scholarly journals Effects of Healthy Change Intervention on Childhood Obesity Prevention in Mexico

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 973-973
Author(s):  
Yolanda Flores-Peña ◽  
Meizi He ◽  
Erica Sosa ◽  
Hermelinda Avila-Alpirez ◽  
Perla Trejo-Ortiz

Abstract Objectives To evaluate the effects of the Healthy Change intervention on maternal perceptions of their child's body weight (MPCW), weight status as overweight-obese (OW-OB), and associated variables (child’ BMI, maternal feeding style, and obesogenic home environment) in Mexico. Methods Randomized control trial consisted of two arms: the intervention group received Healthy Change, and control group received Hygiene and Accident Prevention. Data were collected at baseline and at the end of the program via self-administered questionnaires by mothers and anthropometric measurement in children. Results The proportion of mothers who accurately identified their children's weight status increased at study endpoint in both groups. The intervention group also showed a shift of mothers feeding style towards an authoritative style (17.4 vs 26.2, P < 0.001) and favorable changes family nutrition and physical activity environment scores on family eating practices, healthy home environment, family and child's physical activity. Conclusions The Healthy Change Intervention contributed to an increased recognition of children's overweight status, a shift toward a maternal authoritative feeding style, and favorable changes in family nutrition and physical activity environment. Funding Sources The National Council for Science and Technology (CONACYT)

Children ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. 506
Author(s):  
Liliana Aguayo ◽  
Maria Pineros-Leano ◽  
Rifat B. Alam ◽  
Rosalba Aguirre-Pereyra ◽  
Andiara Schwingel ◽  
...  

Healthy eating and active lifestyles are associated with children’s healthy weight and cognitive development. This study examines whether family behaviors relevant for nutrition and activity levels are associated with children’s working memory, independent of their weight status. A convenience sample of child–caregiver dyads (n = 85 dyads) were recruited from a public preschool serving a low-income community in central Mexico. Caregivers reported the frequency of ten family behaviors using the Family Nutrition and Physical Activity screening tool. Children completed a test of their ability to recall four words after a 60-s distraction task, an assessment of working memory. Multiple linear regression models were used to test the association of children’s working memory with each family behavior, adjusting for children’s sex, age, mother’s age and education, and subjective social status and then also adjusting for children’s age- and sex-specific body mass index percentile (BMI-P) and covariates. Higher frequency of breakfast intake was significantly associated with working memory (β = 0.57, p = 0.013). This association was independent of children’s BMI-P. Other family behaviors (frequent family mealtimes, limiting screen time, and others) were not significantly associated with children’s working memory. Frequent breakfast intake could benefit young children’s working memory, regardless of their weight status. This association merits further investigation.


Obesity ◽  
2018 ◽  
Vol 26 (8) ◽  
pp. 1338-1346 ◽  
Author(s):  
Brian E. Saelens ◽  
Karen Glanz ◽  
Lawrence D. Frank ◽  
Sarah C. Couch ◽  
Chuan Zhou ◽  
...  

Author(s):  
Nicholas Crooks ◽  
Laura Alston ◽  
Melanie Nichols ◽  
Kristy A. Bolton ◽  
Steven Allender ◽  
...  

Abstract Background Environments within schools including the physical, social-cultural and policy/practice environments have the potential to influence children’s physical activity (PA) behaviours and weight status. This Australian first study comprehensively examined the association(s) of physical, social-cultural and policy/practice environments with PA, active transport (AT) and weight status among regional primary school children. Methods Data were from two childhood obesity monitoring systems in regional Victoria, Australia. Measured height and weight were collected from students in Year 2 (aged approx. 7–8 years), Year 4 (9–10 years), and Year 6 (11–12 years). Self–reported PA behaviour, including AT were collected from students in Year 4 and 6 and a sub-sample wore an ActiGraph (wGT3X-BT) accelerometer for 7-days. A school physical activity environment audit was completed by the school principal and responses were used to calculate school physical activity environment scores (PAES) and active transport environment scores (ATES). Mixed effects logistic regression was used to assess the relationship between the proportion of students meeting the PA guidelines (≥60mins/day of moderate-to-vigorous PA) and PAES tertiles (low, medium, high) and those using AT and school ATES tertiles, controlling for gender, school size/type and socioeconomic composition. Results The analysed sample included 54/146 (37%) schools and 3360/5376 (64%) students. In stratified analysis, girls in schools with a medium PAES score were more likely to meet the objectively measured PA guideline compared to low PAES score (OR 2.3, 95%CI 1.27, 4.16). Similarly, students in schools with a medium or high ATES score had higher odds of self-reported AT (medium OR 3.15, 95%CI 1.67, 5.94; high OR 3.71, 95%CI: 1.80, 7.64). No association between PAES or ATES and weight status were observed. Self-reported AT among boys (OR 1.59, 95%CI 1.19, 2.13) and girls (OR 1.56, 95%CI 1.08, 2.27) was associated with higher odds of meeting self-reported PA guidelines on all 7-days than those who did not report using AT. Conclusions In this study of regional Victorian primary schools, PA environments were only associated with girls’ adherence to PA guidelines. School AT environments were strongly associated with students’ AT behaviours and with increased likelihood of students being physically active.


2009 ◽  
Author(s):  
Michelle A. Ihmels ◽  
Greg J. Welk ◽  
Joey C. Eisenmann ◽  
Sarah M. Nusser

Nutrients ◽  
2019 ◽  
Vol 12 (1) ◽  
pp. 95 ◽  
Author(s):  
Theodosia Adom ◽  
Anniza De Villiers ◽  
Thandi Puoane ◽  
André Pascal Kengne

Background: Overweight/obesity is an emerging health concern among African children. The aim of this study was to summarise available evidence from school-based interventions that focused on improving nutrition and physical activity knowledge, attitude, and behaviours, and weight status of children aged 6–15 years in the African context. Methods: Multiple databases were searched for studies evaluating school-based interventions of African origin that involved diet alone, physical activity alone, or multicomponent interventions, for at least 12 weeks in duration, reporting changes in either diet, physical activity, or body composition, and published between 1 January 2000 and 31 December 2018. No language restrictions were applied. Relevant data from eligible studies were extracted. Narrative synthesis was used to analyse and describe the data. Results: This systematic review included nine interventions comprising 10 studies. Studies were conducted among 9957 children and adolescents in two African countries, namely South Africa and Tunisia, and were generally of low methodological quality. The sample size at baseline ranged from 28 to 4003 participants. Two interventions reported enrolling children from both urban and rural areas. The majority of the study participants were elementary or primary school children and adolescents in grades 4 to 6. Participants were between the ages of 12.4 and 13.5 years. All but one intervention targeted children of both sexes. Four studies were described as randomised control trials, while five were pre- and post-test quasi-experiments. Except for one study that involved the community as a secondary setting, all were primarily school-based studies. The duration of the interventions ranged from four months to three years. The interventions focused largely on weight-related behaviours, while a few targeted weight status. The results of the effectiveness of these interventions were inconsistent: three of five studies that evaluated weight status (body mass index (BMI), BMI z-score, overweight/obesity prevalence), three of six studies that reported physical activity outcomes (number of sports activities, and physical activity duration ≥ 30 min for at least six days/week), and four of six reporting on nutrition-related outcomes (number meeting fruit and vegetable intake ≥ 5 times/day) found beneficial effects of the interventions. Conclusion: Given the dearth of studies and the inconsistent results, definite conclusions about the overall effectiveness and evidence could not be made. Nonetheless, this study has identified research gaps in the childhood obesity literature in Africa and strengthened the need for further studies, the findings of which would contribute valuable data and inform policy.


2019 ◽  
Vol 5 (3) ◽  
pp. 220-230
Author(s):  
L. Bailey‐Davis ◽  
S. M. R. Kling ◽  
G. C. Wood ◽  
W. J. Cochran ◽  
J. W. Mowery ◽  
...  

2019 ◽  
Vol 22 (15) ◽  
pp. 2793-2802 ◽  
Author(s):  
Sofia Vilela ◽  
Daniela Correia ◽  
Milton Severo ◽  
Andreia Oliveira ◽  
Duarte Torres ◽  
...  

AbstractObjective:To evaluate daily eating frequency (main meals and snacks) in relation to weight status in children aged 3–9 years, representative of the Portuguese population.Design:Cross-sectional study. Dietary intake was estimated as the mean of two non-consecutive days of food diaries, followed by face-to-face interviews. Weight and height were measured by trained observers. Eating occasions (EO) were defined by the children’s caregiver; an EO was considered separate if the time of consumption was different from other EO and it provided at least 209 kJ (50 kcal). Main meals defined as ‘breakfast’, ‘lunch’ and ‘dinner’ could be selected only once per day. The remaining EO were considered snacks. The association between eating frequency and overweight/obesity was evaluated through logistic regressions weighted for the population distribution.Setting:National Food, Nutrition and Physical Activity Survey of the Portuguese population, 2015–2016.Participants:Portuguese children aged 3–9 years with complete dietary data and anthropometric measurements (n 517).Results:Overall, the number of daily EO ranged from 3·5 to 11, and on average children had 5·7 daily EO. After adjustment for child’s sex, age and total energy intake, and considering only plausible energy intake reporters, having < 3 snacks/d was positively associated with being overweight/obese (OR = 1·98; 95 % CI 1·00, 3·90), compared with having ≥ 3 snacks/d.Conclusions:Lower daily frequency of EO was associated with increased odds of being overweight or obese in children. A higher eating frequency, maintaining the same energy intake, seems to contribute to a healthy body weight in children.


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