So the turning point, if you like, of the epidemic, if canada

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cheap Canada Goose Norman Swan: Two trials which aim to reduce the risk of childhood obesity have just been published. One seemed to work a bit and one didn’t, and of course childhood obesity is a huge issue, so interventions that could make a canada goose outlet 2015 difference are urgently needed. Boyd Swinburn is internationally recognised for his work on the public canada goose outlet mississauga health canada goose outlet factory effects of obesity and how to prevent it. canada goose outlet montreal Boyd is Professor of Population Nutrition and Global Health at the University of Auckland. And I spoke to him on the line from Auckland. cheap Canada Goose

buy canada goose jacket cheap What are the statistics on childhood obesity in canada goose outlet orlando Australia? I thought it was tailing off a bit. buy canada goose jacket cheap

canada goose coats Boyd Swinburn: Well, it seems to be potentially plateauing, and the data that we have for the under fives, which is admittedly not a lot, but it does seem to be coming down in the under fives. So the turning point, if you like, of the epidemic, if canada goose outlet vip it’s occurring and if it’s real, is starting in the under fives age group. canada goose coats

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canadian goose jacket Boyd Swinburn: Well, I think that that age group of population, first of all they are very environmentally responsive, everybody else is determining what they eat and what they do, they are the ones that obviously society puts the most store by protecting and looking after, parents are highly engaged compared with older children and so on, and also they are growing the fastest. canada goose outlet website legit So I think this is probably the reasons why canada goose outlet online wherever we see the start of the flattening or turning around in the obesity epidemic, it’s starting with these very young children. canadian goose jacket

Norman Swan: But canada goose outlet online store review it’s still a problem later on when the children don’t do necessarily what you tell them. So tell us about these two studies and their findings.

Boyd Swinburn: So two studies published canada goose outlet germany in the Journal of the American Medical Association, so that’s a prestigious journal, two big trials. So I’ll talk about the one that was unsuccessful first. So that was a trial of canada goose outlet eu young children aged between about three, 3 to 5, who are overweight but not yet obese, so the risk of becoming obese, they are divided into two groups, about 300 in each, so good size numbers in each arm of the trial, and most of them were Latino, so they were Hispanic Americans and they canada goose outlet in chicago had relatively low education. So I guess, canada goose outlet online store if you like, picking off the group that is really at most risk, the most disadvantaged populations and the kids about to head into the obesity zone, if you like.

Canada Goose Jackets So the interventions that they ran, and they followed them for three years, which is a good time, canada goose outlet uk sale a good length of time to see an effect, but the interventions that they used were very behavioural interventions focused on particular behaviours of children and how to deal with those Canada Goose Jackets

Norman Swan: To get them eating better, taking more exercise and all that sort of thing.

canada goose coats on sale Boyd Swinburn: Eating better, physical activity, sleep, media use, that kind of thing. canada goose coats on sale

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canada goose deals Boyd Swinburn: Well, it had no effect on the trajectory of their weight gain, of their weight over time. canada goose deals

Norman Swan: So tell me about the other study.

Boyd Swinburn: So the other study took children of parentsthey randomised first time pregnancy and they randomised them into two different types of interventions. One was basically a parenting one, how to be a more responsive parent, and then they had a comparison group as well. But the responsive parenting one delved a bit deeper into what we might call the determinants of health, the underlying factors, not just the more superficial things that you see like behaviour. And so this canada goose outlet new york fits into this theory which has quite a bit of weight behind it, around to different styles of parenting. The ones which seemed to be responsive to children but set boundaries as well

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canada goose black friday sale Boyd Swinburn: Yes, it did, a modest reduction I have to say but nevertheless a reduction, so it was very promising. So I think the idea that if you get a canada goose outlet online uk little bit belowget into the causes of the causes, not just thinking about the behaviours, then you might get closer to some kind of intervention which will have an effect. canada goose black friday sale

Norman Swan: Pretty intensive though. Is this the answer for childhood obesity?

canada goose Boyd Swinburn: It wasn’t so intensive. There was quite a lot of follow up I guess as canada goose vest outlet part of the study but it canada goose jacket outlet was mainly DVD and CD type of education material and support. It has potentially got a wider application at scale, but that is always canada goose outlet shop the challenge in going canada goose outlet florida from these trials where they have very selective people in the trial to something that would apply across the whole population. And of course this was a much different population that was largely white, reasonably well educated and not just taking kids at risk of obesity of course, it was all comers. So it was somewhat a different population which tells us also about perhaps the need for horses for courses. canada goose

Norman Swan: We haven’t got time that we need to get onto environmental stuff as well such as advertising and sugar taxes and all that stuff, which you are strong on. Boyd, we canada goose outlet black friday have to go, but thank you canada goose outlet very much for joining us.

Canada Goose Parka Boyd Swinburn: Okay, you’re very welcome, thanks Norman. Canada Goose Parka

canada goose clearance Norman Swan: Boyd Swinburn is Professor of Population Nutrition and Global Health at the University of Auckland, and is also the director of the WHO Collaborating Centre for Obesity Prevention at Deakin University in Melbourne canada goose clearance.

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