Effectiveness Of Lifestyle Education Programs In Preventing And Managing Childhood Obesity Among School Children
DOI:
https://doi.org/10.63682/jns.v14i23S.5686Keywords:
Lifestyle education, prevention, obesity, school childrenAbstract
Childhood obesity is increasingly being recognized as a significant public health concern, affecting children and adolescents across various demographics worldwide. The study aimed to evaluate the effectiveness of lifestyle education programs in preventing and managing childhood obesity among school children. The study utilized a quasi-experimental design to assess the effectiveness of a lifestyle education program in preventing and managing childhood obesity among school children. A total of 600 children were screened, and 70 overweight and obese children were selected based on inclusion criteria: children who were overweight or obese (based on BMI) and were willing to participate. Exclusion criteria included children who were unwilling to participate, those with co-morbidities that limited physical activity, or those with medical conditions that affected participation. The study showed that out of 600 children, the majority had normal weight (81.67%), while 6.67% were underweight, 3.33% were overweight, and 8.33% were obese. The combined prevalence of overweight and obesity was 11.67%. After the intervention, significant improvements were observed in health metrics: mean BMI decreased from 25.8 ± 3.5 kg/m² to 24.5 ± 3.2 kg/m² (p=0.003), waist circumference reduced from 85.4 ± 7.8 cm to 82.1 ± 7.2 cm (p=0.008), and body fat percentage dropped from 28.6 ± 5.2% to 26.4 ± 4.7% (p=0.004). All changes were statistically significant, indicating the intervention's positive effect on reducing overweight and obesity prevalence. The study highlighted that the intervention had a positive impact on children's health metrics, with significant reductions in BMI, waist circumference, and body fat percentage.
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Mado, F., Jafar, N., Muis, M., Maria, I., Syafar, M., Darmawansyah, D., … & Agustina, A. (2023). The effect of family-based empowerment in preventing overweight and obesity in elementary school children in Kupang. Pharmacognosy Journal, 15(3), 428-434. https://doi.org/10.5530/pj.2023.15.96
Li, B., Gao, S., Bao, W., & Li, M. (2022). Effectiveness of lifestyle interventions for treatment of overweight/obesity among children in China: A systematic review and meta-analysis. Frontiers in Endocrinology, 13. https://doi.org/10.3389/fendo.2022.972954
Rehman, M., Ibrar, A., & Habib, H. (2024). Prevalence of childhood obesity and its correlation with socioeconomic status in urban areas. Biological and Clinical Sciences Research Journal, 2024(1), 1005. https://doi.org/10.54112/bcsrj.v2024i1.1005
Xu, F., Ware, R., Leslie, E., Tse, L., Wang, Z., Li, J., … & Wang, Y. (2015). Effectiveness of a randomized controlled lifestyle intervention to prevent obesity among Chinese primary school students: Click-Obesity study. PLOS ONE, 10(10), e0141421. https://doi.org/10.1371/journal.pone.0141421
Altay, N., Törüner, E., & Çıtak, E. (2020). Determine the BMI levels, self-concept, and healthy life behaviors of children during a school-based obesity training programme. Aims Public Health, 7(3), 535-547. https://doi.org/10.3934/publichealth.2020043
Ye, Q., Lv, R., Zhao, M., Huang, Y., Zhang, Y., Zhang, H., … & Yuan, C. (2023). Parental adherence to healthy lifestyles in relation to the risk of obesity in offspring: A prospective cohort study in China. Journal of Global Health, 13. https://doi.org/10.7189/jogh.13.04181
Deng, Y., Manninen, M., Hwang, Y., Kim, T., & Yli-Piipari, S. (2024). Efficacy of lifestyle interventions to treat pediatric obesity: A systematic review and multivariate meta-analysis of randomized controlled trials. Obesity Reviews, 25(11). https://doi.org/10.1111/obr.13817
Asmuniati, L., Herawati, D., & Djais, J. (2019). The impact of nutritional counseling on nutritional knowledge and energy intake among obese children in junior high school. Althea Medical Journal, 6(3), 107-109. https://doi.org/10.15850/amj.v6n3.1645
Lubrecht, J., Arayess, L., Reijnders, D., Hesselink, M., Velde, G., Janse, A., … & Vreugdenhil, A. (2022). Weight gain in children during the COVID-19 pandemic and the protective effect of lifestyle intervention in children with obesity. Obesity Facts, 15(4), 600-608. https://doi.org/10.1159/000525298
Dhana, K., Haines, J., Liu, G., Zhang, C., Wang, X., Field, A., … & Sun, Q. (2018). Association between maternal adherence to healthy lifestyle practices and risk of obesity in offspring: Results from two prospective cohort studies of mother-child pairs in the United States. BMJ, k2486. https://doi.org/10.1136/bmj.k2486
Ding, M., Strohmaier, S., Schernhammer, E., Yuan, C., Sun, Q., Michels, K., … & Chavarro, J. (2020). Grand-maternal lifestyle during pregnancy and body mass index in adolescence and young adulthood: An intergenerational cohort study. Scientific Reports, 10(1). https://doi.org/10.1038/s41598-020-71461-5
Guo, T., Chen, T., Chen, L., Liu, J., Song, X., Zhang, Y., … & Ma, J. (2024). Association between long-term exposure to PM2.5 and its components on severe obesity in Chinese children and adolescents: A national study in China. Children, 11(12), 1536. https://doi.org/10.3390/children11121536
Nabi, N., & Mostefa, A. (2022). Risk factors associated with overweight and obesity among primary school children in Duhok. The Journal of the University of Duhok, 25(2), 346-354. https://doi.org/10.26682/sjuod.2022.25.2.32
Koot, B., Baan-Slootweg, O., Vinke, S., Bohte, A., Tamminga-Smeulders, C., Jansen, P., … & Benninga, M. (2015). Intensive lifestyle treatment for non-alcoholic fatty liver disease in children with severe obesity: Inpatient versus ambulatory treatment. International Journal of Obesity, 40(1), 51-57. https://doi.org/10.1038/ijo.2015.175
Dam, M., Rijks, J., Dorenbos, E., Horuz, F., Dael, K., & Vreugdenhil, A. (2019). The effect of one-year lifestyle intervention on eGFR in children and adolescents with overweight, obesity, and morbid obesity. Scientific Reports, 9(1). https://doi.org/10.1038/s41598-019-40767-4
Alenazi, A., Hammad, S., & Elwan, A. (2021). Prevalence of obesity in primary school students and its relation to watching TV in Arar city. International Journal of Pharmaceutical and Phytopharmacological Research, 11(1), 159-166. https://doi.org/10.51847/9lxojlrqql
Fernández‐Ruiz, V. E., Solé-Agustí, M., Armero‐Barranco, D., & Cauli, O. (2021). Weight loss and improvement of metabolic alterations in overweight and obese children through the i2ao2 family program: a randomized controlled clinical trial. Biological Research for Nursing, 23(3), 488-503. https://doi.org/10.1177/1099800420987303
Koetsier, L., Eynde, E. v. d., Mil, E. v., Velde, M. v. d., Vries, R. d., Baan, C. A., … & Halberstadt, J. (2023). Scoping literature review and focus groups with healthcare professionals on psychosocial and lifestyle assessments for childhood obesity care. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-022-08957-5
Silver, M. P. and Cronin, S. (2019). Health care providers’ perspectives on family compliance and behavior change in a childhood obesity program. Health Education &Amp; Behavior, 46(4), 582-591. https://doi.org/10.1177/1090198119831053
Rankin, A. N., Blood‐Siegfried, J., Vorderstrasse, A., & Chlebowy, D. O. (2015). Implementation of childhood obesity identification and prevention strategies in primary care. International Journal of Pediatrics and Adolescent Medicine, 2(2), 59-63. https://doi.org/10.1016/j.ijpam.2015.05.002
Nabi, N. T. and Mostefa, A. M. (2022). Risk factors associated with overweight and obesity among primary school children in duhok. The Journal of University of Duhok, 25(2), 346-354. https://doi.org/10.26682/sjuod.2022.25.2.32
Gray, L. A., Alava, M. H., Kelly, M. P., & Campbell, M. J. (2018). Family lifestyle dynamics and childhood obesity: evidence from the millennium cohort study. BMC Public Health, 18(1). https://doi.org/10.1186/s12889-018-5398-5
Verduci, E., Profio, E. D., Fiore, G., & Zuccotti, G. V. (2022). Integrated approaches to combatting childhood obesity. Annals of Nutrition and Metabolism, 78(Suppl. 2), 8-19. https://doi.org/10.1159/000524962
Chung, W., Lee, S., Lim, S., & Kim, J. (2016). Modifying effects of education on the association between lifestyle behaviors and the risk of obesity: evidence from south korea. BMC Public Health, 16(1). https://doi.org/10.1186/s12889-016-3776-4
Jortberg, B. T., Rosen, R., Roth, S. E., Casias, L., Dickinson, L. M., Coombs, L., … & Dickinson, W. P. (2016). The fit family challenge: a primary care childhood obesity pilot intervention. The Journal of the American Board of Family Medicine, 29(4), 434-443. https://doi.org/10.3122/jabfm.2016.04.150238
Tucker, K., Ingram, M., Doubleday, K., Piper, R., & Carvajal, S. C. (2019). La vida buena (the good life) evaluation: a quasi experimental intervention of a community health worker-led family-based childhood obesity program for latino children 5–8 years of age on the us-mexico border. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-7081-x
Yazel-Smith, L., Mikati, H. K. E., Adjei, M., Haberlin-Pittz, K. M., Agnew, M., & Hannon, T. S. (2020). Integrating diabetes prevention education among teenagers involved in summer employment: encouraging environments for health in adolescence (enhance). Journal of Community Health, 45(4), 856-861. https://doi.org/10.1007/s10900-020-00802-2
Xu, F., Ware, R. S., Leslie, E., Tse, L. A., Wang, Z., Li, J., … & Wang, Y. (2015). Effectiveness of a randomized controlled lifestyle intervention to prevent obesity among chinese primary school students: click-obesity study. Plos One, 10(10), e0141421. https://doi.org/10.1371/journal.pone.0141421
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