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This paper is the first to use the individual level, longitudinal catch-up growth of boys and girls in a historical population to measure their relative deprivation. The data is drawn from two government schools, the Marcella Street Home (MSH) in Boston, MA (1889–1898), and the Ashford School of the West London School District (1908–1917). The paper provides an extensive discussion of the two schools including the characteristics of the children, their representativeness, selection bias and the conditions in each school. It also provides a methodological introduction to measuring children’s longitudinal catch-up growth. After analysing the catch-up growth of boys and girls in the schools, it finds that there were no substantial differences between the catch-up growth by gender. Thus, these data suggest that there were not major health disparities between boys and girls in late-nineteenth-century America and early-twentieth-century Britain.

The purpose of this study was to evaluate the screen time used by Autism Spectrum Disorder (ASD) children and its association with their physical activity and weight status.

This cross-sectional study was conducted among 100 purposive sampled children registered under the National Autism Society of Malaysia centres in Kuala Lumpur. Parents-administered questionnaire composed of socio-demographic, anthropometric data (height and weight of the children), Autism Severity Questionnaire, Screen Time Questionnaire and Physical Activity Questionnaire for Older Children (PAQ-C) was used in this study.

Respondents in this study were categorised as having mild ASD (55%). Most of the respondents had higher screen time (78%), with average (4.14 ± 3.19) h spent using the devices. The respondents had low physical activity level (54%), with average PAQ-C scores of (2.38 ± 0.79). Average BMI-for-age z-scores was 1.06 ± 2.15, which was in the normal category. Approximately, 34% of the respondents were overweight and obese. BMI-for-age was positively associated with screen time during weekdays (χ² = 11.06; p < 0.05) but not during weekend (χ² = 3.14; p > 0.05). Spearman correlation test showed negative relationships between screen time on weekdays (rs = −0.30 and p < 0.01) and weekend (rs = −0.21 and p < 0.05) with PAQ-C of this group of ASD children.

Screen time was directly associated with the BMI-for-age z-score but was inversely associated with physical activity. Future studies could implement a structured physical activity intervention among children with ASD, which may increase physical activity and decrease screen time behaviours while addressing the overweight/obesity and cognitive aspects of these ASD children.

This study measured the amount of screen time, level of physical activity and weight status but not dietary intake of autistic children.

The purpose of this paper is to explore whether an in-service life teacher training program can improve boarding students’ health, behavior, and academic performance.

The authors conducted a cluster-randomized controlled trial to measure the effect of life teacher training on student health, behavior, and academic performance among 839 boarding students in ten central primary boarding schools in Shaanxi. And the authors also tried to identify why or why not life teacher training works. Both descriptive and multivariate analysis are used in this paper.

The authors find significant improvements in health and behavior. Specifically, compared to boarding students in control schools, 15 percent fewer students in treatment schools reported feeling cold while sleeping at night. The results also showed that student tardiness and misbehaviors after class declined significantly by 18 and 78 percent, respectively. However, the in-service life teacher training program had no measurable impact on boarding students’ BMI-for-age Z-score, number of misbehaviors in class, and academic performance. The analysis suggests that improved communication between life teachers and students might be one mechanism behind these results.

This is the first empirical work which explored how to improve the welfare of boarding students via their life teachers. Because of the sudden increase in boarding students in rural China, it is almost certain that school personnel lack experience in managing boarding students. As such, one promising approach to improving student outcomes might be in-service training for life teachers.

The purpose of this study was to investigate the association of individual and environmental indicators with body mass-index-for-age-z-score (BAZ) of female adolescents living in the North-West of Iran.

In this cross-sectional study, 380 female adolescents aged 16-18 years were selected from two major ethnic groups (Azeri and Kurd) in Urmia city selected by stratified cluster sampling method. In total, 13 high schools (9 public and 4 private) were selected across all municipality zones of Urmia city. BAZ was calculated by Anthro-Plus software. Demographic and socioeconomic information of samples were collected by a questionnaire through interviews. Home environment features (including physical activity facilities, television, computer games and social media use, food consumption habits and family rules) and school environment features (including socioeconomic status [SES], physical activity facilities, food consumption habits) were evaluated by two separate self-constructed questionnaires via an interview with adolescents and schools’ deans, respectively.

Azeri adolescents had parents with higher education and job level and higher SES compared to Kurds (p = 0.000). A higher percent of Azeri adolescents were obese than their Kurd counterparts (p = 0.006). No association was found between individual factors and BAZ in each ethnic group. Considering home environment characteristics, in Kurd adolescents, the maternal occupational level was positively associated with BAZ (p = 0.02). With regard to school environmental features, accessibility of physical activity facilities in school was inversely associated with BAZ only in Kurds (p = 0.005).

To the best of the authors’ knowledge, this is the first study to investigate various environmental factors in association with adolescent’s overweight/obesity prevalence in different ethnical groups in northwest Iran.

Identifying and addressing poor nutritional status in school-aged children is often not prioritized relative to HIV/AIDS treatment. The purpose of this paper is to elucidate the benefits of integrating nutrition (assessment and culturally acceptable food supplement intervention) in the treatment strategy for this target group.

The authors conducted a randomized, double blind pre-/post-intervention trial with 201 HIV-positive children (six to 15 years) in Botswana. Eligibility included CD4 cell counts < 700/mm3 (a marker for the severity of HIV infection), documented treatment with antiretroviral (ARV) drugs, and no reported evidence of taking supplemental food products with one or more added nutrients in the six-month period prior to the study. The intervention (12 months) consisted of two food supplements for ethical reason, one with a higher protein content, bean (bean-sorghum based) group (n=97) and a cereal (sorghum) group (n=104) both of which contained added energy- and micro- nutrients. Anthropometric and biochemical nutritional status indicators (stunting, wasting, underweight, skinfolds for fat and muscle protein reserves, and hemoglobin levels) were compared within and between the bean and the cereal groups pre- and post-intervention separately for children six to nine years and ten to 15 years.

Older children (ten to 15 years) fared worse overall compared to those who were younger (six to nine years) children in anthropometric and protein status indicators both at baseline and post-intervention. Among children six to nine years, the mid arm circumference and blood hemoglobin levels improved significantly in both the bean and cereal groups (p < 0.01 and p < 0.05, respectively). Although the BMI for age z-score and the triceps skinfold decreased significantly in the bean group, the post-intervention subscapular skinfold (fat stores) was significantly higher for the bean group compared to the cereal group (p < 0.05). Among children ten to 15 years, both the bean and the cereal groups also showed improvement in mid arm circumference (p < 0.001), but only those in the bean group showed improvement in hemoglobin (p < 0.01) post-intervention.

Similar significant nutritional status findings and trends were found for both food interventions and age within group pre- vs post-comparisons, except hemoglobin in the older children. Post-intervention hemoglobin levels for the type food supplement was higher for the “bean” vs the “cereal” food in the younger age group. The fact that all children, but especially those who were older were in poor nutritional status supports the need for nutrition intervention in conjunction with ARV treatment in children with HIV/AIDS, perhaps using a scaled up future approach to enhance desired outcomes.

This study aims to determine the association between dietary quality and growth of the aboriginal primary school children in Negeri Sembilan, Malaysia.

The cross-sectional study was carried out in Negeri Sembilan. A total of 194 school-aged aboriginal children participated in the study. The dietary intake and socioeconomic status data were collected from the parents using an interviewer-administrated structured questionnaire comprised of sociodemographic questions and three days of dietary recall. The Malaysian Healthy Eating Index was used to determine the diet quality of children. WHO Anthro Plus software was used to determine the z-score of weight-for-age (WAZ), height-for-age (HAZ) and body mass index (BMI)-for-age (BAZ).

Among all children, 15, 9 and 5% of them were stunted, underweight and thin, respectively. On the other hand, 16 and 12% of the children were overweight and obese, respectively. The aboriginal children were at risk of poor diet quality (37.19 ± 12.07) and had high dietary protein and fat intake than national recommended nutrient intake. The children achieved micronutrients intake, except for calcium. There was no significant association between total diet quality scores with growth indices among the aboriginal children. There is significant negative correlation between dietary vitamin A intake with HAZ (r = −0.168, p < 0.05) and WAZ (r = −0.219, p < 0.05) z-score of the aboriginal children.

Although there was a reduction in under-nutrition among the aborigines, an increasing over-nutrition status among aborigines should be considered, especially in terms of poor dietary quality and intake.

Parental feeding practice (PFP) plays an important role in child’s eating behavior and weight status, but less information is available about its role in the Thai family setting. The purpose of this paper is to examine the influence of PFP on child’s gender and body mass index (BMI).

Participants included 227 parents-child dyads from the suburban area of Nakhon Pathom province, Thailand. Children aged 9-12 years and parents who were either child’s mother, father or grandfather/grandmother were enrolled in the study. Body weight, height, waist circumference and body fat were measured in all children. Eating behavior of each child was assessed by using child’s eating questionnaire. Parents also provided their feeding practices in child feeding questionnaires. Information on household food security was also obtained from children’s parents.

There was significant difference in eating behaviors and home environment between child’s genders. For child’s eating behavior, mean total eating scores of girls were significantly greater (p=0.002) than that of boys and that the inappropriate home environment was more found in families of boys than girls. Regarding feeding practice, parents used more food restriction (p=0.008) and monitoring on child’s eating (p=0.042) in girls than boys. Parents put more pressure to eat on the normal weight than obese children (p=0.001). Regression analysis revealed that, apart from parental BMI and household income, PFPs have a significant impact (15.6 percent explained variance) on child’s BMI.

This study highlights the importance of being aware of child’s gender and weight status when feeding practices were provided to them. Nutrition education for parents should take account for parents’ perceptions and concerns as well as the modification of feeding practices to improve children’s eating behaviors.

Frequent consumption of sugar-sweetened beverages (SSB) not only contribute to the incidence of dental caries but also a substantial risk for metabolic syndrome, obesity, type 2 diabetes mellitus, cardiovascular diseases and arthritis. Therefore, this study aims to compare the ready-to-drink SSB (RTD-SSB) consumption frequency, choice and sugar intake across gender and body weight status.

This cross-sectional study involved 126 adolescents from two primary schools in Shah Alam, Selangor. Adolescents aged between 9-11 years old were enrolled using convenience sampling method. A semi-structured questionnaire was administered to assess socio-demographic and RTD-SSB consumption of the adolescents. The RTD-SSB consumption was assessed with 2-day 24-hour dietary recalls (single weekend and single weekday recalls), whereas body weight and height were assessed using TANITA weighing scale and stadiometer, respectively. Data were analysed using SPSS version 26.0, while BMI-for-age (BAZ) z-score was determined using the World Health Organization (WHO) AnthroPlus software version 1.0.4.

The mean age of 126 adolescents was 10.82 ± 0.93 years old. The frequency of SSB consumption was 1.77 ± 1.25 times/day, whereas the average daily sugar intake was 6.3 teaspoons (26.61 ± 22.18 g) from RTD-SSBs. Flavoured milk emerged as the most frequent consumed beverage among adolescents, regardless of gender and weight status. No association was observed between the RTD-SSB consumption frequency and weight status (χ² = 0.953, p > 0.05) as well as sugar intake and weight status (χ² = 1.202, p > 0.05). Emerging findings demonstrated that the RTD-SSB consumption frequency, choice and sugar intake were similar across gender and weight status.

This was the first study that compares RTD-SSB consumption frequency, choice and sugar intake across gender and different body weight status.

This study aims to examine the association between minimum dietary diversity (MDD) and the concurrence of stunting and overweight (CSO) among children aged 6–23 months.

A cross-sectional study was conducted in Sedayu Subdistrict, Bantul District, Daerah Istimewa Yogyakarta. The authors assessed the concurrence of stunting (height-for-age Z-score below −2 standard deviations SD) and overweight/obesity (Body mass index BMI-for-age Z-score above +2 SD) among a total of 189 children aged 6–23 months as the primary outcome. The authors defined MDD as consuming at least four out of seven food groups using a single 24-h recall. The authors also included other covariates, including sociodemographic characteristics, exclusive breastfeeding history and complementary feeding practices. To identify the factors associated with CSO, this study conducted multiple logistic regression across the study variables using STATA 16.1.

In the adjusted model, children who met the MDD criterion were associated with a reduced risk of CSO (adjusted odds ratios [OR]: 0.14; 95%confidence interval CI: 0.03–2.43). Compared to boys, girls were more likely to experience CSO (adjusted OR: 5.23; 95%CI: 1.02–26.9). Middle economic status was a protective factor for CSO (adjusted OR: 0.10; 95%CI: 0.01–0.98). This study did not find a significant relationship between CSO and the child’s age, low birth weight, exclusive breastfeeding, energy intake, protein intake, parental education and parental occupation.

This study suggests future programs and policies that promote dietary diversity to reduce the risk of CSO.

This study reveals the association between MDD and the coexistence of stunting and overweight.

This study aims at determining the risk of physical inactivity and sedentary behaviors on overweight and obesity among primary school children aged 10–13 years in Tanzania.

A case-control study was conducted from January to March 2020 involving 69 overweight/obese children as cases and 138 normal weight children as controls. Cases were identified as having body mass index-for-age ≥ +1 standard deviation (SD) and controls as those having BMI-for-age range between −2 SD to <+1 SD. A validated questionnaire was used for data collection on daily physical activities and sedentary behavior types, frequency duration and activity score. An independent sample t-test was used to compare means of activity score between cases and controls. Binary logistic regression was used to predict risk factors for overweight/obesity.

Risk factors for overweight/obesity were listening to music and/or radio for >2 h/week (OR 2.7, 95% CI 1.2–6.1) and walking for exercise <2 h/week (OR 2.1, 95% confidence interval [CI] 1.1–4.1). On the other hand, rope skipping for >2 h/week (OR 0.14, 95% CI 0.03–0.7) was a protective factor against overweight/obesity. Controls had a significantly higher mean score of being active during lunch breaks compared to cases (p = 0.012). Cases had higher weight, height and percentage body fat than controls (p < 0.001). The home environment provided more avenues for physical activity than the school environment.

To the best of the authors’ knowledge, this is original research work and the first case-control study to predict physical activity and sedentary behaviors as risk factors for overweight and obesity in Tanzanian school children.