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The purpose of this paper is to examine the prevalence of obesity/overweight using higher body mass index (BMI), assess racial/ethnic variance in overweight/obese prevalence, and to determine whether or not insurance status explains the variance.

A cross-sectional design was used to assess medical records of children in Nemours Healthcare System during 2011. The authors reviewed the records and extracted information on normal BMI, BMI percent, higher BMI, prevalence of overweight/obese and other variables as well as race and ethnicity. χ2 statistic, Fischer's exact and logistic regression model were used to examine the data.

Overall, the prevalence of higher BMI as overweight/obese was comparable to that of the US pediatric population, 33.4 percent. Compared to Caucasian/white, Asians were less likely to have higher BMI, prevalence odd ratio (POR)=0.79, 95 percent CI=0.70-0.90, but Blacks/African Americans (POR=1.22, 95 percent CI=1.18-1.27) and Some other Race were more likely to have higher BMI, POR=1.61, 95 percent CI=1.92-1.71. After controlling for insurance status, the racial disparities in higher BMI persisted; p<0.0001.

Racial/ethnic disparities exist in childhood higher BMI, which were not removed after controlling for insurance coverage as a surrogate for socioeconomic status. These findings are indicative of assessing sex, religious, dietary patterns, physical activities level, environmental resources, social media resources; and geographic locale as confounders in race/ethnicity and higher BMI association.

Understanding the predisposing factors to obesity/overweight among diverse populations is essential in developing and implementing intervention programs in addressing this epidemic in our nation.

The purpose of this paper is to assess the association between socioeconomic status and child overweight/obesity in Portugal and to evaluate income-related inequalities in its distribution.

Data come from the last Portuguese National Health Survey (2005/2006) – sample of 6,903 observations. To define child overweight/obesity, the International Obesity Task Force cut-offs for body mass index (BMI) were used; the logistic regression analysis was adopted to explain the risk of overweight/obesity and inequality was measured by means of concentration curve and index.

The evidence obtained points to income-related inequalities in child overweight/obesity favourable to the better-off. The probability of child overweight/obesity was lower for higher income households, but up to a certain point a positive association between income and caloric food intake was found. The concentration index obtained was −0.072 (p-value<0.001).

Some data limitations, no information on: physical exercise; sleeping habits; parents’ education and BMI; age is coded in groups. Although the data are from 2005/2006, the current analysis is useful to future works aiming to discuss the impact of the economic and financial crisis which occurred after these data were collected.

It is important to tailor policies targeting child obesity/overweight in order to tackle not only the prevalence of this disease but also its distribution.

Drawing attention on inequalities in child obesity/overweight in Portugal as the vast majority of studies have focussed on prevalence. The middle income effect is an issue raised in this work which deserves further investigation.

The aim of this paper is to qualitatively examine the ways in which primary school children, aged between 7 and 12, perceive various facets of obesity as defined by the common sense model of illness representation (CCM).

The study was qualitative in nature. Semi‐structured interviews were conducted with 33 children on all dimensions of the CSM. Twenty four children were normal weight and nine were overweight. A drawing task formed the methodology for the “identity” section of the interview.

Although children identified food intake as a main cause of obesity, almost half did not name sedentary behaviours as a cause of obesity. Duration (timeline) of obesity was regarded by most children as reliant on a person's undertaking of positive health behaviours. Normal weight children were found to list more severe consequences of obesity than the overweight group. It was found that experience contributed to the detailed knowledge of overweight children's perceptions of cures of obesity. Overweight children also spoke of personal incidents of barriers to cures.

The findings suggest that the CSMs can be used to classify children's perceptions of obesity. Future childhood obesity interventions can utilise these findings to create campaigns and strategies that are more consistent with children's understandings of this condition.

To the authors' knowledge, no previous study has examined children's perceptions of obesity beyond perceived causes.

Schools are an important setting for a wide variety of activities to promote health. The purpose of this paper is to map the different types of health promotion programmes and activities in schools, to estimate the amount of published evaluations of health promotion within UK schools, and to identify any provisional “candidate programme theories” to inform a planned theory-driven systematic review.

Review of reviews: in total, 67 published systematic reviews of health promotion in schools were identified, from which a sub-sample of 28 systematic reviews (on 14 health topics) were retrieved for more detailed reading.

Key dimensions of programme design and delivery fell mainly under the following categories: the problem and age-group of children targeted, who delivers the programme and how, and the scale and theoretical underpinning of the programme. Candidate programme theories spanned both effectiveness factors and aspects of programme implementation.

Few detailed “candidate theories” emerged for explaining how and why health promotion can more successfully implemented in different schools.

There are five or more systematic reviews of studies of health promotion programmes in schools which target: smoking prevention; physical activity; sexual health; emotional and behavioural health and well-being; mental health; substance abuse; obesity/overweight. This suggests probable duplication of health problem-specific systematic reviews.

The findings highlight the considerable diversity of health promotion in schools, and specifies key dimensions of this diversity. They underline the need to understand better how, why, and in what circumstances health promotion can be successfully implemented in different schools and education systems.

Obesity is a multi-factorial problem that develops from an interaction between diet, genetics, physical activity, medication, and other factors. This paper aims to examine the association between dietary diversity score (DDS) and obesity among adults of Ardebil.

This case-control study was conducted on 204 cases (obese and overweight participants) and 204 controls (healthy weight individuals) matched by socioeconomic status (SES), age (older than 30 years) and sex. Dietary intake was assessed using a 24 h food recall questionnaire. Data on physical activity and socio-demographic variables were gathered. DDS was computed based on the scoring of the 14 food groups recommended by the Food and Agriculture organization guideline.

The DDS of the obese group was higher (5.02 ± 1.02) than that of the healthy weight group (4.23 ± 1.18) (p < 0.001). There was a significant association between DDS and body mass index (BMI) in both groups of study, but this association was more significant in the obese group (β = 0.501, p = 0.021) than that of healthy weight group (β = 0.413, p= 0.042). Vegetable food group score in both groups of the study was associated with obesity inversely (p < 0.05).

This study was conducted for the first time in Ardabil city and the results showed for the first time that there is a relationship between dietary diversity and obesity. People with a higher dietary diversity score are more likely to be obese. In fact, this study for the first time proved that people who are obese have a more varied diet but less vegetables and fruits.

The formal and informal regulation of employees' appearance is a routine component of organizational life. In our research, we analyze appearance-related employment discrimination lawsuits. These cases involve organizational dress codes, grooming policies, and employers' attempts to regulate employees' appearance with regard to weight, hairstyles, religious attire, body art, and more. Men and women who refuse to comply with appearance norms face termination of their employment, promotion denials, lower wages, transfers, not being hired in the first place, and other workplace sanctions. Our focus on court deliberations and decisions allows us to explore not only the gendered nature of appearance policies themselves but also how the legal system supports, reinforces, codifies, or, conversely, deems unacceptable such policies. Our data demonstrate that organizations and courts are likely to support appearance norms that reinforce traditional ideas about femininity and masculinity.

The purpose of this paper is to introduce the HEPS project (Healthy Eating and Physical Activity in Schools) and discuss initial steps of the project implementation within EU countries. On the basis of the Health Promoting School approach as a conceptual foundation for the project, HEPS aimed at developing and implementing an effective tool for supporting the development of national policies on healthy eating and physical activity in schools across Europe. For this purpose, a package of publications (HEPS Toolkit) was produced and disseminated within the Schools for Health in Europe (SHE) network.

An initial implementation survey was carried out with national coordinators of the SHE network (n=24).

Results indicate that more than half of the respondents were familiar with and disseminated the HEPS Toolkit to relevant stakeholders at national, regional and local levels. However a number of problems and barriers in the implementation were encountered, such as lack of support and resources, existence of competing programmes, and frequent education and health reforms.

The findings are discussed against two models of implementation and a few recommendations are suggested for optimizing the further implementation of this, and other similar projects.

THE HEPS toolkit is the first attempt to support all EU member states in the development and implementation of a national policy on healthy eating and physical activity in schools. The involvement of the national coordinators of a well established European network of school health can be seen as an innovative way to implement and disseminate the project outcomes.

Patients in secure units are at high risk of obesity because of antipsychotic medication, restrictions on freedom, and poor motivation to eat healthily and exercise. The aim of this paper is to investigate how consultant forensic psychiatrists address weight management, particularly with respect to inpatients.

Based on a review of the literature, a structured questionnaire was developed and piloted locally. After revising the questionnaire, it was sent to all 442 consultant psychiatrists listed by the Royal College of Psychiatrists as having a special interest in forensic psychiatry.

A total of 183 usable questionnaires were returned (response rate 45.9 per cent). Most respondents monitored patients' weight and had some access to a dietitian. Respondents rated a median of 40 per cent of their inpatients as obese. A total of 68.9 per cent said their patients did not have unrestricted access to food. Use of weight loss drugs such as orlistat was infrequent. A few patients had been referred for bariatric surgery but most had been judged unsuitable.

The responses reported in this paper are based on participants' self‐report and have not been confirmed by independent observation. Further research is needed to determine which weight loss measures are effective for psychiatric patients in real‐life situations.

Obesity appears to be common among forensic inpatients despite weight monitoring, dietetic interventions and exercise programmes. Comprehensive and continuing efforts are needed to help patients lose weight and lead healthier lifestyles.

This survey reports on clinicians' views and clinical practice.

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.

The term “junk food” is for the most part currently used in the widest political and media debate, without reference to something tangible. The purpose of this paper is to pinpoint the delicate issues involved in moving towards a trans-national, unified, consensual definition of the term “junk food”, including social, economic, cultural, nutritional and methodological problems.

Departing from the work done by international bodies (WHO, FAO-Codex Alimentarius, OECD, EFSA and European Commission) authors descriptively investigate possible background elements able to frame the surrounding debate about “junk food” (“nutrient profiles”, labelling provisions, institutional aspects, etc.).

Presently there is a lack of a global consensus and of scientific basis to define clearly what constitutes “junk food” either on regional areas or globally. Despite of good metrics able to classify foods according to their nutritional quality, policy making relies yet on the concept that only diets or single nutrients can be focused as “good or bad”.

A “junk food” taxonomy could be helpful to harmonize trade policies in internal markets (i.e. the EU) and at global level; but also to gain a wider social support for “hard” policy measures intending to counteract non-communicable-diseases (NCDs), and more generally, obesity and overweight.

A clear basis for “junk food” definition could be the first step to introduce otherwise controversial and easily opposable public health policies and campaigns, due to private interests of the different stakeholders. Even consumers may perceive food policies (in the sake of “food taxes” or “traffic light labelling”) as unfair, whereas not robust scientific ground has been previously given at the highest possible level.

The value of this descriptive paper consists in addressing the shortcomings of global and regional nutritional policies framework in front of the emerging trend of “globesity”. Conclusions stress the need to find support for broader food policies (labelling, taxes, education, bans, etc.) which currently are on the rise but lack fundamental aspects of scientific and hence social support.