Increasing central adiposity: the Nepean longitudinal study of young people aged 7-8 to 12-13y

BACKGROUND: Estimates of the prevalence of overweight and obesity in young people are typically based on body mass index (BMI). However, BMI may not indicate the level of central adiposity. Waist circumference has therefore been recommended to identify young people at risk of morbidity associated with central adiposity.

OBJECTIVE: To investigate (a) change in total and central adiposity between 7–8 and 12–13 y (b) agreement between classifying young people as overweight or obese based on total adiposity and central adiposity, and (c) risk factors associated with the development of total and central adiposity.

DESIGN: Anthropometric measurements were taken on 342 children in 1996/97 and 5 y later. Risk factors examined included birth weight, physical activity, TV viewing, pubertal status, parental adiposity, diet and socio-economic status.

RESULTS: Between 7–8 and 12–13 y indices of central adiposity increased more than total adiposity; waist circumference z-score increased by (means.d.) 0.740.92 and BMI z-score increased by 0.180.67. At 12–13 y there was moderate agreement between the two measures of adiposity (weighted kappa=0.64). However, waist circumference identified a greater number of young people as overweight or obese compared to BMI (41.2 vs 29.3%, P<0.001). Adiposity status at 7–8 y, maternal obesity, and pubertal stage were the strongest predictors of BMI status at 12–13 y. Risk factors associated with increased central adiposity were similar.

CONCLUSIONS: Overweight and obesity, as measured by waist circumference, is a bigger problem than is currently assessed by BMI. Targeting known risk factors for total adiposity may be an appropriate strategy for preventing increased central adiposity.

Sibling peer support group for young people with a sibling using drugs: a pilot study

Siblings of young people abusing drugs are at particular risk for drug abuse and other health compromising behaviors. A Sibling Peer Support Group was developed by the Centre for Adolescent Health (Melbourne, Australia) for young people aged 13 to 18 years with a problematic drug user in their family. Groups aimed to provide support and information, promote harm minimization, and reduce the sense of isolation. The project emanated from the recognized need for specific support for adolescent siblings of problematic drug users. Evaluation of two pilot groups indicated positive benefits for group members, who reported feeling better informed, more supported, and having a reduced sense of isolation. Parents reported that their adolescent attending the group demonstrated improved communication with, and greater understanding and tolerance of, the family member using drugs. Promising indicators at a community level were manifested in enthusiastic collaboration among schools, police and local service agencies, and the organization of a local drug forum. There appeared to be little evidence that the groups inadvertently encouraged drug use. Recruitment of young people into groups was the major challenge for the project, but among drug and alcohol and family organizations there was support for the concept of a Sibling Peer Support Group. A new model to overcome the challenge of recruitment is proposed.

Drawing on a Foucaultian genealogy to consider the constructions of psychopathology and sexualities in young people

This paper employs genealogical strategies to analyse examples from our own research in education relating to the construction of psychopathology and sexualities. We consider the application of four angles of scrutiny, discontinuity, contingency, emergences and subjugated knowledges (Foucault 1977, 1980, 1988). We explain the four angles of scrutiny and consider how these can be used to produce research practices commensurate with Foucaultian inspired genealogical strategies. For instance, we argue that subjugated knowledges form a critical component of the four angles of scrutiny. We propose that through their subjugation, these knowledges offer a different perspective to dominant knowledges on sexuality and psychopathology. It is our argument that it is precisely via this subjugation that these types of knowledges offer valuable perspectives to the construction of young people. Furthermore, highlighting contingency, discontinuity, emergences and subjugated knowledges makes for provocative moments, both substantively and methodologically, in the task of qualitative analysis.

Having a baby and being in school : researching pregnant and parenting young people and their educational transitions

This paper reports on the 2002 pilot phase (in a provincial city) of a continuing study of pregnant and parenting young people and their movements in and out of school (and other educational) settings. It presents an overview of methodological approaches employed and dilemmas encountered, data collected and readings of that data, and an indication of how issues identified from the pilot study have informed the directions and emphases of an expanded investigation for 2003 and beyond. The paper draws on specific cases to identify how young people negotiate their way in and out of school during this phase of their lives. It offers an insight into how young people see themselves ''becoming somebody'' in and around other identity work they engage in while pregnant and parenting at school. The research provides knowledge about the intersection between the institutional and individual complexities of leaving and staying-on at school, including an account of the academic and social reasons for leaving or returning to school and school responses to student pregnancy and parenting.

Dancing beyond exercise : young people's experiences in dance classes

Dance classes in urban settings may have a role in health-promotion programmes seeking to increase physical activity amongst young people. However, little is so far known about the motivations, experiences or health outcomes of those participating in dance classes. This qualitative study of young people attending recreational dance classes addressed motivations, the nature of the class experience, and implications for health and well-being. Data show that young dance participants' experiences of 'the physical' are embedded in social, community/cultural or other values, and involve respect for older teachers and physical knowledge/expertise gained over the long term. Encouragement of dance-class participation may offer an important strategy for health promotion as long as the physical activity value of dance classes is not promoted in narrow, bio-mechanical terms.

Young people and the internet : what is the solution?

New Technology is an important aspect of society, but the impact of new technology has changed the way in which society can view and deal with many traditional issues. Young people have access to the internet and in many cases are left to their own devices and free to explore a variety of sites via the internet, even if the content is unsuitable. The paper will explore the issue of how to control the internet and how young people deal with the Internet. The paper will explore the issues of government and also school in helping young people with these new challenges.