Predictors And Correlates Of Health-related Quality Of Life And Morbidity In Overweight/obese Adolescents: Cohort Study
Funder
National Health and Medical Research Council
Funding Amount
$512,525.00
Summary
There is now no doubting the size and long-term risks to health of the childhood obesity epidemic. However, very little research has examined at population level its immediate consequences for mental health and physical functioning, what pathways confer risk and protection for these consequences, and their likely healthcare consequences. This study will utilise an existing cohort of approximately 1500 Victorian adolescents followed since childhood to examine neglected aspects of the genesis and ....There is now no doubting the size and long-term risks to health of the childhood obesity epidemic. However, very little research has examined at population level its immediate consequences for mental health and physical functioning, what pathways confer risk and protection for these consequences, and their likely healthcare consequences. This study will utilise an existing cohort of approximately 1500 Victorian adolescents followed since childhood to examine neglected aspects of the genesis and impacts of overweight and obesity. The Health of Young Victorians Study was originally assembled in 1997 when the children were in Grades Prep-3. In addition to information on putative risk and protective factors for overweight-obesity and direct measures of height and weight, it is unique in having collected data on health-related quality of life (HRQoL) since children were first recruited during the early primary school years. Eight years after the first wave, the children will be adolescents in Grades 8-11. This third wave will retain a focus on HRQoL. Innovations include study of potential emotional, behavioural and physical consequences of childhood obesity that may in turn affect the natural history of obesity. This large, population-based longitudinal study will redress neglected aspects of child and adolescent overweight-obesity specifically identified in 2003 by the NH and MRC. As well as establishing whether a range of common problems are related to overweight-obesity, it will be able to shed light on mechanisms of adverse outcomes associated with adolescent overweight-obesity, and study protective factors predicting remitting overweight from childhood to adolescence that may inform preventive activities. The study will make an international contribution to knowledge about pathways, prevalence and preventive opportunities for child and adolescent overweight-obesity.Read moreRead less
An investigation of illicit tobacco use - its prevalence, economic impact and the motivations and perceptions of consumers. Black market tobacco costs the Australian government at least $450 million in lost taxes per annum. Little is known about the prevalence and economics of illicit tobacco use, or the motivations, attitudes and perceptions of consumers. Using a national telephone survey of licit and illicit tobacco consumers, we will investigate their economic thresholds, decision-making pr ....An investigation of illicit tobacco use - its prevalence, economic impact and the motivations and perceptions of consumers. Black market tobacco costs the Australian government at least $450 million in lost taxes per annum. Little is known about the prevalence and economics of illicit tobacco use, or the motivations, attitudes and perceptions of consumers. Using a national telephone survey of licit and illicit tobacco consumers, we will investigate their economic thresholds, decision-making processes, and perceptions of health effects. Our work will lead to improved supply and demand reduction measures for illicit tobacco, and enable development of appropriately targeted health promotion strategies, generating enduring benefit to Australia's economy and public health. Read moreRead less
Determinants of children's physical activity and sedentary behaviour: a follow-up study from early childhood. This project investigates changes in preschool children's physical activity and sedentary behaviour, and influences on these changes, during the important period of transition to school. It will provide important information on how we might assist children to be more active, thereby avoiding the detrimental health and social outcomes of inactivity.
Critical windows: understanding changes in eating and physical activity over the transition from secondary school to young adulthood. This project will explain changes in eating, physical activity and sedentary behaviour during the critical period of transition from secondary school to young adulthood. It will provide important information on how we can assist adolescents to maintain a healthy lifestyle over a time characterised by several major life changes.
Turning Points: Breaking Intergenerational Cycles Of Intimate Partner Abuse And Social Adversity
Funder
National Health and Medical Research Council
Funding Amount
$1,328,354.00
Summary
Intimate partner abuse (IPA) is estimated to affect one in four women at some stage in their lives, and to impact on the lives of at least one million Australian children annually. This study will investigate the extent to which exposure to intimate partner abuse during pregnancy and in the first 12 months postpartum predicts child outcomes in middle childhood. The study will provide foundations for better targeting and tailoring of early intervention strategies to support children at risk of ad ....Intimate partner abuse (IPA) is estimated to affect one in four women at some stage in their lives, and to impact on the lives of at least one million Australian children annually. This study will investigate the extent to which exposure to intimate partner abuse during pregnancy and in the first 12 months postpartum predicts child outcomes in middle childhood. The study will provide foundations for better targeting and tailoring of early intervention strategies to support children at risk of adverse outcomes.Read moreRead less
Dietary patterns across the life-course: implications for the prevention of obesity, cardiometabolic disease and public health. This research will focus on dietary patterns in population health across the life-course. We know little about how dietary patterns and their determinants vary across life and the impact of life-stage transitions on diet and health. This research will provide insights into dietary patterns of infants, children, young adults and older adults.
Normative study of a checklist of emotional and behavioural disturbance in adults with intellectual disability. People with intellectual disability (ID) are three times more likely to suffer mental illness than the general community, making this a bigger problem than schizophrenia. They are a great burden to their carers and cost to the community but their mental health problems remain largely untreated. This study aims to conduct the largest and most comprehensive survey of the mental health ....Normative study of a checklist of emotional and behavioural disturbance in adults with intellectual disability. People with intellectual disability (ID) are three times more likely to suffer mental illness than the general community, making this a bigger problem than schizophrenia. They are a great burden to their carers and cost to the community but their mental health problems remain largely untreated. This study aims to conduct the largest and most comprehensive survey of the mental health of adults with ID that has been undertaken internationally to date. The population will cover the age span of late adolescence (16 years) through the transition to adult life then through to the elderly. The research will establish the prevalence and nature of mental illness and potential risk factors in a large representative population of adults with ID.Read moreRead less
Global Corporate Challenge Evaluation: The evaluation of a low-cost, low-impact physical-activity workplace intervention. Societal increases in obesity and physical inactivity have led to consideration of workplace interventions as a potential for improving health. However, long-term evaluations of such interventions are rare. Here we will evaluate the Global Corporate Challenge (GCC), which engages employees to participate in a four month pedometer-based program aimed at increasing their physic ....Global Corporate Challenge Evaluation: The evaluation of a low-cost, low-impact physical-activity workplace intervention. Societal increases in obesity and physical inactivity have led to consideration of workplace interventions as a potential for improving health. However, long-term evaluations of such interventions are rare. Here we will evaluate the Global Corporate Challenge (GCC), which engages employees to participate in a four month pedometer-based program aimed at increasing their physical activity levels. We will follow 1000 participants for two years to determine the short and long-term health benefits of the program and to provide insight into factors that may improve the success of such programs. Such findings are essential for appropriate government and industry policy decisions in this area of chronic disease prevention. Read moreRead less
Understanding how local and regional accessibility are associated with active travel, and related health and economic impacts. Exercise and walking are vital for a healthy lifestyle and wellbeing. The accessibility and ’walkability’ of where one lives and works is key to supporting physical activity. Consequently, public health practitioners, urban planners and the transport sector face a common strategic challenge; shifting people from private vehicles to active forms of transport. This project ....Understanding how local and regional accessibility are associated with active travel, and related health and economic impacts. Exercise and walking are vital for a healthy lifestyle and wellbeing. The accessibility and ’walkability’ of where one lives and works is key to supporting physical activity. Consequently, public health practitioners, urban planners and the transport sector face a common strategic challenge; shifting people from private vehicles to active forms of transport. This project aims to model the health and economic impacts of the ease of: walking and cycling within neighbourhoods; and travelling across wider geographical areas on time spent walking and cycling for transport among both adults and children. This project aims to enable the research team to maximise the opportunities the environment provides for both positive health and well-being in Australia.Read moreRead less
Urban spaces and active ageing: understanding person-environment interactions to inform activity-friendly community design. The proportion of older adults in urban areas is rapidly growing, leading to increases in health-care costs that are associated with chronic diseases. This can be offset by creating urban environments that support an active lifestyle across mid-to-late adulthood. How urban community designs shape the physical activity of this understudied age group is unclear. Using a suite ....Urban spaces and active ageing: understanding person-environment interactions to inform activity-friendly community design. The proportion of older adults in urban areas is rapidly growing, leading to increases in health-care costs that are associated with chronic diseases. This can be offset by creating urban environments that support an active lifestyle across mid-to-late adulthood. How urban community designs shape the physical activity of this understudied age group is unclear. Using a suite of national and international epidemiological studies, This project aims to identify the optimal mix and spatial distribution of destinations (facilities and places to visit) for active ageing, while taking into account factors that define one’s ability and willingness to visit these destinations. This will inform public policy and activity-friendly community design.Read moreRead less