Comment: preventing child obesity -- an art and a science.
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Biomedical subjects
Publications and source records attributed to T Lobstein.
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The increasing prevalence of childhood obesity needs to be addressed. Without clear evidence to show which preventive interventions are most likely to work, a series of precautionary measures can be suggested. At a meeting of scientific experts organised by the International Obesity TaskForce and held at the European Congress on Obesity in May, 2004, a number of measures were proposed which follow the precautionary principle of promoting health while being unlikely to increase the risk of harm. The proposals are reported in the present paper.
A recent review of the literature concluded that advertising of foods on television may influence children's food choices and encourage unhealthy diets, but the review acknowledged there was a lack of clear evidence in coming to this conclusion. The present paper examines ecological evidence for a link between advertising to children and the risk of overweight using data from surveys of advertising on children's television and estimates of the prevalence of overweight among children, in the USA, Australia and eight European countries. A significant association was found between the proportion of children overweight and the numbers of advertisements per hour on children's television, especially those advertisements that encourage the consumption of energy-dense, micronutrient-poor foods (r = 0.81, P < 0.005). A weaker, negative association was found between the proportion of children overweight and the number of advertisements encouraging healthier diets (r = -0.56, P < 0.10). The quantity of advertising on children's television appears to be related to the prevalence of excess body weight among children. Furthermore, the content of the advertising appears to have a specific effect. The findings justify the need for taking precautionary measures to reduce children's exposure to obesogenic marketing practices.
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Estimates of the prevalence of childhood overweight and obesity have been made in several European countries during the last decade. The methods used and the assessment criteria differ from survey to survey. The present paper reports the prevalence data from 21 surveys in Europe using a single, internationally accepted definition of overweight in childhood, allowing direct comparisons to be made. A tendency for a higher prevalence of overweight among children in western and especially southern Europe is shown and some possible reasons for this are discussed.
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Few studies have attempted to relate the locus of control (Rotter, 1966) variable to physiological activity. This paper describes the heart-rate and skin conductance responses of 40 subjects exposed to a series of auditory stimuli, in relation to their locus of control scores. It was found that those scoring relatively 'externally' on the locus of control scale gave less decelerative and more accelerative heart-rate responses and tended to give larger skin conductance responses when there was a change in stimulus characteristics, than those scoring 'internally'. These results may be interpreted to support Lazarus' (1966) suggestions that control over a situation lessens the threat perceived in that situation. They also indicate that internal subjects tend to seek information to increase their control.
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