Publications by authors named "Mieke Jongejan"
Background: Underlying medical causes of obesity (endocrine disorders, genetic obesity disorders, cerebral or medication-induced obesities) are thought to be rare. Even in specialized pediatric endocrinology clinics, low diagnostic yield is reported, but evidence is limited. Identifying these causes is vital for patient-tailored treatment.
View Article and Find Full Text PDFIncreased scalp hair cortisol concentrations in obese children.
J Clin Endocrinol Metab
January 2014
Context: Pathologically increased cortisol exposure induces obesity, but it is not known whether relatively high cortisol within the physiological range is related to childhood obesity.
Objective: The aim of the study was to compare hair cortisol concentrations between obese and normal-weight children.
Design: We performed an observational case-control study.
Objective: Although systematic screening for child abuse of children presenting at emergency departments might increase the detection rate, studies to support this are scarce. This study investigates whether introducing screening, and training of emergency department nurses, increases the detection rate of child abuse.
Methods: In an intervention cohort study, children aged 0 to 18 years visiting the emergency departments of 7 hospitals between February 2008 and December 2009 were enrolled.
Article Synopsis
- The study aimed to identify predictors of success in a family-based lifestyle intervention for overweight and obese children by analyzing various baseline factors.
- Over 200 children and their caregivers participated, providing data on demographics, behaviors, and family dynamics, with BMI-SDS tracked over a year.
- Findings showed that children with Caucasian parents, lower initial BMI-SDS, and higher social competence were more likely to achieve better weight loss outcomes, indicating the need for tailored treatment approaches based on these predictors.
Article Synopsis
- The study analyzed child abuse detection rates in seven Dutch hospitals, comparing those that followed screening guidelines with those that did not.
- A total of 24,472 emergency department visits were reviewed, revealing that suspected child abuse occurred in only 0.2% of cases, with higher rates in hospitals adhering to guidelines (0.3%) compared to those that didn't (0.1%).
- The findings suggest that although current detection rates are low, implementing uniform screening guidelines could lead to improved identification of suspected child abuse cases.
Objective: To evaluate baseline predictors of drop out at various stages in a lifestyle intervention for overweight and obese children.
Patients And Methods: Children and their families (N = 248) (aged 8-14 years) attended a lifestyle intervention. At baseline, we assessed anthropometric and demographic data, measured competence and behavioral problems, and family functioning.
Objective: To assess the 1-year results of a multidisciplinary, cognitive behavioral therapy treatment program for overweight and obese children.
Study Design: Children (n = 73; 8 to 15 years old) participated in a prospective study aimed at reduction of the body mass index-standard deviation score (BMI-SDS), adapting a healthy lifestyle and creating a positive self-image and higher self-esteem, by use of a group approach and parental involvement. Reduction in BMI-SDS and percent overweight were measured and analyzed by use of MIXED modeling.