Improved transition to adult care in youth with type 1 diabetes: a pragmatic clinical trial.

Aims/hypothesis: Youth with type 1 diabetes are at high risk for loss to follow-up during the transition from paediatric to adult diabetes care. Our aim was to assess the effect of a communication technology enhanced transition coordinator intervention compared with usual care on clinic attendance among transitioning youth with type 1 diabetes.

Methods: In this open label, pragmatic clinical trial of youth with type 1 diabetes, aged 17-18 years, transitioning from paediatric to adult diabetes care, the intervention group received support from a transition coordinator who used communication technology and the control group received usual care.

Youth with diabetes and their parents' perspectives on transition care from pediatric to adult diabetes care services: A qualitative study.

Background And Aims: When youth with diabetes transition from pediatric to adult diabetes care, they are at high risk for loss to follow up and worsening glucose control. We aimed to gain insight on how to improve the transition of youth with type 1 diabetes from pediatric to adult diabetes care from the patients' and parents' perspective.

Methods: We conducted focus groups in youth with type 1 diabetes in transition from pediatric to adult diabetes care and their parents, in Calgary, Alberta, between June and August 2014.

Waist circumference and cardiorespiratory fitness are independently associated with glucose tolerance and insulin resistance in obese women.

The purpose of this study was to determine the independent associations between physical activity (PA), cardiorespiratory fitness (CRF), abdominal obesity and insulin action in obese women. We studied 141 abdominally obese women (waist circumference (WC): 106.4 ± 10.

Acute exercise increases adiponectin levels in abdominally obese men.

Objective. To examine the effect of acute and short-term (~1 week) aerobic exercise training on plasma adiponectin levels in inactive, abdominally obese men. Materials and Methods.

Incidental physical activity and sedentary behavior are not associated with abdominal adipose tissue in inactive adults.

The aim was to determine the association between objectively measured incidental physical activity (IPA) (i.e.,nonpurposeful activity accrued through activities of daily living) and sedentary behavior (SED) with abdominal obesity in a sample of inactive men and women.

Cardiorespiratory fitness, obesity, and functional limitation in older adults.

One hundred forty-six abdominally obese adults age 60-80 yr were studied to investigate the interaction between cardiorespiratory fitness (CRF) and obesity on functional limitation. Obesity was determined by fat mass (FM), CRF was determined by a maximal treadmill test, and functional limitation was based on 4 different tasks that are predictive of subsequent disability. Both FM (r = -.

Sedentary behavior is not associated with cardiometabolic risk in adults with abdominal obesity.

Objective: The primary aim of this study was to determine whether time spent in sedentary behaviors (SED) was associated with 2-hour glucose and insulin resistance in adults with abdominal obesity. We also examined the association between light physical activity (LPA) and sporadic (accumulated in bouts <10 minutes in duration) moderate-to-vigorous physical activity (MVPA) with glucose metabolism.

Methods: Participants were 135 inactive, abdominally obese adults recruited from Kingston, Canada.

Incidental physical activity is positively associated with cardiorespiratory fitness.

Purpose: The primary aim was to determine whether incidental physical activity (IPA), expressed either as duration or intensity, was associated with cardiorespiratory fitness (CRF).

Methods: Participants were inactive abdominally obese men (n = 43, waist circumference ≥ 102 cm) and women (n = 92, waist circumference ≥ 88 cm) recruited from Kingston, Canada. IPA (>100 counts per minute) was determined by accelerometry during 7 d and categorized into duration (min·d(-1)) and intensity (counts per minute).

Ability of physical activity to predict cardiovascular disease beyond commonly evaluated cardiometabolic risk factors.

It is well-established that increasing physical activity (PA) is important for the prevention and management of cardiovascular disease (CVD). Although it has been demonstrated that PA predicts CVD independent of commonly measured cardiometabolic risk factors in women, it is unclear whether this association is true in men. The study participants consisted of 5,882 adults (age >or=18 years) from the 1999 to 2004 United States National Health and Nutrition Examination Survey.

Cardiorespiratory fitness and the risk of overweight in youth: the Healthy Hearts Longitudinal Study of Cardiometabolic Health.

The primary objective of this longitudinal study was to determine the association between cardiorespiratory fitness and the risk of overweight status in youth. To accomplish this aim we analyzed data from annual school-based surveys of cardiorespiratory fitness and anthropometry conducted between 2004 and 2006. The first analysis was performed on a cohort of 902 youth aged 6-15 years followed for 12 months to assess the association between cardiorespiratory fitness levels determined from a graded maximal field test and the risk of becoming overweight.

Physical activity guidelines and guides for Canadians: facts and future.

This article summarizes the main findings from the papers included in this journal supplement. It consolidates the evidence currently available to inform and advance the development of physical activity guidelines for Canadians, and it highlights the specific needs of various population subgroups. The challenges of translating guideline information into effective and persuasive physical activity messages, of campaigns to disseminate messages, and of related evaluations are underlined.

Overweight, physical activity and high blood pressure in children: a review of the literature.

Obesity is a growing problem in developed countries and is likely a major cause of the increased prevalence of high blood pressure in children. The aim of this review is to provide clinicians and clinical scientists with an overview of the current state of the literature describing the negative influence of obesity on blood pressure and it's determinants in children. In short, we discuss the array of vascular abnormalities seen in overweight children and adolescents, including endothelial dysfunction, arterial stiffening and insulin resistance.

[Guides and guidelines for physical activity for Canadians: facts and future].

This article summarizes the main findings from the papers included in this journal supplement. It consolidates the evidence currently available to inform and advance the development of physical activity guidelines for Canadians, and it highlights the specific needs of various population subgroups. The challenges of translating guideline information into effective and persuasive physical activity messages, of campaigns to disseminate messages and of related evaluations are underlined.