs, and the number of Total Cites, counted both as integers and fractionally. These various indicators are tested against the hypothesis that the classification of journals into 11 broad fields by PatentBoard/National Science Foundation provides (statistically) significant between-field effects. Using fractional counting the between-field variance is reduced by 91.7% in the case of IF5, and by 79.2% in the case of IF2. However, the differences in citation counts are not significantly affected by fractional coun...

  18. Adding value(s)

    DEFF Research Database (Denmark)

    Carré, David


    , 1992). In response, behavioral economics (Camerer, 1999) has shown that agents have values other than optimization underpinning their decisions. Therefore, concerns arose regarding which values are guiding the agent but not about how such values became relevant for the agent. In this presentation, I......Most economic inquires revolve around agents making decisions. Getting the ‘best value’, it is assumed, drives such decisions: gaining most while risking least. This assumption has been debunked by showing that people does not always choose neither maximum benefit nor less risk (Kahneman & Tversky...... will explore the consequences of shifting to the latter perspective, i.e. looking for the generative framework of values. Here I argue that economic behavior should also be seen as a sense-making process, guided by values that are chosen/rejected along with fellow human beings, in specific socio...

  19. Breastfeeding Shows a Protective Trend toward Adolescents with Higher Abdominal Adiposity

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    Julien Rousseaux


    Full Text Available Objective: The question of whether breastfeeding has a protective effect against the development of overweight or obesity later in life remains controversial, especially during adolescence. The objective was to assess the relationship between breastfeeding and adolescents' body composition. Methods: The HELENA study is a cross-sectional study involving 3,528 adolescents from 10 European cities. The outcome measures were body weight and height, subscapular skinfolds as well as waist circumferences. Breastfeeding, smoking status, and parental socioeconomic status were assessed by self-administered questionnaires. Dietary intake was recorded using two 24-hour recall surveys. Two adjustment approaches were used: i covariance analysis adjusted for confounding factors (propensity score adjustment and ii multivariate quantile regression. Results: After adjustment, no significant associations were observed between breastfeeding and body composition parameters (BMI Z-score; sum of skinfolds; waist-to-height ratio. An adjusted quantile regression analysis showed a non-significant trend for a protective effect of breastfeeding toward the highest percentiles of adiposity in boys but not in girls. This is of particular interest with respect to the superiority of the waist-to-height ratio over waist circumference and BMI for detecting cardiometabolic risk factors. Conclusion: This first European study, including a large set of factors influencing adolescents' body composition, showed a non-significant trend toward a protective effect of breastfeeding on highest percentiles of adolescent's abdominal adiposity.

  20. Genetic Variations in the Kir6.2 Subunit (KCNJ11 of Pancreatic ATP-Sensitive Potassium Channel Gene Are Associated with Insulin Response to Glucose Loading and Early Onset of Type 2 Diabetes in Childhood and Adolescence in Taiwan

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    Yi-Der Jiang


    Full Text Available To investigate the role of E23K polymorphism of the KCNJ11 gene on early onset of type 2 diabetes in school-aged children/adolescents in Taiwan, we recruited 38 subjects with type 2 diabetes (ages 18.6 ± 6.6 years; body mass index percentiles 83.3 ± 15.4 and 69 normal controls (ages 17.3 ± 3.8 years; body mass index percentiles 56.7 ± 29.0 from a national surveillance for childhood/adolescent diabetes in Taiwan. We searched for the E23K polymorphism of the KCNJ11 gene. We found that type 2 diabetic subjects had higher carrier rate of E23K polymorphism of KCNJ11 gene than control subjects (P = 0.044. After adjusting for age, gender, body mass index percentiles, and fasting plasma insulin, the E23K polymorphism contributed to an increased risk for type 2 diabetes (P = 0.047. K23-allele-containing genotypes conferring increased plasma insulin level during OGTT in normal subjects. However, the diabetic subjects with the K23-allele-containing genotypes had lower fasting plasma insulin levels after adjustment of age and BMI percentiles. In conclusion, the E23K variant of the KCNJ11 gene conferred higher susceptibility to type 2 diabetes in children/adolescents. Furthermore, in normal glucose-tolerant children/adolescents, K23 allele carriers had a higher insulin response to oral glucose loading.

  1. 7th to 9th grade obese adolescents' perceptions about obesity in Tamaulipas, Mexico. (United States)

    de la Luz Martínez-Aguilar, Ma; Flores-Peña, Yolanda; de las Mercedes Rizo-Baeza, Ma; Aguilar-Hernández, Rosa Ma; Vázquez-Galindo, Laura; Gutiérres-Sánchez, Gustavo


    The objective was to explore obese adolescents perceptions about obesity among students in the seventh to ninth grade of a public school in Tamaulipas, Mexico. This is a qualitative study. Participants were 24 adolescents with a body mass index equal to or greater than the 95th percentile. Semistructured interviews were conducted until data saturation was reached and the meaning was understood. The adolescents defined obesity according to standards of measurement. They identified the hereditary factor as the main obesity cause, tended to underestimate obesity and had low self-esteem. They reported problems to do physical exercise and get clothes in order to improve their image, and feel rejected by their peers in school. It was identified that these adolescents have psychological defense mechanisms against obesity and that some of them are making efforts to lose weight. Obesity entails social and psychological health implications for persons suffering from this problem. Interventions should be put in practice.

  2. Stages of Adolescence (United States)

    ... Español Text Size Email Print Share Stages of Adolescence Page Content Article Body Adolescence, these years from puberty to adulthood, may be roughly divided into three stages: early adolescence, generally ages eleven to fourteen; middle adolescence, ages ...

  3. The Value of Value

    DEFF Research Database (Denmark)

    Sørensen, Asger

    and the regularity of such a phenomenon is both hard to verify and, if true, difficult to explain, it seems fair to say that since the Enlightenment, an approaching fin-de-siecle has brought an increased interest in matters concerning morality and ethics.1 The present peak has in public-political discourse and some...... parts of business ethics given prominence to especially one term, namely `value'. The question that interests me is the following: What does the articulation of ethics and morality in terms of values mean for ethics and morality as such. Or, to put the question in a more fashionably way: What...... is the value of value for morality and ethics?To make things a bit more precise, we can make use of the common distinction between ethics and morality, i.e. that morality is the immediate, collective and unconscious employment of morals, whereas ethics is the systematic, individual and conscious reflections...

  4. Reference values for peak flow and FEV1 variation in healthy schoolchildren using home spirometry

    NARCIS (Netherlands)

    Brouwer, A. F. J.; Duiverman, E. J.; Brand, P. L. P.


    Current reference values for diurnal peak flow variation in healthy children (median 8.2%; 95th percentile 31%) are so high that considerable overlap exists with those of asthmatic children. These values have been obtained using written peak flow diaries, which are unreliable. The aim of the present

  5. Writing Homer, Reading Riordan: Intertextual Study in Contemporary Adolescent Literature (United States)

    Bright, Amy


    When readers of contemporary adolescent literature are encouraged to participate in conversations about what is considered canonical literature, the literary value of adolescent reading expands past narrowly defined borders. Several recent adolescent novels provide access to the classics and may generate interest among middle school students in…

  6. Dyslipidemia and its risk factors in overweight and obese children and adolescents

    Directory of Open Access Journals (Sweden)

    Patricia Lucía Casavalle


    Full Text Available Introduction: Obesity and overweight are frequently associated with metabolic complications. Objective: to estimate the prevalence of dyslipidemia in overweight and obese children and adolescents and its risk factors (RF, and the concordance between different cut-off values (Cook et al. vs. American Academy of Cardiology of triglycerides (TG and HDL-C.Material and Methods: 139 patients (aged 8-14 years with overweight or obesity, attending the outpatient Pediatric Clinic, Division of Nutrition, San Martin University Hospital, Buenos Aires, Argentina, from February 2005 to January 2013, were studied. The design was descriptive, observational, prospective, crossover and comparison of independent samples. Dyslipidemia was considered when: Total cholesterol (TC≥200 mg/dl or HDL-C≤40 mg/dl or TG≥110 mg/dl or LDL-C≥130mg/dl. Increased waist circumference (WC≥90th percentile, according Freedman et al., low weight at birth (<2,5 kg., family history of dyslipidemia and acute myocardial infarction (AMI were considered as risk factors. The concordance between the cut-off values of TG (≥110 and ≥150 mg/dl and also of HDL-C (≤40 and <35 mg/dl were analyzed.Results: The prevalence of dyslipidemia was 50,4%; the most abnormal lipid fractions was the TG (31,7% and the most frequently RF was the increased WC (55,4%. The concordance between cut-off values was weak for TG (Kappa index=0.38, and moderate for HDL-C (Kappa index=0,52.Conclusions: The high prevalence of dyslipidemia was similar to other reports. The risk factors for dyslipidemia were the increased WC and family history of dyslipidemia. Due to the degree of concordance for TG and HDL-C it is relevant the cut-off values to be considered.

  7. [WHO child growth standards for children 0-5 years. Percentile charts of length/height, weight, body mass index and head circumference]. (United States)

    Woynarowska, Barbara; Palczewska, Iwona; Oblacińska, Anna


    The aim of this paper was to present the growth standards for children aged 0-5 years - which is a new tool for the assessment of health, growth and nutritional status recommended by WHO for use all over the world. These standards were elaborated in 2006 on the basis of the results of the WHO Multicentre Growth Reference Study (a longitudinal and cross-sectional survey) carried out between 1997-2003 in Brazil, Ghana, India, Norway, Oman and the USA. An innovative approach to developing growth reference was applied. Healthy children living under conditions allowing them to achieve their full genetic potential were the sample of children under study. The results showed that the growth pattern of children in their early childhood in different countries, ethnic groups and of different socioeconomic status was the same when their health and care needs were met. The new standards indicate how children should grow in all countries, rather than merely describing how they grew at a particular place and time. The WHO Child Growth Standards for Children 0-5 years were adapted and used in over 100 countries. Activities designed to adapt WHO standards in Poland were undertaken in 2009. The comparison between the growth reference for Warsaw children and WHO standards showed no differences, or very small ones. Following discussion with the participation of many experts, in 2011 recommendations concerning the implementation of these standards were signed by the Committee of Human Development and the Committee of Anthropology of the Polish Academy of Science, the Main Board of the Polish Anthropological Society, the Institute of Mother and Child, and the Institute of Food and Nutrition. The percentile charts were adapted to the set of percentiles hitherto used in Poland.

  8. Waist circumference cut-off values for the prediction of cardiovascular risk factors clustering in Chinese school-aged children: a cross-sectional study


    Xu Ying; Du Lin; Li Yanping; Hu Xiaoqi; Hills Andrew P; Liu Ailing; Byrne Nuala M; Ma Guansheng


    Abstract Background Waist circumference has been identified as a valuable predictor of cardiovascular risk in children. The development of waist circumference percentiles and cut-offs for various ethnic groups are necessary because of differences in body composition. The purpose of this study was to develop waist circumference percentiles for Chinese children and to explore optimal waist circumference cut-off values for predicting cardiovascular risk factors clustering in this population. Met...

  9. Low Birthweight, Rapid Weight Gain and Metabolic Syndrome in Adolescence: An Illustrative Case Report

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    Onyiriuka Alphonsus N.


    Full Text Available A 16-year-old boy whose diabetes mellitus was diagnosed 3 months previously in a private hospital but was not placed on medication. The presenting complaints were fast breathing for 24 hours, weakness for 2 hours, and unresponsiveness to calls for 0.5 hours. His father was obese with type 2 diabetes mellitus and died 8 months earlier from cardiac arrest. His birthweight was low, 2.2kg. At first presentation, his weight, BMI and blood pressure were 60kg (25th-50th percentile, 19.4kg/m2 (25thpercentile and 110/70mmHg (systolic BP 50th percentile, diastolic BP 50th-90th percentile, respectively. He was managed for diabetic ketoacidosis and was discharged on subcutaneous premixed insulin, 1 Unit/kg/day. At point of discharge, weight and BP were 60.5 kg and 120/70 mmHg, respectively. The patient defaulted but presented again 6 months later at the age of 17 years. At second presentation, his weight, BMI and BP were 89 kg (95th percentile, 27.5 kg/m2 (90th-95th percentile and 180/80 mmHg (systolic 99th percentile; diastolic 90th percentile, respectively. His waist circumference was 98.7cm (> 90th percentile. We had no record of previous waist circumference. His lipid profile showed low HDL-cholesterol 0.7252 mmol/L [(28mg/dl; <5thpercentile]. His fasting blood glucose and HbA1C were 6.5 mmol/L (117mg/dl and 34 mol/mol (5.3%, respectively. A diagnosis of metabolic syndrome in a patient with ketosis-prone type 2 diabetes was made. He was referred to the pediatric cardiologist for management of his hypertension. He defaulted again and was lost to follow up. Conclusion: This report illustrates the association of low birth weight and rapid weight gain with metabolic syndrome in adolescence.

  10. Familism, family ethnic socialization, and Mexican-origin adolescent mothers' educational adjustment. (United States)

    Bravo, Diamond Y; Umaña-Taylor, Adriana J; Guimond, Amy B; Updegraff, Kimberly A; Jahromi, Laudan B


    The current longitudinal study examined how familism values and family ethnic socialization impacted Mexican-origin adolescent mothers' (N = 205) educational adjustment (i.e., educational expectations, educational utility), and whether these associations were moderated by adolescent mothers' ethnic centrality. Findings indicated that adolescent mothers' reports of familism values and family ethnic socialization were positively associated with their beliefs about educational utility, but not educational expectations. Ethnic centrality moderated the association between adolescent mothers' familism values and educational utility, such that adolescent mothers' endorsement of familism values during pregnancy were associated with significant increases in educational utility after their transition to parenthood, but only when adolescents reported high levels of ethnic centrality. Moreover, ethnic centrality was positively associated with adolescent mothers' educational expectations. Results highlight the importance of familism, ethnic socialization, and ethnic centrality for promoting Mexican-origin adolescent mothers' educational outcomes. Findings are discussed with respect to understanding adolescent mothers' educational adjustment in the context of family and culture.

  11. Weight status and body image perceptions in adolescents: current perspectives

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    Voelker DK


    Full Text Available Dana K Voelker,1 Justine J Reel,2 Christy Greenleaf3 1West Virginia University, College of Physical Activity and Sport Sciences, Morgantown, WV, 2University of North Carolina Wilmington, College of Health and Human Services, Wilmington, NC, 3University of Wisconsin–Milwaukee, College of Health Sciences, Milwaukee, WI, USA Abstract: Adolescence represents a pivotal stage in the development of positive or negative body image. Many influences exist during the teen years including transitions (eg, puberty that affect one’s body shape, weight status, and appearance. Weight status exists along a spectrum between being obese (ie, where one’s body weight is in the 95th percentile for age and gender to being underweight. Salient influences on body image include the media, which can target adolescents, and peers who help shape beliefs about the perceived body ideal. Internalization of and pressures to conform to these socially prescribed body ideals help to explain associations between weight status and body image. The concepts of fat talk and weight-related bullying during adolescence greatly contribute to an overemphasis on body weight and appearance as well as the development of negative body perceptions and dissatisfaction surrounding specific body parts. This article provides an overview of the significance of adolescent development in shaping body image, the relationship between body image and adolescent weight status, and the consequences of having a negative body image during adolescence (ie, disordered eating, eating disorders, and dysfunctional exercise. Practical implications for promoting a healthy weight status and positive body image among adolescents will be discussed. Keywords: adolescence, eating disorders, obesity, bullying, puberty, physical activity

  12. Predictors of serum dioxin levels among adolescent boys in Chapaevsk, Russia: A cross-sectional pilot study

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    Turner Wayman E


    Full Text Available Abstract Background Toxicological studies and limited human studies have demonstrated associations between exposure to polychlorinated dibenzo-p-dioxins (PCDDs, polychlorinated dibenzofurans (PCDFs and polychlorinated biphenyls (PCBs and adverse developmental and reproductive health effects. Given that children may be particularly susceptible to reproductive and developmental effects of organochlorines, and the paucity of information available regarding childhood exposures to dioxins in particular, we undertook a pilot study to describe the distribution of, and identify potential predictors of exposure to, dioxin-like compounds and dioxins among adolescent boys in Chapaevsk, Russia. The pilot study was also designed to guide the development of a large prospective cohort study on the relationship of exposure to PCDDs, PCDFs, and PCBs with growth and pubertal development in peri-pubertal Chapaevsk boys. Methods 221 boys age 14 to 17 participated in the pilot study. Each of the boys, with his mother, was asked to complete a nurse-administered detailed questionnaire on medical history, diet, and lifestyle. The diet questions were used to measure the current and lifetime consumption of locally grown or raised foods. Blood samples from 30 of these boys were sent to the Centers for Disease Control and Prevention (CDC for analysis of dioxins, furans and PCBs. Results The median (25th, 75th percentile concentrations for total PCDDs, PCDFs and coplanar PCBs were 95.8 pg/g lipids (40.9, 144, 33.9 pg/g lipids (20.4, 61.8, and 120 pg/g lipids (77.6, 157, respectively. For WHO-TEQs, the median (25th, 75th percentile for total PCDDs, PCDFs, and coplanar PCBs were 0.29 (0.1, 9.14, 7.98 (5.27, 12.3, and 7.39 (4.51, 11.9, respectively. Although TCDD was largely non-detectable, two boys had high TCDD levels (17.9 and 21.7 pg/g lipid. Higher serum levels of sum of dioxin-like compounds and sum of dioxin TEQs were positively associated with increased age

  13. Metabolic syndrome in children and adolescents - criteria for diagnosis

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    Mancini Marcio C


    Full Text Available Abstract In recent years, there has been a greater concern about the presence of obesity and metabolic syndrome in children and adolescents. However, there is no consensus regarding the diagnosis of metabolic syndrome in children and adolescents. It is evident that each component of the syndrome must be identified as early as possible in order to prevent definitive lesions. The question is how to do this and which cut-offs must be adopted for this diagnosis. For a matter of convenience, the definition chosen as the most appropriate is the one proposed by the IDF, with cut-offs fixed for pressure, lipids and glycemia, and abdominal circumference points assessed by percentile. Although on the one hand this definition could fail to include some children in the diagnosis of Metabolic Syndrome, on the other hand, it would be of easier acceptance as it does not use multiple tables to assess several anthropometric and metabolic criteria.

  14. School-Based Health Center Intervention Improves Body Mass Index in Overweight and Obese Adolescents

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    Alberta S. Kong


    Full Text Available Adolescents Committed to Improvement of Nutrition and Physical Activity (ACTION was undertaken to determine feasibility of a school-based health center (SBHC weight management program. Two urban New Mexico SBHCs were randomized to deliver ACTION or standard care. ACTION consisted of eight visits using motivational interviewing to improve eating and physical activity behavior. An educational nutrition and physical activity DVD for students and a clinician toolkit were created for use as menu of options. Standard care consisted of one visit with the SBHC provider who prescribed recommendations for healthy weight. Sixty nondiabetic overweight/obese adolescents were enrolled. Measures included BMI percentile, waist circumference, insulin resistance by homeostasis model assessment (HOMA-IR, blood pressure, triglycerides, and HDL-C levels. Pre- to postchanges for participants were compared between groups. Fifty-one students (mean age 15 years, 62% female, 75% Hispanic completed pre- and postmeasures. ACTION students (n=28 had improvements in BMI percentile (P=0.04 and waist circumference (P=0.04 as compared with students receiving standard care (n=23. No differences were found between the two groups in blood pressure, HOMA-IR, triglycerides, and HDL-C. The ACTION SBHC weight management program was feasible and demonstrated improved outcomes in BMI percentile and waist circumference.

  15. On Socialist Core Value Education for Adolescents in Tibetan Areas---A Case Study of Ganzi Tibetan Autonomous Prefecture of Sichuan Province%藏区青少年群体社会主义核心价值观教育研究--以四川省甘孜藏族自治州为例

    Institute of Scientific and Technical Information of China (English)



    As Tibetan adolescents live in special geographical locations, it is of extreme and practical significance to carry out socialist core values education for them. At present, there are problems regarding the socialist core values education for youth groups in Tibetan areas, such as lacking teaching staff, uneven qualities of students, outdated teaching contents, shifting of adolescents′ core values, and growing psychological problems. In view of these problems, we should strengthen the leadership of socialist core values education for adolescents in Tibetan areas, and enhance the work of socialist core value education in schools.%藏区青少年群体所处地理位置特殊,进行社会主义核心价值观教育有极其重要的现实意义。当前藏区青少年群体社会主义核心价值观教育中存在教学力量相对薄弱、学生素质参差不齐、教学内容陈旧、青少年群体核心价值观移位、心理问题日渐突出等问题,应加强对青少年群体社会主义核心价值观教育工作的领导,加强学校社会主义核心价值观教育工作。

  16. Adolescent loneliness. (United States)

    Williams, E G


    The purpose of this study was to investigate the phenomenon of loneliness in delinquent adolescents with regard to types of delinquency offenses committed, demographic characteristics, and personality characteristics in the areas of interpersonal needs for inclusion, control, and affection. The types of delinquency offenses were categorized as burglary, runaway, drugs, assault, and incorrigible. The demographic variables examined were age, sex, race, family rank or birth order, family structure in terms of parental presence, family income level, religion, and geographic locale. A sample of 98 adolescents was obtained from juvenile detention facilities in three metropolitan areas in the United States. Subjects ranged in age from 12 to 18. Subjects were asked to complete the Loneliness Questionnaire as a self-reported measure of loneliness. Subjects also provided information about themselves relative to demographic characteristics and completed the FIRO-B Questionnaire, which measured interpersonal needs for inclusion, control, and affection. The results revealed no significant differences with regard to any of the demographic variables when the effect of each was considered alone. However, there was a significant effect on loneliness by income when considered jointly with other demographic variables. Adolescents from the middle income group expressed more loneliness than those from the upper and lower income groups. No significant differences were observed with regard to personality characteristics related to interpersonal needs for inclusion and affection, but delinquent adolescents with medium to high needs for control indicated significantly more feelings of loneliness than delinquent adolescents with low needs for control.

  17. Serum lipid concentrations, prevalence of dyslipidemia, and percentage eligible for pharmacological treatment of Korean children and adolescents; data from the Korea National Health and Nutrition Examination Survey IV (2007-2009.

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    Seung Yang

    Full Text Available OBJECTIVES: Dyslipidemia is one of the important modifiable risk factors for cardiovascular disease. Thus, to know the prevalence of dyslipidemia is the 1(st step to make guidelines of screening and management plan. Although, American Academy of Pediatrics updated the guidelines for lipid in childhood, Asian study is rare. METHODS: The authors aimed to make a reference of each serum lipid level of Korean children and adolescents (2,363 subjects aged 10 to 18 years from the data of Korea National Health and Nutrition Examination Survey IV (2007-2009. RESULTS: The mean serum concentrations for total cholesterol (TC, low-density lipoprotein cholesterol (LDL-C, triglycerides (TG, and high-density lipoprotein cholesterol (HDL-C were 158 mg/dL, 90 mg/dL, 90 mg/dL, and 49 mg/dL, respectively. The 95th percentile values for TC, LDL-C, and TG were 203 mg/dL, 129 mg/dL, and 185 mg/dL, respectively. The 5th percentile value for HDL-C was 36 mg/dL. The prevalence of hypercholesterolemia, high LDL-C, high TG, and low HDL-C was 6.5%, 4.7%, 10.1%, and 7.1%, respectively. Considering the risk factors such as obesity, hypertension, smoking, and diabetes, approximately 0.41% of the subjects were potentially eligible for pharmacological treatment. CONCLUSIONS: This information may be useful in not only Korean but also Asian planning programs for the prevention of cardiovascular disease through lipid control from childhood.

  18. Cerebrospinal fluid glucose and lactate: age-specific reference values and implications for clinical practice.

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    Wilhelmina G Leen

    Full Text Available Cerebrospinal fluid (CSF analysis is an important tool in the diagnostic work-up of many neurological disorders, but reference ranges for CSF glucose, CSF/plasma glucose ratio and CSF lactate based on studies with large numbers of CSF samples are not available. Our aim was to define age-specific reference values. In 1993 The Nijmegen Observational CSF Study was started. Results of all CSF samples that were analyzed between 1993 and 2008 at our laboratory were systematically collected and stored in our computerized database. After exclusion of CSF samples with an unknown or elevated erythrocyte count, an elevated leucocyte count, elevated concentrations of bilirubin, free hemoglobin, or total protein 9,036 CSF samples were further studied for CSF glucose (n = 8,871, CSF/plasma glucose ratio (n = 4,516 and CSF lactate values (n = 7,614. CSF glucose, CSF/plasma glucose ratio and CSF lactate were age-, but not sex dependent. Age-specific reference ranges were defined as 5-95(th percentile ranges. CSF glucose 5(th percentile values ranged from 1.8 to 2.9 mmol/L and 95(th percentile values from 3.8 to 5.6 mmol/L. CSF/plasma glucose ratio 5(th percentile values ranged from 0.41 to 0.53 and 95(th percentile values from 0.82 to 1.19. CSF lactate 5(th percentile values ranged from 0.88 to 1.41 mmol/L and 95(th percentile values from 2.00 to 2.71 mmol/L. Reference ranges for all three parameters were widest in neonates and narrowest in toddlers, with lower and upper limits increasing with age. These reference values allow a reliable interpretation of CSF results in everyday clinical practice. Furthermore, hypoglycemia was associated with an increased CSF/plasma glucose ratio, whereas hyperglycemia did not affect the CSF/plasma glucose ratio.

  19. Trabecular bone mineral density measured by quantitative CT of the lumbar spine in children and adolescents: reference values and peak bone mass; Trabekulaere Knochendichte der Lendenwirbelsaeule bei Kindern und Jugendlichen in der quantitativen CT: Referenzwerte und Peak Bone Mass

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    Berthold, L.D.; Alzen, G. [Kinderradiologie, Zentrum fuer Radiologie, Universitaetsklinikum Giessen und Marburg GmbH, Standort Giessen (Germany); Haras, G. [Siemens AG, Medical Solutions, Forchheim (Germany); Mann, M. [AG Medizinische Statistik, Universitaetsklinikum Giessen und Marburg GmbH, Standort Giessen (Germany)


    Purpose: The aim of this study was to assess bone density values in the trabecular substance of the lumbar vertebral column in children and young adults in Germany from infancy to the age of peak bone mass. Materials and Methods: We performed quantiative computed tomography (QCT) on the first lumbar vertebra in 28 children and adolescents without diseases that may influence bone metabolism (15 boys, 13 girls, mean ages 11 and 8 years, respectively). We also measured 17 healthy young adults (9 men, 8 women, mean ages 20 and 21 years). We used a Somatom Balance Scanner (Siemens, Erlangen) and the Siemens Osteo software. Scan parameters: Slice thickness 1 cm, 80 kV, 81 or 114 mAs. We measured the trabecular bone density and the area and height of the vertebra and calculated the volume and content of calcium hydroxyapatite (Ca-HA) in the trabecular substance of the first lumbar vertebra. Results: Prepubertal boys had a mean bone density of 148.5 (median [med] 150.1, standard deviation [SD] 15.4) mg/Ca-HA per ml bone, and prepubertal girls had a mean density of 149.5 (med 150.8, SD 23.5) mg/ml. We did not observe a difference between prepubertal boys and girls. After puberty there was a significant difference (p<0.001) between males and females: Mean density (male) 158.0, med 162.5, SD 24.0 mg/ml, mean density (female) 191.2, med 191.3, SD 17.7 mg/ml. The Ca-HA content in the trabecular bone of the first lumbar vertebra was 1.1 (med 1.1, SD 0.5) g for prepubertal boys and 1.1 (0.9, 0.4) g for prepubertal girls. For post-pubertal males, the mean Ca-HA content was 3.5 g, med 3.5 SD 0.5 g, and for post-pubertal females, the mean content was 2.8, med 2.7, SD 0.4 g. Conclusion: The normal trabecular bone mineral density is 150 mg/ml with a standard deviation of 20 mg/ml independent of age or gender until the beginning of puberty. Peak bone mass (bone mineral content) in the trabecular substance of the lumbar vertebral column is higher in males than in females, and peak bone

  20. Gravidez na adolescência: valores e reações dos membros da família Embarazo en la adolescencia: valores y reacciones de los miembors de la familia Teen pregnancy: values and reactions of family members

    Directory of Open Access Journals (Sweden)

    Luiza Akiko Komura Hoga


    Full Text Available Objetivo: Descrever as experiências dos membros da família a respeito da gravidez na adolescência. Métodos: Na pesquisa, desenvolvida com a abordagem qualitativa, utilizou-se a análise da narrativa para sistematizar os dados. Resultados: Das narrativas de 19 entrevistados emergiram três categorias descritivas: Valores familiares e orientações fornecidas; O recebimento da notícia e as providências tomadas e O suporte fornecido. Conclusões: A gravidez ocorreu em um contexto de organização familiar sólida e as trajetórias das mulheres adolescentes após o nascimento da criança foram marcadas por alianças e suporte da rede social. A constituição do novo núcleo familiar foi caracterizada pela existência de apoio material e afetivo dos membros da família.Objetivo: describir las experiencias de los miembros de la familia respecto al embarazo en la adolescencia. Métodos: En la investigación, desarrollada con abordaje cualitativo, se utilizó el análisis de la narración para sistematizar los datos. Resultados: Entre las narraciones de 19 entrevistados emergieron tres categorías descriptivas: a Valores familiares y orientaciones ofrecidas; b La recepción de la noticia y las providencias tomadas y c El soporte ofrecido. Conclusiones: El embarazo ocurrió en un contexto de organización familiar sólida y las trayectorias de las mujeres adolescentes después del nacimiento del niño fueron marcadas por alianzas y soporte de la red social. La constitución del nuevo núcleo familiar fue caracterizada por la existencia de apoyo material y afectivo de los miembros de la familia.Objective: To describe the experience of 19 family members regarding teen pregnancy. Methods: This was a qualitative study using narrative analysis approach. Results: Three categories emerged: a family values and sexual orientations given; b receiving the pregnancy news and arrangements made; and, c providing support tot eh pregnant teen. Conclusions: Teen

  1. Standing adult human phantoms based on 10th, 50th and 90th mass and height percentiles of male and female Caucasian populations (United States)

    Cassola, V. F.; Milian, F. M.; Kramer, R.; de Oliveira Lira, C. A. B.; Khoury, H. J.


    Computational anthropomorphic human phantoms are useful tools developed for the calculation of absorbed or equivalent dose to radiosensitive organs and tissues of the human body. The problem is, however, that, strictly speaking, the results can be applied only to a person who has the same anatomy as the phantom, while for a person with different body mass and/or standing height the data could be wrong. In order to improve this situation for many areas in radiological protection, this study developed 18 anthropometric standing adult human phantoms, nine models per gender, as a function of the 10th, 50th and 90th mass and height percentiles of Caucasian populations. The anthropometric target parameters for body mass, standing height and other body measures were extracted from PeopleSize, a well-known software package used in the area of ergonomics. The phantoms were developed based on the assumption of a constant body-mass index for a given mass percentile and for different heights. For a given height, increase or decrease of body mass was considered to reflect mainly the change of subcutaneous adipose tissue mass, i.e. that organ masses were not changed. Organ mass scaling as a function of height was based on information extracted from autopsy data. The methods used here were compared with those used in other studies, anatomically as well as dosimetrically. For external exposure, the results show that equivalent dose decreases with increasing body mass for organs and tissues located below the subcutaneous adipose tissue layer, such as liver, colon, stomach, etc, while for organs located at the surface, such as breasts, testes and skin, the equivalent dose increases or remains constant with increasing body mass due to weak attenuation and more scatter radiation caused by the increasing adipose tissue mass. Changes of standing height have little influence on the equivalent dose to organs and tissues from external exposure. Specific absorbed fractions (SAFs) have also

  2. Standing adult human phantoms based on 10th, 50th and 90th mass and height percentiles of male and female Caucasian populations

    Energy Technology Data Exchange (ETDEWEB)

    Cassola, V F; Kramer, R; De Oliveira Lira, C A B; Khoury, H J [Department of Nuclear Energy, Federal University of Pernambuco, Avenida Professor Luiz Freire, 1000, CEP 50740-540, Recife, PE (Brazil); Milian, F M, E-mail: [Department of Exact Science and Technology, State University of Santa Cruz, Campus Soane Nazare de Andrade, Km 16 Rodovia Ilheus-Itabuna, CEP 45662-000, Ilheus, BA (Brazil)


    Computational anthropomorphic human phantoms are useful tools developed for the calculation of absorbed or equivalent dose to radiosensitive organs and tissues of the human body. The problem is, however, that, strictly speaking, the results can be applied only to a person who has the same anatomy as the phantom, while for a person with different body mass and/or standing height the data could be wrong. In order to improve this situation for many areas in radiological protection, this study developed 18 anthropometric standing adult human phantoms, nine models per gender, as a function of the 10th, 50th and 90th mass and height percentiles of Caucasian populations. The anthropometric target parameters for body mass, standing height and other body measures were extracted from PeopleSize, a well-known software package used in the area of ergonomics. The phantoms were developed based on the assumption of a constant body-mass index for a given mass percentile and for different heights. For a given height, increase or decrease of body mass was considered to reflect mainly the change of subcutaneous adipose tissue mass, i.e. that organ masses were not changed. Organ mass scaling as a function of height was based on information extracted from autopsy data. The methods used here were compared with those used in other studies, anatomically as well as dosimetrically. For external exposure, the results show that equivalent dose decreases with increasing body mass for organs and tissues located below the subcutaneous adipose tissue layer, such as liver, colon, stomach, etc, while for organs located at the surface, such as breasts, testes and skin, the equivalent dose increases or remains constant with increasing body mass due to weak attenuation and more scatter radiation caused by the increasing adipose tissue mass. Changes of standing height have little influence on the equivalent dose to organs and tissues from external exposure. Specific absorbed fractions (SAFs) have also

  3. Caffeine intake reduces sleep duration in adolescents. (United States)

    Lodato, Francesca; Araújo, Joana; Barros, Henrique; Lopes, Carla; Agodi, Antonella; Barchitta, Martina; Ramos, Elisabete


    In our study, we hypothesized that higher caffeine intake would be associated with lower sleep duration among 13-year-old adolescents. In addition, we aimed to identify food sources of caffeine intake in this sample. Eligible participants were adolescents who were born in 1990 and attended school in Porto, Portugal, in 2003/2004. Self-administered questionnaires were used, and diet was evaluated using a food frequency questionnaire. From the 2160 eligible participants, only 1522 with valid information regarding their diet were included in this study. In our sample, the median intake of caffeine was 23.1 mg/d, with soft drinks being the major source. Ice tea presented the highest median (25th-75th percentiles) contribution (33.1% [14.0-52.1]), followed by cola (21.1% [6.4-37.6]). Regarding cocoa products, chocolate bars presented a median contribution of 5.1% (1.0-14.0), and snacks containing chocolate had a contribution of 3.0% (0.5-7.2). Coffee and tea presented a negligible contribution. Adolescents who reported less sleep duration and those who spent more time watching TV during the weekend had a significantly higher caffeine intake. Overall, boys had higher intakes of caffeine from soft drinks, and private school attendees, those who had parents with more education, who reported less television viewing time and had lower body mass index presented higher intakes of caffeine from chocolate. Considering sleeping more than 9.5 hours as a reference class, for each increase of 10 mg/d in caffeine intake, we found that the odds ratio of sleeping 8.5 hours or less was 1.12 (95% confidence interval, 1.06-1.19). Our results support the hypothesis that caffeine intake was inversely associated with sleep duration in adolescents.

  4. Plasma homocysteine in adolescents depends on the interaction between methylenetetrahydrofolate reductase genotype, lipids and folate: a seroepidemiological study

    Directory of Open Access Journals (Sweden)

    Gil Ángel


    Full Text Available Abstract Background Many publications link high homocysteine levels to cardiovascular disease. In Spain there is little information on the prevalence of hyperhomocysteinaemia and associated vitamin factors among the general population, and less still among children. Cardiovascular risk factors in the childhood population may be related to the appearance of cardiovascular disease at adult age. The aim of this study is to establish a definition of hyperhomocysteinaemia in adolescents and to analyze the influence of vitamin and metabolic factors in homocysteine levels in this population group. Methods Descriptive, cross-sectional epidemiological study to estimate serum homocysteine, vitamin B12 and folate levels, as well as plasma total, HDL- and LDL- cholesterol in a schoolgoing population aged 13 to 17 years in Madrid, Spain. Spearman correlation analysis was performed to ascertain quantitative comparison, Pearson's χ2 test (frequency Results Based on the classic values for definition of hyperhomocysteinaemia in adults, prevalence of hyperhomocysteinaemia in the study population was: 1.26% for 15 μmol/L; and 2.52% for 12 μmol/L. Deficits in HDL cholesterol and serum folate levels yielded adjusted Odds Ratios (OR for hyperhomocysteinemia of 2.786, 95% CI (1.089-7.126, and 5.140, 95% CI (2.347-11.256 respectively. Mutation of the methylenetetrahydrofolate reductase (MTHFR C677T genotype also raises the risk of hyperhomocysteinaemia (CC→CT: OR = 2.362; 95% CI (1.107-5.042 CC→TT: OR = 6.124, 95% CI (2.301-16.303 Conclusion A good definition of hyperhomocysteinaemia in adolescents is the 90th percentile, equivalent to 8.23 μmol/L. Risk factors for hyperhomocysteinaemia are cHDL and folate deficiency, and the MTHFR C677T mutant genotype. No significant effect could be assessed for vitamin B12. Coexistence of all three factors increases the risk of suffering from hyperhomocysteinaemia 87-fold.

  5. Goals and Personality in Adolescents (United States)

    Sanz de Acedo Lizarraga, M. L.; Ugarte, M. D.; Lumbreras, M. Victoria; Sanz de Acedo Baquedano, M. T.


    The purpose of this study was to investigate the influence of personality factors in the value allotted by adolescents to various groups of goals. For this purpose, the "Cuestionario de Personalidad Situacional, CPS" (Situational Personality Questionnaire) and the "Cuestionario de Metas para Adolescentes, CMA" (Goals for…

  6. Treating Children and Adolescents (United States)

    ... Children and Adolescents Go Back Treating Children and Adolescents Email Print + Share For the most part, the ... tailored, based upon the child's weight. Children and adolescents are moving through a period of physical and ...

  7. Adolescent growth and development. (United States)

    Chulani, Veenod L; Gordon, Lonna P


    Adolescence is a developmental stage defined by physical and psychosocial maturation. This article reviews normal pubertal development and the evaluation and management of adolescents with suspected pubertal abnormalities and provides an overview of adolescent psychosocial development.

  8. Adolescent homosexuality. (United States)

    Stronski Huwiler, S M; Remafedi, G


    Homosexuality has existed in all civilizations, but societal disapproval and cultural taboos have negatively influenced its recognition. A significant percentage of youths identify themselves as homosexual, and even more experience sex with the same sex or are confused about sexual feelings. A unifying etiological theory attributes the expression of sexual orientation to genes that shape the central nervous system's development, organization, and structure via prenatal sex steroids. Environmental factors may influence the expression of genetic potential. Several models of psychosocial development describe initial stages of awareness and confusion about same-sex attractions, followed by acknowledgement of homosexuality, disclosure to others, and eventual integration of sexual identity into a comprehensive sense of self. Stressors related to isolation, stigma, and violence may predispose homosexual adolescents to impaired social, emotional, and physical health, resulting in depression and suicide, school problems, substance abuse, running away eating disorders, risky sexual behavior, and illegal conduct. As with all adolescents, the overall goals in the care of homosexual youth are to promote normal adolescent development, social and emotional well-being, and physical health. A comprehensive, multidisciplinary approach is required to address medical, mental health, and psychosocial issues within the context of the adolescents' community and culture.

  9. Study of blood pressure and blood sugar levels in adolescence and comparison with body mass index

    Directory of Open Access Journals (Sweden)

    Ashwin Borade


    Full Text Available Background: Worldwide prevalence of overweight and obesity is increasing and its consequences prompted the WHO to designate obesity as a global epidemic in 2002. Being overweight is a risk factor for significant illness, especially diabetes and hypertension in adult life. Objectives : To study the blood pressure and blood sugar levels and lifestyle parameters in adolescence and comparison with body mass index. Materials and Methods: In a prospective case control study, out of the 1000 screened, a total of 200 adolescents were considered out of which 100 were with high body mass index (BMI and the other 100 were with normal BMI. Height, weight, BMI, waist hip ratio (WHR, blood pressure (BP, BSL, and associated risk factors like physical activity, fast food consumption, and computer/television watching were measured and screened. Results and Observations: 109 (54.5% males and 91 (45.5% females were included. Maximum number [90 (45%] of adolescents screened were in the age group of 17-19 years, while 54 (27% and 56 (28% adolescents were in the age group of 10-13 years and 14-16 years, respectively. According to CDC charts 2000, prevalence of overweight was 24% which was double when compared to WHO charts 2007. There was significant difference in prevalence of obesity; according to CDC chart it was 26%, whereas according to WHO chart it was 39%. The difference in blood pressures between cases and controls as per both CDC and WHO charts was found to be statistically significant (P 0.05 with BMI. Conclusion: The adolescents seem to have become heavier owing to environmental influences on growth patterns. So, a consideration should be given to shift the cut-offs for overweight and obesity to higher BMI percentiles if recent growth charts are to be followed. Adolescents with a BMI above the 95 >th percentile (obese are most likely to have obesity-related health risks.

  10. Pilot using World Wide Web to prevent diabetes in adolescents. (United States)

    Long, Joann D; Armstrong, Myrna L; Amos, Elizabeth; Shriver, Brent; Roman-Shriver, Carmen; Feng, Du; Harrison, Lanell; Luker, Scott; Nash, Anita; Blevins, Monica Witcher


    This pilot study tested the effects of an interactive nutrition education Web site on fruit, vegetable, and fat consumption in minority adolescents genetically at risk for Type 2 diabetes. A one-group nonexperimental pretest, posttest focus group design was used. Twenty-one sixth-grade to eighth-grade junior high adolescents who were minorities volunteered to participate. Participants received 5 hours of Web-based nutrition education over 3 weeks. A significant difference in fat consumption was supported from the computerized dietary assessment. No difference was found in fruit or vegetable consumption. Comparative data indicated a rise in body mass index (BMI) percentile from 88.03 (1999) to 88.40 (2002; boys) and 88.25 (1999) to 91.2 (2002; girls). Focus group responses supported the satisfaction of adolescents in the study with the use of the Web-based intervention for nutrition education. Healthy eating interventions using Web-based nutrition education should be further investigated with adolescents.

  11. Errata, nursing homes. Budget percentiles for baseline and redesigned commercial type buildings: cities with try weather tapes; based on resource utilization factors (RUF); based on price weighting factors (PWF)

    Energy Technology Data Exchange (ETDEWEB)


    Corrected data are presented for the P50 Redesign figure for nursing homes in the following documents in the series entitled Budget Percentiles for Baseline and Redesigned Commercial Type Buildings: For Cities with TRY Weather Tapes, Based on Price Weighing Factors (PWF), and Based on Resource Utilization Factors (RUF). (MCW)

  12. [Obesity, migration and adolescence]. (United States)

    Chamay-Weber, Catherine; Shehu-Brovina, Shqipe; Narring, Françoise


    Weight management interventions during adolescence are challenging. Migration adds complexity to this problem, making migrant families more vulnerable. Teenagers confront families to new values transmitted by the host society: opulence, junk food, video games. Obesity should not be seen as a single issue of calories-excess, but must be considered as being part of a larger problem, which takes into account the context of the familial and societal life of the migrants. The caregivers must have an overall view of the situation to provide appropriate approaches to weight management.

  13. Increased Physical Activity and Fitness above the 50(th) Percentile Avoid the Threat of Older Adults Becoming Institutionalized: A Cross-sectional Pilot Study. (United States)

    Pereira, Catarina; Fernandes, Jorge; Raimundo, Armando; Biehl-Printes, Clarissa; Marmeleira, José; Tomas-Carus, Pablo


    The objective of this study was to analyze the impact of physical fitness and physical activity on the threat of older adults without cognitive impairment becoming institutionalized. This cross-sectional study involved 195 non-institutionalized (80.1 ± 4.4 years) and 186 institutionalized (83.8 ± 5.2years) participants. Cognitive impairment was assessed using Mini-Mental State Examination, measures of physical fitness were determined by the Senior Fitness Test, and physical activity was assessed using the International Physical Activity Questionnaire. Multivariate binary logistic analysis selected four main determinants of institutionalization in both genders: The likelihood of becoming institutionalized increased by +18.6% for each additional year of age, whereas it decreased by -24.8% by each fewer kg/m(2) in body mass index (BMI), by -0.9% for each additional meter performed in the aerobic endurance test, and by -2.0% for each additional 100 metabolic equivalent of task (MET)-min/week of physical activity expenditure (p physical activity ≤693 MET-min/week) were computed using receiver operating characteristics analysis as cutoffs discriminating institutionalized from non-institutionalized older adults. The performance of physical activity, allied to an improvement in physical fitness (mainly BMI and aerobic endurance), may avoid the threat of institutionalization of older adults without cognitive impairment only if they are above the 50(th) percentile. The following parameters are highly recommended: Expending ≥693 MET-min/week on physical activity, having a BMI ≤26.7 kg/m(2), and being able to walk ≥367.6 meters in the aerobic endurance test, especially above the age of 80 years. The discovery of this trigger justifies the development of physical activity programs targeting the pointed cutoffs in old and very old adults.

  14. Public Values

    DEFF Research Database (Denmark)

    Beck Jørgensen, Torben; Rutgers, Mark R.


    administration is approached in terms of processes guided or restricted by public values and as public value creating: public management and public policy-making are both concerned with establishing, following and realizing public values. To study public values a broad perspective is needed. The article suggest......This article provides the introduction to a symposium on contemporary public values research. It is argued that the contribution to this symposium represent a Public Values Perspective, distinct from other specific lines of research that also use public value as a core concept. Public...... a research agenda for this encompasing kind of public values research. Finally the contributions to the symposium are introduced....

  15. Prevalência de pressão arterial elevada em crianças e adolescentes do ensino fundamental Prevalencia de presión arterial elevada en niños y adolescentes de la enseñanza fundamental Prevalence of elevated blood pressure in children and adolescents attending highschool

    Directory of Open Access Journals (Sweden)

    Ana Elisa M. Rinaldi


    hipertensión arterial (HAS para los valores entre los percentiles 90 y 95 y superior al percentil 95, respectivamente. Los datos antropométricos fueron comparados, conforme al sexo, por la prueba t de Student. La correlación de Pearson fue utilizada para verificar la variación de las PA sistólica (PAS y diastólica (PAD según datos antropométricos. La variación del escore Z de la PA según percentil de IMC fue evaluada por el análisis de variancia seguida por la prueba de Tukey. RESULTADOS: Se evaluaron 903 niños (51,7% niños, con edad de 9,3±2,5 años para ambos sexos. La prevalencia de PH fue de 9,1% y de HAS fue de 2,9%. Hubo correlación positiva significativa entre los niveles presóricos elevados (PAS/PAD > percentil 90 y las variables antropométricas, con valores mayores para peso (r=0,53 y r=0,45, pOBJECTIVE: To assess the prevalence of elevated blood pressure in schoolchildren and adolescents and the association of blood pressure with anthropometric measures. METHODS: This cross-sectional study, conducted in three schools in Botucatu, Brazil, collected blood pressure (BP measurements taken at three different time points and anthropometric data: weight, height, body mass index (BMI, arm circumference, waist circumference, triceps and subscapular skinfolds. Blood pressure was measured using the auscultation method, and children were classified into two groups: pre-hypertension or hypertension for values between the 90th and 95th percentiles or above the 95th percentile. Data were compared according to sex using the Student's t test. The Pearson correlation coefficient was used to evaluate the association between blood pressure and anthropometric data. To evaluate blood pressure, the Z score according to BMI percentile categories, one-factor analysis of variance (ANOVA and the Tukey post hoc test were used. RESULTS: This study evaluated 903 children and adolescents (51.7% boys whose mean age was 9.3±2.5 years. The prevalence of pre-hypertension and

  16. The value of 5-HTT gene polymorphism for the assessment and prediction of male adolescence violence%5-羟色胺转运体基因多态性与青少年暴力犯罪行为的相关性研究

    Institute of Scientific and Technical Information of China (English)

    于跃; 刘祥; 杨振兴; 邱昌建; 马小红


    Objective To establish an adolescent violence crime prediction model,and to assess the value of serotonin transporter (5-HTT)gene polymorphism for the assessment and prediction of violent crime.Methods Investigative tools were used to analyze the difference in personality dimensions,social support,coping styles,aggressiveness,impulsivity,and family condition scale between 223 adolescents with violence behavior and 148 adolescents without violence behavior. The distribution of 5-HTT gene polymorphisms (5-HTTLPR and 5-HTTVNTR) was compared between the two groups.The role of 5-HTT gene polymorphism on adolescent personality,impulsion and aggression scale also was also analyzed.Stepwise logistic regression was used to establish a predictive model for adolescent violent crime.Results Significant difference was found between the violence group and the control group on multiple dimensions of psychology and environment scales.However,no statistical difference was found with regard to the 5-HTT genotypes and alleles between adolescents with violent behaviors and normal controls.The rate of prediction accuracy was not significantly improved when 5-HTT gene polymorphism was taken into the model.Conclusion The violent crime of adolescents was closely related with social and environmental factors.No association was found between 5-HTT polymorphisms and adolescent violence criminal behavior.%目的 通过建立青少年暴力犯罪模型,探讨5-羟色胺转运体(serotonin transporter,5-HTT)基因多态性在暴力犯罪评估预测中的作用.方法 使用调查量表分析223例暴力组和148名对照组青少年在人格、社会支持、应付方式、冲动性、攻击性和家庭情况等方面的差异.分别比较暴力组和正常对照组5-HTT基因多态位点5-HTTVNTR、5-HTTLPR基因型与等位基因的分布,以观察5-HTT基因多态性与青少年人格、冲动和攻击等分量表的关系.采用逐步Logistic回归建立青少年

  17. Adolescent nutritional awareness and use of food labels: Results from the national nutrition health and examination survey

    Directory of Open Access Journals (Sweden)

    Wojcicki Janet M


    Full Text Available Abstract Background Awareness of federal nutrition programs and use of the nutrition facts label are associated with reduced risk for obesity and increased intake of fruits and vegetables. Relationships between nutrition programs, use of food labels and risk for overweight and obesity have rarely been evaluated in adolescents. Methods Using the National Health and Nutrition Examination Survey from 2005–6, we evaluated the frequency of nutrition awareness of USDA and CDC nutrition programs and use of food labels in adolescents. Risk for overweight (BMI ≥ 85-94th percentile and obesity (BMI ≥ 95th percentile was assessed in relation to nutrition awareness and label reading. Results Most adolescents (92.4% were aware of the Food Guide Pyramid. Fewer (43.5% were aware of the 5-A-Day Program, and even less (29.3% were aware of the Dietary Guidelines for Americans. Less than 25% of adolescents decided which foods to purchase by reading material on the nutrition facts label. There were significant racial and ethnic differences in awareness of federal nutrition programs with Mexican-Americans having the lowest levels of awareness of the US Dietary Guidelines for Americans and the Food Guide Pyramid in comparison with other groups. Non-Hispanic whites had higher and African-American adolescents had lower frequencies of reading fat information on the nutrition label in comparison to Mexican-American and other Hispanics. Awareness of other nutrition programs or of other information on the nutrition facts label was not associated with increased or decreased risk for overweight or obesity. Conclusions Use of the nutrition facts panel information is low among US adolescents. Additionally, less than half of adolescents are aware of federal nutrition programs including the Dietary Guidelines for Americans. Future studies should evaluate avenues to make nutrition information more accessible to young Americans.

  18. Chronic illness in adolescents: a sociological perspective. (United States)

    Silber, T J


    This article relates chronic illness in adolescents to a sociological model of deviance. This is an area of controversy: the views of Freidson, Lorber and Robinson are presented as being representative of the dispute. Four situations are discussed in which the issues of prognosis, responsibility and stigma elicit societal response. The usefulness of a sociological model consists in making vague societal perception and rules explicit. The concept of the chronically ill adolescent as deviant is descriptive and devoid of value judgment. Only through such rigorous assessment is it possible to gain a realistic understanding of the societal role in the life of the chronically ill adolescent.

  19. Nutritional Status of Adolescent School Girls in a Rural Area in Sri Lanka; Anthropometric Assessment

    Directory of Open Access Journals (Sweden)

    A.M.N.T. Adikari


    Full Text Available Adolescence is the transition period between childhood and adulthood in where rapid physical, mental, emotional and social development takes place. Adolescence females are at greatest risk for nutrient deficiency and it badly affects to their education and physical development. Nutritional status of female adolescents is important not only for their growth and development, but also for future pregnancies. The objective of this study was assessing the nutritional status of adolescent school girls in a rural area, located in North Western Province in Sri Lanka by using anthropometric measurements. A total number of 110 adolescent school girls, age range of 13 to 15 years, studied schools in Pannala sub-zonal education division were randomly selected after briefly explained the purpose of the study and getting a written consent from their parents. Anthropometric measurements were measured. Epi info version 3.4 was used to generate Z scores and percentiles for weight for age, height for age and Body Mass Index (BMI for age. According to WHO cut off subjects were categorized in to underweight, stunting, overweight and obese. In the study sample 20.7%, 19.8% 19.1%, 9.1%, 0.9% and 52.7% were underweight, stunting, wasting, overweight, obese and normal nutritional status, respectively. Since 46 % of the studied subjects were under-nutritional status appropriate intervention should be directed towards adolescent school girls to improve their nutritional status and education for healthy diets.

  20. Pre-treatment diffusion-weighted MR imaging for predicting tumor recurrence in uterine cervical cancer treated with concurrent chemoradiation: Value of histogram analysis of apparent diffusion coefficients

    Energy Technology Data Exchange (ETDEWEB)

    Heo, Suk Hee; Kim, Jin Woong; Lim, Hyo Soon; Jeong, Yong Yeon; Kang, Woo Dae; KIm, Seok Mo; Kang, Heong Keun [Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Hwasun (Korea, Republic of); Shin, Sang Soo [Chonnam National University Hospital, Chonnam National University Medical School, Gwangju (Korea, Republic of)


    To evaluate the value of apparent diffusion coefficient (ADC) histogram analysis for predicting tumor recurrence in patients with uterine cervical cancer treated with chemoradiation therapy (CRT). Our institutional review board approved this retrospective study and waived informed consent from each patient. Forty-two patients (mean age, 56 ± 14 years) with biopsy-proven uterine cervical squamous cell carcinoma who underwent both pre-treatment pelvic magnetic resonance imaging with a 3.0 T magnetic resonance scanner and concurrent CRT were included. All patients were followed-up for more than 6 months (mean, 36.4 ± 11.9 months; range 9.0-52.8 months) after completion of CRT. Baseline ADC parameters (mean ADC, 25th percentile, 50th percentile, and 75th percentile ADC values) of tumors were calculated and compared between the recurrence and no recurrence groups. In the recurrence group, the mean ADC and 75th percentile ADC values of tumors were significantly higher than those of the no recurrence group (p = 0.043 and p = 0.008, respectively). In multivariate analysis, the 75th percentile ADC value of tumors was a significant predictor for tumor recurrence (p = 0.009; hazard ratio, 1.319). When the cut-off value of the 75th percentile ADC (0.936 x 10{sup -3} mm{sup 2}/sec) was used, the overall recurrence free survival rate above the cut-off value was significantly lower than that below the cut-off value (51.9% vs. 91.7%, p = 0.003, log-rank test). Pre-CRT ADC histogram analysis may serve as a biomarker for predicting tumor recurrence in patients with uterine cervical cancer treated with CRT.

  1. Osteodensitometry in children and adolescents with inflammatory bowel disease; Osteodensitometrie bei Kindern und Jugendlichen mit chronisch entzuendlichen Darmerkrankungen

    Energy Technology Data Exchange (ETDEWEB)

    Kluge, C.; Kahn, T.; Borte, G. [Klinik und Poliklinik fuer Diagnostische und Interventionelle Radiologie, Universitaetsklinikum Leipzig (Germany); Borte, M.; Richter, T. [Klinik fuer Kinder- und Jugendmedizin, Staedtisches Klinikum ' ' St. Georg' ' Leipzig (Germany)


    Purpose: to evaluate the quantity and severity of bone disorders in children and adolescents with inflammatory bowel diseases (IBD) and to examine the correlation to whole body growth. Materials and methods: in this study 89 bone mineral density measurements were performed and retrospectively analyzed. Results: under consideration of growth retardation, over 65.2% of the patients with Cohn's disease showed a reduced bone mineral density. Osteopenia/Osteoporosis is seldom seen in patients with ulcerative colitis, i.e., only 34.8% showed a reduction in bone mineral density. Growth retardation and reduced bone mineral density are correlated. Patients with cohn's disease and a body length below the 25th height percentile showed a reduced bone mineral density in 78.1% of the cases. Patients with a body length below the 10th height percentile had a reduced bone mineral density in 83.3% of the cases. (orig.)

  2. Postprandial endothelial function, inflammation, and oxidative stress in obese children and adolescents. (United States)

    Metzig, Andrea M; Schwarzenberg, Sarah J; Fox, Claudia K; Deering, Mary M; Nathan, Brandon M; Kelly, Aaron S


    Most studies in adults suggest that acute glucose consumption induces a transient impairment in endothelial function. We hypothesized that obese youth would demonstrate reduced endothelial function and increased inflammation and oxidative stress following acute glucose ingestion and that transient elevations in plasma glucose would correlate with endothelial dysfunction, inflammation, and oxidative stress. Thirty-four obese (BMI ≥ 95th percentile) children and adolescents (age 12.4 ± 2.6 years; BMI = 37.9 ± 6.7 kg/m2; 50% females) underwent measurement of endothelial function (reactive hyperemic index (RHI)), glucose, insulin, C-reactive protein (CRP), interleukin-6 (IL-6), circulating oxidized low-density lipoprotein (oxLDL), and myeloperoxidase (MPO) in a fasting state and at 1- and 2-h following glucose ingestion. Repeated measures ANOVA with Tukey post-tests and Pearson correlations were performed. Glucose and insulin levels significantly increased at 1- and 2-h (all P values < 0.001). Compared to baseline, there were no statistically significant differences in 1- and 2-h RHI, CRP, IL-6, and oxLDL. However, MPO significantly decreased at the 1- (P < 0.05) and 2-h (P < 0.001) time points. At the 1-h time point, glucose level was significantly inversely correlated with RHI (r = -0.40, P < 0.05) and at the 2-h time point, glucose level was positively correlated with MPO (r = 0.40, P < 0.05). An acute oral glucose load does not reduce endothelial function or increase levels of inflammation or oxidative stress in obese youth. However, associations of postprandial hyperglycemia with endothelial function and oxidative stress may have implications for individuals with impaired glucose tolerance or frank type 2 diabetes.

  3. PS2-07: The Association of Cyberbullying with Cardiovascular Health in Adolescents: A Preliminary Analysis (United States)

    Cassidy-Bushrow, Andrea; Johnson, Dayna; Joseph, Christine


    Background/Aims With increasing access to the internet and other technology, adolescents may become victims of online harassment, referred to as cyberbullying. Cyberbullying may cause worry, fear, and distress among youth, all which increase cardiovascular disease (CVD) risk in adults. To our knowledge, no study has examined the potential association of cyberbullying with CVD risk factors in adolescents. We examined the association of cyberbullying with overweight/obesity and elevated blood pressure (BP) among healthy adolescents. Methods Adolescents age 14–17 years and parent/guardian were invited to a research visit between November, 2009 and present. Height, weight, and BP were measured by trained staff and internet experiences quantified by questionnaire. Race was defined as African-American or other race. Cyberbullying was defined as self-report in the past year of being worried or threatened because of being bothered or harassed online or of being embarrassed by others online. Overweight/ obesity was defined as BMI >=85th percentile for gender and age. Elevated BP was defined as a SBP or DBP >=90th percentile for gender, age and height. Logistic regression models were fit to estimate the association of cyberbulling with overweight/obesity or elevated BP. Results As of October, 2010, 190 adolescents with complete data have been recruited into the study. Mean age was 16.5±1.0 years; 76 (40%) were male and 112 (59.0%) were African-American. Mean BMI of adolescents was 24.2±6.4 kg/m^2 and mean SBP and DBP were 117.7±11.3 mmHg and 63.9±7.1mmHg, respectively; 62 (32.6%) were classified as overweight/obese and 28 (14.7%) had an elevated BP. A total of 29 (15.3%) adolescents reported being cyberbullied; older adolescents (P=0.061) were more likely and African-Americans (P=0.040) were less likely to report being cyberbullied. Gender was not associated with cyberbullying (P=0.143). Cyberbullying was not associated with overweight/obesity (P=0.951) or elevated BP

  4. Competence in Coping with Stress in Adolescents from Three Regions of the World (United States)

    Persike, Malte; Seiffge-Krenke, Inge


    The ways adolescents develop and use strategies to cope with stress vary according to cultural scripts and values. This cross-sectional study tested the impact of region and gender on adolescents' stress perceptions and coping styles. A total sample of 10,941 adolescents (51.3% female) from 20 countries completed questionnaires on stress and…

  5. La adopción de los percentiles de riesgo cardiovascular evita la sobreestimación o infraestimación del riesgo cardiovascular calculado con el SCORE

    Directory of Open Access Journals (Sweden)

    Jose I. Cuende


    Full Text Available Fundamento:La evaluación del riesgo cardiovascular es demáxima importancia para un correcto tratamiento de pacientes conriesgo. Hay varias ecuaciones de riesgo que pueden ser adaptadas auna población para evitar la sobre o infraestimación del riesgo. Seproponen a los percentiles de riesgo como un nuevo método paraadaptar los sistemas de valoración del riesgo a nuestra población.Métodos:Se ha realizado un estudio transversal de factores deriesgo cardiovascular en Palencia (ERVPA: Estudio de Riesgo Vas-cular en PAlencia. Se han registrado las variables edad, sexo, taba-quismo, tensión arterial, diabetes y colesterolemia. Se han estudiado514 sujetos entre 20 y 79 años procedentes de 9 centros de salud delárea sanitaria. Se ha calculado el riesgo cardiovascular fatal segúnlas ecuaciones del proyecto SCORE. Se han calculado y comparadolos percentiles obtenidos con cada ecuación, mediante el cálculo delos coeficientes de Spearman y kappa.Resultados:Los porcentajes de sujetos con riesgo alto varíanentre el 0% en jóvenes hasta el 92% en los varones y el 67% en lasmujeres mayores de 70 años. El coeficiente kappa entre las ecuacio-nes para países de bajo y alto riesgo es de 0.741. Dicha concordanciavaría de forma importante según el sexo y la edad. La concordanciaentre los percentiles es casi total. Conclusiones:Los percentiles de riesgo es un método de eva-luación del riesgo que permite adaptar cualquier ecuación a unapoblación particular evitando la sobre o infraestimación del riesgo ypermiten extrapolar el riesgo a cualquier edad.

  6. "Ayiti Cheri": Cultural Orientation of Early Adolescents in Rural Haiti (United States)

    Ferguson, Gail M.; Desir, Charlene; Bornstein, Marc H.


    Adolescents are an emerging population in Haiti, particularly after the deadly 2010 earthquake. The steady penetration of U.S. culture into this poor, disaster-prone country begs the question, Do today's adolescents possess a similar fondness for their home country, culture, and traditional family values as did Haitians of old? Or are they…

  7. Early Childhood Television Viewing and Adolescent Behavior: The Recontact Study. (United States)

    Anderson, Daniel R.; Huston, Aletha C.; Schmitt, Kelly L.; Linebarger, Deborah L.; Wright, John C.


    Followed up on 570 adolescents studied as preschoolers. Found that preschoolers' viewing of educational television programs was associated with achieving higher grades, reading more books, placing more value on achievement, exhibiting greater creativity, and behaving less aggressively as adolescents more consistently for boys than girls. Found…

  8. "Ayiti Cheri": Cultural Orientation of Early Adolescents in Rural Haiti (United States)

    Ferguson, Gail M.; Desir, Charlene; Bornstein, Marc H.


    Adolescents are an emerging population in Haiti, particularly after the deadly 2010 earthquake. The steady penetration of U.S. culture into this poor, disaster-prone country begs the question, Do today's adolescents possess a similar fondness for their home country, culture, and traditional family values as did Haitians of old? Or are they more…

  9. Personality Traits as a Predictor of Academic Achievement in Adolescents (United States)

    Smrtnik-Vitulic, Helena; Zupancic, Maja


    The study examined the predictive value of adolescents' personality trait ratings by different groups of informants in explaining academic achievement [grade point average (GPA)] while controlling for students' sex and their mothers' education. The Inventory of Child/Adolescent Individual Differences was employed as a measure of students'…

  10. Self-esteem in adolescents with chronic physical illness vs. controls in Northern Russia


    Zashikhina, Anna; Hägglöf, Bruno


    Objective: This work aims to study self-esteem in adolescents with diabetes, asthma and epilepsy; compare the results with those of the representative sample of healthy adolescents; and evaluate the predictive value of certain demographic, family-related, and disease-related factors on self-esteem. Methods: A total of 148 chronically ill adolescents and 301 matched healthy counterparts completed the Rosenberg Self Esteem Scale and the "I think I am" questionnaire. Adolescents' parents answere...

  11. An inflatable belt system in the rear seat occupant environment: investigating feasibility and benefit in frontal impact sled tests with a 50(th) percentile male ATD. (United States)

    Forman, Jason L; Lopez-Valdes, Francisco J; Dennis, Nate; Kent, Richard W; Tanji, Hiromasa; Higuchi, Kazuo


    Frontal-impact airbag systems have the potential to provide a benefit to rear seat occupants by distributing restraining forces over the body in a manner not possible using belts alone. This study sought to investigate the effects of incorporating a belt-integrated airbag ("airbelt") into a rear seat occupant restraint system. Frontal impact sled tests were performed with a Hybrid III 50th percentile male anthropomorphic test device (ATD) seated in the right-rear passenger position of a 2004 mid-sized sedan buck. Tests were performed at 48 km/h (20 g, 100 ms acceleration pulse) and 29 km/h (11 g, 100 ms). The restraints consisted of a 3-point belt system with a cylindrical airbag integrated into the upper portion of the shoulder belt. The airbag was tapered in shape, with a maximum diameter of 16 cm (at the shoulder) that decreased to 4 cm at the mid-chest. A 2.5 kN force-limiter was integrated into the shoulder-belt retractor, and a 2.3 kN pretensioner was present in the out-board anchor of the lap belt. Six ATD tests (three 48 km/h and three 29 km/h) were performed with the airbelt system. These were compared to previous frontal-impact, rear seat ATD tests with a standard (not-force-limited, not-pretensioned) 3-point belt system and a progressive force-limiting (peak 4.4 kN), pretensioning (FL+PT) 3-point belt system. In the 48 km/h tests, the airbelt resulted in significantly less (pbelt systems (airbelt: average 13±1.1 mm standard deviation; standard belt: 33±2.3 mm; FL+PT belt: 23±2.6 mm). This was consistent with a significant reduction in the peak upper shoulder belt force (airbelt: 2.7±0.1 kN; standard belt: 8.7±0.3 kN; FL+PT belt: 4.4±0.1 kN), and was accompanied by a small increase in forward motion of the head (airbelt: 54±0.4 cm; standard belt: 45±1.3 cm; FL+PT belt: 47±1.1 cm) The airbelt system also significantly reduced the flexion moment in the lower neck (airbelt: 169±3.3 Nm; standard belt: 655±26 Nm; FL+PT belt: 308±19 Nm). Similar

  12. Intergenerational discrepancies of parental control among Chinese American families: Links to family conflict and adolescent depressive symptoms. (United States)

    Juang, Linda P; Syed, Moin; Takagi, Miyuki


    This study investigated how discrepancies between adolescents' and parents' endorsement of parental control contribute to adolescent depressive symptoms. Family conflict was hypothesized to mediate the link between parent-adolescent discrepancies and depressive symptoms. The sample consisted of 166 pairs of Chinese American adolescents and their parents. The results indicated that, as predicted, greater discrepancies between adolescents and their parents on parental control related to greater adolescent depressive symptoms. Furthermore, adolescent's perceived degree of family conflict partially mediated this relation. Both parents and adolescents are changing and adapting to their cultural contexts; some in synchrony and some not. Identifying areas where parents and adolescents diverge concerning values, behaviors, and beliefs, is an important avenue to understanding Chinese American adolescents' mental health.

  13. Adolescent Overweight and Obesity: Links to Socioeconomic Status and Fruit and Vegetable Intakes

    Directory of Open Access Journals (Sweden)

    Jihyun You


    Full Text Available Whether adolescent overweight/obesity is linked to socioeconomic status (SES and fruit and vegetable (F/V intakes has not been confirmed. We aimed to determine whether there is an association between SES and adolescent overweight/obesity and to test the mediating effect of F/V intakes. This cross-sectional study included the data of 63,111 adolescents extracted from the 2013 Korea Youth Risk Behavior Web-based Survey. Overweight/obesity was defined as a body mass index ≥ 85th percentile, while F/V intakes were categorized as high (recommended levels: ≥1 fruit serving and ≥3 vegetable servings per day versus low. Among girls, low SES (beta = 0.50, p < 0.001 and F/V intakes (beta = −0.17, p = 0.038 were both significantly associated with overweight/obesity; the former association was significantly mediated by F/V intakes (Sobel test: z = 2.00, p = 0.046. Among boys, neither SES nor F/V intakes was significantly associated with overweight/obesity. Adolescent overweight/obesity was significantly linked to low SES and F/V intakes among girls only; low SES indirectly increased the risk of overweight/obesity via low F/V intakes. Therefore, promoting F/V intakes for socially disadvantaged girls should be prioritized as a population-based strategy for preventing adolescent overweight/obesity in South Korea.

  14. Adolescents with Mild Stunting Show Alterations in Glucose and Insulin Metabolism

    Directory of Open Access Journals (Sweden)

    Carla Danusa da Luz Santos


    Full Text Available Purpose. To evaluate glucose and insulin profiles in adolescents with mild stunting and overweight in order to assess the possibility of increased predisposition to diabetes. Subjects and Methods. The study population consisted of 66 pubertal adolescents classified as mildly stunted (height-for-age z scores ≥−2 and <−1 or of normal stature, as well as overweight (body mass index ≥85th percentile or normal weight. Beta-cell function and insulin resistance were evaluated according to the homeostasis model assessment (HOMA. Results. In the group with mild stunting, glucose, insulin, and HOMA-IR levels were significantly higher in overweight adolescents compared with those of normal weight, whereas HOMA-B levels were significantly lower. Adolescents with mild stunting showed significantly higher accumulations of body and abdominal fat than their normal stature counterparts. Conclusions. The presence of mild stunting was associated with higher levels of glucose and insulin, diminished function of beta cells, and increased insulin resistance. These results reinforce the need for intervention in adolescents with mild stunting.

  15. Adolescent Overweight and Obesity: Links to Socioeconomic Status and Fruit and Vegetable Intakes. (United States)

    You, Jihyun; Choo, Jina


    Whether adolescent overweight/obesity is linked to socioeconomic status (SES) and fruit and vegetable (F/V) intakes has not been confirmed. We aimed to determine whether there is an association between SES and adolescent overweight/obesity and to test the mediating effect of F/V intakes. This cross-sectional study included the data of 63,111 adolescents extracted from the 2013 Korea Youth Risk Behavior Web-based Survey. Overweight/obesity was defined as a body mass index ≥ 85th percentile, while F/V intakes were categorized as high (recommended levels: ≥ 1 fruit serving and ≥ 3 vegetable servings per day) versus low. Among girls, low SES (beta = 0.50, p overweight/obesity; the former association was significantly mediated by F/V intakes (Sobel test: z = 2.00, p = 0.046). Among boys, neither SES nor F/V intakes was significantly associated with overweight/obesity. Adolescent overweight/obesity was significantly linked to low SES and F/V intakes among girls only; low SES indirectly increased the risk of overweight/obesity via low F/V intakes. Therefore, promoting F/V intakes for socially disadvantaged girls should be prioritized as a population-based strategy for preventing adolescent overweight/obesity in South Korea.

  16. Body mass status of school children and adolescents in Kuala Lumpur, Malaysia. (United States)

    Moy, Foong Ming; Gan, Chong Ying; Zaleha, Mohd Kassim Siti


    Lifestyle and disease patterns in Malaysia have changed following rapid economic development. It is important to find out how these changes have affected the nutritional status and health behaviour of the population, especially school children and adolescents. Therefore a survey on school children's and adolescents' health behaviours and perception in Kuala Lumpur was initiated. This paper only reports the observed body mass status of the school children. A total of 3620 school children were selected in this survey using the method of multi-stage sampling. The students were surveyed using pre-tested questionnaires while weight and height were measured by the research team in the field. Using the cut-off of BMI-for-age >or= 95th percentile and Malaysia. The promotion of healthy eating and physical activities is required to address the problems of under- and over-nutrition in order to build up a strong and healthy nation in the future.

  17. Adolescent and School Health (United States)

    ... Search The CDC Cancel Submit Search The CDC Adolescent and School Health Note: Javascript is disabled or ... help strengthen their capacity to improve child and adolescent health. More > DASH Home About DASH At A ...

  18. Adolescent health psychology. (United States)

    Williams, Paula G; Holmbeck, Grayson N; Greenley, Rachel Neff


    In this article, a biopsychosocial model of adolescent development is used as an organizing framework for a review of primary, secondary, and tertiary prevention research with adolescent populations. During adolescence many critical health behaviors emerge, affecting future disease outcomes in adulthood. In addition, most of the predominant causes of morbidity and mortality in adolescence are unique to this period of development, indicating that health-focused interventions must be tailored specifically to adolescents. Moreover, it is during adolescence that lifelong patterns of self-management of and adjustment to chronic health conditions are established. Thus, an increased focus on adolescence in health psychology research is important both to improve the health of adolescents per se and to optimize health trajectories into adulthood.

  19. Treating Children and Adolescents (United States)

    ... Children and Adolescents Go Back Treating Children and Adolescents Email Print + Share For the most part, the ... side effects. Side effects from sulfasalazine may include headache, sun sensitivity rash, or other signs of sulfa ...

  20. Valorização de beleza e inteligência por adolescentes de diferentes classes sociais Valorización de belleza e inteligencia por adolescentes de diversas clases sociales Adolescents of different social classes giving value of beauty and intelligence

    Directory of Open Access Journals (Sweden)

    Gizelle Regina Gomes


    , attending high school and with different socioeconomic backgrounds. Genders and socioeconomic backgrounds were compared as to the values of beauty and intelligence assigned by adolescents to themselves. In a hypothetical and mutually exclusive manner, these characteristics were assessed to check which were the most valued for themselves and possible partners. The results demonstrated that boys with high socioeconomic background assigned higher intelligence scores for themselves. Adolescents of both genders from low socioeconomic background would like to have a higher level of intelligence instead of beauty, whereas adolescents from high socioeconomic background prefer a balance between beauty and intelligence. The girls assigned more value to intelligence in their partners than the boys, which assigned more value to beauty in their partners.

  1. Explaining overweight and obesity in children and adolescents of Asian Indian origin: the Calcutta childhood obesity study

    Directory of Open Access Journals (Sweden)

    Arnab Ghosh


    Full Text Available The present study was aimed to find out the prevalence of overweight and obesity and its associated factors among Bengalee children and adolescents in the Kolkata, India. A total of 1061 Bengalee school children and adolescents (610 boys and 451 girls participated and were divided into three age groups: Group I = 8-11 years; Group II = 12-15 years and Group III = 16-18 years. Overweight and obesity were defined as: Overweight (between ≥85 th and <95 th percentile and obesity (≥95 th percentile. Multivariate regression analyses (adjusted for age and sex of body mass index (BMI revealed that about 18% (R2 = 0.185 of total variance of BMI could be explained by monthly family income, participants think obese, consumption of too much junk foodstuffs, breakfast skip, extra consumption of salt, and computer hours. Sedentary lifestyles, including increasing fast food preferences may be responsible for increasing occurrence of pediatric and adolescent obesity in this population.

  2. Value Representations

    DEFF Research Database (Denmark)

    Rasmussen, Majken Kirkegaard; Petersen, Marianne Graves


    Stereotypic presumptions about gender affect the design process, both in relation to how users are understood and how products are designed. As a way to decrease the influence of stereotypic presumptions in design process, we propose not to disregard the aspect of gender in the design process......, as the perspective brings valuable insights on different approaches to technology, but instead to view gender through a value lens. Contributing to this perspective, we have developed Value Representations as a design-oriented instrument for staging a reflective dialogue with users. Value Representations...

  3. Tracking of blood pressure among adolescents and young adults in an urban slum of Puducherry

    Directory of Open Access Journals (Sweden)

    Soudarssanane M


    Full Text Available Background: Early diagnosis of hypertension (HT is an important strategy in its control. Tracking of blood pressure (BP has been found useful in identifying persons with potential HT, particularly in youngsters. A cohort of 756 subjects (with baseline information as a cross-sectional study in 2002 was followed up in 2006 to comment on the distribution of BP and its attributes. Objectives: To track BP distribution in a cohort of adolescents and young adults, and assess the persistence of high/low normotensives; to measure the incidence of HT and study the relationship of BP with age, sex, socioeconomic status, BMI, physical exercise, salt intake, smoking and alcohol consumption. Materials and Methods: The baseline study cohort (2002 of 756 subjects (19-24 years in urban field area of Department of Preventive and Social Medicine, JIPMER, was followed up between May and November 2006 by house visits for measurement of sociodemographic variables, anthropometry, salt intake, physical activity and BP. Results: A total of 555 subjects from the 2002 cohort were contacted (73.4%, in that 54.5% subjects who were below 5 th percentile, 93.6% subjects between 5 th and 95 th percentiles and 72% of those above 95 th percentile previously persisted in the same cut-offs for systolic blood pressure (SBP. The corresponding figures for diastolic blood pressure (DBP were 46.2, 92.2 and 74.1%, respectively. Shift from one cut-off to another was not significant for both SBP and DBP, proving the tracking phenomenon. Annual incidence of HT was 9.8/1000. Baseline BP was the significant predictor of current BP for the entire cohort; BMI and salt intake were significant predictors only in certain sections of the study cohort. Conclusions: Early diagnosis of hypertension even among adolescents/young adults is an important preventive measure, as tracking exists in the population.

  4. Adolescence and Mythology (United States)

    Anastasopoulos, Dimitris; Soumaki, Eugenia; Anagnostopoulos, Dimitris


    The article begins with a brief exploration of the various aspects of adolescent's psychic qualities as these are described in Greek mythology. It is argued that myths are an integral part of the way that adolescence is perceived and myths play an important role in adolescents' psychic and external world, as well as in their mythological thinking.…

  5. Demystifying the Adolescent Brain (United States)

    Steinberg, Laurence


    Understanding the nature of brain development in adolescence helps explain why adolescents can vacillate so often between mature and immature behavior. Early and middle adolescence, in particular, are times of heightened vulnerability to risky and reckless behavior because the brain's reward center is easily aroused, but the systems that control…

  6. Establishment of normal reference value for CD64 in healthy adolescents aged 14 - 1 6 years by Canto Ⅱ flow ;cytometer%应用 CantoⅡ流式细胞仪建立14~16岁人群 CD64正常参考值的探讨∗

    Institute of Scientific and Technical Information of China (English)

    吕颖; 闫丹丹; 张巍; 刘玉珍; 卢建华; 段媛媛; 戴二黑; 闫会敏


    Objective To investigate the normal reference value establishment of CD64 in the healthy adoles-cents aged 14-1 6 years by the CantoⅡ flow cytometer.Methods The peripheral blood samples collected from 52 healthy adolescents aged 14-1 6 years were detected the CD64 expression by using the BD CantoⅡ flow cytometer, and the results were statistically analyzed.Results The expression of CD64 was highest in monocytes,but almost no expression was found in lymphocytes.The CD64 mean fluorescence intensity (MFI)in neutrophils was 782.78,its 95% normal reference range was 21 1.78 - 1 353.78,the 95% normal reference range of CD64 index was less than 1.53.Conclusion The method for detecting the normal reference value of CD64 in the healthy adolescents by the CantoⅡ flow cytometer is preliminarily established,providing a reference for the basic researches and clinical diano-sis.%目的:探讨应用 CantoⅡ流式细胞仪建立14~16岁青少年人群的 CD64正常参考值。方法选取14~16岁健康体检者52例,静脉抽取外周血,运用 CantoⅡ流式细胞仪检测 CD64的表达,并进行统计学分析。结果CD64在单核细胞中表达最高,在淋巴细胞中几乎不表达,在中性粒细胞中平均荧光强度为782.78,95%正常参考值范围为211.78~1353.78,CD64指数的单侧95%正常参考值范围为<1.53。结论初步建立了应用 CantoⅡ流式细胞仪检测 CD64正常参考值的方法,为基础研究及临床诊断提供参考。

  7. Physical activity is low in obese New Zealand children and adolescents (United States)

    Anderson, Yvonne C.; Wynter, Lisa E.; Grant, Cameron C.; Stewart, Joanna M.; Cave, Tami L.; Wild, Cervantée E. K.; Derraik, José G. B.; Cutfield, Wayne S.; Hofman, Paul L.


    We aimed to describe physical activity and sedentary behaviour of obese children and adolescents in Taranaki, New Zealand, and to determine how these differ in Māori (indigenous) versus non-indigenous children. Participants (n = 239; 45% Māori, 45% New Zealand European [NZE], 10% other ethnicities) aged 4.8–16.8 years enrolled in a community-based obesity programme from January 2012 to August 2014 who had a body mass index (BMI) ≥ 98th percentile (n = 233) or >91st–98th percentile with weight-related comorbidities (n = 6) were assessed. Baseline activity levels were assessed using the children’s physical activity questionnaire (C-PAQ), a fitness test, and ≥3 days of accelerometer wear. Average BMI standard deviation score was 3.09 (SD = 0.60, range 1.52–5.34 SDS). Reported median daily activity was 80 minutes (IQR = 88). Although 44% of the cohort met the national recommended screen time of obese children/adolescents in this cohort had low levels of physical activity. The vast majority are not meeting national physical activity recommendations. PMID:28157185

  8. Individualism, collectivism, and Chinese adolescents' aggression: intracultural variations. (United States)

    Li, Yan; Wang, Mo; Wang, Cixin; Shi, Junqi


    This study examined the relations between cultural values (i.e., individualism and collectivism) and aggression among 460 (234 girls) Chinese adolescents. Conflict level and social status insecurity were examined as potential explaining mechanisms for these relations. The results showed that adolescents' endorsement of collectivism was negatively related to their use of overt and relational aggression as reported by teachers and peers, whereas positive associations were found between the endorsement of individualism and adolescent aggression. Adolescents' conflict level and social status insecurity accounted for a significant part of these associations. Findings of this study demonstrate the importance of examining intracultural variations of cultural values in relation to adolescent aggression as well as the process variables in explaining the relations.

  9. Prototypic Features of Loneliness in a Stratified Sample of Adolescents

    DEFF Research Database (Denmark)

    Lasgaard, Mathias; Elklit, Ask


    Dominant theoretical approaches in loneliness research emphasize the value of personality characteristics in explaining loneliness. The present study examines whether dysfunctional social strategies and attributions in lonely adolescents can be explained by personality characteristics. A question......Dominant theoretical approaches in loneliness research emphasize the value of personality characteristics in explaining loneliness. The present study examines whether dysfunctional social strategies and attributions in lonely adolescents can be explained by personality characteristics...... loneliness independent of personality characteristics, demographics and social desirability. The study indicates that dysfunctional strategies and attributions in affiliative situations are directly related to loneliness in adolescence. These strategies and attributions may preclude lonely adolescents from...... guidance and intervention. Thus, professionals need to be knowledgeable about prototypic features of loneliness in addition to employing a pro-active approach when assisting adolescents who display prototypic features....

  10. Examining General versus Condition-Specific Health Related Quality of Life across Weight Categories in an Adolescent Sample


    Dalton, Autumn G.; Smith, Courtney; Dalton, William T.; Slawson, Deborah L.


    This study examined Health Related Quality of Life (HRQoL) across weight categories in adolescents using both a general and a condition-specific measure sensitive to fatigue symptoms. Participants (N = 918) completed the Pediatric Quality of Life (PedsQL) Inventory and PedsQL Multidimensional Fatigue Scale measures. Actual height and weight were used to calculate body mass index-for-age and-sex percentiles and assign weight categories. No interaction effects between total HRQoL and weight cat...

  11. MR spectroscopy of liver in overweight children and adolescents

    DEFF Research Database (Denmark)

    Chabanova, Elizaveta; Bille, Dorthe S; Thisted, Ebbe


    The objective was to investigate T(2) relaxation values and to optimize hepatic fat quantification using proton MR spectroscopy ((1)H MRS) at 3T in overweight and obese children and adolescents.......The objective was to investigate T(2) relaxation values and to optimize hepatic fat quantification using proton MR spectroscopy ((1)H MRS) at 3T in overweight and obese children and adolescents....

  12. Do the Young Mirror New Values? (United States)

    Helve, Helena


    Although about 90 percent of the children in Finland are christened in the Evangelical-Lutheran church, the sets of values and views of the world that adolescents cherish are not uniformly based in Christianity, nor does Marxism have much relevance to today's young people. (Author/JOW)

  13. ERICA: prevalences of hypertension and obesity in Brazilian adolescents (United States)

    Bloch, Katia Vergetti; Klein, Carlos Henrique; Szklo, Moyses; Kuschnir, Maria Cristina C; Abreu, Gabriela de Azevedo; Barufaldi, Laura Augusta; da Veiga, Gloria Valeria; Schaan, Beatriz; da Silva, Thiago Luiz Nogueira; de Vasconcellos, Maurício Teixeira Leite


    ABSTRACT OBJECTIVE To estimate the prevalence of arterial hypertension and obesity and the population attributable fraction of hypertension that is due to obesity in Brazilian adolescents. METHODS Data from participants in the Brazilian Study of Cardiovascular Risks in Adolescents (ERICA), which was the first national school-based, cross-section study performed in Brazil were evaluated. The sample was divided into 32 geographical strata and clusters from 32 schools and classes, with regional and national representation. Obesity was classified using the body mass index according to age and sex. Arterial hypertension was defined when the average systolic or diastolic blood pressure was greater than or equal to the 95th percentile of the reference curve. Prevalences and 95% confidence intervals (95%CI) of arterial hypertension and obesity, both on a national basis and in the macro-regions of Brazil, were estimated by sex and age group, as were the fractions of hypertension attributable to obesity in the population. RESULTS We evaluated 73,399 students, 55.4% female, with an average age of 14.7 years (SD = 1.6). The prevalence of hypertension was 9.6% (95%CI 9.0-10.3); with the lowest being in the North, 8.4% (95%CI 7.7-9.2) and Northeast regions, 8.4% (95%CI 7.6-9.2), and the highest being in the South, 12.5% (95%CI 11.0-14.2). The prevalence of obesity was 8.4% (95%CI 7.9-8.9), which was lower in the North region and higher in the South region. The prevalences of arterial hypertension and obesity were higher in males. Obese adolescents presented a higher prevalence of hypertension, 28.4% (95%CI 25.5-31.2), than overweight adolescents, 15.4% (95%CI 17.0-13.8), or eutrophic adolescents, 6.3% (95%CI 5.6-7.0). The fraction of hypertension attributable to obesity was 17.8%. CONCLUSIONS ERICA was the first nationally representative Brazilian study providing prevalence estimates of hypertension in adolescents. Regional and sex differences were observed. The study indicates

  14. Empirical Study of the Gender Differences of Adolescent Value Orientation%关于青少年价值取向之性别差异的实证研究

    Institute of Scientific and Technical Information of China (English)

    胡晓娥; 张伟鑫; 郭凌雁


    立足为青少年社会主义核心价值观教育提供基础性研究,本文采用Rokeach价值观量表(RVS)对2590名青少年开展了问卷调查,研究结果表明:新时期青少年男女在终极价值观和工具价值观上没有表现出显著的差异,总体来看相当一致,只有在个别选项上(舒适的生活、平等、自尊、真正的友谊)才表现出较明显的差异性。本文为新时期青少年价值取向分析的系列成果之一。%in order to provide basic research on the teenagers education of socialist core values, the paper used the Rokeach value scale (RVS) to do questionaire survey on 2590 teenagers. We found that there was no significant difference on the ultimate values and instrumental values. It showed obvious difference only on some options (comfortable life, equality, self-esteem and true friendship). The paper is one of the series results of value orientation analysis for the youth in the new period.

  15. Family Roles and Work Values: Processes of Selection and Change (United States)

    Kirkpatrick Johnson, Monica


    This study focuses on whether marriage and parenthood influence work values after taking into account the influence of work values on family formation. In a recent panel of young adults (N=709), stronger extrinsic and weaker intrinsic work values during adolescence predicted marriage and parenthood 9 years out of high school. Controlling these…

  16. Conflict Resolution between Mexican Origin Adolescent Siblings (United States)

    Killoren, Sarah E.; Thayer, Shawna M.; Updegraff, Kimberly A.


    We investigated correlates of adolescents' sibling conflict resolution strategies in 246, two-parent Mexican origin families. Specifically, we examined links between siblings' conflict resolution strategies and sibling dyad characteristics, siblings' cultural orientations and values, and sibling relationship qualities. Data were gathered during…

  17. Bodily Deviations and Body Image in Adolescence (United States)

    Vilhjalmsson, Runar; Kristjansdottir, Gudrun; Ward, Dianne S.


    Adolescents with unusually sized or shaped bodies may experience ridicule, rejection, or exclusion based on their negatively valued bodily characteristics. Such experiences can have negative consequences for a person's image and evaluation of self. This study focuses on the relationship between bodily deviations and body image and is based on a…

  18. Avaliação da força muscular respiratória em crianças e adolescentes com sobrepeso/obesos Evaluation of respiratory muscle strength in overweight/obese children and adolescents

    Directory of Open Access Journals (Sweden)

    Sandra Quintino Santiago


    Full Text Available OBJETIVO: Avaliar a força muscular respiratória de crianças e adolescentes com sobrepeso ou obesidade. MÉTODOS: Estudo transversal com crianças e adolescentes entre quatro e 15 anos de idade de duas instituições de ensino fundamental e uma clínica de nutrição. As crianças foram avaliadas e classificadas em dois grupos, de acordo com a curva proposta pelo National Center for Health Statistics: sobrepeso/obesos (GSO, índice de massa corpórea (IMC em relação à idade e ao sexo acima do percentil 85 e eutróficos (GE, IMC entre percentil 5 e 85. Para avaliar as pressões inspiratória máxima (PImax e expiratória máxima (PEmax foram realizadas três medidas com um manovacuômetro, considerando-se a maior medida a partir da capacidade máxima inspiratória e expiratória. Aplicou-se o teste t para as variáveis quantitativas e o qui-quadrado para as qualitativas. Para ajuste das covariáveis, foi feita a análise de covariância, sendo significante pOBJECTIVE: Evaluate respiratory muscle strength in overweight/obese children and adolescents. METHODS: This cross-sectional study enrolled patients between four and 15 years old, classified according to the National Center for Health Statistics curve for body mass index (BMI: Overweight/Obese Group (OG, BMI> 85th percentile and Normal Weight Group (NG, BMI between 5th and 85th percentile. Manuvacuometer was used to measure maximal inspiratory pressure (MaxInspP and maximal expiratory pressure (MaxExpP. Three measurements were obtained using the maximum pulmonary effort and the higher value was considered. Variables were compared by t test chi-square test. Adjustment of possible covariants was made by analysis of covariance, being significant p<0.05. RESULTS: 69 children were included: 37 (54% in the OG and 32 (46% in the NG. Obese patients were younger: 9.8±2.3 versus 10.9±1.9 years (p=0.031. MaxInspP was 71.4±24.9cmH2O in the OG and 89.6±19.6cmH2O (p=0.002. MaxExpP was 71.9±24.8cmH2

  19. Objectively measured physical activity predicts hip and spine bone mineral content in children and adolescents ages 5 - 15 years: Iowa Bone Development Study

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    Kathleen F Janz


    Full Text Available This study examined the association between physical activity (PA and bone mineral content (BMC; g from middle childhood to middle adolescence and compared the impact of vigorous-intensity PA (VPA over moderate- to vigorous-intensity PA (MVPA. Participants from the Iowa Bone Development Study were examined at ages 5, 8, 11, 13, and 15 yr (n=369, 449, 452, 410, 307, respectively. MVPA and VPA (min/day were measured using ActiGraph accelerometers. Anthropometry was used to measure body size and somatic maturity. Spine BMC and hip BMC were measured via dual-energy x-ray absorptiometry. Sex-specific multi-level linear models were fit for spine BMC and hip BMC, adjusted for weight (kg, height (cm, linear age (yr, non-linear age (yr2, and maturity (pre peak height velocity vs. at/post peak height velocity. The interaction effects of PA×maturity and PA×age were tested. We also examined differences in spine BMC and hip BMC between the least (10th percentile and most (90th percentile active participants at each examination period. Results indicated that PA added to prediction of BMC throughout the 10-year follow-up, except MVPA did not predict spine BMC in females. Maturity and age did not modify the PA effect for males nor females. At age 5, the males at the 90th percentile for VPA had 8.5% more hip BMC than males in the 10th percentile for VPA. At age 15, this difference was 2.0%. Females at age 5 in the 90th percentile for VPA had 6.1% more hip BMC than those in the 10th percentile for VPA. The age 15 difference was 1.8%. VPA was associated with BMC at weight-bearing skeletal sites from childhood to adolescence, and the effect was not modified by maturity or age. Our findings indicate the importance of early and sustained interventions that focus on VPA. Approaches focused on MVPA may be inadequate for optimal bone health, particularly for females.

  20. Normative reference values for the 20 m shuttle‐run test in a population‐based sample of school‐aged youth in Bogota, Colombia: the FUPRECOL study (United States)

    Palacios‐López, Adalberto; Humberto Prieto‐Benavides, Daniel; Enrique Correa‐Bautista, Jorge; Izquierdo, Mikel; Alonso‐Martínez, Alicia; Lobelo, Felipe


    Abstract Objectives Our aim was to determine the normative reference values of cardiorespiratory fitness (CRF) and to establish the proportion of subjects with low CRF suggestive of future cardio‐metabolic risk. Methods A total of 7244 children and adolescents attending public schools in Bogota, Colombia (55.7% girls; age range of 9–17.9 years) participated in this study. We expressed CRF performance as the nearest stage (minute) completed and the estimated peak oxygen consumption (V˙O2peak). Smoothed percentile curves were calculated. In addition, we present the prevalence of low CRF after applying a correction factor to account for the impact of Bogota's altitude (2625 m over sea level) on CRF assessment, and we calculated the number of participants who fell below health‐related FITNESSGRAM cut‐points for low CRF. Results Shuttles and V˙O2peak were higher in boys than in girls in all age groups. In boys, there were higher levels of performance with increasing age, with most gains between the ages of 13 and 17. The proportion of subjects with a low CRF, suggestive of future cardio‐metabolic risk (health risk FITNESSGRAM category) was 31.5% (28.2% for boys and 34.1% for girls; X2 P = .001). After applying a 1.11 altitude correction factor, the overall prevalence of low CRF was 11.5% (9.6% for boys and 13.1% for girls; X2 P = .001). Conclusions Our results provide sex‐ and age‐specific normative reference standards for the 20 m shuttle‐run test and estimated V˙O2peak values in a large, population‐based sample of schoolchildren from a large Latin‐American city at high altitude. PMID:27500986

  1. The Role of Moral Values in Development Personality Teenagers

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    Cristina ŢÎMPĂU


    Full Text Available Moral education should look spirit human and will start at an early age, gaining first concrete form during adolescence, when spiritual forms that make up the character begin to manifest since the young man becomes a member of society. Adolescence is the age when tastes are fixed, the character takes concrete form, and freedom of action is greater. All passions procession seeks to establish and forming character. During this period the child will feel so-called "adolescent crisis", "moral crisis" or "juvenile crisis" in relation to general and specific peculiarities of behaviour, personality and psychological development from the earliest age of the young. The moral values of the society we live it falls upon adolescent personality, so it is very important that they are selected well to develop the healthy behaviours adolescent.

  2. Does the Importance of Parent and Peer Relationships for Adolescents' Life Satisfaction Vary across Cultures? (United States)

    Schwarz, Beate; Mayer, Boris; Trommsdorff, Gisela; Ben-Arieh, Asher; Friedlmeier, Mihaela; Lubiewska, Katarzyna; Mishra, Ramesh; Peltzer, Karl


    This study investigated whether the associations between (a) the quality of the parent-child relationship and peer acceptance and (b) early adolescents' life satisfaction differed depending on the importance of family values in the respective culture. As part of the Value of Children Study, data from a subsample of N = 1,034 adolescents (58%…

  3. Critical Values for Yen’s Q3

    DEFF Research Database (Denmark)

    Christensen, Karl Bang; Makransky, Guido; Horton, Mike


    The assumption of local independence is central to all IRT models. Violations can lead to inflated estimates of reliability and problems with construct validity. For the most widely used fit statistic Q3 there are currently no well-documented suggestions of the critical values which should be used...... guidelines that researchers and practitioners can follow when making decisions about local dependence during scale development and validation. We propose that a parametric bootstrapping procedure should be implemented in each separate situation in order to obtain the critical value of local dependence...... applicable to the data set, and provide example critical values for a number of data structure situations. The results show that for the Q3 fit statistic no single critical value is appropriate for all situations, as the percentiles in the empirical null distribution are influenced by the number of items...

  4. 中国0~18岁儿童、青少年体块指数的生长曲线%Body mass index growth carves for Chinese children and adolescents aged 0 to 18 years

    Institute of Scientific and Technical Information of China (English)

    李辉; 季成叶; 宗心南; 张亚钦


    目的 研究制定0~18岁中国儿童的体块指数(BMI)生长参照值及生长曲线.方法 根据"2005年中国九市7岁以下儿童体格发育调查"及"2005年中国学生体质与健康调研"所获得的资料,采用九省市93 702名0~19岁(差1天未满19岁)城区健康儿童青少年的身高(3岁以下测量身长)、体重测量数据,计算BMI值并应用LMS方法对数据进行拟合修匀,通过L、M、S三个参数计算产生所需要的百分位和标准差单位(Z分值)数值并绘制相应的曲线图.采用与中国成人BMI界值点接轨的方法探讨中国儿童超重肥胖的筛查界值点.结果 制定出0~18岁儿童的BMI百分位数及标准差单位生长参照值及曲线图,并计算出了筛查2~18岁儿童超重肥胖的参考界值点.本参照曲线与世界卫生组织(WHO)BMI曲线及美国疾病预防控制中心2000年(CDC2000)曲线进行比较,三者之间存在明显的差异,尤其是在青春期、第97百分位(P97)上.总体上中国男童BMI在p97处于三者之间,而女童最低.与日本比较,在P97也有明显差异.结论 使用BMI生长曲线图有利于儿童青少年的生长与营养监测,早期识别童的超重和肥胖,建议在临床工作及预防保健服务领域推广使用.%Objective To construct the body mass index(BMI)reference data and curves for Chinese children and adolescents from birth to 18 years of age.Methods Data from two national representative cross-sectional surveys which were The National Growth Survey of Children under 7 years in the Nine Cities of China in 2005 and The Physical Fimess and Health Surveillance of Chinese School Students in 2005,Height(length was measured for children under 3 years)and weight data of 93 702 urban healthy children from nilie cities/prodnces used to calculate tlle BMI.The LMS method was used to smooth the BMI,with estimates of L,M.and S parameters,values of percentile and Z-score curves which were required were calculated,and then

  5. Gender differences in nutritional behavior and weight status during early and late adolescence. (United States)

    Askovic, Branka; Kirchengast, Sylvia


    The current study aimed to determine gender differences in nutritional habits, eating behaviour, weight status, body image and weight control practices during early and late adolescence. 677 Viennese pupils (253 boys and 424 girls) between the ages 10 and 18 years (x = 14.1 yrs; +/- 2.2) were enrolled in the study. Weight status was determined by means of body mass index percentiles. To assess eating behavior, food preferences, body image and weight control practices, a 48 item questionnaire was developed. Significant gender differences in weight status were observable during late adolescence only. Girls are significantly less satisfied with their body weight. Furthermore, girls practice dieting and weight control to avoid any weight gain more frequently than boys. Gender differences in eating behavior intensified from early to late adolescence. From early to late adolescence, meal size decreased among girls, while it remains stabile or increased among boys. Boys eat generally more than girls. Furthermore, boys preferred meat and fast food while girls consumed fruits, vegetables and healthy food significantly more frequently. These gender differences are explained by gender specific energetic demands and culture typical beauty ideals.

  6. Effect of a weight loss program in obese adolescents: a long-term follow-up

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    Ilonka Rohm


    Full Text Available Objectives: Obesity during adolescence is an increasing health problem in industrial countries. The comorbidities associated with obesity include important metabolic diseases. Methods: To analyze the effect of a weight-loss program, we recruited 12 obese, male adolescents before entering this program. We determined body weight measures at baseline, 6-week and 36-month follow-up. Also, the long-term changes of blood pressure, HbAlc, and CRP were evaluated. Twenty healthy age-matched adolescents served as controls. Results: Within the intervention group ((body mass index [BMI, kg/m²] > 95th percentile for age and sex, age 13-17 years the BMI and BMI-standard deviation score [SDS] were significantly reduced in the 6-week follow-up after completing the weight loss program. However, the significant weight-reduction effect was not persistent until the 36-month follow-up. Conclusion: The 6-week weight-loss program had beneficial short-term effects on body weight, BMI, and BMI-SDS in obese adolescents, but these effects could not be maintained until the 36-month follow-up.

  7. Abdominal Adiposity Correlates with Adenotonsillectomy Outcome in Obese Adolescents with Severe Obstructive Sleep Apnea

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    Gustavo Nino


    Full Text Available Background. Obese adolescents with Obstructive Sleep Apnea (OSA have a unique pathophysiology that combines adenotonsillar hypertrophy and increased visceral fat distribution. We hypothesized that in this population waist circumference (WC, as a clinical marker of abdominal fat distribution, correlates with the likelihood of response to AT. Methods. We conducted a retrospective cohort study of obese adolescents ( percentile that underwent AT for therapy of severe OSA (. We contrasted WC and covariates in a group of subjects that had complete resolution of severe OSA after AT ( with those obtained in subjects with residual OSA after AT (. Multivariate linear and logistic models were built to control possible confounders. Results. WC correlated negatively with a positive AT response in young adolescents and the percentage of improvement in obstructive apnea-hypopnea index (OAHI after AT (. Extended multivariate analysis demonstrated that the link between WC and AT response was independent of demographic variables, OSA severity, clinical upper airway assessment, obesity severity (BMI, and neck circumference (NC. Conclusion. The results suggest that in obese adolescents, abdominal fat distribution determined by WC may be a useful clinical predictor for residual OSA after AT.

  8. Adolescent childbearing. (United States)

    Vernon, M


    The concern for the consequences of adolescent pregnancy are discussed. Childbirth among unmarried teenagers results in a higher incidence of low birth weight babies, a higher infant mortality and morbidity rate, a higher percentage of childbirth complications, a decreased likelihood of completing school, a higher risk of unemployment and welfare dependency, limited vocational opportunities, larger families, and vulnerability to psychological problems and distress. In 1988, 66% of all births to teens occurred outside of marriage. Out of wedlock live births to teens 14 years rose from 80.8% in 1970 to 92.5% in 1986, and for teens 15-19 years, 29.5% to 60.8%. 70% have a repeat pregnancy within the 1st year following their 1st childbirth. 50% have a 2nd child within 3 years. Most 2nd pregnancies occur in teenagers who are not using effective contractive methods, and the pregnancy is frequently unplanned and unwanted. The factors affecting the rate of 2nd pregnancy are age, race, marital status, education, and economic status. Teenage mothers tend to come from disadvantaged backgrounds, and childbearing compounds the poverty. Aid to families with dependent children 50% of payments were to teen mothers for the birth of their 1st child. Teen fathers are usually low income providers. The public costs are high. Some teen fathers abandon their children after birth, but many are interested in supporting their child. Specific programs to help prepare fathers are needed. Teenage mothers are stressed by child care arrangements, living arrangements, employment, school, relationships with peers, relationships with parents, housework and errands, health, finances, job counseling, community services, and child care information. Parents play an important role in guiding sexual involvement and early childbearing, and need to understand why teens get pregnant and to keep channels of communication open. Teens are influenced by media, peer pressure, lack of self-esteem, unhappiness

  9. Obesity Alters the Microbial Community Profile in Korean Adolescents.

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    Hae-Jin Hu

    Full Text Available Obesity is an increasing public health concern worldwide. According to the latest Organization for Economic Co-operation and Development (OECD report (2014, the incidence of child obesity in Korea has exceeded the OECD average. To better understand and control this condition, the present study examined the composition of the gut microbial community in normal and obese adolescents. Fecal samples were collected from 67 obese (body mass index [BMI] ≥ 30 kg/m2, or ≥ 99th BMI percentile and 67 normal (BMI < 25 kg/m2 or < 85th BMI percentile Korean adolescents aged 13-16 years and subjected to 16S rRNA gene sequencing. Analysis of bacterial composition according to taxonomic rank (genus, family, and phylum revealed marked differences in the Bacteroides and Prevotella populations in normal and obese samples (p < 0.005 at the genus and family levels; however, there was no difference in the Firmicutes-to-Bacteroidetes (F/B ratio between normal and obese adolescents samples at the phylum level (F/B normal = 0.50 ± 0.53; F/B obese = 0.56 ± 0.86; p = 0.384. Statistical analysis revealed a significant association between the compositions of several bacterial taxa and child obesity. Among these, Bacteroides and Prevotella showed the most significant association with BMI (p < 0.0001 and 0.0001, respectively. We also found that the composition of Bacteroides was negatively associated with triglycerides (TG, total cholesterol, and high-sensitive C-reactive protein (hs-crp (p = 0.0049, 0.0023, and 0.0038, respectively levels, whereas that of Prevotella was positively associated with TG and hs-crp levels (p = 0.0394 and 0.0150, respectively. We then applied the association rule mining algorithm to generate "rules" to identify the association between the populations of multiple bacterial taxa and obesity; these rules were able to discriminate obese from normal states. Therefore, the present study describes a systemic approach to identify the association

  10. Fair Value or Market Value?


    Bogdan Cosmin Gomoi; Lavinia Denisia Cuc; Robert Almaşi


    When taking into consideration the issue of defining the “fair value” concept, those less experimented in the area often fall in the “price trap”, which is considered as an equivalent of the fair value of financial structures. This valuation basis appears as a consequence of the trial to provide an “accurate image” by the financial statements and, also, as an opportunity for the premises offered by the activity continuing principle. The specialized literature generates ample controversies reg...

  11. Stability of the associations between early life risk indicators and adolescent overweight over the evolving obesity epidemic.

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    Lise Graversen

    Full Text Available BACKGROUND: Pre- and perinatal factors and preschool body size may help identify children developing overweight, but these factors might have changed during the development of the obesity epidemic. OBJECTIVE: We aimed to assess the associations between early life risk indicators and overweight at the age of 9 and 15 years at different stages of the obesity epidemic. METHODS: We used two population-based Northern Finland Birth Cohorts including 4111 children born in 1966 (NFBC1966 and 5414 children born in 1985-1986 (NFBC1986. In both cohorts, we used the same a priori defined prenatal factors, maternal body mass index (BMI, birth weight, infant weight (age 5 months and 1 year, and preschool BMI (age 2-5 years. We used internal references in early childhood to define percentiles of body size (90 and generalized linear models to study the association with overweight, according to the International Obesity Taskforce (IOTF definitions, at the ages of 9 and 15 years. RESULTS: The prevalence of overweight at the age of 15 was 9% for children born in 1966 and 16% for children born in 1986. However, medians of infant weight and preschool BMI changed little between the cohorts, and we found similar associations between maternal BMI, infant weight, preschool BMI, and later overweight in the two cohorts. At 5 years, children above the 90th percentile had approximately a 12 times higher risk of being overweight at the age of 15 years compared to children below the 50th percentile in both cohorts. CONCLUSIONS: The associations between early body size and adolescent overweight showed remarkable stability, despite the increase in prevalence of overweight over the 20 years between the cohorts. Using consequently defined internal percentiles may be a valuable tool in clinical practice.

  12. Turkish adolescents' loneliness. (United States)

    Ayhan, Aynur Bütün; Simşek, Sükran; Aral, Neriman; Baran, Gülen


    The goal of this study was to characterize loneliness among adolescents with respect to socioeconomic level, sex, and mothers' and fathers' education. General information about the 400 adolescents and their families were obtained. The UCLA Loneliness Scale was administered. Results of a hierarchical multiple regression showed that mothers' educational level explained a slight but statistically significant amount of variance in adolescents' loneliness scores while sex, socioeconomic level and fathers' educational level did not.

  13. Adolescent pregnancy and contraception. (United States)

    Dalby, Jessica; Hayon, Ronni; Carlson, Jensena


    7% of US teen women became pregnant in 2008, totaling 750,000 pregnancies nationwide. For women ages 15 to 19, 82% of pregnancies are unintended. Adolescents have a disproportionate risk of medical complications in pregnancy. Furthermore, adolescent parents and their infants both tend to suffer poor psychosocial outcomes. Preventing unintended and adolescent pregnancies are key public health objectives for Healthy People 2020. Screening for sexual activity and pregnancy risk should be a routine part of all adolescent visits. Proven reductions in unintended pregnancy in teens are attained by providing access to contraception at no cost and promoting the most-effective methods.

  14. Nutrition in the adolescent. (United States)

    Wahl, R


    This article reviews the nutritional requirements of puberty and the clinical assessment of nutritional status, and discusses the nutritional risks imposed by vegetarian diets, pregnancy, and athletic involvement. Energy (calories) and protein are essential in pubertal development. Adolescent females require approximately 2200 calories/day, whereas male adolescents require 2500-3000 calories/day. Additional intake requirements include fat, calcium, iron, zinc, vitamins, and fiber. The clinical assessment of nutritional status begins with obtaining a good diet history of the patient and this could be offered by the body mass index. Nutritional deficiencies and poor eating habits established during adolescence can have long-term consequences, including delayed sexual maturation, loss of final adult height, osteoporosis, hyperlipidemia, and obesity. As for vegetarian adolescents, nutritional risks include lack of iodine, vitamin B12, vitamin D, and some essential fatty acids. In addition, substances in some grains reduce gut absorption, thus increasing mineral deficiencies. Pregnancy may also be a risk factor for poor nutrition during adolescence. A pregnant adolescent has different nutritional needs because she is still growing. Among adolescent athletes many are turning to nutritional supplements in an attempt to improve athletic performance. A balanced, varied diet provides adequate calories and nutrition to meet the needs of most adolescents. They also have greater water needs than do adult athletes. Details on adolescent health concerns are further discussed in this article.

  15. Valuing hope. (United States)

    McMillan, John; Walker, Simon; Hope, Tony


    This article argues that hope is of value in clinical ethics and that it can be important for clinicians to be sensitive to both the risks of false hope and the importance of retaining hope. However, this sensitivity requires an understanding of the complexity of hope and how it bears on different aspects of a well-functioning doctor-patient relationship. We discuss hopefulness and distinguish it, from three different kinds of hope, or 'hopes for', and then relate these distinctions back to differing accounts of autonomy. This analysis matters because it shows how an overly narrow view of the ethical obligations of a clinician to their patient, and autonomy, might lead to scenarios where patients regret the choices they make.

  16. Developmental change in social responsibility during adolescence: An ecological perspective. (United States)

    Wray-Lake, Laura; Syvertsen, Amy K; Flanagan, Constance A


    Social responsibility can be defined as a set of prosocial values representing personal commitments to contribute to community and society. Little is known about developmental change-and predictors of that change-in social responsibility during adolescence. The present study used an accelerated longitudinal research design to investigate the developmental trajectory of social responsibility values and ecological assets across family, school, community, and peer settings that predict these values. Data come from a 3-year study of 3,683 U.S. adolescents enrolled in upper-level elementary, middle, and high schools in rural, semiurban, and urban communities. Social responsibility values significantly decreased from age 9 to 16 before leveling off in later adolescence. Family compassion messages and democratic climate, school solidarity, community connectedness, and trusted friendship, positively predicted within-person change in adolescents' social responsibility values. These findings held after accounting for other individual-level and demographic factors and provide support for the role of ecological assets in adolescents' social responsibility development. In addition, fair society beliefs and volunteer experience had positive between- and within-person associations with social responsibility values. The manuscript discusses theoretical and practical implications of the conclusion that declines in ecological assets may partly explain age-related declines in social responsibility values. (PsycINFO Database Record

  17. Método do limiar de variabilidade da frequência cardíaca aplicado em pré-adolescentes obesos e não obesos Método del umbral de variabilidad de la frecuencia cardíaca aplicado en preadolescentes obesos y no obesos Method of heart rate variability threshold applied in obese and non-obese pre-adolescents

    Directory of Open Access Journals (Sweden)

    Mário Augusto Paschoal


    preadolescentes, con edades entre 9 y 11 años, divididos en tres grupos de 10: a grupo NO - índice de masa corporal (IMC con percentil del National Center for Chronic Disease Prevention and Health Promotion entre 5 y 85; b grupo O - IMC de percentil entre 95 y 97 y c grupo OM - IMC con percentil encima de 97. Todos fueron sometidos a un protocolo incremental realizado en cinta rodante y se registraron los latidos cardíacos para detección del LiVFC, que fue determinado por el valor de 3,0 ms del índice de desviación-estándar 1 (SD1, extraído de los intervalos RR. RESULTS: Los valores medios en el momento del LiVFC mostraron mayores valores para el grupo NO, destacándose: a VO2 (ml/kg/min NO = 27,4 ± 9,2; O = 13,1 ± 7,6 y OM = 11,0 ± 1,7; b FC (lpm: NO = 156,3 ± 18,0; O =141,7 ± 11,4 y OM = 137,7 ± 10,4; y c distancia recorrida (metros: NO = 1.194,9 ± 427,7; O = 503,2 ± 437,5 y OM = 399,9 ± 185,1. CONCLUSION: El LiVFC se mostró efectivo para evaluación de la CFCR y podrá comenzar a ser aplicado como método alternativo a la ergoespirometría en determinadas situaciones.BACKGROUND: The detection of anaerobic threshold (AT by heart rate variability analysis (HRVt may mean a new way to assess the cardiorespiratory capacity (CRC in pre-adolescents. OBJECTIVE: To test the method of HRVt to detect AT in non-obese (NO, obese (O and morbidly obese (MO pre-adolescents in order to determine differences in their CRC. METHODS: Were studied 30 pre-adolescents, aged between 9 and 11 years, divided into three groups of ten pre-adolescents each: a NO group - body mass index (BMI between 5 and 85 percentiles of the chart of National Center for Chronic Disease Prevention and Health Promotion.; b O group - BMI between 95 and 97 of the same chart; c MO group - BMI with percentile over 97. All were submitted to an incremental protocol conducted on a treadmill, and the heart rate was recorded for the detection of the HRVt when the beat-to-beat variability (SD1, extracted from the RR

  18. Examination of adolescents' screen time and physical fitness as independent correlates of weight status and blood pressure. (United States)

    Ullrich-French, Sarah C; Power, Thomas G; Daratha, Kenn B; Bindler, Ruth C; Steele, Michael M


    Physical fitness performance is an important health correlate yet is often unrelated to sedentary behaviour in early adolescence. In this study, we examined the association of sedentary behaviour (i.e. screen time) with weight-related health markers and blood pressure, after controlling for cardiorespiratory fitness performance. American middle school students (N = 153, 56% females) aged 11-15 years (mean 12.6 years, s = 0.5) completed assessments of cardiorespiratory fitness performance, screen time, weight status (BMI percentile, waist-to-height ratio), and blood pressure. Multivariate analysis of covariance, controlling for cardiorespiratory fitness performance, found those who met the daily recommendation of 2 h or less of screen time (n = 36, 23.5%) had significantly lower BMI (p fitness and sedentary behaviours to maximize early adolescent health because these behaviours are likely to have unique and independent effects on youth health markers.

  19. Quality of life improves in children and adolescents during a community-based overweight and obesity treatment

    DEFF Research Database (Denmark)

    Mollerup, Pernille M; Nielsen, Tenna R H; Bøjsøe, Christine


    PURPOSE: The quality of life is compromised in children and adolescents with overweight or obesity. The aim of this study was to evaluate whether the quality of life improves during a community-based overweight and obesity treatment, and whether improvements depend on reductions in the degree...... of obesity. METHODS: Quality of life was assessed using the Pediatric Quality of Life Inventory (PedsQL) 4.0 in children and adolescents aged 3-18 years with overweight or obesity [body mass index (BMI) ≥85th percentile] upon entry into a community-based chronic care overweight and obesity treatment based...... upon The Children's Obesity Clinic's Treatment protocol, and upon follow-up after 10-30 months of treatment. Height and weight were measured at each consultation and converted into a BMI standard deviation score (SDS). RESULTS: Upon entry, 477 children (212 boys) completed a PedsQL, and 317 (143 boys...

  20. An Empirical Study on the Impact of New Media to Adolescents' Reading Habits and Values--Take Yangtze River Delta Region as an example%新媒体对青少年阅读习惯和价值观影响的实证研究--以长江三角地区为例

    Institute of Scientific and Technical Information of China (English)

    邹佳伶; 杜胜男; 张昭容; 瞿樯


    This paper is concerned with the future development of the adolescent society in this new media age, supported from three layers, the existing circumstances of application of new media, the current situation of the reading habits, and the status of value systems among teenagers. Based on the conception of core values and instrumental values from APSCO, this paper presents the information collected by empirical investigation clearly and visually in the form of charts. While further digging into the influence new media has on the future growth of the young generation, suggestions regarding the prospective education of teenagers have also been put forward at the end of the paper.%本文以实证调查作为研究方法,以亚太地区教科文组织提出的各国公认的“12个核心价值观和5个工具价值观”为基础,围绕“青少年新媒体使用现状”、“新媒体影响下青少年阅读习惯现状”、“新媒体影响下青少年价值观现状”三个方面进行探查与分析,进一步探讨了新媒体阅读背景下的青少年群体精神成长中的相关问题,并针对性地提出了对策与建议。

  1. Fair Value or Market Value?

    Directory of Open Access Journals (Sweden)

    Bogdan Cosmin Gomoi


    Full Text Available When taking into consideration the issue of defining the “fair value” concept, those less experimented in the area often fall in the “price trap”, which is considered as an equivalent of the fair value of financial structures. This valuation basis appears as a consequence of the trial to provide an “accurate image” by the financial statements and, also, as an opportunity for the premises offered by the activity continuing principle. The specialized literature generates ample controversies regarding the “fair value” concept and the “market value” concept. The paper aims to debate this issue, taking into account various opinions.

  2. Mapping the academic problem behaviors of adolescents with ADHD. (United States)

    Sibley, Margaret H; Altszuler, Amy R; Morrow, Anne S; Merrill, Brittany M


    This study possessed 2 aims: (a) to develop and validate a clinician-friendly measure of academic problem behavior that is relevant to the assessment of adolescents with attention deficit/hyperactivity disorder (ADHD) and (b) to better understand the cross-situational expression of academic problem behaviors displayed by these youth. Within a sample of 324 adolescents with the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision diagnosed ADHD (age M = 13.07, SD = 1.47), parent, teacher, and adolescent self-report versions of the Adolescent Academic Problems Checklist (AAPC) were administered and compared. Item prevalence rates, factorial validity, interrater agreement, internal consistency, and concurrent validity were evaluated. Findings indicated the value of the parent and teacher AAPC as a psychometrically valid measure of academic problems in adolescents with ADHD. Parents and teachers offered unique perspectives on the academic functioning of adolescents with ADHD, indicating the complementary roles of these informants in the assessment process. According to parent and teacher reports, adolescents with ADHD displayed problematic academic behaviors in multiple daily tasks, with time management and planning deficits appearing most pervasive. Adolescents with ADHD display heterogeneous academic problems that warrant detailed assessment prior to treatment. As a result, the AAPC may be a useful tool for clinicians and school staff conducting targeted assessments with these youth.

  3. Adolescent Work Experience and Self-efficacy. (United States)

    Cunnien, Keith A; Martinrogers, Nicole; Mortimer, Jeylan T


    PURPOSE OF THIS PAPER: To assess the relationship between high school work experiences and self-efficacy. DESIGN/METHODOLOGY/APPROACH: OLS regressions are applied to longitudinal data from the Youth Development Study to examine work experiences and self-efficacy. FINDINGS: The analyses indicate that employment fosters self-efficacy in multiple realms, Occasional and sporadic workers exhibit less self-efficacy than steady workers. Supervisory support may be especially important in enhancing adolescents' confidence as they anticipate their future family lives, community participation, personal health, and economic achievements. RESEARCH LIMITATIONS/IMPLICATIONS: This research includes only a small set of the work dimensions that may be important for adolescents. Ethnography and in-depth interviews are recommended to further explore the subjective and emotional dimensions of youth work experiences. PRACTICAL IMPLICATIONS: In developing policies and guidance, educators, parents, and employers should be aware that steady employment and supervisory support enhance the development of adolescent self-efficacy. ORIGINAL VALUE OF PAPER: This paper finds evidence that adolescent work experiences spill over to influence youth's developing confidence in the realms of family life, community and personal health. It also suggests that sporadic and occasional work patterns can impair the development of self-efficacy in adolescence.

  4. Forensic implications: adolescent sexting and cyberbullying. (United States)

    Korenis, Panagiota; Billick, Stephen Bates


    Adolescence is marked by establishing a sense of identity, core values, a sense of one's relationship to the outside world and heightened peer relationships. In addition, there is also risk taking, impulsivity, self exploration and dramatic increase in sexuality. The dramatic increase in the use of cell phones and the Internet has additional social implications of sexting and cyberbullying. Sexting refers to the practice of sending sexually explicit material including language or images to another person's cell phone. Cyberbullying refers to the use of this technology to socially exclude, threaten, insult or shame another person. Studies of cell phone use in the 21st century report well over 50% of adolescents use them and that text messaging is the communication mode of choice. Studies also show a significant percentage of adolescents send and receive sex messaging, both text and images. This paper will review this expanding literature. Various motivations for sexting will also be reviewed. This new technology presents many dangers for adolescents. The legal implications are extensive and psychiatrists may play an important role in evaluation of some of these adolescents in the legal context. This paper will also make suggestions on future remedies and preventative actions.

  5. Experience with genetic counseling: the adolescent perspective. (United States)

    Pichini, Amanda; Shuman, Cheryl; Sappleton, Karen; Kaufman, Miriam; Chitayat, David; Babul-Hirji, Riyana


    Adolescence is a complex period of development that involves creating a sense of identity, autonomy, relationships and values. This stage of adjustment can be complicated by having a genetic condition. Genetic counseling can play an important role in providing information and support to this patient population; however, resources and guidelines are currently limited. In order to appropriately establish genetic counseling approaches and resource development, we investigated the experiences and perspectives of adolescents with a genetic condition with respect to their genetic counseling interactions. Using a qualitative exploratory approach, eleven semi-structured interviews were conducted with adolescents diagnosed with a genetic condition who received genetic counseling between the ages of 12 and 18 years at The Hospital for Sick Children. Transcripts were analyzed thematically using qualitative content analysis, from which three major interrelated themes emerged: 1) understanding the genetic counselor's role; 2) increasing perceived personal control; and 3) adolescent-specific factors influencing adaptation to one's condition. Additionally, a list of suggested tools and strategies for genetic counseling practice were elucidated. Our findings can contribute to the development of an adolescent-focused framework to enhance emerging genetic counseling approaches for this patient population, and can also facilitate the transition process from pediatric to adult care within patient and family-centered contexts.

  6. [Spirographic reference values. Mathematical models and practical use (author's transl)]. (United States)

    Drouet, D; Kauffmann, F; Brille, D; Lellouch, J


    Various models predicting VC and FEV1 from age and height have been compared by both theoretical and practical approaches on several subgroups of a working population examined in 1960 and 1972. The models in which spirographic values are proportional to the cube of the height give a significantly worse fit of the data. All the other models give similar predicted values in practical terms, but cutoff points depend on the distributions of VC and FEV1 given age and height. Results show that these distributions are closer to a normal than to a lognormal distribution. The use of reference values and classical cutoffs is then discussed. Rather than using a single cutoff point, a more quantitative way is proposed to describe the subjects' functional status, for example by situating him in the percentile of the reference population. In screening, cutoff points cannot be choosen without specifying first the decision considered and the population concerned.

  7. Emotional reactions of peers influence decisions about fairness in adolescence

    Directory of Open Access Journals (Sweden)

    Eduard T. Klapwijk


    Full Text Available During adolescence, peers take on increasing importance, while social skills are still developing. However, how emotions of peers influence social decisions during that age period is insufficiently known. We therefore examined the effects of three different emotional responses (anger, disappointment, happiness on decisions about fairness in a sample of 156 adolescents aged 12 to 17 years. Participants received written emotional responses from peers in a version of the Dictator Game to a previous unfair offer. Adolescents reacted with more generous offers after disappointed reactions compared to angry and happy reactions. Additionally, we found preliminary evidence for developmental differences over adolescence, since older adolescents differentiated more between the three emotions than younger adolescents. In addition, individual differences in social value orientation played a role in decisions after happy reactions of peers to a previous unfair offer, such that participants with a ‘proself’ orientation made more unfair offers to happy peers than ‘prosocial’ participants. Taken together, our findings demonstrate that adolescents take emotions of peers into account when making social decisions, while individual differences in social value orientation affect these decisions, and age seems to influence the nature of the reaction.

  8. 中国6省市儿童青少年代谢综合征相关腰围身高比切点值的研究%A proposal for the cutoff point of waist-to-height for the diagnosis of metabolic syndrome in children and adolescents in six areas of China

    Institute of Scientific and Technical Information of China (English)

    戴阳丽; 傅君芬; 梁黎; 巩纯秀; 熊丰; 刘戈力; 罗飞宏; 陈少科


    Objective This study aimed to determine the optimal cutoff point of Waist-to-height (WHtR) for the diagnosis of metabolic syndrome (MS) in children and adolescents in six areas of China.Methods Ninety thousand two hundred and eighty four children aged 6 to 15 years old from 6 areas,including Beijing,Tianjin,Zhejiang,Shanghai,Chongqing and Nanning in China,were surveyed in a random cluster sample.Receiver operating characteristic (ROC) curve analysis was employed to determine the optimal cutoff values of WHtR for detecting the children and adolescents with two or more risk factors of MS.Results The optimal WHtR cutoff values derived from the ROC analysis was 85th and 80th percentiles in males and females,with 6-15 years of age,respectively.The sensitivity and specificity under these cutoff values were 35.78% and 85.41% in males and 49.21% and 79.87% in females,for 6-9 years of age,while the sensitivity and specificity were 49.60% and 85.90% in males and 47.01% and 80.07% in females for 10-15 years of age.The areas under the ROC curves (AUCs) for WHtR 85th percentile were 0.61 and 0.64 in males and females for 6-9 years of age,and 0.68 and 0.63 in males and females for 10-15 years of age.The AUCs for WHtR 85th percentile in both genders were significantly larger than that for WHtR 90th percentile for 10-15 years of age.Conclusion Our findings indicated that the 85th percentile of WHtR (0.48 in both genders for 6-9 years of age,0.48 in males and 0.46 in females for 10-15 years of age) might be an appropriate cutoff to predict the children and adolescents with two or more risk factors.%目的 探讨预测中国儿童青少年MS的WHtR适宜界值.方法 2009年10月至2010年10月选择北京、天津、上海、重庆、南宁和浙江省(市)19 284名6~15岁中小学生为调查对象,统一收集、整理、录人数据.采用受试者工作特征(ROC)曲线分析,研究预测儿童青少年具有≥2个危险组分的WHtR适宜界值.结果 ROC

  9. Beyond Controversies: Sexuality Education for Adolescents in India (United States)

    Khubchandani, Jagdish; Clark, Jeffrey; Kumar, Raman


    Sexuality education for adolescents is one of the most controversial topics in the field of child health. In the past decade, policymakers in India have also struggled with the issue and there has been greater public discourse. However, policymaking and public discussions on adolescent sexuality education are frequently fueled by religious, social, and cultural values, while receiving scant scientific attention. To meet the needs of an expanding young population in India, scientific evidence for best practices must be kept at the core of policymaking in the context of sexuality education for adolescents. PMID:25374847

  10. Gender and Adolescent Development (United States)

    Perry, David G.; Pauletti, Rachel E.


    This article summarizes and critiques recent trends in research and theory on the role of gender in adolescent development. First, gender differences in key areas of adolescent functioning are reviewed. Second, research on 3 constructs that are especially relevant to the investigation of within-gender individual differences in gender…

  11. Adolescence Education Newsletter, 2001. (United States)

    Villanueva, Carmelita L., Ed.; Espada-Carlos, Lichelle Dara, Ed.


    This document comprises the two 2001 issues of a UNESCO newsletter addressing topics related to adolescent well-being in the Asia-Pacific region, particularly reproductive and sexual health. Each issue contains news from the region on various initiatives related to adolescent health and education, as well as Web links and publications on the…

  12. Adolescence Education Newsletter, 1999. (United States)

    Villanueva, Carmelita L., Ed.; Padilla, Teresita M., Ed.


    This document comprises the two 1999 issues of a UNESCO newsletter addressing topics related to adolescent well-being in the Asia-Pacific region, particularly reproductive and sexual health. Each issue contains news from the region on various initiatives related to adolescent heath and education, as well as Web links and publications on the…

  13. Adolescence Education Newsletter, 1998. (United States)

    Villanueva, Carmelita L., Ed.; Padilla, Teresita M., Ed.


    This document comprises two issues of a new UNESCO newsletter addressing topics related to adolescent well-being in the Asia-Pacific region, particularly reproductive and sexual health. Both issues contain news from the region on various initiatives related to adolescent health and education, as well as Web links and publications on the subject.…

  14. Adolescence Education Newsletter, 2000. (United States)

    Villanueva, Carmelita L., Ed.; Padilla, Teresita M., Ed.


    This document comprises the two 2000 issues of a UNESCO newsletter addressing topics related to adolescent well-being in the Asia-Pacific region, particularly reproductive and sexual health. Each issue contains news from the region on various initiatives related to adolescent health and education, as well as Web links and publications on the…

  15. Adolescence Education Newsletter, 2002. (United States)

    Villanueva, Carmelita L., Ed.; Espada-Carlos, Lichelle Dara, Ed.


    This document consists of the two 2002 issues of a UNESCO newsletter addressing topics related to adolescent well-being in the Asia-Pacific region, particularly reproductive and sexual health. Each issue includes news from the region on various initiatives related to adolescent health and education, as well as Web links and publications on the…

  16. Early Adolescent Ego Development. (United States)

    James, Michael A.


    Presented are the theoretical characteristics of social identity in early adolescence (ages 10 to 15). It is suggested that no longer is identity thought to begin with adolescence, but may have its beginnings in the preteen years. The article draws heavily on Eriksonian concepts. (Editor/KC)

  17. Adolescent Rebellion and Politics. (United States)

    Meeus, Wim


    Examination of 352 Dutch secondary school students reveals that adolescents with high-level education who endorse adolescent rebellion have a more distinctly left-wing profile--in both their political party preferences and their political views--than those with low-level education, who more often ratified political intolerance. (BJV)

  18. Adolescent Development Reconsidered. (United States)

    Gilligan, Carol


    Emphasizes necessity of reconsideration of adolescent development, for these reasons: the view of childhood has changed; females have not been systematically studied; theories of cognitive development favor mathematical and scientific thinking over the humanities; and because the psychology of adolescence is anchored in separation and independence…

  19. Adolescent Literacy. Focus On (United States)

    Molineaux, Rebecca


    Evidence suggests that there is a crisis in adolescent literacy. Part of the problem is that students often receive little literacy instruction after elementary school. This "Focus On" examines the literacy instruction that adolescents need to be successful as they move on to more challenging texts in middle and high school. In addition, this…

  20. The Adolescent Brain (United States)

    Casey, B. J.; Getz, Sarah; Galvan, Adriana


    Adolescence is a developmental period characterized by suboptimal decisions and actions that give rise to an increased incidence of unintentional injuries and violence, alcohol and drug abuse, unintended pregnancy and sexually transmitted diseases. Traditional neurobiological and cognitive explanations for adolescent behavior have failed to…

  1. Adolescent Steroid Use. (United States)

    Office of Inspector General (DHHS), Washington, DC.

    The study focused on non-medical steroid use by adolescents according to data obtained from the National Institute on Drug Abuse, professional literature, 30 key informants knowledgeable in steroid issues, and 72 current or former steroid users. The findings indicated: (1) over 250,000 adolescents, primarily males, used or have used steroids, and…

  2. Diagnosing ADHD in Adolescence (United States)

    Sibley, Margaret H.; Pelham, William E., Jr.; Molina, Brooke S. G.; Gnagy, Elizabeth M.; Waschbusch, Daniel A.; Garefino, Allison C.; Kuriyan, Aparajita B.; Babinski, Dara E.; Karch, Kathryn M.


    Objective: This study examines adolescent-specific practical problems associated with current practice parameters for diagnosing attention-deficit/hyperactivity disorder (ADHD) to inform recommendations for the diagnosis of ADHD in adolescents. Specifically, issues surrounding the use of self- versus informant ratings, diagnostic threshold, and…

  3. 腰围与体重指数诊断儿童青少年代谢综合征临床价值比较%Comparison of the value of waist circumference with that of body mass index in diagnosing metabolic syndrome in children and adolescents

    Institute of Scientific and Technical Information of China (English)

    罗静思; 陈少科; 范歆; 唐睛; 冯莹


    Objective To evaluate the practical value of waist circumference and body mass index (BMI) in diagnosing metabolic syndrome (MS) in children and adolescents. Methods A random sampling method was used to select 7893 children and adolescents aged 6 to 18 years from 14 schools in Nanning City from June 2009 to October 2010.They were surveyed to analyze the correlation among waist circumference, BMI and MS detection indicators. Based on MS diagnostic criteria proposed by CDS and IDF(2007) ,receiver operating characteristic curve(ROC)was used to compare waist circumference's area under ROC curve and body mass index(BMI) 's for reflecting the accuracy of diagnosis of MS. Results (l)Average value of MS detection indicators,except for fasting blood glucose(FBG)and aspartate aminotransfer-ase(AST) ,was significantly different among the three groups, except that the mean of HDL-C decreased with the increase of obesity .These indexes in obesity group were higher than other two groups (P< 0.05). (2) Waist circumference and BMI were positively correlated with hip, waist-hip ratio, SBP, DBP, FBG.TG, LDL-C, FINS and HOMA-IR, but were negatively correlated with HDL-C. (3) Waist circumference predicted each component of MS more sensitively than BMI. In addition, waist circumference positive predictive value (except for HDL-C) was relatively better than BMI. (4) According to standard CDS, the area under ROC curve of waist circumference and BMI were 0.949 and 0.951,respective- ly. According to IDF (2007) , their area were 0.941 and 0.921. Conclusion Waist circumference has more diagnostic value than BMI in children and adolescents with MS. The waist measurement may be helpful for MS screening in children and adolescents.%目的 比较儿童青少年腰围与体重指数(BMI)在代谢综合征(MS)诊断中的实用价值.方法 采用随机抽样的方法于2009年6月至2010年10月从南宁市14所中小学中抽取6~18岁儿童青少年7893人,分析腰围、BMI与MS各检测指

  4. Adolescent attachment and psychopathology. (United States)

    Rosenstein, D S; Horowitz, H A


    The relationships among attachment classification, psychopathology, and personality traits were examined in a group of 60 psychiatrically hospitalized adolescents. The concordance of attachment classification was examined in 27 adolescent-mother pairs. Both adolescent and maternal attachment status were overwhelmingly insecure and were highly concordant. Adolescents showing a dismissing attachment organization were more likely to have a conduct or substance abuse disorder, narcissistic or antisocial personality disorder, and self-reported narcissistic, antisocial, and paranoid personality traits. Adolescents showing a preoccupied attachment organization were more likely to have an affective disorder, obsessive-compulsive, histrionic, borderline or schizotypal personality disorder, and self-reported avoidant, anxious, and dysthymic personality traits. The results support a model of development of psychopathology based partially on relational experiences with parents.

  5. Adolescent depression: a metasynthesis. (United States)

    Dundon, Edith Emma


    Concerns about the adequate assessment and treatment of adolescent depression have been in the forefront of pediatric mental health literature in the recent past. While quantitative studies have provided valuable information, the voice of the adolescent has been lacking in the development of theory and treatment of this prevalent disorder. Using approach, a metasynthesis of six qualitative studies was conducted. This process revealed six themes that outline the course of adolescents who struggle with depression: (a) beyond the blues, (b) spiraling down and within, (c) breaking points, (d) seeing and being seen, (e) seeking solutions, and (f) taking control. Knowledge of the experience of adolescent depression will aid practitioners in recognition and early intervention for the increasing number of adolescents suffering with depression, as well as guide educational initiatives to provide needed information on the symptoms of depression and available resources for getting help.

  6. Strong inverse association between physical fitness and overweight in adolescents: a large school-based survey

    Directory of Open Access Journals (Sweden)

    Auguste Robert


    Full Text Available Abstract Background Studies examining the relationship between physical fitness and obesity in children have had mixed results despite their interrelationship making intuitive sense. We examined the relationship between physical fitness and overweight and obesity in a large sample of adolescents in the Republic of Seychelles (Indian Ocean, African region. Methods All students of four grades of all secondary schools performed nine physical fitness tests. These tests assessed agility, strength and endurance, and included the multistage shuttle run, a validated measure of maximal oxygen uptake. Weight and height were measured, body mass index (BMI calculated, and "overweight" and "obesity" were defined based on the criteria of the International Obesity Task Force. We defined "lean" weight as age- and sex-specific BMI th percentile. Age- and sex-specific percentiles for each fitness test were calculated. "Good" performance was defined as a result ≥75th percentile. Results Data were available in 2203 boys and 2143 girls from a total of 4599 eligible students aged 12–15 years. The prevalence of overweight (including obesity was 11.2% (95% confidence interval: 9.9–12.4 in boys and 17.5% (15.9–19.1 in girls. For 7 of the 9 tests, the relationship between BMI and fitness score, as assessed by locally weighted regression, was characterized by a marked inverse J shape. Students with normal body weight achieved "good" performance markedly more often than overweight or obese students on 7 of the 9 tests of fitness and more often than lean children. For example, good performance for the multistage shuttle run was achieved by 25.6% (SE: 2.1 of lean students, 29.6% (0.8 of normal weight students, 7.9% (1.3 of overweight students and 1.2% (0.9 of obese students. Conclusion This cross-sectional study shows a strong inverse relationship between fitness and excess body weight in adolescents. Improving fitness in adolescents, likely through increasing

  7. Familism, Parent-Adolescent Conflict, Self-Esteem, Internalizing Behaviors and Suicide Attempts among Adolescent Latinas (United States)

    Kuhlberg, Jill A.; Pena, Juan B.; Zayas, Luis H.


    Adolescent Latinas continue to report higher levels of suicide attempts than their African-American and White peers. The phenomenon is still not understood and is theorized to be the result of the confluence of many cultural, familial, and individual level factors. In Latino cultures, belief in the importance of the family, the value known as…

  8. Utility of the modified ATP III defined metabolic syndrome and severe obesity as predictors of insulin resistance in overweight children and adolescents: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Agarwalla Vipin


    Full Text Available Abstract Background The rising prevalence of obesity and metabolic syndrome (MetS has received increased attention since both place individuals at risk for Type II diabetes and cardiovascular disease. Insulin resistance (IR has been implicated in the pathogenesis of obesity and MetS in both children and adults and is a known independent cardiovascular risk factor. However measures of IR are not routinely performed in children while MetS or severe obesity when present, are considered as clinical markers for IR. Objective The study was undertaken to assess the utility of ATPIII defined metabolic syndrome (MetS and severe obesity as predictors of insulin resistance (IR in a group of 576 overweight children and adolescents attending a pediatric obesity clinic in Brooklyn. Methods Inclusion criteria were children ages 3–19, and body mass index > 95th percentile for age. MetS was defined using ATP III criteria, modified for age. IR was defined as upper tertile of homeostasis model assessment (HOMA within 3 age groups (3–8, n = 122; 9–11, n = 164; 12–19, n = 290. Sensitivity, specificity, positive predictive values and odds ratios (OR with 95% confidence intervals (CI were calculated within age groups for predicting IR using MetS and severe obesity respectively. Results MetS was present in 45%, 48% and 42% of the respective age groups and significantly predicted IR only in the oldest group (OR = 2.0, 95% CI 1.2, 3.4; p = .006. Sensitivities were Conclusion The expression of IR in overweight children and adolescents is heterogeneous and MetS or severe obesity may not be sufficiently sensitive and specific indicators of insulin resistance. In addition to screening for MetS in overweight children markers for IR should be routinely performed. Further research is needed to establish threshold values of insulin measures in overweight children who may be at greater associated risk of adverse outcomes whether or not MetS is present.

  9. Health risk behaviors and depressive symptoms among Hispanic adolescents: Examining acculturation discrepancies and family functioning. (United States)

    Cano, Miguel Ángel; Schwartz, Seth J; Castillo, Linda G; Unger, Jennifer B; Huang, Shi; Zamboanga, Byron L; Romero, Andrea J; Lorenzo-Blanco, Elma I; Córdova, David; Des Rosiers, Sabrina E; Lizzi, Karina M; Baezconde-Garbanati, Lourdes; Soto, Daniel W; Villamar, Juan Andres; Pattarroyo, Monica; Szapocznik, José


    Drawing from a theory of bicultural family functioning 2 models were tested to examine the longitudinal effects of acculturation-related variables on adolescent health risk behaviors and depressive symptoms (HRB/DS) mediated by caregiver and adolescent reports of family functioning. One model examined the effects of caregiver-adolescent acculturation discrepancies in relation to family functioning and HRB/DS. A second model examined the individual effects of caregiver and adolescent acculturation components in relation to family functioning and HRB/DS. A sample of 302 recently immigrated Hispanic caregiver-child dyads completed measures of Hispanic and U.S. cultural practices, values, and identities at baseline (predictors); measures of family cohesion, family communications, and family involvement 6 months postbaseline (mediators); and only adolescents completed measures of smoking, binge drinking, inconsistent condom use, and depressive symptoms 1 year postbaseline (outcomes). Measures of family cohesion, family communications, and family involvement were used to conduct a confirmatory factor analysis to estimate the fit of a latent construct for family functioning. Key findings indicate that (a) adolescent acculturation components drove the effect of caregiver-adolescent acculturation discrepancies in relation to family functioning; (b) higher levels of adolescent family functioning were associated with less HRB/DS, whereas higher levels of caregiver family functioning were associated with more adolescent HRB/DS; (c) and only adolescent reports of family functioning mediated the effects of acculturation components and caregiver-adolescent acculturation discrepancies on HRB/DS.

  10. Hyperuricemia in obese children and adolescents: the relationship with metabolic syndrome


    Li Tang; Masaru Kubota; Ayako Nagai; Kimiyo Mamemoto; Masakuni Tokuda


    The prevalence of hyperuricemia in obese children and adolescents and its association with metabolic syndrome are largely unknown. The objective of our study was to characterize hyperuricemia in relation to metabolic syndrome in Japanese children and adolescents with obesity. Between 2005 and 2008, we performed a cross-sectional study of 1,027 obese children and adolescents aged 6-14 years. Based on the reference value of serum uric acid we had established previously, hyperuricemia was define...

  11. Adolescent mice are more vulnerable than adults to single injection-induced behavioral sensitization to amphetamine


    Kameda, Sonia Regina; Fukushiro, Daniela Fukue [UNIFESP; Trombin, Thaís Fernanda [UNIFESP; Procopio-Souza, Roberta [UNIFESP; Patti, Camilla de Lima [UNIFESP; Hollais, André Willian [UNIFESP; Calzavara, Mariana Bendlin [UNIFESP; Abílio, Vanessa Costhek [UNIFESP; Ribeiro, Rosana de Alencar [UNIFESP; Tufik, Sergio; D'Almeida, Vânia; Frussa Filho, Roberto [UNIFESP


    Drug-induced behavioral sensitization in rodents has enhanced our understanding of why drugs acquire increasing motivational and incentive value. Compared to adults, human adolescents have accelerated dependence courses with shorter times from first exposure to dependence. We compared adolescent and adult mice in their ability to develop behavioral sensitization to amphetamine following a single injection. Adult (90-day-old) and adolescent (45-day-old) male Swiss mice received an acute intrap...

  12. Sociopersonal Values and Coexistence Problems in Secondary Education (United States)

    de la Fuente, Jesus; Peralta, Francisco Javier; Sanchez, Maria Dolores


    Introduction: The importance of values education in current society continues to be one of the greatest challenges to our Educational System. Its pertinence becomes no less than inexcusable when we speak of education in social values during adolescence, or, during "Educacion Secundaria Obligatoria" ["N.T." Mandatory Secondary…

  13. Sociopersonal Values and Coexistence Problems in Secondary Education (United States)

    de la Fuente, Jesus; Peralta, Francisco Javier; Sanchez, Maria Dolores


    Introduction: The importance of values education in current society continues to be one of the greatest challenges to our Educational System. Its pertinence becomes no less than inexcusable when we speak of education in social values during adolescence, or, during "Educacion Secundaria Obligatoria" ["N.T." Mandatory Secondary Education, that is,…

  14. ERICA: prevalence of dyslipidemia in Brazilian adolescents. (United States)

    Faria Neto, José Rocha; Bento, Vivian Freitas Rezende; Baena, Cristina Pellegrino; Olandoski, Marcia; Gonçalves, Luis Gonzaga de Oliveira; Abreu, Gabriela de Azevedo; Kuschnir, Maria Cristina Caetano; Bloch, Katia Vergetti


    OBJECTIVE To determine the distribution of total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides in Brazilian adolescents, as well as the prevalence of altered levels of such parameters. METHODS Data from the Study of Cardiovascular Risks in Adolescents (ERICA) were used. This is a country-wide, school-based cross-sectional study that evaluated 12 to 17-year old adolescents living in cities with over 100,000 inhabitants. The average and distribution of plasma levels of total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides were evaluated. Dyslipidemia was determined by levels of total cholesterol ≥ 170 mg/dl, LDL cholesterol ≥ 130 mg/dl, HDL cholesterol < 45 mg/dL, or triglycerides ≥ 130 mg/dl. The data were analyzed by gender, age, and regions in Brazil. RESULTS We evaluated 38,069 adolescents - 59.9% of females, and 54.2% between 15 and 17 years. The average values found were: total cholesterol = 148.1 mg/dl (95%CI 147.1-149.1), HDL cholesterol = 47.3 mg/dl (95%CI 46.7-47.9), LDL cholesterol = 85.3 mg/dl (95%CI 84.5-86.1), and triglycerides = 77.8 mg/dl (95%CI 76.5-79.2). The female adolescents had higher average levels of total cholesterol, LDL cholesterol, and HDL cholesterol, without differences in the levels of triglycerides. We did not observe any significant differences between the average values among 12 to 14 and 15- to 17-year old adolescents. The most prevalent lipid alterations were low HDL cholesterol (46.8% [95%CI 44.8-48.9]), hypercholesterolemia (20.1% [95%CI 19.0-21.3]), and hypertriglyceridemia (7.8% [95%CI 7.1-8.6]). High LDL cholesterol was found in 3.5% (95%CI 3.2-4.0) of the adolescents. Prevalence of low HDL cholesterol was higher in Brazil's North and Northeast regions. CONCLUSIONS A significant proportion of Brazilian adolescents has alterations in their plasma lipids. The high prevalence of low HDL cholesterol and hypertriglyceridemia, especially in Brazil's North and Northeast regions, must be

  15. The effect of implementation of health promotion program in school to control risk factors for obesity in adolescents

    Directory of Open Access Journals (Sweden)

    Arman Azadi


    Full Text Available Background: Obesity in children and adolescents is a significant health problem that requires comprehensive prevention and intervention efforts. The present study was carried out to assess the effect of implementation of health promotion program in school on control of risk factor for obesity in obese adolescents and those at risk of obesity. Methods: This quasi-experimental study was carried out involving two groups (case and control in 1385 in Tehran. Two boys’ secondary schools were selected randomly from secondary schools of 6th region of Education Ministry in Tehran. Body weight and height of the students were measured and body mass indexes (BMI were calculated. They were divided into two case and control groups, each containing 35 students. The case group consisted overweight and at risk for overweight students (Overweight and at risk for overweight were defined as ≥ 85th and ≥ 95th percentile of age-sex-specific CDC 2000 BMI values, respectively. The tools for data collection included electronic scale, stadiometer, demographic questionnaires of adolescents and parents, Food Frequency Questionnaire (FFQ, nutritional knowledge and a questionnaire for recording physical activity and watching TV in one week. They were distributed to be filled out by students before and one month after the intervention. The interventional program was done in four months included separate educational sessions for teachers, parents and adolescents and changes in school environment. Results: There was no significant differences between the adolescents’ mean Body Mass Index (BMI in two group after intervention (P>0.05. There was a significant difference between mean nutritional knowledge score in the case group before and after the intervention (P=0.0015. We found significant differences between the mean of intake of dairy products, salty snack, sweets, carbonated beverages and fast food in the case group after and before the intervention (P=0.001, P=0

  16. Adolescent and Parental Contributions to Parent-Adolescent Hostility Across Early Adolescence. (United States)

    Weymouth, Bridget B; Buehler, Cheryl


    Early adolescence is characterized by increases in parent-adolescent hostility, yet little is known about what predicts these changes. Utilizing a fairly large sample (N = 416, 51 % girls, 91 % European American), this study examined the conjoint and unique influences of adolescent social anxiety symptoms and parental intrusiveness on changes in parent-adolescent hostility across early adolescence. Higher mother and father intrusiveness were associated with increased mother- and father-adolescent hostility. An examination of reciprocal effects revealed that mother- and father-adolescent hostility predicted increased mother and father intrusiveness. Significant associations were not substantiated for adolescent social anxiety symptoms. These findings suggest that intrusive parenting has important implications for subsequent parent-adolescent interactions and that similar patterns may characterize some aspects of mother- and father-adolescent relationships.

  17. Teaching adolescents about adolescence: experiences from an interdisciplinary adolescent health course. (United States)

    Aronowitz, Teri


    As abstract reasoning increases in complexity, adolescents may face dissonance between new thoughts and prior beliefs. Students in the health professions may be forced to resolve these dissonances in order to execute their professional responsibilities. In developing an undergraduate interdisciplinary course on adolescent health, the authors anticipated challenges in teaching adolescents about adolescence. Over the course of the semester, the anticipated challenges became reality. The author discusses pertinent developmental theories and their application in facilitating late adolescent identity formation and professional role development.

  18. Hemoglobin cut-off values in healthy Turkish infants

    Institute of Scientific and Technical Information of China (English)

    Ahmet Arvas; Emel Gür; DurmuşDoğan


    Background: Anemia is a widespread public health problem associated with an increased risk of morbidity and mortality. This study was undertaken to determine the cut-off value of hemoglobin for infant anemia. Methods: A cross-sectional retrospective study was carried out at well-baby clinics of a tertiary care hospital. A total of 1484 healthy infants aged between 4 to 24 months were included in the study. The relationship of hemoglobin (Hb) levels with mother age, birth weight, weight gain rate, feeding, and gender was evaluated. Results: The Hb levels were assessed in four age groups (4 months, 6 months, 9-12 months, and 15-24 months) and the cut-off values of Hb were determined. Hb cut-off values (5th percentile for age) were detected as 97 g/L and 93 g/L at 4 months and 6 months, respectively. In older infants, the 5th percentile was 90.5 g/L and 93.4 g/L at 9-12 months and 15-24 months, respectively. The two values were lower than the World Health Organization criteria for anemia, which could partly due to the lack of information on iron status in our population. However, this difference highlights the need for further studies on normal Hb levels in healthy infants in developing countries. Hb levels of females were higher in all age groups; however, a statistically significant difference was found in gender in only 6 month-old infants. No statistically significant difference was found among Hb levels, mother's age, birth weight, weight gain rate, and nutritional status. Conclusion: Hb cut-off values in infants should be re-evaluated and be compatible with growth and development of children in that community.

  19. Usefulness of the Waist Circumference-to-Height Ratio in Screening for Obesity and Metabolic Syndrome among Korean Children and Adolescents: Korea National Health and Nutrition Examination Survey, 2010-2014. (United States)

    Choi, Dong-Hyun; Hur, Yang-Im; Kang, Jae-Heon; Kim, Kyoungwoo; Cho, Young Gyu; Hong, Soo-Min; Cho, Eun Byul


    The aims of this study were to assess the diagnostic value of the weight-to-height ratio (WHtR) for the detection of obesity and metabolic syndrome (MS) in Korean children and adolescents, and to determine the advantages of WHtR as a population-based screening tool in comparison with other obesity indicators, such as body mass index (BMI) and waist circumference (WC). We performed a cross-sectional analysis of data from 3057 children and adolescents (1625 boys, 1332 girls) aged 10-19 years who were included in the fifth Korean National Health and Nutrition Examination Survey (KNHANES, 2010-2012) up to the second year of the sixth KNHANES (2013-2014). Receiver operation characteristic (ROC) curves were generated to determine the optimal cutoff value and accuracy of WHtR for predicting individual obesity indicators or more than two non-WC components of MS. The area under the ROC curve (AUC) is a measure of the diagnostic power of a test. A perfect test will have an AUC of 1.0, and an AUC equal to 0.5 means that the test performs no better than chance. The optimal WHtR cutoff for the evaluation of general obesity and central obesity was 0.50 in boys and 0.47-0.48 in girls, and the AUC was 0.9. Regarding the assessment of each MS risk factor, the optimal WHtR cutoff was 0.43-0.50 in boys and 0.43-0.49 in girls, and these cutoffs were statistically significant only for the detection of high triglyceride and low High-density lipoprotein (HDL) cholesterol levels. When a pairwise comparison of the AUCs was conducted between WHtR and BMI/WC percentiles to quantify the differences in power for MS screening, the WHtR AUC values (boys, 0.691; girls, 0.684) were higher than those of other indices; however, these differences were not statistically significant (boys, p = 0.467; girls, p = 0.51). The WHtR cutoff value was 0.44 (sensitivity, 67.7%; specificity, 64.6%) for boys and 0.43 (sensitivity, 66.4%; specificity, 66.9%) for girls. There was no significant difference between

  20. Usefulness of the Waist Circumference-to-Height Ratio in Screening for Obesity and Metabolic Syndrome among Korean Children and Adolescents: Korea National Health and Nutrition Examination Survey, 2010–2014 (United States)

    Choi, Dong-Hyun; Hur, Yang-Im; Kang, Jae-Heon; Kim, Kyoungwoo; Cho, Young Gyu; Hong, Soo-Min; Cho, Eun Byul


    The aims of this study were to assess the diagnostic value of the weight-to-height ratio (WHtR) for the detection of obesity and metabolic syndrome (MS) in Korean children and adolescents, and to determine the advantages of WHtR as a population-based screening tool in comparison with other obesity indicators, such as body mass index (BMI) and waist circumference (WC). We performed a cross-sectional analysis of data from 3057 children and adolescents (1625 boys, 1332 girls) aged 10–19 years who were included in the fifth Korean National Health and Nutrition Examination Survey (KNHANES, 2010–2012) up to the second year of the sixth KNHANES (2013–2014). Receiver operation characteristic (ROC) curves were generated to determine the optimal cutoff value and accuracy of WHtR for predicting individual obesity indicators or more than two non-WC components of MS. The area under the ROC curve (AUC) is a measure of the diagnostic power of a test. A perfect test will have an AUC of 1.0, and an AUC equal to 0.5 means that the test performs no better than chance. The optimal WHtR cutoff for the evaluation of general obesity and central obesity was 0.50 in boys and 0.47–0.48 in girls, and the AUC was 0.9. Regarding the assessment of each MS risk factor, the optimal WHtR cutoff was 0.43–0.50 in boys and 0.43–0.49 in girls, and these cutoffs were statistically significant only for the detection of high triglyceride and low High-density lipoprotein (HDL) cholesterol levels. When a pairwise comparison of the AUCs was conducted between WHtR and BMI/WC percentiles to quantify the differences in power for MS screening, the WHtR AUC values (boys, 0.691; girls, 0.684) were higher than those of other indices; however, these differences were not statistically significant (boys, p = 0.467; girls, p = 0.51). The WHtR cutoff value was 0.44 (sensitivity, 67.7%; specificity, 64.6%) for boys and 0.43 (sensitivity, 66.4%; specificity, 66.9%) for girls. There was no significant

  1. Share Your Values (United States)

    ... been stretched thin, a consequence of the high divorce rate, longer work weeks and other societal changes ... to emulate. Walk the talk, so to speak. Adolescents whose parents smoke, for example, are three times ...

  2. Atopic dermatitis in adolescence

    Directory of Open Access Journals (Sweden)

    Giampaolo Ricci


    Full Text Available Atopic dermatitis (AD is a chronic inflammatory skin disorder that typically occurs during childhood especially in the first year of life, with a variable frequency from 10% to 30%. Recent studies have shown that in Europe among 10-20% of children with AD suffer from this disorder also in adolescence. AD is a chronic inflammatory skin disease with a typical onset in the first years of life and with a 10- 30% prevalence among young children. AD prevalence in adolescence has been estimated around 5-15% in European countries. AD persists from childhood through adolescence in around 40% of cases and some risk factors have been identified: female sex, sensitization to inhalant and food allergens, allergic asthma and/or rhinoconjunctivitis, the practice of certain jobs. During adolescence, AD mainly appears on the face and neck, often associated with overinfection by Malassezia, and on the palms and soles. AD persistence during adolescence is correlated with psychological diseases such as anxiety; moreover, adolescents affected by AD might have problems in the relationship with their peers. Stress and the psychological problems represent a serious burden for adolescents with AD and cause a significant worsening of the patients’ quality of life (QoL. The pharmacological treatment is similar to other age groups. Educational and psychological approaches should be considered in the most severe cases.

  3. Tendencies of extreme values on rainfall and temperature and its relationship with teleconnection patterns (United States)

    Taboada, J. J.; Cabrejo, A.; Guarin, D.; Ramos, A. M.


    It is now very well established that yearly averaged temperatures are increasing due to anthropogenic climate change. In the area of Galicia (NW Spain) this trend has also been determined. Rainfall does not show a clear tendency in its yearly accumulated values. The aim of this work is to study different extreme indices of rainfall and temperatures analysing variability and possible trends associated to climate change. Station data for the study was provided by the CLIMA database of the regional government of Galicia (NW Spain). The definition of the extreme indices was taken from the joint CCl/CLIVAR/JCOMM Expert Team (ET) on Climate Change Detection and Indices (ETCCDI) This group has defined a set of standard extreme values to simplify intercomparison of data from different regions of the world. For the temperatures in the period 1960-2006, results show a significant increase of the number of days with maximum temperatures above the 90th percentile. Furthermore, a significant decrease of the days with maximum temperatures below the 10th percentile has been found. The tendencies of minimum temperatures are reverse: fewer nights with minimum temperatures below 10th percentile, and more with minimum temperatures above 90th percentile. Those tendencies can be observed all over the year, but are more pronounced in summer. This trend is expected to continue in the next decades because of anthropogenic climate change. We have also calculated the relationship between the above mentioned extreme values and different teleconnection patterns appearing in the North Atlantic area. Results show that local tendencies are associated with trends of EA (Eastern Atlantic) and SCA (Scandinavian) patterns. NAO (North Atlantic Oscillation) has also some relationship with these tendencies, but only related with cold days and nights in winter. Rainfall index do not show any clear tendency on the annual scale. Nevertheless, the count of days when precipitation is greater than 20mm (R20

  4. Music Therapy with Adolescents

    Directory of Open Access Journals (Sweden)

    Jukko Tervo


    Full Text Available The therapeutic community described in this paper was situated at the University of Oulu Central Hospital Department of Psychiatry, Finland, during the years 1979-1989. The ward consisted of eight beds, four for boys and four for girls. The basic emphasis in the treatment was laid on psychoanalytic psychotherapy and music and art therapies suitable for the stage of adolescent development. Adolescent community therapy (psychoanalytic psychotherapy, music therapy, art therapy, special school etc. creates an environment which supports individual growth of the adolescent and youth culture. This, in turn, simultaneously supports psychotherapy.

  5. Values as Protective Factors against Violent Behavior in Jewish and Arab High Schools in Israel (United States)

    Knafo, Ariel; Daniel, Ella; Khoury-Kassabri, Mona


    This study tested the hypothesis that values, abstract goals serving as guiding life principles, become relatively important predictors of adolescents' self-reported violent behavior in school environments in which violence is relatively common. The study employed a students-nested-in-schools design. Arab and Jewish adolescents (N = 907, M age =…

  6. Neuron-specific enolase: reference values in cord blood. (United States)

    Kintzel, K; Sonntag, J; Strauss, E; Obladen, M


    With foetal sonography prenatal detection of tumours has become more frequent. To evaluate and treat these infants it is necessary to identify the tumour postnatally. Elevated neuron-specific enolase is a biochemical marker of neuroblastoma. Since conditions during birth may influence neuron-specific enolase concentration in foetal serum, specific reference values in cord blood are required. Cord blood samples were taken from 192 healthy term newborns and concentration of neuron-specific enolase was measured by enzyme immunoassay (EIA). Median neuron-specific enolase concentration in the reference group was 8.0 micrograms/l and the 5th-95th percentiles were 4.8-19.4 micrograms/l. No differences between male and female newborns were detected (p = 0.13). Measurement of neuron-specific enolase in cord blood, in comparison with our reference values, offers an early postnatal possibility of confirming the diagnosis of neuroblastoma.

  7. Assessing Eating Disorder Symptoms in Adolescence: Is There a Role for Multiple Informants? (United States)

    Swanson, SA; Aloisio, KM; Horton, NJ; Sonneville, KR; Crosby, RD; Eddy, KT; Field, AE; Micali, N


    Objectives Epidemiologic studies of adolescent psychiatric disorders often collect information from adolescents and parents, yet most eating disorder epidemiologic studies rely only on adolescent report. Methods We studied the eating disorder symptom reports provided by 7,968 adolescents from the Avon Longitudinal Study of Parents and Children (ALSPAC), and their parents, who were sent questionnaires at participants’ ages 14 and 16 years. Both adolescents and parents were asked questions about the adolescent's eating disorder symptoms, including binge eating, vomiting, laxative use, fasting, and thinness. We assessed the concordance of parent and adolescent report cross-sectionally using kappa coefficients, and further looked at how the symptom reports were predictive of adolescent body mass and composition measured at a clinical assessment at 17.5 years. Generalized estimating equations were used to model the symptom reports’ associations with risk factors and clinical outcomes. Results Parents and adolescents were largely discordant on symptom reports cross-sectionally (kappas<0.3), with the parent generally less likely to report bulimic symptoms than the adolescent but more likely to report thinness. Female adolescents were more likely to report bulimic symptoms than males (e.g., 2-4 times more likely to report binge eating), while prevalence estimates according to parent reports of female vs. male adolescents were similar. Both parent and adolescent symptom reports at ages 14 and 16 years were predictive of age-17.5 body mass and composition measures; parentally-reported binge eating was more strongly predictive of higher body mass and composition. Discussion Parent report of eating disorder symptoms seemed to measure different, but potentially important, aspects of these symptoms during adolescence. Epidemiologic eating disorder studies should consider the potential value added from incorporating parental reports. In particular, studies of male eating

  8. Adolescent Egocentrism in Early and Late Adolescence. (United States)

    Enright, Robert D.; And Others


    To assess adolescent egocentrism-sociocentrism, an instrument was devised to measure Elkind's constructs (the imaginary audience, the personal fable, and general self-absorption), plus nonsocial focuses and political focuses. Subjects were ten males and ten females each from three age groups: sixth-grade, eighth-grade, and college. (Author/SJL)

  9. [Adolescence and choice of contraceptive]. (United States)

    Theunissen, L


    The majority of books, studies, and publications on adolescence are written by adults, whose frequent focus on unbridled adolescent sexuality, adolescents in crisis, or immature adolescents does not seem to correspond to the self-image of adolescents. All authors agree that adolescence is the period between childhood and adulthood beginning at puberty, but opinions differ as to the termination of adolescence and entrance into adulthood. The most significant consensus about adolescence is its tendency to become prolonged. The majority of authors regard adolescence as a preparation for adult life and hence as a natural phase necessary and indispensable to human existence. Ethnographic studies of societies that do not acknowledge adolescence demonstrate, however, that it is not a natural phase. It is also evident that comparatively few roles in modern society require lengthy periods of preparation such as adolescence. It is therefore difficult to regard adolescence as a time of preparation for adult life. From a historic perspective, adolescence emerged with the socioeconomic transformations of industrialization. Mechanization and automation excluded numerous types of workers, especially young workers, from the labor force. Adolescence represents marginalization of young people in response to socioeconomic exigencies rather than a period of preparation for a better adult life. The marginalization is internalized in the consciousness of adults and youth alike and in their hierarchical relations. The marginalization of young people is expressed in the domain of sexuality by the fact that, although physiologically mature, adolescents are not viewed as psychologically mature enough to have children. Adolescents have sexual relations at increasingly young ages, but unlike adults they are not permitted by society the choice of having a child. Contraception, an option for adults, becomes obligatory for sexually active adolescents. The refusal of contraception or failure to

  10. Body Mass-Related Predictors of the Female Athlete Triad Among Adolescent Athletes. (United States)

    Thralls, Katie J; Nichols, Jeanne F; Barrack, Michelle T; Kern, Mark; Rauh, Mitchell J


    Early detection of the female athlete triad is essential for the long-term health of adolescent female athletes. The purpose of this study was to assess relationships between common anthropometric markers (ideal body weight [IBW] via the Hamwi formula, youth-percentile body mass index [BMI], adult BMI categories, and body fat percentage [BF%]) and triad components, (low energy availability [EA], measured by dietary restraint [DR], menstrual dysfunction [MD], low bone mineral density [BMD]). In the sample (n = 320) of adolescent female athletes (age 15.9± 1.2 y), Spearman's rho correlations and multiple logistic regression analyses evaluated associations between anthropometric clinical cutoffs and triad components. All underweight categories for the anthropometric measures predicted greater likelihood of MD and low BMD. Athletes with an IBW >85% were nearly 4 times more likely to report MD (OR = 3.7, 95% CI [1.8, 7.9]) and had low BMD (OR = 4.1, 95% CI [1.2, 14.2]). Those in Athletes with a high BF% were almost 3 times more likely to report DR (OR = 2.8, 95% CI [1.4, 6.1]). Our study indicates that low age-adjusted BMI and low IBW may serve as evidence-based clinical indicators that may be practically evaluated in the field, predicting MD and low BMD in adolescents. These measures should be tested for their ability as tools to minimize the risk for the triad.

  11. Social, dietary and lifestyle factors associated with obesity among Bahraini adolescents. (United States)

    Musaiger, Abdulrahman O; Al-Roomi, Khaldoon; Bader, Zahra


    The main purpose of this study was to explore some of the social, dietary and lifestyle factors that could be related to the risk of obesity among adolescents in Bahrain. A multistage stratified method was used to select secondary school students (15-18years old) from governmental schools in Bahrain. The total sample selected was 735 (339 males and 396 females). A pre-validated self-report questionnaire was used to obtain information on socio-demographics, food and the lifestyle habits of adolescents. Weight and height were taken and percentiles of Body Mass Index for age and gender were used to classify the adolescents as non-obese and obese (overweight and obese), using NHANES-1 growth standard. In general, the prevalence of overweight and obesity was 29.5% and 36.8% among males and females, respectively. The risk of obesity was not consistent among male and female adolescents. Mothers' education was found to be a risk factor for obesity among both males and females (p=0.0167 and p=0.007, respectively). Bringing food from home to school (odds ratio (OR)=0.54, confidence interval (CI) 0.35-0.81) was protective factor for obesity among females but not among males. Fathers' education (p=0.0167), rank among siblings (p=0.009), place where breakfast is eaten (p=0.0398), eating between lunch and dinner (p=0.0152), fruit intake (p=0.042), sweet intake (p=0.0192), size of burger (p=0.002) and hours of watching television per day (p=0.004) were significantly associated with the risk of obesity among males, but not among females. Various social, dietary and lifestyle factors were found to contribute to obesity among adolescents in Bahrain. These factors should be considered in school health policy in the country.

  12. Nutritional status, dietary intake, and relevant knowledge of adolescent girls in rural Bangladesh. (United States)

    Alam, Nurul; Roy, Swapan Kumar; Ahmed, Tahmeed; Ahmed, A M Shamsir


    This study estimated the levels and differentials in nutritional status and dietary intake and relevant knowledge of adolescent girls in rural Bangladesh using data from the Baseline Survey 2004 of the National Nutrition Programme. A stratified two-stage random cluster-sampling was used for selecting 4,993 unmarried adolescent girls aged 13-18 years in 708 rural clusters. Female interviewers visited girls at home to record their education, occupation, dietary knowledge, seven-day food-frequency, intake of iron and folic acid, morbidity, weight, and height. They inquired mothers about age of their daughters and possessions of durable assets to divide households into asset quintiles. Results revealed that 26% of the girls were thin, with body mass index (BMI)-for-age 95th percentile), and 32% stunted (height-for-age food items in the last week were less frequent and correlated well positively with the household asset quintile. Girls of the highest asset quintile ate fish/meat 2.1 (55%) days more and egg/milk two (91%) days more than the girls in the lowest asset quintile. The overall dietary knowledge was low. More than half could not name the main food sources of energy and protein, and 36% were not aware of the importance of taking extra nutrients during adolescence for growth spurt. The use of iron supplement was 21% in nutrition-intervention areas compared to 8% in non-intervention areas. Factors associated with the increased use of iron supplements were related to awareness of the girls about extra nutrients and their access to mass media and education. Community-based adolescent-friendly health and nutrition education and services and economic development may improve the overall health and nutritional knowledge and status of adolescents.

  13. Rural female adolescence: Indian scenario. (United States)

    Kumari, R


    This article describes the life conditions of female adolescents in India and issues such as health, discrimination in nutrition and literacy, child labor, early marriage, juvenile delinquency, and violence against girls in rural areas of India. Data are obtained from interview samples conducted among 12 villages in north India. Female adolescents suffer from a variety of poverty-ridden village life conditions: caste oppression, lack of facilities, malnutrition, educational backwardness, early marriage, domestic burden, and gender neglect. Girls carry a heavy work burden. Adolescence in rural areas is marked by the onset of puberty and the thrust into adulthood. Girls have no independent authority to control their sexuality or reproduction. Girls are expected to get married and produce children. Control of female sexuality is shifted from the father to the husband. There is a strong push to marry girls soon after menstruation, due to the burden of imposing strict restrictions on female sexuality, the desire to reduce the burden of financial support, and the need to ensure social security for daughters. Girls may not go out alone or stay outside after dark. Many rural parents fear that education and freedom would ruin their daughter. Girls develop a low self-image. Rural villages have poor sanitation, toilet facilities, and drainage systems. Girls are ignorant of health and sex education and lack access to education. The neglect of female children includes malnutrition, sex bias, and early marriage. In 1981, almost 4 out of every 100 girls had to work. 5.527 million girls 5-14 years old were child laborers. Girls are veiled, footbound, circumcised, and burnt by dowry hungry in-laws. Female delinquents are subjected to sexual harassment and sometime to sexual abuse while in custody. Cows are treated better in rural India than women. Gender disparity is caused by the perpetuation of patriarchal masculine values.

  14. Family Relationships and Adolescent Development in Japan: A Family-Systems Perspective on the Japanese Family. (United States)

    Gjerde, Per F.; Shimizu, Hiroshi


    Tested a triple-interaction hypothesis predicting problems of adolescent adjustment. Data obtained from Japanese 14-year-olds, parents, and teachers provided measures of parent-adolescent cohesion, parent socialization values, and 4 personality clusters. Found that lowest Resilient Impulse Control and Interpersonal Warmth scores were obtained for…

  15. Are Avid Readers Lurking in Your Language Arts Classroom? Myths of the Avid Adolescent Reader (United States)

    Wilson, Nance S.; Kelley, Michelle J.


    This article describes a pilot study conducted with 10 identified avid adolescent readers who completed the Adolescent Motivation to Read Profile (AMRP) (Pitcher, Albright, DeLaney, Walker, Seunarienesingh, & Moggie, 2007) that includes both a survey to determine students' self-concept and value of reading and an interview that sheds light on what…

  16. Adolescent Peer Relations and Socioemotional Development in Latin America: Translating International Theory into Local Research (United States)

    Berger, Christian; Lisboa, Carolina; Cuadros, Olga; de Tezanos-Pinto, Pablo


    Peer relations constitute a main developmental context for adolescents. Peers offer an instance for identity definition and set the norms of acceptable and valued characteristics, behaviors, and attitudes, representing a societal model that allows and restrains avenues for adolescents' socioemotional development. The present article departs from…

  17. Physiological and public health basis for assessing micronutrient requirements in children and adolescents. The EURRECA network

    NARCIS (Netherlands)

    Iglesia, I.; Doets, E.L.; Bel-Serrat, S.; Roman, B.; Hermoso, M.; Quintana, X.; Rosario Garcia-Luzardo, Del M.; Santana-Salguero, B.; Garcia-Santos, Y.; Vucic, V.; Frost Andersen, L.; Perez-Rodrigo, C.; Aranceta, J.; Cavelaars, A.J.E.M.; Decsi, T.; Serra-Majem, L.; Gurinovic, M.; Cetin, I.; Koletzko, B.; Moreno, L.A.


    This paper provides an overview of the current knowledge relating to the nutritional requirements and corresponding recommended nutrient intake values of children and adolescents for micronutrients and specificities related to these requirements in the course of childhood and adolescence in Europe.

  18. Being in "Bad" Company: Power Dependence and Status in Adolescent Susceptibility to Peer Influence (United States)

    Vargas, Robert


    Theories of susceptibility to peer influence have centered on the idea that lower status adolescents are likely to adopt the behaviors of high status adolescents. While status is important, social exchange theorists have shown the value of analyzing exchange relations between actors to understand differences in power. To build on status-based…

  19. Beyond Quantitative Decline: Conceptual Shifts in Adolescents' Development of Interest in Mathematics (United States)

    Frenzel, Anne C.; Pekrun, Reinhard; Dicke, Anna-Lena; Goetz, Thomas


    Research has shown that the average values for academic interest decrease during adolescence. Looking beyond such quantitative decline, we explored qualitative change of interest in the domain of mathematics across adolescence. Study 1 was based on a longitudinal data set (annual assessments from Grade 5 to Grade 9; N = 3,193). Latent variable…

  20. Trajectories of Educational Expectations from Adolescence to Young Adulthood in Finland (United States)

    Tynkkynen, Lotta; Tolvanen, Asko; Salmela-Aro, Katariina


    The purpose of this person-oriented, 5-wave longitudinal study was to examine the trajectories of educational expectations from adolescence to young adulthood in the context of the expectancy-value theory (Eccles et al., 1983). Altogether, 853 (48% female; M age = 16 years) Finnish adolescents reported their educational expectation, 1st in the…

  1. Antecedents of the Male Adolescent Identity Crisis: Age, Grade, and Physical Development (United States)

    Jones, Randall M.; Dick, Andrew J.; Coyl-Shepherd, Diana D.; Ogletree, Mark


    Erikson (1950) contends that the physical changes associated with puberty serve as a catalyst for adolescents to question childhood identifications and to consolidate these with current self-conceptions, personal ideologies, interpersonal values, and future aspirations. Erikson describes the adolescent identity crisis as the developmental period…

  2. To be an immigrant: a risk factor for developing overweight and obesity during childhood and adolescence? (United States)

    Kirchengast, Sylvia; Schober, Edith


    Childhood overweight and obesity, especially among migrant children, are current health problems in several European countries. In the present study the prevalence of overweight and obesity among migrant children from Turkey and the former Yugoslavia was documented and compared with that of Austrian children in Vienna. Anthropometric data from 1,786 children were collected at the ages of 6, 10 and 15 years. Body mass was estimated by means of the body mass index and percentile curves were used to determine weight status. The prevalence of overweight and obesity was found to be significantly higher among migrant children. Children and adolescents from the former Yugoslavia and Turkish girls exhibited especially high rates of overweight and obesity. Biosocial and cultural factors are discussed as causes of these observations.

  3. Abortion in adolescence. (United States)

    Greydanus, D E; Railsback, L D


    This article reviews the difficult but complex subject of abortion in adolescents. Methods of abortion are outlined and additional aspects are presented: psychological effects, counseling issues, and legal parameters. It is our conclusion that intense efforts should be aimed at education of youth about sexuality and prevention of pregnancy, utilizing appropriate contraceptive services. When confronted with a youth having an unwanted pregnancy, all legal options need to be carefully explored: delivery, adoption, or abortion. The decision belongs to the youth and important individuals in her environment. Understanding developmental aspects of adolescence will help the clinician deal with the pregnant teenagers. If abortion is selected, a first trimester procedure is best. Finally, physicians are urged to be aware of the specific, ever changing legal dynamics concerning this subject which are present in their states. Abortion is a phenomenon which has become an emotional but undeniably important aspect of adolescent sexuality and adolescent health care, in this country and around the world.

  4. Comparison of Overweight and Obese Military-Dependent and Civilian Adolescent Girls with Loss-of-Control Eating (United States)

    Schvey, Natasha A.; Sbrocco, Tracy; Stephens, Mark; Bryant, Edny J.; Ress, Rachel; Spieker, Elena A.; Conforte, Allison; Bakalar, Jennifer L.; Pickworth, Courtney K.; Barmine, Marissa; Klein, David; Brady, Sheila M.; Yanovski, Jack A.; Tanofsky-Kraff, Marian


    Objective Limited data suggest that the children of U.S. service members may be at increased risk for disordered-eating. To date, no study has directly compared adolescent military-dependents to their civilian peers along measures of eating pathology and associated correlates. We, therefore, compared overweight and obese adolescent female military-dependents to their civilian counterparts along measures of eating-related pathology and psychosocial functioning. Method Adolescent females with a BMI between the 85th and 97th percentiles and who reported loss-of-control eating completed interview and questionnaire assessments of eating-related and general psychopathology. Results 23 military-dependents and 105 civilians participated. Controlling for age, race, and BMI-z, military-dependents reported significantly more binge episodes per month (p<.01), as well as greater eating-concern, shape-concern, and weight-concern (p’s<.01) than civilians. Military-dependents also reported more severe depression (p<.05). Discussion Adolescent female military-dependents may be particularly vulnerable to disordered-eating compared to civilian peers. This potential vulnerability should be considered when assessing military-dependents. PMID:25955761

  5. Association of Race/Ethnicity, Socioeconomic Status, Acculturation, and Environmental Factors with Risk of Overweight Among Adolescents in California, 2003

    Directory of Open Access Journals (Sweden)

    Joel Gittelsohn, PhD


    Full Text Available IntroductionLittle has been published about racial/ethnic differences in the prevalence of overweight among adolescents that accounts in detail for socioeconomic status, acculturation, and behavioral and environmental factors. Increased understanding of factors associated with overweight can provide a rational basis for developing interventions to address the obesity epidemic in the United States.MethodsUsing a cross-sectional analysis of data from adolescents who participated in the California Health Interview Survey 2003, we estimated the prevalence of overweight and at risk of overweight, combined as a single measure (AROW, body mass index ≥85th percentile. We used logistic regression models to examine associations between AROW and risk factors.ResultsTwenty-nine percent of California adolescents were AROW. The prevalence of AROW differed significantly by sex and race. Boys were more likely than girls to be AROW (33% vs 25%. American Indians/Pacific Islanders/others (39% were at highest risk, followed by Hispanics (37%, blacks (35%, whites (23%, and Asians (15%. For boys, older age, Hispanic or American Indian/Pacific Islander/other race/ethnicity, lower education of parents, and longer residence in the United States were significantly associated with AROW. For girls, Hispanic or black race/ethnicity, lower education of parents, and poor dietary habits were significantly associated with AROW.ConclusionThe high prevalence of AROW among California adolescents in most racial/ethnic groups indicates the need for culturally specific and appropriate interventions to prevent and treat overweight.

  6. The role of anorexigenic and orexigenic neuropeptides and peripheral signals on quartiles of weight loss in obese adolescents. (United States)

    Oyama, Lila Missae; do Nascimento, Claudia Maria Oller; Carnier, June; de Piano, Aline; Tock, Lian; Sanches, Priscila de Lima; Gomes, Fabíola Alvise Corrêa; Tufik, Sergio; de Mello, Marco Túlio; Dâmaso, Ana R


    Obesity is characterized as an inflammatory state associated with a modification in the pattern of adipokine secretion. The present study aimed to assess the role of anorexigenic and orexigenic neuropeptides and peripheral signals in obese adolescents submitted to 1 year of weight loss interdisciplinary therapy and grouped according to quartiles of weight loss. A total of 111 post-puberty adolescents, with a BMI >95th percentile, were included. Glycemia and lipid profiles were analyzed. Insulin resistance was estimated by HOMA-IR. Cytokine concentrations were measured by ELISA. The results are presented according to quartiles of weight loss: 1st (14 kg)=massive. The most important finding was that the NPY concentration increased significantly only in the first phase of weight loss. Moreover, α-MSH variation was an independent factor in explaining the NPY changes during the intervention, confirming the role of the α-MSH concentration in the peripheral control of energy balance in obese adolescents. Indeed, BMI reduction was correlated with increased α-MSH (p<0.05). Massive weight loss promoted a significant increase in α-MSH concentration, and hyperleptinemia was reduced after intervention. All together, our findings, which contribute to our understanding of how orexigenic and anorexigenic systems are regulated by weight loss, will provide insight into the pathogenesis and treatment of obesity and other metabolic diseases, especially in obese adolescents.

  7. Chinese Adolescents' Influence on Family Decision Making


    He, Shushi


    The purpose of this study is to investigate Chinese adolescents' influence on family decision making regarding on the effect of children's characteristics including academic performance, product knowledge and financial saving. The concept of value alignment is initially introduced to the family decision making since it greatly concerns on the Chinese culture. It is assumed that China's only children would have more influence on the decision making of high-end electronic goods when they align ...

  8. Character strenghts and sex differences in adolescents


    Sara Reyes Martín; Marta Ferragut


    This study analysed the association between character strengths and happiness and global health in adolescents by gender. The participants comprised 117 high-school students (μ =16.90, σ =.81) from Málaga (Spain). All participants completed the Values in Action 120-Items Questionnaire (VIA-120), the 12-Item General Health Questionnaire (GHQ-12), and the Happiness Item. The results showed higher levels of character strengths and lower levels of temperance and religiousness in the h...

  9. The Effects of Fructose-Containing Sugars on Weight, Body Composition and Cardiometabolic Risk Factors When Consumed at up to the 90th Percentile Population Consumption Level for Fructose

    Directory of Open Access Journals (Sweden)

    Joshua Lowndes


    Full Text Available The American Heart Association (AHA and World Health Organization (WHO have recommended restricting calories from added sugars at lower levels than the Institute of Medicine (IOM recommendations, which are incorporated in the Dietary Guidelines for Americans 2010 (DGAs 2010. Sucrose (SUC and high fructose corn syrup (HFCS have been singled out for particular concern, because of their fructose content, which has been specifically implicated for its atherogenic potential and possible role in elevating blood pressure through uric acid-mediated endothelial dysfunction. This study explored the effects when these sugars are consumed at typical population levels up to the 90th percentile population consumption level for fructose. Three hundred fifty five overweight or obese individuals aged 20–60 years old were placed on a eucaloric diet for 10 weeks, which incorporated SUC- or HFCS-sweetened, low-fat milk at 8%, 18% or 30% of calories. There was a slight change in body weight in the entire cohort (169.1 ± 30.6 vs. 171.6 ± 31.8 lbs, p < 0.01, a decrease in HDL (52.9 ± 12.2 vs. 52.0 ± 13.9 mg/dL, p < 0.05 and an increase in triglycerides (104.1 ± 51.8 vs. 114.1 ± 64.7 mg/dL, p < 0.001. However, total cholesterol (183.5 ± 42.8 vs. 184.4 mg/dL, p > 0.05, LDL (110.3 ± 32.0 vs. 110.5 ± 38.9 mg/dL, p > 0.05, SBP (109.4 ± 10.9 vs. 108.3 ± 10.9 mmHg, p > 0.05 and DBP (72.1 ± 8.0 vs. 71.3 ± 8.0 mmHg, p > 0.05 were all unchanged. In no instance did the amount or type of sugar consumed affect the response to the intervention (interaction p > 0.05. These data suggest that: (1 when consumed as part of a normal diet, common fructose-containing sugars do not raise blood pressure, even when consumed at the 90th percentile population consumption level for fructose (five times the upper level recommended by the AHA and three times the upper level recommended by WHO; (2 changes in the lipid profile are mixed, but modest.

  10. Sexting among peruvian adolescents


    West, Joshua H.; Lister, Cameron E; Hall, P Cougar; Crookston, Benjamin T; Snow, Paola Rivera; Zvietcovich, Maria Elena; West, Richard P


    Background Sexting (sexual messaging via mobile devices) among adolescents may result in increased risky sexual practices, psychological distress and in some cases, suicide. There is very little research on sexting in developing nations, such as Peru. In particular, little is known about gender differences in the correlates of sexting. The purpose of this study was to determine the sexting prevalence and correlates of sexting among adolescent boys and girls in Cusco, Peru. Methods The study s...

  11. Adolescents sexual practices


    Frias, Ana; Chora, Antónia


    Introduction: If teens options are experimenting sexualized practices, we should facilitate their knowledge, make them aware of their choices and help them living their sexuality in a safer mode. Objectives: To identify adolescents sexual practices; characterize the attitudes of teenagers against the use of contraception. Methods: quantitative research with exploratory nature. We studied a convenience sample of 301 adolescents of both sexes whitch attend the 9th grade. Sexual practices and a...

  12. Implants in adolescents. (United States)

    Shah, Rohit A; Mitra, Dipika K; Rodrigues, Silvia V; Pathare, Pragalbha N; Podar, Rajesh S; Vijayakar, Harshad N


    Implants have gained tremendous popularity as a treatment modality for replacement of missing teeth in adults. There is extensive research present on the use of implants in adults, but there is a dearth of data available on the same in adolescents. The treatment planning and execution of implant placement in adolescents is still in its infancy. This review article is an attempt to bring together available literature.

  13. Implants in adolescents

    Directory of Open Access Journals (Sweden)

    Rohit A Shah


    Full Text Available Implants have gained tremendous popularity as a treatment modality for replacement of missing teeth in adults. There is extensive research present on the use of implants in adults, but there is a dearth of data available on the same in adolescents. The treatment planning and execution of implant placement in adolescents is still in its infancy. This review article is an attempt to bring together available literature.

  14. Adolescent fertility: worldwide concerns. (United States)

    Senderowitz, J; Paxman, J M


    There is growing concern over the adverse health, social, economic, and demographic effects of adolescent fertility. Morbidity and mortality rates ar significantly higher for teenage mothers and their infants, and early initiation of childbearing generally means truncated education, lower future family income, and larger completed family size. Adolescent fertility rates, which largely reflect marriage patterns, range from 4/1000 in Mauritania; in sub-Saharan Africa, virtually all rates are over 100. In most countries, adolescent fertility rates are declining due to rising age at marriage, increased educational and economic opportunities for young women, changes in social customs, increased use of contraception, and access to abortion. However, even if fertility rates were to decline dramatically among adolescent women in developing countries, their sheer numbers imply that their fertility will have a major impact on world population growth in the years ahead. The number of women in the world ages 15-19 years is expected to increase from 245 million in 1985 to over 320 million in the years 2020; 82% of these women live in developing countries. As a result of more and earlier premarital sexual activity, fostered by the lengthening gap between puberty and marriage, diminished parental and social controls, and increasing peer and media pressure to be sexually active, abortion and out-of-wedlock childbearing are increasing among teenagers in many developed and rapidly urbanizing developing countries. Laws and policies regarding sex education in the schools and access to family planning services by adolescents can either inhibit or support efforts to reduce adolescent fertility. Since contraceptive use is often sporadic and ineffective among adolescents, family planning services are crucial. Such programs should aim to reduce adolescents' dependence on abortion through preventive measures and increase awareness of the benefits of delayed sexual activity. Similarly, sex

  15. Adolescent and parent perceptions of media influence on adolescent sexuality. (United States)

    Werner-Wilson, Ronald Jay; Fitzharris, Jennifer Lynn; Morrissey, Kathleen M


    Empirical evidence suggests that television and other media influence adolescents' attitudes and behaviors. Much of the research in this area is based on surveys in which adolescents are asked to rank the relative importance of a fixed set of factors such as parents, peers, and media. We reviewed data from focus groups conducted with adolescents and their parents to examine the extent to which adolescents identify--without prompting--media as a source of influence on sexual behavior. Adolescents seemed indifferent to media influence (e.g., media influence was mentioned in only one adolescent focus group), but their parents expressed significant concern about media influence. Future research should investigate the extent to which influences exist outside of adolescents' consciousness. For now, parents and sexuality educators may need to convince adolescents that concerns about the media are valid before trying to change media-influenced behavior.

  16. An exploration of adolescent snacking conventions and dilemmas

    DEFF Research Database (Denmark)

    Bech-Larsen, Tino; Jensen, Birger Boutrup; Pedersen, Susanne


    and to explore adolescent perceptions of the potential conventions and dilemmas involved in snacking. Design/methodology/approach – Referring to previous research in food choice dilemmas and conventions, the paper starts out by discussing potential implications for adolescent snacking in different social......Purpose – Snacking has been characterized as normatively unrestricted and identified as one of the main causes of adolescent obesity. The purpose of this paper is not to question the relation between obesity and snacking, but to ask to which extent adolescent snacking is socially unrestricted...... is both unwarranted and counterproductive to the understanding – and subsequently the mitigation – of the relation between snacking and obesity. Originality/value – Apart from falsifying the classification of snacking as unrestricted of social norms, the study contributes by devising a focus group design...

  17. Understanding overweight adolescents' beliefs using the theory of planned behaviour. (United States)

    Rhoades, Debra R; Kridli, Suha Al-Oballi; Penprase, Barbara


    This qualitative inquiry examined adolescents' experiences surrounding their beliefs towards being overweight. The purpose of this qualitative study was to understand behavioural, normative and control beliefs of overweight adolescents regarding losing weight, exercising and eating healthy. Purposive sampling was used to obtain 10 overweight adolescents between the ages of 13 and 19. The theory of planned behaviour was used as a theoretical framework for this study. An interview guide based on the Theory of Planned was used to conduct individual semistructured interviews. Content analysis showed that overweight adolescents exhibited positive attitudes in dealing with their weight status and valued their family's support and guidance in helping control their weight. Although friends were important to facilitate regular exercise, families, particularly mothers, were crucial in addressing healthy eating habits. Understanding the subtleties and complexities of living with childhood overweight might assist health professionals in creating more effective and developmentally sensitive interventions.

  18. Estudo radiológico do valor angular da cifose torácica em adolescentes Estudio radiológico del valor angular de la cifosis torácica en adolescentes Radiological study of the angular value of thoracic kyphosis in adolescents

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    Juan Javier Moreira Moreira


    diferentes niveles fue de 45º (T2-T12 y 35º (T5-T12 en el sexo masculino, y valor angular de 43º (T2-T12 y 30º (T5-T12 en el sexo femenino. CONCLUSIÓN: fue observada una diferencia constante de aproximadamente 5º cuando los valores angulares de la cifosis torácica fueron comparados, usando diferentes niveles (T2 a T5 como vértebra terminal craneal.OBJECTIVE: to determine the difference of the thoracic kyphosis angular values using different levels (T2 a T5 as a terminal cranial vertebra. METHODS: sagittal radiographies of one hundred healthy adolescent volunteers, who study at Escola Industrial do Serviço Social da Indústria (SESI in Ribeirão Preto SP, were evaluated the sagittal radiographies of one hundred health volunteers adolescent, that studies at Escola Industrial do SESI in Ribeirão Preto (SP, with parents consent. Ten adolescents were excluded because of flaws in the quality. The studied parameters were: the measurement of thoracic kyphosis by the Cobb method, using T2, T3, T4, T5 as a terminal proximal vertebra and T12 as a distal final vertebra. RESULTS: Ninety individuals (46 men and 44 women, aged from 13 to 15 (average of 14±6, were evaluated. The angular value of thoracic kyphosis in the different levels varied from 46º (T2 - T12 to 35º (T5 - T12 in men, and from 44º (T2- T12 to 30º (T5 - T12 in women. CONCLUSION: A constant difference of approximately 5º was observed when comparing the angular values of thoracic kyphosis using different levels (T2 - T5 as a terminal cranial vertebra.

  19. A Longitudinal Examination of Support, Self-esteem, and Mexican-origin Adolescent Mothers' Parenting Efficacy. (United States)

    Umaña-Taylor, Adriana J; Guimond, Amy B; Updegraff, Kimberly A; Jahromi, Laudan


    Guided by a risk and resilience framework, this study used a prospective longitudinal, multiple-reporter design to examine how social support from a mother figure during pregnancy interacted with Mexican-origin adolescent mothers' self-esteem to inform their parenting efficacy when their children were 10 months old. Using reports of perceived social support by adolescent mothers (Mage = 16.24, SD =099) and their mother figures (Mage = 40.84, SD = 7.04) in 205 dyads, and controlling for demographic factors (i.e., adolescent age, adolescent nativity, family income, mothers' educational attainment, adolescent-mother coresidence) and adolescents' social support from a significant other, findings indicated that social support during pregnancy was positively associated with adolescent mothers' future parenting efficacy when adolescent mothers had relatively lower self-esteem. Findings were consistent for adolescents' and mothers' reports, and emphasize the value of social support from a mother figure among adolescent mothers with lower self-esteem. Implications for interventions are presented.

  20. Longitudinal Relationships Between Family Functioning and Identity Development in Hispanic Adolescents: Continuity and Change. (United States)

    Schwartz, Seth J; Mason, Craig A; Pantin, Hilda; Szapocznik, José


    The present study was designed to investigate trajectories of identity development and their relationship to family functioning in a sample of Hispanic adolescents and their primary caregivers. Two hundred fifty adolescents completed measures of identity coherence and confusion and of family functioning, and parents completed measures of family functioning. Significant variability over time and across individuals emerged in identity confusion, but not in identity coherence. As a result, the present analyses focused on identity confusion. Changes in adolescent-reported, but not parent-reported, family functioning were significantly related to changes in identity confusion. Follow-up analyses suggested that family functioning primarily influences identity confusion in early adolescence, but that identity confusion begins to exert a reciprocal effect in middle adolescence. Exploratory latent growth mixture modeling (LGMM) analyses produced three classes of adolescents based on their baseline values and change trajectories in identity confusion. The potential for family-strengthening interventions to affect identity development is discussed.

  1. Area Specific Self-Esteem, Values, and Adolescent Substance Use (United States)

    Donnelly, Joseph; Young, Michael; Pearson, Rebecca; Penhollow, Tina M.; Hernandez, Aida


    The use of illicit and licit drugs continues to be a major public health concern. Many prevention and drug education programs address this issue by attempting to enhance self-esteem. The idea is that increased levels of self-esteem will serve as a protective factor in decreasing the motivation and increasing the resistance to use drugs. This study…

  2. Motivational Interviewing and Adolescent Psychopharmacology (United States)

    Dilallo, John J.; Weiss, Gony


    The use of motivational interviewing strategies in the practice of adolescent psychopharmacology is described. Motivational interviewing is an efficient and collaborative style of clinical interaction and this helps adolescent patients to integrate their psychiatric difficulties into a more resilient identity.

  3. Gay, Lesbian and Bisexual Adolescents (United States)

    ... Facts for Families Guide Gay, Lesbian and Bisexual Adolescents No. 63; Updated October 2013 Growing up is a demanding and challenging task for every adolescent. One important aspect is forming one's sexual identity. ...

  4. Psychotherapies for Children and Adolescents (United States)

    ... Facts for Families Guide Psychotherapy for Children and Adolescents: Different Types No. 86; updated February 2017 Psychotherapy ... Therapy (DBT) can be used to treat older adolescents who have chronic suicidal feelings/thoughts, engage in ...

  5. Scoliosis in Children and Adolescents (United States)

    ... Questions and Answers about Scoliosis in Children and Adolescents This publication defines scoliosis and provides information about ... it is diagnosed and treated in children and adolescents. You may be interested in contacting one or ...

  6. Family relations, parents’ educational practices, and Angolan adolescents’ values


    Laura Galiana; Patricia Sancho; Ana María Santos; Melchor Gutiérrez


    The purpose of this study was three-fold. First, to analyze psychometric properties of the instruments used to evaluate the perceived Family relations, Familiar socialization and Angolan adolescents’ Values. Second, to predict the adolescents’ Values based on Family relations and Family socialization.Third, to analyze adolescents’ Values sex differences. For this aim, 917 adolescents (384 males, 533 females) ages 14 to 17 years (M = 15.68; SD = 1.06)completed Portuguese translations of the Fa...

  7. Prevalência de sobrepeso e obesidade em crianças e adolescentes de diferentes condições socioeconômicas Prevalence of overweight and obesity in children and adolescents of different socioeconomic conditions

    Directory of Open Access Journals (Sweden)

    Giselia Alves Pontes da Silva


    Full Text Available OBJETIVOS: comparar as prevalências de sobrepeso e obesidade em um grupo de pré-escolares, escolares e adolescentes de diferentes condições socioeconômicas na cidade do Recife. MÉTODOS: estudo do tipo transversal envolvendo uma amostra de 1616 crianças e adolescentes, escolhida por conveniência. Os indicadores nutricionais foram definidos conforme as recomendações do National Center of Health Statistics 2000, sendo considerado sobrepeso o índice de massa corporal igual ou superior ao percentil 85 e inferior ao percentil 95 e obesidade, o índice de massa corporal igual ou superior ao percentil 95. RESULTADOS: foi identificado sobrepeso em 234 (14,5% indivíduos e obesidade, em 134 (8,3%. A prevalência de sobrepeso foi maior nos pré-escolares (22,2%, observando-se redução progressiva da freqüência nas faixas etárias de escolar (12,9% e adolescente (10,8%. Constatou-se fato idêntico quanto à obesidade, detectada em 13,8% dos pré-escolares, 8,2% dos escolares e 4,9% dos adolescentes. O sobrepeso e a obesidade foram mais observados entre crianças e adolescentes de melhor condição socioeconômica. CONCLUSÕES: as prevalências de sobrepeso e obesidade diminuíram à medida que ocorreu aumento da faixa etária. Entre os pré-escolares observou-se prevalência de sobrepeso semelhante, independente das condições socioeconômicas. A prevalência da obesidade foi maior entre escolares de boas condições socioeconômicas e adolescentes de baixa condição socioeconômica.OBJECTIVES: to compare overweight and obesity in preschool children, school children and adolescents belonging to different socioeconomic conditions. METHODS: cross-sectional and based on a 1616 children and adolescents sample. Nutritional indicators were defined according to the National Center of Health Statistics 2000 recommendations, overweight being BMI equal to or above 85 percentile and below percentile 95; obesity indicator being defined with BMI equal to

  8. Standard and limit values of mandibular condylar and incisal movement capacity. (United States)

    Kordass, B; Bernhardt, O; Ratzmann, A; Hugger, S; Hugger, A


    A clinical functional status was obtained and an instrumental analysis of functional movement patterns of the mandible using the ultrasonic Jaw Motion Analyzer (JMA, Zebris; Isny, Germany) was performed on 259 subjects (100 male, 159 female) who were part of an associated project of the representative population-based Study of Health in Pomerania (SHIP 0). Standardized bilateral "arbitrary" skin points based on anatomical skin references were assumed as posterior reference points in the joint area. The recorded movement patterns were evaluated for condylar movement capacity right and left upon mouth opening (COR and COL, in mm), the incisal right-lateral and left-lateral excursion capacity (IR and IL, in mm), the incisal opening capacity (IO, in mm), and the maximum opening angle (OA, in degrees). For the determination of the standard and limit, the following means were determined with standard deviations and 5th and 95th percentiles: COR 14.52 +/- 4.188 (7.70, 21.40); (33.40; 56.10); OA 32.16 +/- 5.954 (21.40; 41.80). The values for men vs women for IR and for OW and in the age group below 40 years vs 40 years and above for IR were statistically significantly different. Interestingly, the interval between the 5th and 95th percentile in the group with a Helkimo clinical dysfunction index of 1 and approximately the same mean value was significantly greater than in the group with Helkimo 0. Based on this standard and limit values or ranges, individually measured values of functional mandibular movement can be compared and differentiated with respect to hypomobility/limitation ( 95th percentile). This serves to indicate the therapeutic direction for functional treatment to improve the jaw's movement capacity in terms of biomechanical optimization. Objective kinematic measurements can be used for additional documentation of the treatment progress during the treatment course.

  9. The influence of physique on dose conversion coefficients for idealised external photon exposures: a comparison of doses for Chinese male phantoms with 10th, 50th and 90th percentile anthropometric parameters. (United States)

    Lv, Wei; He, Hengda; Liu, Qian


    For evaluating radiation risk, the construction of anthropomorphic computational phantoms with a variety of physiques can help reduce the uncertainty that is due to anatomical variation. In our previous work, three deformable Chinese reference male phantoms with 10th, 50th and 90th percentile body mass indexes and body circumference physiques (DCRM-10, DCRM-50 and DCRM-90) were constructed to represent underweight, normal weight and overweight Chinese adult males, respectively. In the present study, the phantoms were updated by correcting the fat percentage to improve the precision of radiological dosimetry evaluations. The organ dose conversion coefficients for each phantom were calculated and compared for four idealized external photon exposures from 15 keV to 10 MeV, using the Monte Carlo method. The dosimetric results for the three deformable Chinese reference male phantom (DCRM) phantoms indicated that variations in physique can cause as much as a 20% difference in the organ dose conversion coefficients. When the photon energy was physiques. Hence, it is difficult to predict the conversion coefficients of the phantoms from the anthropometric parameters alone. Nevertheless, the complex organ conversion coefficients presented in this report will be helpful for evaluating the radiation risk for large groups of people with various physiques.

  10. HIV status disclosure to perinatally-infected adolescents in Zimbabwe: a qualitative study of adolescent and healthcare worker perspectives.

    Directory of Open Access Journals (Sweden)

    Khameer K Kidia

    Full Text Available Due to the scale up of antiretroviral therapy, increasing numbers of HIV-infected children are living into adolescence. As these children grow and surpass the immediate threat of death, the issue of informing them of their HIV status arises. This study aimed to understand how perinatally-infected adolescents learn about their HIV-status as well as to examine their preferences for the disclosure process.In-depth interviews were conducted with 31 (14 male, 17 female perinatally-infected adolescents aged 16-20 at an HIV clinic in Harare, Zimbabwe, and focused on adolescents' experiences of disclosure. In addition, 15 (1 male, 14 female healthcare workers participated in two focus groups that were centred on healthcare workers' practices surrounding disclosure in the clinic. Purposive sampling was used to recruit participants. A coding frame was developed and major themes were extracted using grounded theory methods.Healthcare workers encouraged caregivers to initiate disclosure in the home environment. However, many adolescents preferred disclosure to take place in the presence of healthcare workers at the clinic because it gave them access to accurate information as well as an environment that made test results seem more credible. Adolescents learned more specific information about living with an HIV-positive status and the meaning of that status from shared experiences among peers at the clinic.HIV-status disclosure to adolescents is distinct from disclosure to younger children and requires tailored, age-appropriate guidelines. Disclosure to this age group in a healthcare setting may help overcome some of the barriers associated with caregivers disclosing in the home environment and make the HIV status seem more credible to an adolescent. The study also highlights the value of peer support among adolescents, which could help reduce the burden of psychosocial care on caregivers and healthcare workers.

  11. Self constructing in adolescence

    Directory of Open Access Journals (Sweden)

    Vranješević Jelena


    Full Text Available The aim of this study was to explore “theories” adolescents have about themselves, i.e. about the changes in the ways they construe themselves in the period of middle adolescence: how they construe changes and estimate them according to some dimensions relevant for change (appreciation of change, its importance, expectancy, timing, comprehensiveness, intensity and visibility in social surroundings. The study was explorative and it was performed on the sample of 96 adolescents aged 15-17 (middle adolescence. Instruments used for the study were: interview and Role Construct Repertory Grid, adjusted to the need of study. The results show that the adolescents’ construct system is highly monolithic and tight in regard to constructs (black and white construing, but at the same time vague and predictively unclear in regard to elements, i. e. the stated changes, meaning that adolescents are not able to construe those changes according to certain constructs. It seems that this study included the beginning of the loosening phase (creativity cycle in which the system is still tight and, therefore, protects from threat and anxiety, while the elements are not predictively (this is what Erikson calls moratorium, i.e. the process of active experimenting. Changes which are fully predictively are those which refer to adults' roles, such as: self confident, experienced, independent and has responsibilities, worries. On the hand, changes which are predictably the most clear to adolescents (and not appreciated are depression and nervousness. Adolescents face an implicative dilemma: positive implications of maturity are not enough, while negative implications, such as nervousness, depression and not trusting people are clear, predictable and negative. This dilemma can be the cause of their ambivalence towards growing-up and accepting the roles of adults.

  12. Eating Disorders in Adolescent Males (United States)

    Ray, Shannon L.


    Research indicates that the primary onset of eating disorders occurs in adolescence and that there is a growing prevalence of adolescent males with eating disorders. This article describes the eating disorders of anorexia nervosa and bulimia nervosa as they relate to adolescent males. Diagnostic criteria, at-risk groups, and implications for…

  13. Rorschach Evaluation of Adolescent Bulimics. (United States)

    Smith, Jane E.; And Others


    Used Rorschach Test to contrast 12 diagnosed female adolescent bulimics with 12 female adolescent controls. Bulimics averaged greater number of aggression responses. Data suggest that adolescent bulimics are more depressed, self-punitive, and negativistic than peers and that they have more disordered thoughts, inaccurate perceptions, and impaired…

  14. Adolescent Pregnancy and Special Education. (United States)

    Anastasiow, Nicholas J.


    The article discusses the complex set of factors involved in the phenomena associated with adolescent pregnancy and child bearing, particularly the young adolescent's risk in bearing and/or rearing a handicapped child. Programs to reduce adolescent pregnancies, teach about child development, and child care procedures are described. (Author/CL)

  15. Anger Communication in Bicultural Adolescents (United States)

    Novin, Sheida; Rieffe, Carolien


    Little is known about bicultural adolescents' emotional competence. The aim of the present study was to examine anger communication by comparing thirty-eight 16-year-old Moroccan-Dutch adolescents with 40 Dutch and 40 Moroccan peers using hypothetical anger-eliciting vignettes. Findings show that although Moroccan and Dutch adolescents were…

  16. Child Maltreatment and Adolescent Development (United States)

    Trickett, Penelope K.; Negriff, Sonya; Ji, Juye; Peckins, Melissa


    Child abuse and neglect, often collectively called child maltreatment, are huge social problems affecting millions of children and adolescents in America. Adolescents are affected both by maltreatment which occurred during childhood with lingering effects and by maltreatment that continues into or begins in adolescence. Several decades of research…

  17. Internalization of values and self-esteem among Brazilian teenagers from authoritative, indulgent, authoritarian, and neglectful homes. (United States)

    Martínez, Isabel; García, José Fernando


    The relation between parenting styles and adolescent outcomes was analyzed in a sample of 1,198 15-18-year-old Brazilians. The adolescents were classified into 1 of 4 groups (Authoritative, Authoritarian, Indulgent, and Neglectful) on the basis of their own ratings of their parents on two dimensions: Acceptance/ Involvement and Strictness/Imposition. The adolescents were then contrasted along two different outcomes: (1) priority given to Schwartz Self-transcendence and Conservation values, and (2) level of Self-esteem (appraised in 5 domains: Academic, Social, Emotional, Family, and Physical). Results showed that Authoritative and Indulgent parenting is associated with the highest internalization of Self-Transcendence and Conservation values of teenagers, whereas Authoritarian parenting is associated with the lowest. On the other hand, adolescents with Indulgent parents have equal or higher levels of Self-esteem than adolescents with Authoritative parents, while adolescents raised in Authoritarian and Neglectful homes have the lowest scores in Self-Esteem.

  18. When faith divides family: religious discord and adolescent reports of parent-child relations. (United States)

    Stokes, Charles E; Regnerus, Mark D


    What happens to family relations when an adolescent and her parent do not share the same religious convictions or practices? Whereas previous work on religion and intergenerational relations looks at relationships between parents and their adult children, we shift the focus to younger families, assessing how parent-child religious discord affects adolescents' evaluation of their relationship with their parents. Exploring data from the National Longitudinal Study of Adolescent Health, we find several interesting patterns of association between religious discord and parent-child relations. Overall, religious discord predicts lower quality intergenerational relations. When parents value religion more than their teens do, adolescents tend to report poorer relations with parents. Relationship quality is not lower, however, when it is the adolescent who values religion more highly. We also find that religious discord is more aggravating in families where parent and child share religious affiliation and in families where the parent is an evangelical Protestant.

  19. The adolescent and contraception. (United States)

    Bonar, R W; Mcculla, D


    Coital activity is often initiated during adolescence, and adolescents, like many adults, do not behave in purely rational ways and frequently fail to protect themselves against undesired pregnancy. Public attention is focused on adolescent pregnancies because of their increasing number and because the consequences are usually catastrophic. Unplanned pregnancies can have physical, psychosocial, and prenatal effects. It is important from both the individual and societal perspective that high priority be given to the task of preventing adolescent pregnancy. The health care provider, to gain the trust of the adolescent, must be open, honest, and willing to consider the young person's feelings and motivations. In addition to historical data and physical examination, the choice of a contraceptive method is based on individual preferences involving personal, familial, religious, and societal beliefs as well as sexual practice. A decision involving birth control for the adolescent can be complicated by parental influence and involvement. The teenage years are frequently a time of embarrassment about the physical maturation and biological functioning of the body. Birth control methods which require a person to touch himself/herself or to be used at the time of sexual intercourse may be unacceptable to the teenager. Fertility awareness techniques, such as basal body temperature, rhythm, and cervical mucus methods are inexpensive but call for a high degree of personal motivation. The use of a diaphragm requires an office visit and a pelvic examination for fitting and prescription. Contraceptive foam, suppositories, and condoms can be easily obtained over-the-counter for a minimal cost, and a moderate degree of personal motivation is needed for their effective use. Though effective, abortions should not be recommended indiscriminately. Permanent contraceptive methods are not recommended for the adolescent. The IUD and oral contraceptives (OCs) are recommended for adolescents

  20. Serum leptin concentration during puberty in healthy nonobese adolescents

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    Brandão C.M.A.


    Full Text Available Data obtained during the past five years have indicated that there are important age- and gender-based differences in the regulation and action of leptin in humans. To study the physiological changes of leptin during puberty in both sexes, and its relationship with body composition and sexual maturation, we measured leptin concentrations in 175 healthy adolescents (80 girls, 95 boys, 10-18 years of age, representing all pubertal stages. We excluded individuals with a body mass index (BMI below the 5thor above the 95th percentile relative to age. Serum concentrations of leptin were determined by a monoclonal antibody-based immunofluorimetric assay, developed in our laboratory. Body composition was determined by dual-energy X-ray absorptiometry. Pubertal stage was assigned by physical examination, according to Tanner criteria for breast development in females and genital development in males. Leptin concentration in girls (N = 80 presented a positive linear correlation with age (r = 0.35, P = 0.0012, BMI (r = 0.65, P < 0.0001 and %fat mass (r = 0.76, P < 0.0001. In boys (N = 95 there was a positive correlation with BMI (r = 0.49, P < 0.0001 and %fat mass (r = 0.85, P < 0.0001, but a significant negative linear correlation with Tanner stage (r = -0.45, P < 0.0001 and age (r = -0.40, P < 0.0001. The regression equation revealed that %fat mass and BMI are the best parameters to be used to estimate leptin levels in both sexes. Thus, the normal reference ranges for circulating leptin during adolescence should be constructed according to BMI or %fat mass to assure a correct evaluation.

  1. Personality disorders in adolescence.

    Directory of Open Access Journals (Sweden)

    Kamila Lenkiewicz


    Full Text Available Adult personality disorders are well recognized and described in the literature. The discussion about the possibility of the presence of personality disorders in adolescents started about 20 years ago. Some authors claim the before the age of 18 it is only possible to identify precursors of future personality disorders and such a standpoint is reflected in diagnostic criteria. This is based on the assumption that personality in adolescence is still not well established. Consequently, the criterion on the persistence of symptoms for the period of time cannot be met (the persistence of symptoms of personality disorders for the period of at least two years. Other approach postulates that problems presented in adolescence should not be exclusively limited to Axis I according to DSM. The proponents of this approach claim that current diagnostic tools are not adjusted to adolescents, thus it is very difficult to measure stability and persistence of symptoms in this age group. This paper presents literature review on personality disorders in adolescence.

  2. Statistical Analysis of Data with Non-Detectable Values

    Energy Technology Data Exchange (ETDEWEB)

    Frome, E.L.


    Environmental exposure measurements are, in general, positive and may be subject to left censoring, i.e. the measured value is less than a ''limit of detection''. In occupational monitoring, strategies for assessing workplace exposures typically focus on the mean exposure level or the probability that any measurement exceeds a limit. A basic problem of interest in environmental risk assessment is to determine if the mean concentration of an analyte is less than a prescribed action level. Parametric methods, used to determine acceptable levels of exposure, are often based on a two parameter lognormal distribution. The mean exposure level and/or an upper percentile (e.g. the 95th percentile) are used to characterize exposure levels, and upper confidence limits are needed to describe the uncertainty in these estimates. In certain situations it is of interest to estimate the probability of observing a future (or ''missed'') value of a lognormal variable. Statistical methods for random samples (without non-detects) from the lognormal distribution are well known for each of these situations. In this report, methods for estimating these quantities based on the maximum likelihood method for randomly left censored lognormal data are described and graphical methods are used to evaluate the lognormal assumption. If the lognormal model is in doubt and an alternative distribution for the exposure profile of a similar exposure group is not available, then nonparametric methods for left censored data are used. The mean exposure level, along with the upper confidence limit, is obtained using the product limit estimate, and the upper confidence limit on the 95th percentile (i.e. the upper tolerance limit) is obtained using a nonparametric approach. All of these methods are well known but computational complexity has limited their use in routine data analysis with left censored data. The recent development of the R environment for statistical

  3. The Role of Religiousness and Gender in Sexuality Among Mexican Adolescents. (United States)

    Espinosa-Hernández, Graciela; Bissell-Havran, Joanna; Nunn, Anna


    This study examined the role of religiousness and gender in age at first intercourse, and sexual expectations and values in Mexico, a macrocontext where the majority is Mexican and Catholic (83%). Participants were Catholic and nonreligious adolescents (54% girls) attending middle (71%) or high school. Findings indicated that Catholic adolescents engaged in sexual intercourse at later ages than nonreligious adolescents. Both religious attendance and importance of religion and values in sexual decision making were associated with more conservative sexual values. Boys who were raised Catholic were more likely to endorse female virginity values and were less likely to expect to wait to have sex until married than nonreligious boys. These associations were not significant among girls. Catholic boys may be more likely to internalize sexual double standard beliefs regarding premarital sex than nonreligious boys. This study expands our understanding of the role of religiousness in Mexican adolescents' sexuality.

  4. Adolescent Perceptions of Parental Behaviors, Adolescent Self-Esteem, and Adolescent Depressed Mood (United States)

    Plunkett, Scott W.; Henry, Carolyn S.; Robinson, Linda C.; Behnke, Andrew; Falcon, Pedro C., III


    Using symbolic interaction, we developed a research model that proposed adolescent perceptions of parental support and psychological control would be related to adolescent depressed mood directly and indirectly through self-esteem. We tested the model using self-report questionnaire data from 161 adolescents living with both of their biological…

  5. Relationship between body composition and blood pressure in Bahraini adolescents. (United States)

    Al-Sendi, Aneesa M; Shetty, Prakash; Musaiger, Abdulrahman O; Myatt, Mark


    The objective of the present study was to examine the relationship between body composition and blood pressure (BP) in Bahraini adolescents. A sample of 504 Bahraini schoolchildren aged 12-17 years (249 boys and 255 girls) was selected using a multi-stage stratified sampling procedure. BP measurements were performed on the students. Anthropometric data including weight, height, waist circumference (WC), hip circumference, and triceps, subscapular and medial calf skinfold thicknesses were also collected. BMI, percentage body fat, waist:hip (WHR), and subscapular:triceps skinfold ratio were calculated. Mean systolic BP and mean diastolic BP were higher in males than in females. Weight and height in boys and weight only in girls were significantly associated with systolic BP independent of age or percentage fat. Nearly 14 % of the adolescents were classified as having high BP. BMI and percentage body fat were significantly and positively associated with the risk of having high BP in the boys and girls. Adolescents with high WHR or WC, as indicators for central obesity, tended to have higher BP values. The results from the present study indicate that obesity influences the BP of Bahraini adolescents and that simple anthropometric measurements such as WHR and WC are useful in identifying children at risk of developing high BP. These findings together with the known tracking of BP from adolescence into adulthood underline the importance of establishing intervention programmes in order to prevent the development of childhood and adolescent obesity.

  6. The Cognitive Psychopathology of Internet Gaming Disorder in Adolescence. (United States)

    King, Daniel L; Delfabbro, Paul H


    Adolescents are known to be an at-risk population for developing Internet gaming disorder (IGD). A recent clinical model has proposed that adolescents with IGD may endorse a unique set of maladaptive beliefs that underlie persistent and excessive involvement in Internet gaming activities. These include (a) beliefs about game reward value and tangibility, (b) maladaptive and inflexible rules about gaming behaviour, (c) over-reliance on gaming to meet self-esteem needs, and (d) gaming as a method of gaining social acceptance. A sample of 824 adolescents (402 male and 422 female) were recruited from multiple secondary schools and administered a survey that included measures of IGD symptomatology, problematic Internet gaming cognition, and psychological distress. The results showed that adolescents with IGD report significantly more maladaptive gaming beliefs than adolescents without IGD, including those who play Internet games for more than 30 h per week. The size of observed effects were large. The strong association between gaming cognitions and IGD symptoms still held after controlling for measures of gaming activity and psychological distress. These findings indicate that adolescents with IGD have distinct problematic thoughts about gaming, and highlight the importance of addressing these cognitions in therapeutic interventions for the disorder.

  7. The Computational Development of Reinforcement Learning during Adolescence.

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    Stefano Palminteri


    Full Text Available Adolescence is a period of life characterised by changes in learning and decision-making. Learning and decision-making do not rely on a unitary system, but instead require the coordination of different cognitive processes that can be mathematically formalised as dissociable computational modules. Here, we aimed to trace the developmental time-course of the computational modules responsible for learning from reward or punishment, and learning from counterfactual feedback. Adolescents and adults carried out a novel reinforcement learning paradigm in which participants learned the association between cues and probabilistic outcomes, where the outcomes differed in valence (reward versus punishment and feedback was either partial or complete (either the outcome of the chosen option only, or the outcomes of both the chosen and unchosen option, were displayed. Computational strategies changed during development: whereas adolescents' behaviour was better explained by a basic reinforcement learning algorithm, adults' behaviour integrated increasingly complex computational features, namely a counterfactual learning module (enabling enhanced performance in the presence of complete feedback and a value contextualisation module (enabling symmetrical reward and punishment learning. Unlike adults, adolescent performance did not benefit from counterfactual (complete feedback. In addition, while adults learned symmetrically from both reward and punishment, adolescents learned from reward but were less likely to learn from punishment. This tendency to rely on rewards and not to consider alternative consequences of actions might contribute to our understanding of decision-making in adolescence.

  8. Alcohol consumption in adolescents

    Directory of Open Access Journals (Sweden)

    Ilona Plevová


    Full Text Available Aim: To determine the level of alcohol consumption in a selected group of adolescents. Design: A descriptive cross-sectional study. Methods: The data were obtained using a part of the standardized ESPAD questionnaire for assessing consumption of alcoholic beverages. The sample comprised 422 students from seven secondary schools of different types in the city of Ostrava. For statistical analysis, the chi-squared test and Fisher's exact test (for n ≤ 5 were used. The data were processed using Stata v. 10. Results: More than half of respondents first tried alcohol before the age of 15. The most frequent alcohol-related problems were unprotected sex, decreased school performance and problems with parents or friends. Incomplete families were found to be an important factor in adolescents preferring and more frequently drinking beer. Conclusion: The study confirmed results reported by the Europe-wide survey ESPAD, namely that adolescents start to drink alcohol as early as before they turn fifteen.

  9. Adolescent Idiopathic Scoliosis

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    Safak Ekinci


    Full Text Available Scoliosis is called idiopathic when no other underlying disease can be identified. The etiology of adolescent idiopathic scoliosis (AIS is still unknown despite many years of research effort. Theories on AIS's etiology have included mechanical, hormonal, metabolic, neuromuscular, growth, and genetic abnormalities. Skeletally immature patients with adolescent idiopathic scoliosis are at risk of curve progression. The adolescent onset of severe idiopathic scoliosis has traditionally been evaluated using standing posteroanterior radiographs of the full spine to assess lateral curvature with the Cobb method. Scoliosis in children of school age and above primarily occurs in girls. The therapeutic goal in children is to prevent progression. In children, scoliosis of 20 and deg; or more should be treated with a brace, and scoliosis of 45 and deg; or more with surgery. [Arch Clin Exp Surg 2014; 3(3.000: 174-182

  10. Why are adolescents violent?

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    James Garbarino

    Full Text Available This article discusses how adolescents become violent from the perspective of human development, in which the process of formation of the child and the youth depends on diverse biological, psychological e social variables that constitute the context of life of these individuals. The ecological perspective of human development opposes simple cause-effect relations between antisocial adversities and behaviors and believes that factors such as gender, temperament, cognitive ability, age, family, social environment and culture combine in a complex way influencing the behavior of the child and the adolescent. Some conclusions point to the fact that violence in adolescence usually starts from a combination of early difficulties in relationships associated with a combination of temperamental difficulties. It is concluded that the young seem to be as bad as the social environment surrounding them.

  11. Physical activity among adolescents

    DEFF Research Database (Denmark)

    Henriksen, P W; Ingholt, L; Rasmussen, M


    The objectives of this study were (a) to examine the association between various kinds of parental social support and adolescents' physical activity (PA) and (b) to examine whether various kinds of social support from mothers and fathers were differently associated with boys' and girls' PA. Data...... during leisure time. We used logistic regression analyses to estimate the associations for girls and boys separately, adjusted by age group, parents' occupational social class, family structure, and migration status. There were significant and graded associations between adolescents' PA and all four...... dimensions of parental support for PA. The association patterns were similar for mothers' and fathers' social support and similar for girls and boys. Social processes in the family are important for adolescents' participation in PA. It is important to continue to explore these social processes in order...

  12. Breakfast frequency among adolescents

    DEFF Research Database (Denmark)

    Pedersen, Trine Pagh; Holstein, Bjørn E; Damsgaard, Mogens Trab


    , quality of family communication and family support. Further, analyses suggested that the associations were more pronounced among girls, immigrants and adolescents from other family structure than traditional. The study highlights the importance of the family setting in promoting regular breakfast......OBJECTIVE: To investigate (i) associations between adolescents' frequency of breakfast and family functioning (close relations to parents, quality of family communication and family support) and (ii) if any observed associations between breakfast frequency and family functioning vary...... (n 3054) from a random sample of forty-one schools. RESULTS: Nearly one-quarter of the adolescents had low breakfast frequency. Low breakfast frequency was associated with low family functioning measured by three dimensions. The OR (95 % CI) of low breakfast frequency was 1·81 (1·40, 2...

  13. Standard Practice for Evaluating Material Property Characteristic Values for Polymeric Composites for Civil Engineering Structural Applications

    CERN Document Server

    American Society for Testing and Materials. Philadelphia


    1.1 This practice covers the procedures for computing characteristic values of material properties of polymeric composite materials intended for use in civil engineering structural applications. The characteristic value is a statistically-based material property representing the 80 % lower confidence bound on the 5th-percentile value of a specified population. Characteristic values determined using this standard practice can be used to calculate structural member resistance values in design codes for composite civil engineering structures and for establishing limits upon which qualification and acceptance criteria can be based. This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

  14. Family contexts, individualism-collectivism, and adolescents' aspirations for their futures. (United States)

    Marjoribanks, Kevin


    Relations were examined among family contexts, parents' individualistic-collectivistic value orientations, and adolescents' aspirations. Data were collected from 456 Australian families using two surveys when the subjects were 11 and 16 years old, respectively. Findings indicated that family ethnicity had large associations with parents' individualistic-collectivistic value orientations, but that these orientations were not associated with adolescents' aspirations, after taking into account differences in family contexts.

  15. Character strenghts and sex differences in adolescents

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    Sara Reyes Martín


    Full Text Available This study analysed the association between character strengths and happiness and global health in adolescents by gender. The participants comprised 117 high-school students (μ =16.90, σ =.81 from Málaga (Spain. All participants completed the Values in Action 120-Items Questionnaire (VIA-120, the 12-Item General Health Questionnaire (GHQ-12, and the Happiness Item. The results showed higher levels of character strengths and lower levels of temperance and religiousness in the humanity score. Moderately significant associations were found between all character strengths and general health, happiness, and especially hope. Boys had significantly higher scores on zest, prudence, self-regulation, and hope (Student t test. The study suggests that character strengths could contribute to increased life satisfaction and health among adolescents.

  16. Adolescent females "voice" changes can signal difficulties for teachers and administrators. (United States)

    Wren, D J


    This article describes the different preferences in learning styles of adolescent females and males, based on the pioneering work on adolescent values development by Lawrence Kohlberg and Carol Gilligan. Since values education programs are currently considered very important, educators need to explore the philosophical, psychological, and social influences on students' learning preferences before they can introduce appropriate curricula. An indication of problems in adolescent females frequently is the occurrence of voice changes, for example, girls may express viewpoints that do not represent their true beliefs and feelings. Curricular and co-curricular suggestions are presented.

  17. The effect of anatomical modeling on space radiation dose estimates: a comparison of doses for NASA phantoms and the 5th, 50th, and 95th percentile male and female astronauts. (United States)

    Bahadori, Amir A; Van Baalen, Mary; Shavers, Mark R; Dodge, Charles; Semones, Edward J; Bolch, Wesley E


    The National Aeronautics and Space Administration (NASA) performs organ dosimetry and risk assessment for astronauts using model-normalized measurements of the radiation fields encountered in space. To determine the radiation fields in an organ or tissue of interest, particle transport calculations are performed using self-shielding distributions generated with the computer program CAMERA to represent the human body. CAMERA mathematically traces linear rays (or path lengths) through the computerized anatomical man (CAM) phantom, a computational stylized model developed in the early 1970s with organ and body profiles modeled using solid shapes and scaled to represent the body morphometry of the 1950 50th percentile (PCTL) Air Force male. With the increasing use of voxel phantoms in medical and health physics, a conversion from a mathematical-based to a voxel-based ray-tracing algorithm is warranted. In this study, the voxel-based ray tracer (VoBRaT) is introduced to ray trace voxel phantoms using a modified version of the algorithm first proposed by Siddon (1985 Med. Phys. 12 252-5). After validation, VoBRAT is used to evaluate variations in body self-shielding distributions for NASA phantoms and six University of Florida (UF) hybrid phantoms, scaled to represent the 5th, 50th, and 95th PCTL male and female astronaut body morphometries, which have changed considerably since the inception of CAM. These body self-shielding distributions are used to generate organ dose equivalents and effective doses for five commonly evaluated space radiation environments. It is found that dosimetric differences among the phantoms are greatest for soft radiation spectra and light vehicular shielding.

  18. Towards a biological monitoring guidance value for acrylamide. (United States)

    Sams, C; Jones, K; Warren, N; Cocker, J; Bell, S; Bull, P; Cain, M


    Acrylamide is classified as a potential human carcinogen and neurotoxicant. Biological monitoring is a useful tool for monitoring worker exposure. However, other sources of exposure to acrylamide (including cigarette smoke and diet) also need to be considered. This study has performed repeat measurements of the urinary mercapturic acids of acrylamide (AAMA) and its metabolite glycidamide (GAMA) and determined globin adducts in 20 production-plant workers at a UK acrylamide production facility. The relationship between biomarker levels and environmental monitoring data (air levels and hand washes) was investigated. Good correlations were found between all of the biomarkers (r(2)=0.86-0.91) and moderate correlations were found between the biomarkers and air levels (r(2) = 0.56-0.65). Our data show that urinary AAMA is a reliable biomarker of acrylamide exposure. Occupational hygiene data showed that acrylamide exposure at the company was well within the current UK Workplace Exposure Limit. The 90th percentile of urinary AAMA in non-smoking production-plant workers (537 μmol/mol creatinine (n = 59 samples)) is proposed as a possible biological monitoring guidance value. This 90th percentile increased to 798 μmol/mol if smokers were included (n = 72 samples). These values would be expected following an airborne exposure of less than 0.07 mg/m(3), well below the current UK workplace exposure limit of 0.3mg/m(3). Comparison of biomarker levels in non-occupationally exposed individuals suggests regional variations (between UK and Germany), possibly due to differences in diet.

  19. [Adolescence and AIDS]. (United States)


    The myths and prejudices that distort the reality and hide the true causes and effects of natural and social phenomena related to sexuality have a fertile ground in AIDS, given its obvious link to sex. The alarming spread of AIDS has been 1 result of these myths and prejudices. Human beings are sexual by nature; genital organs determine sex and also induce sexual behavior. It is by not fairly well accepted that an individual's sexuality exists from birth. Puberty usually begins at 12-16 years for both sexes. The physical changes of puberty terminate in the ability of the female to conceive and the male to procreate. The sexual excitation of adolescents resulting from production of various hormones can only be eliminated by some type of sexual satisfaction or sublimation. Sexuality, according to Freud, is an organizing principle of the personality. The sexual organs exist not merely for reproduction but to provide pleasure. Puberty signifies entry into active sex life. But the ideological structure of society, perpetuated by the family, schools, religion, the mass media, and other social institutions, sends confused signals to adolescents, requiring abstinence and virginity until marriage for women while encouraging sexual adventures for men. Adolescents are confronted by their new sexual feelings in the midst of a virtual bombardment of visual sexual stimuli from the mass media. It becomes impossible for adolescents to satisfy the requirements of appearances while also resolving the problems and pressures of their newly gained sexual maturity. Many adolescents become sexually active, and the problem is not to prevent sexual activity but to improve the conditions under which it occurs. Adolescents, lacking education and information about sex, begin their sex lives without protection. AIDS has now been added to the list of dire consequences that can result. A true sex education beginning in the home is needed to enable young people to develop healthy and full sex

  20. Twenty four year time trends in fats and cholesterol intake by adolescents. Warsaw Adolescents Study

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    Charzewska Jadwiga


    Full Text Available The objective of this study was to determine time trends (1982–2006 in total fat intake and changes in fatty acid structure intake in adolescents from Warsaw in view of increasing prevalence of obesity. Data come from four successive surveys randomly selected samples of adolescents (aged 11–15 years old, from Warsaw region. In total 9747 pupils have been examined, with response rate varying from 55% to 87% depending on year. Surveys were done always in the spring season of the year. Food intake was assessed by using 24 hours recall method of consumption by the pupils all products, including enriched, dishes and beverages as well as diet supplements, in the last 24 hours preceding the examination. The content of energy and nutrients was calculated by means of own computer softwares (DIET 2 and 4, taking into account successive revisions of the tables of food composition and nutritional values, as well as current Polish DRI. A significant decreasing trend was found in intake of total fat, of saturated fatty acids (SFA and cholesterol. The percentage of energy from total fat, also decreased both in boys (to 35,1% and girls (to 33,7%, what failed to reach the desired level below 30% of energy from fat which is recommended. Also significant decrease of SFA consumption was not satisfactory enough to approach the values <10% of energy recommended as was from 13% to 15%. Decreasing trends in fat intake was not in accordance with the trend in obesity prevalence in the adolescents as average BMI is going up. To stabilize the health-oriented changes especially in the diets of adolescents, further activity is desired from professionals working with prevention of adolescents obesity.

  1. Analysis of emotion regulation in Spanish adolescents: Validation of the Emotion Regulation Questionnaire

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    Olga eGómez-Ortiz


    Full Text Available Emotion regulation (ER is a basic psychological process that has been broadly linked to psychosocial adjustment. Due to its relationship with psychosocial adjustment, a significant number of instruments have been developed to assess emotion regulation in a reliable and valid manner. Among these, the Emotion Regulation Questionnaire (ERQ; Gross & John, 2003 is one of the most widely used, having shown good psychometric properties with adult samples from different cultures. Studies of validation in children and adolescents are, however, scarce and have only been developed for the Australian and Portuguese populations. The aim of this study was to validate the Spanish version of the ERQ for use in adolescents and determine possible differences according to the gender and age of young people. The sample consisted of 2060 adolescents (52.1% boys. Exploratory and Confirmatory factor analysis (EFA and CFA, multi-group analysis and two-way multivariate analysis of variance (MANOVA were performed and the percentiles calculated. The results of the AFE and CFA corroborated the existence of two factors related to the emotion regulation strategies of cognitive reappraisal and expressive suppression, showing acceptable internal consistency and test-retest reliability. Both factors also showed good criterion validity with personality traits, self-esteem, and social anxiety. Differences in cognitive reappraisal were found with regard to age, with younger students exhibiting the greatest mastery of this strategy. Gender differences were observed regarding the expressive suppression strategy, with boys being more likely to use this strategy than girls. A gender-age interaction effect was also observed, revealing that the use of the expressive suppression strategy did not vary by age in girls, and was more widely used by boys aged 12-14 years than those aged 15-16 years. However, we found evidence of measurement invariance across sex and age groups. The results

  2. Transactional Relations between Motivational Beliefs and Help Seeking from Teachers and Peers across Adolescence. (United States)

    Amemiya, Jamie; Wang, Ming-Te


    Adolescents often avoid seeking academic help when needed, making it important to understand the motivational processes that support help seeking behavior. Using expectancy-value theory as a framework, this study examined transactional relations between motivational beliefs (i.e., academic self-concept or academic importance) and seeking help from teachers and peers across adolescence (i.e., from approximately age 12 to 17 years). Data were collected from 1479 adolescents (49% female; 61.9% African American, 31.2% European American, 6.9% other race). Analyses were conducted with cross-lagged panel models using three waves of data from seventh, ninth, and eleventh grade. Results indicated that both academic self-concept and academic importance were associated with increases in teacher help seeking in earlier adolescence, but were associated only with increases in peer help seeking in later adolescence. Help-seeking behavior positively influenced motivational beliefs, with teacher help seeking increasing academic self-concept earlier in adolescence and peer help seeking increasing academic importance later in adolescence. These transactional relations differed by adolescents' prior achievement and racial background, but not by adolescents' gender.

  3. Parents’ Readiness to Change Affects BMI Reduction Outcomes in Adolescents with Polycystic Ovary Syndrome

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    Karen P. Jakubowski


    Full Text Available Evidence supports the importance of parental involvement for youth’s ability to manage weight. This study utilized the stages of change (SOC model to assess readiness to change weight control behaviors as well as the predictive value of SOC in determining BMI outcomes in forty adolescent-parent dyads (mean adolescent age = 15 ± 1.84 (13–20, BMI = 37 ± 8.60; 70% white participating in a weight management intervention for adolescent females with polycystic ovary syndrome (PCOS. Adolescents and parents completed a questionnaire assessing their SOC for the following four weight control domains: increasing dietary portion control, increasing fruit and vegetable consumption, decreasing dietary fat, and increasing usual physical activity. Linear regression analyses indicated that adolescent change in total SOC from baseline to treatment completion was not predictive of adolescent change in BMI from baseline to treatment completion. However, parent change in total SOC from baseline to treatment completion was predictive of adolescent change in BMI, (t(24 = 2.15, p=0.043. Findings support future research which carefully assesses adolescent and parent SOC and potentially develops interventions targeting adolescent and parental readiness to adopt healthy lifestyle goals.

  4. How can parents make a difference? Longitudinal associations with adolescent sexual behavior. (United States)

    Deptula, Daneen P; Henry, David B; Schoeny, Michael E


    Parents have the potential to protect against adolescent sexual risk, including early sexual behavior, inconsistent condom use, and outcomes such as pregnancy and sexually transmitted infections (STIs). Identification of the specific parenting dimensions associated with sexual risk in adolescence and young adulthood is necessary to inform and focus prevention efforts. The current study examined the relation of proximal (e.g., discussions of sexual costs) and distal (e.g., parental involvement, relationship quality) parenting variables with concurrent and longitudinal adolescent sexual behavior. The National Longitudinal Study of Adolescent Health (Add Health) provided a nationally representative sample with information about the family using adolescent and parent informants. Longitudinal information about sexual risk included adolescent condom use and adolescent sexual initiation, as well as young adult unintended pregnancy, reports of STIs, and biological assay results for three STIs. Higher parent-adolescent relationship quality was associated with lower levels of adolescent unprotected intercourse and intercourse initiation. Better relationship quality was also associated with lower levels of young adult STIs, even when accounting for prior sexual activity. Unexpectedly, more parent reports of communication regarding the risks associated with sexual activity were negatively associated with condom use and greater likelihood of sexual initiation. These results demonstrate that parents play an important role, both positive and negative, in sexual behavior, which extends to young adulthood, and underscores the value of family interventions in sexual risk prevention.

  5. Predictors of life satisfaction among Asian American adolescents- analysis of add health data. (United States)

    Huang, Jui-Yen; Wang, Kuan-Yuan; Ringel-Kulka, Tamar


    Life satisfaction correlates with adolescent risk taking behavior and their outcomes in adulthood. Despite the fast rise in numbers of Asian adolescents in the U.S., the predictors of their life satisfaction are not well understood. This study examined the relationship between several demographic and contextual factors and global life satisfaction among this population. Data were derived from the National Longitudinal Study of Adolescent Health (Add Health), a nationally representative probability sample of US adolescents. Bivariate and multivariable logistic regression was conducted to evaluate hypothesized predictors of global life satisfaction of Asian American adolescents. All analyses were conducted using STATA version 11. After exclusion of cases with missing values, 1021 Asian American adolescents were studied. Self- rated health, self-esteem, perceived neighborhood quality, parental support and peer support were significantly and positively related to better global life satisfaction. However, after controlling for other factors, only self-esteem (adjusted odds ratio [aOR]: 4.76; 95% confidence interval [CI]: 2.86-8.33) and perceived peer support (aOR: 2.76; 95% CI: 1.33-5.76) significantly predicted higher life satisfaction. Peer support and adolescents' self-concept are strongly correlated with Asian American adolescents' subjective well-being. To promote the wellness of this population, culturally sensitive strategies in developing peer relationship and healthy self-concept may be effective. More studies are needed for subgroup comparison of various ethnicities among Asian American adolescents.

  6. Parental socioeconomic position and development of overweight in adolescence: longitudinal study of Danish adolescents

    Directory of Open Access Journals (Sweden)

    Morgen Camilla


    Full Text Available Abstract Background An inverse social gradient in overweight among adolescents has been shown in developed countries, but few studies have examined whether weight gain and the development of overweight differs among adolescents from different socioeconomic groups in a longitudinal study. The objective was to identify the possible association between parental socioeconomic position, weight change and the risk of developing overweight among adolescents between the ages 15 to 21. Methods Prospective cohort study conducted in Denmark with baseline examination in 1996 and follow-up questionnaire in 2003 with a mean follow-up time of 6.4 years. A sample of 1,656 adolescents participated in both baseline (mean age 14.8 and follow-up (mean age 21.3. Of these, 1,402 had a body mass index (BMI = weight/height2kg/m2 corresponding to a value below 25 at baseline when adjusted for age and gender according to guidelines from International Obesity Taskforce, and were at risk of developing overweight during the study period. The exposure was parental occupational status. The main outcome measures were change in BMI and development of overweight (from BMI = 25. Results Average BMI increased from 21.3 to 22.7 for girls and from 20.6 to 23.6 in boys during follow-up. An inverse social gradient in overweight was seen for girls at baseline and follow-up and for boys at follow-up. In the full population there was a tendency to an inverse social gradient in the overall increase in BMI for girls, but not for boys. A total of 13.4% developed overweight during the follow-up period. Girls of lower parental socioeconomic position had a higher risk of developing overweight (OR's between 4.72; CI 1.31 to 17.04 and 2.03; CI 1.10-3.74 when compared to girls of high parental socioeconomic position. A tendency for an inverse social gradient in the development of overweight for boys was seen, but it did not meet the significance criteria Conclusions The levels of overweight and

  7. [Adolescent pregnancy: the drama of the child-mothers]. (United States)

    Monterosa Castro, A


    According to the 1990 Demographic and Health Survey, 21% of fertile-aged women in Colombia are adolescents aged 15-19. Research throughout the world has revealed that young people are initiating their sexual lives at ever earlier ages, due to earlier sexual maturation, constant erotic stimuli, and a mistaken understanding of sexuality. A Colombian survey showed that 49% of males and 11% of females had sex by age 18. Earlier sexual activity is leading to increased incidence of unwanted pregnancy. 78 of each 1000 adolescents become mothers each year. Among adolescents aged 16-18 with positive pregnancy tests at the Profamilia Adolescent Clinic in Bogota, 80% did not use contraception and 85% did not with to be pregnant. Unwanted adolescent pregnancy is usually traumatic, with implications for all areas of life. None of the options open to an adolescent with an undesired pregnancy is desirable. Keeping the baby exposes the mother to ostracism and rejection by the family, expulsion from school, and societal rejection. Forced marriages almost always end in separation. Adoption leads to frustration and feelings of guilt in the future. Abortion in Colombia is illegal and exposes the women to emotional and physical trauma and to risk of death or injury. The unwanted child is at risk of mistreatment, abandonment, or rejection. A demographic survey by Profamilia showed that 25% of Colombian women are mothers by age 19. 62% of uneducated adolescents are mothers by this age. Low educational level is associated with early pregnancy and limited economic opportunity. Adolescents are at higher risk of pregnancy complications due to physiological immaturity, stress, poor adaptability to pregnancy, and inadequate prenatal care. Adolescent pregnancy should be prevented. The prevention should be achieved through integrated sex education beginning at the first contact of the child with the world outside the family. The child should learn basic concepts of self-esteem, values, and

  8. Eveningness as a risk for behavioral problems in late adolescence. (United States)

    Merikanto, Ilona; Pesonen, Anu-Katriina; Kuula, Liisa; Lahti, Jari; Heinonen, Kati; Kajantie, Eero; Räikkönen, Katri


    Circadian preference toward eveningness has been associated with increased risk for mental health problems both in early adolescence and in adulthood. However, in late adolescence, when circadian rhythm naturally shifts to later, its significance for mental health is not clear. Accordingly, we studied how circadian rhythm estimated both by self-reported chronotype and by actigraph-defined midpoint of sleep was associated with self-reported psychiatric problems based on Youth Self Report (YSR). The study builds on a community cohort born in 1998, Helsinki, Finland. At age 17 years (mean age = 16.9, SD = 0.1 years), 183 adolescents (65.6% of the invited) participated in the study. We used the shortened version of the Horne-Östberg morningness-eveningness Questionnaire to define the chronotype, and actigraphs to define the naturally occur circadian rhythm over a 4 to 17 days' period (mean nights N = 8.3, SD = 1.8). The Achenbach software was used to obtain T-score values for YSR psychiatric problem scales. The analyses were adjusted for important covariates including gender, socioeconomic status, body mass index, pubertal maturation, mother's licorice consumption during pregnancy, and actigraph-defined sleep duration and quality. Eveningness was associated with higher scores in rule-breaking behavior and conduct problems (as assessed either by midpoint of sleep or by self-reported chronotype, p-values adolescents, is also present in late adolescence when circadian rhythms shift toward evening.

  9. Lean adolescents with increased risk for metabolic syndrome. (United States)

    Molero-Conejo, Emperatriz; Morales, Luz Marina; Fernández, Virginia; Raleigh, Xiomara; Gómez, Maria Esther; Semprún-Fereira, Maritza; Campos, Gilberto; Ryder, Elena


    The aim of the present study was to determine in adolescents the relationship between insulin levels and body mass index (BMI), body fat distribution, diet, life style and lipid profile. We studied 167 adolescents (68 boys and 99 girls) whose ages ranged from 14 to 17 years. A detailed medical (including pubertal stage) and nutritional record was obtained from each subject. Biochemical measurements included fasting serum insulin, glucose, total cholesterol (TC), triglycerides (Tg), HDL-C, LDL-C and VLDL-C. HOMA insulin resistance (IR) and HOMA beta-cell function (beta-cell) were calculated. Insulin levels were over 84 pmol/L (cut off normal value in our lab) in 56% of the boys and 43% of the girls. Thirty-seven percent of lean adolescents whose BMI was 21.5 +/- 1.9 kg/m2 presented higher fasting insulin levels. HOMA IR, Tg, systolic (SBP) and diastolic blood pressure (DBP) values when compared to a lean normoinsulinemic group. Insulin levels were correlated (p 24 kg/m2) had significantly higher serum insulin, HOMA beta-cell, and Tg levels, and the lowest HDL-C levels. A high-energy intake rich in saturated fat and low physical activity were found in this lean but metabolically altered adolescents. We conclude that even with a BMI as low as 21 kg/m2 an inappropriate diet and low physical activity might be responsible for the high insulin levels and dislipidemias in adolescents.

  10. Waist circumference reference values in Beijing versus the national values in detecting cardiovascular risk factors in 7-18 years old children%北京与全国7~18岁儿童青少年腰围适宜界值对心血管危险因素筛查效度的对比分析

    Institute of Scientific and Technical Information of China (English)

    孟玲慧; 罗纳; 程红; 侯冬青; 赵小元; 米杰


    Beijing and China in detecting cardiovascular risk factors in school-age children.Methods Percentile curves for WC were drawn by sex using LMS method based on 21 787 children and adolescents aged 7-18 from Beijing Child and Adolescent Metabolic Syndrome Study. The 75th and the 90th percentiles by age and by gender of WC percentile curves were chosen as the optimal WC reference for 3-18 years old children and adolescents in Beijing. The sensitivities(Se) and specificities(Sp) were compared between Beijing and China WC references based on the evaluation of cardiovascular risk factors including hypertension, dyslipidmia, impaired fasting glucose and non-alcoholic fatty liver disease (NAFLD) in the test population being composed of 4927 school children aged 7-18 years. The predictive values for those cardiovascular risk factors were compared between the two optimal thresholds through comparison of the odds ratio(OR) in regression analysis.Results The optimal reference for Beijing children and adolescents aged 3-18 years ranged from 51.8 to 78.2 cm for the 75th percentile in boys and 50.8 to 72.1 cm in girls, and the 90th percentile increased from 54.0 to 86.0 cm in boys and 53.3 to 77.3 cm in girls. The Ses of Beijing and China WC references in detecting hypertension were 0.74 and 0.82 in boys and 0.68 and 0.73 in girls; the Ses were 0.69 and 0.80 in detecting low-high density lipoprotein in boys and 0.64 and 0.71 in girls; and they were 0.98 and 1.00 in boys and both were 0.93 in girls for NAFLD. The Sps of Beijing and China WC references in screening hypertension were 0.62 and 0.53 in boys and 0.68 and 0.63 in girls, respectively. In predicting low-high density lipoprotein, the Sps were 0.59 and 0.50 in boys and 0.66 and 0.61 in girls, the Sps were 0.60 and 0.50 in boys and 0.56 and 0.51 in girls for predicting NAFLD. After adjustment for age and gender,ORs and their 95% credibility intervals(CI) of the 90th WC percentiles of Beijing and China school children were 6.3 (5

  11. After-School Physical Activity Programs for Adolescent Girls. (United States)

    Watson, Doris L.; Poczwaradowski, Artur; Eisenman, Pat


    Describes adolescent girls' responses to an after-school physical activity program, examining how it functioned as a listening tool within a social marketing approach to promoting physical activity. Focus groups and interviews indicated that girls enjoyed and valued the program. Though the program did not increase girls' physical activity levels,…

  12. Plasma leptin levels in healthy children and adolescents

    DEFF Research Database (Denmark)

    Blum, W F; Englaro, P; Hanitsch, S


    progression of puberty that was much less pronounced in girls. Although the relative increase of leptin with BMI and percent body fat was the same in both genders, the absolute values at a given BMI or percent body fat were significantly lower in boys in late puberty and in adolescents. In boys...

  13. Quality of life in childhood, adolescence and adult food allergy

    DEFF Research Database (Denmark)

    Stensgaard, A; Bindslev-Jensen, C; Nielsen, D


    completed by 73 children, 49 adolescents and 29 adults with peanut, hazelnut or egg allergy. Parents (197 mothers, 120 fathers) assessed their child's HRQL using the FAQLQ-Parent form. Clinical data and threshold values were obtained from a hospital database. Significant factors for HRQL were investigated...

  14. Developmental Change in Social Responsibility during Adolescence: An Ecological Perspective (United States)

    Wray-Lake, Laura; Syvertsen, Amy K.; Flanagan, Constance A.


    Social responsibility can be defined as a set of prosocial values representing personal commitments to contribute to community and society. Little is known about developmental change--and predictors of that change--in social responsibility during adolescence. The present study used an accelerated longitudinal research design to investigate the…

  15. Adolescents' Perceptions of Marriage and Premarital Couples Education (United States)

    Silliman, Benjamin; Schumm, Walter R.


    Adolescents in rural and small city high schools in the western United States (N = 159) reported their perceptions of marriage and marriage education. They considered preparation for marriage important, but expressed lower familiarity with and lower intentions to attend programs than college students assessed previously. Youth valued parents,…

  16. Brief Intervention Helps Adolescents Curb Substance Use (United States)

    ... Helps Adolescents Curb Substance Use Brief Intervention Helps Adolescents Curb Substance Use Email Facebook Twitter Two hour- ... School, in Minneapolis, conducted the trial with 315 adolescent and parent/caregiver pairs. Their findings strengthen evidence, ...

  17. Projects as value constellations

    DEFF Research Database (Denmark)

    Laursen, Markus

    Creating value has been outlined as very central to projects applying the organizational perspective to projects. It has been suggested that value is created in value constellations or project networks, where actors work together to create value. However, research on the value creation process...... in value constellations is scarce, and through an exploratory study of two project networks in a cultural setting we investigate how value is created in value constellations. We outline how each project may be a distinct type of value constellation, one project creates value for the partners of the network...... as a consortium, and the project creates value primarily for others as a facilitator....

  18. Adolescent Loneliness Assessment (United States)

    de Minzi, Maria Cristina Richaud; Sacchi, Carla


    The aim of the present work was to develop a loneliness scale for adolescents in order to assess their perceptions of the quality of their relationships with parents and peers. The scale was administered to 1,233 Argentine secondary school students, aged 13-16 years. Factor analyses (principal axes, oblimin solution) were conducted. Four factors…

  19. Victimization of Obese Adolescents (United States)

    Robinson, Sabrina


    Peer victimization of obese adolescents has been associated with low self-esteem, body dissatisfaction, social isolation, marginalization, poor psychosocial adjustment, depression, eating disorders, and suicidal ideation and attempts, not to mention poor academic performance. Weight-based peer victimization is defined as unsolicited bullying and…

  20. Governing Adolescent Drinking (United States)

    Jarvinen, Margaretha; Ostergaard, Jeanette


    This article examines the relationship between the drinking habits of Danish adolescents and the upbringing ideals and alcohol rules of their parents. It is based on three different data sets: a survey of 2,000 Danish young people born in 1989, a survey with the parents of these young people, and two waves of focus group interviews (in all 28)…