scholarly journals Evolution of the School Breakfast Program in Northwest Mexico Evaluated in the Period 1996 to 2018 (P16-034-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Maria Grijalva-Haro ◽  
Daniela Gonzalez-Valencia ◽  
María Ortéga-Vélez ◽  
Martha Ballesteros-Vásquez ◽  
Gloria Portillo ◽  
...  

Abstract Objectives To analyze the evolution of the school breakfast program (SBP) in Sonora, according to the challenges presented during the period 1996–2018. Methods This is an anthology of what has been the SBP in Sonora for twenty-two years. The results of the program (1996–2018) were analyzed and discussed, according to the different stages through which it has been developed, as well as the evaluations that constituted the starting point for the subsequent stages; published in four articles, seven master's theses and technical reports delivered to the National System for Integral Family Development (DIF) -Sonora by researchers from the Research Center for Food and Development (CIAD, A.C.) Results Follow-up studies of the SBP in Sonora included dietary evaluations and design of school breakfast menus (SB), impact on micronutrient deficiencies and the presence of overweight and obesity. The evidence showed that SB constitutes a complementary contribution of nutrients in the diet of the participants; it also did not introduce risk factors for children's health such as excessive amounts of saturated fat and cholesterol. The results of the studies on the nutritional status of children include the measurement of cognitive development, the adequacy of the diet, as well as the evaluation of anthropometric indicators, biochemical micronutrient status and cardiovascular risk for overweight and obesity, finally the inclusion of nutritional education through the implementation of programs to promote water consumption, practice of physical activity and healthy eating. The monitoring and evaluation of the SBP has allowed changes consistent with the needs of children and does not constitute a risk for the development of childhood obesity. In addition, for the benefits presented in the program such as the implementation process, sustainability, institutionalization, participation of parents and the school community and good adherence to the program has been managed to evaluate nutritional education in school and home contexts to achieve sustainable changes in dietary practices and physical activity. Conclusions The process of monitoring the program allows an adequate organizational environment for the implementation of a nutritional education program leading to the prevention of childhood obesity. The next challenge is to ensure the institutionalization of nutritional education within the SBP in Sonora. Funding Sources Sistema Integral para el Desarrollo de la Familia, DIF Sonora.

2021 ◽  
pp. 1-5
Author(s):  
Asma Saghir Khan

Childhood, overweight and obesity are increasingly significant problems, and ones that are likely to endure and to have long term adverse influences on the health of individuals and populations unless action is taken to reverse the trend. A number of factors have been suggested as contributing to the development of childhood obesity. These include genetic factors, decreasing levels of physical activity, increased time spent in sedentary behavior and changes in diet. In addition, lifestyle factors, including family influences, changes in society and media advertising, have been associated with the increasing incidence of obesity and overweight in childhood. To address the problem, health care professionals should incorporate appropriate screening in their child practice. Comprehensive assessment of children who are, or who are at risk of becoming, obese is also necessary


Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1922
Author(s):  
Isabelle Herter-Aeberli ◽  
Ester Osuna ◽  
Zuzana Sarnovská ◽  
Michael B. Zimmermann

Despite a global increase in childhood obesity over the past decades, several countries, including Switzerland, have recently reported stabilizing trends. Using national data from school-aged children in Switzerland over the past 16 years, our study aim was to assess changes in the prevalence of overweight and obesity, central adiposity and predictors of obesity related to lifestyle and parental factors. Nationally representative samples of children aged 6–12 years were studied in 2002 (n = 2493), 2007 (n = 2218), 2012 (n = 2963), and 2017/18 (n = 2279). Height and weight, waist circumference, and multiple skinfold thicknesses were measured. Potential risk factors for overweight and obesity were determined using a self-administered questionnaire in 2017/18, collecting data on diet, physical activity, and parental factors. Prevalence (95% CI) of overweight (incl. obesity) and obesity in 2017/18 was 15.9% (14.4–17.4) and 5.3% (4.5–6.3), respectively. Binary logistic regression revealed a small but significant decrease in the prevalence of overweight (including obesity) since 2002 (OR (95% CI) = 0.988 (0.978–0.997)), while the change in obesity alone was not significant. The most important risk factors for childhood overweight/obesity in 2017/18 were low parental education, non-Swiss origin of the parents, low physical activity of the child, and male sex. In conclusion, we have shown a small but significant declining trend in the childhood overweight/obesity prevalence over the past 15 years in Switzerland. Based on the risk factor analysis, preventive action in schoolchildren might be most effective in boys, migrant populations, and families with lower education, and should emphasize physical activity.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Breda

Abstract The WHO European Childhood Obesity Surveillance Initiative (COSI) is a well-established system that measures trends in overweight and obesity in over 300,000 primary school aged children from over 40 countries across the WHO European Region. The COSI collects important information related to child anthropometrics, school and family characteristics and child lifestyle behaviors. Major determinants covered by COSI include physical activity, dietary habits and school environments. COSI data has revealed substantial differences in physical activity estimates between countries. However, studies based on COSI data show that 40% of children spend at least two hours watching TV or using electronic devices per day. To prevent increased childhood obesity, policymakers should simultaneously increase opportunities for children to engage in physical activity and act to reduce the amount of time spent on sedentary activities. As children are increasingly online and connected to mobile devices, an emerging concern relates to digital marketing of unhealthy products, which can be effectively targeted at children using advanced persuasive techniques. The WHO CLICK report suggests the need to integrate information such as children's time spent online, device, app and social media usage with outcomes such as child obesity. One future possibility may be to integrate such questions into future COSI questionnaires, which would provide important information at minimal cost and could generate extensive, high quality data. The monitoring and surveillance advocated by the CLICK report is necessary to provide data on whether and how far WHO recommendations in online settings are adopted by governments and public health institutions. The WHO CLICK report acts on consultation with experts to provide a tool to support Member States in monitoring the digital marketing of unhealthy products to children and suggests policy options.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hanna Henriksson ◽  
Christina Alexandrou ◽  
Pontus Henriksson ◽  
Maria Henström ◽  
Marcus Bendtsen ◽  
...  

Abstract Background Childhood obesity is still a major health problem in many countries, including Sweden. Childhood obesity and obesity-related behaviours in childhood, such as low physical activity and unhealthy eating habits, tend to track into adulthood, which highlights the need for early prevention. Our aims are to evaluate whether a parent-oriented mobile health app (the MINISTOP 2.0 app) integrated into primary child health care can improve diet and physical activity behaviours and reduce the prevalence of overweight and obesity in preschool-aged children as well as to evaluate the implementation among child health care nurses and parents. Methods This trial uses a hybrid type 1 effectiveness-implementation design. Families (n = 500) who attend a routine visit to one of 15–20 primary child health care centres throughout Sweden, when their child is 2.5 years, are offered participation in a randomised controlled trial (effectiveness evaluation). After acceptance, families will be randomised (1:1) to control or intervention groups. The intervention group receives a 6-month parent-oriented smartphone intervention aimed at improving the dietary and activity behaviours of their child (the MINISTOP 2.0 app) and the control group receives routine child health care. Dietary habits, physical activity and screen time (primary outcomes), body weight and height in children, and parental self-efficacy (secondary outcomes) are measured at baseline and at 6 months post randomisation. Implementation outcomes (i.e. perceived acceptability, appropriateness, and feasibility) of the intervention will be assessed among primary child health care nurses and parents in the trial through questionnaires and qualitative interviews. Discussion This trial will evaluate whether the MINISTOP 2.0 app can be used in primary child health care to improve diet and physical activity behaviours, and prevent overweight and obesity, in preschool-aged children. If effectiveness is proven, and the MINISTOP 2.0 app is considered acceptable, appropriate and feasible, it can be implemented nationally as part of the preventive strategies to combat childhood obesity provided by routine child health care. Trial registration The trial was registered at the Clinicaltrials.gov register platform (ID NCT04147039) on 31 October 2019.


2020 ◽  
Vol 20 (Special1) ◽  
pp. 318-324
Author(s):  
Norimah Said ◽  
Norazmir Md Nor ◽  
Siti Khuzaimah Ahmad Sharoni ◽  
Siti Sabariah Buhari ◽  
Nurul Fadly Habidin

The prevalence of overweight and obesity among school children are increasing in developing countries, including Malaysia. The aim of this study was carried out the need assessment and to determine the nutritional knowledge, attitude, and physical activity among primary school children for the purpose of health education module development on childhood weight management among primary school children. This study was employed cross-sectional design with a probability of 202 school children aged ten years old. The result shows that majority of primary school children choose food that high in carbohydrate, sodium, and saturated fat. Thus, reflect to the lack of nutrition knowledge. Meanwhile, for the lowest choices were sugar intake and low-fat dairy product. The highest mean for nutritional attitude is primary school children chose to drink 100% fruit juice (mean=81 ± 0.97), and the lowest mean was eating wheat bread (mean=2.25 ± 1.16). The highest mean for sedentary activity was watching the television show during weekdays (mean 4.02 ± 1.17). The result shows the children need education on the nutritional fact in their food like carbohydrate, sodium and saturated fat, physical activity, and information to avoid a sedentary lifestyle.


Author(s):  
Zahra Abdollahi ◽  
Ali-Akbar Sayyari ◽  
Beheshteh Olang ◽  
Hassan Ziaodini ◽  
Hossein Fallah ◽  
...  

Background: This study aimed at examining the effect of an educational program on children’s and adolescents’ knowledge of, attitude toward, and practice of healthy lifestyle habits. Methods: This was a quasi-experimental nationwide intervention carried out as part of the Iran-Ending Childhood Obesity (IRAN-ECHO) program. Participants were selected from six cities of Iran. The sample size was calculated to be 1264 for each city. Knowledge of, attitude toward, and practice of healthy nutritional habits were measured at baseline and following the intervention. A physician and a dietitian provided recommendations on healthy diet, screen time, physical activity, and sleep time. Behavioral therapy was given when necessary. Results: The prevalence of overweight or obesity was 7.6%. The frequency of students with desirable knowledge was significantly greater after the intervention compared with baseline (32.5% vs 24.8%, p = 0.02). The mean score for attitude toward obesity complications significantly increased from 73.09 to 74.78 (p = 0.03). There was also a significant increase in the mean score for the practice of low consumption of unhealthy snacks after the intervention (difference = 1.63, p = 0.03). The mean score for participation in mild physical activity increased from 50.67 to 65 after the intervention (p < 0.001). However, there were no significant changes in the number of students with desirable attitude and practice following the intervention (p> 0.05). Conclusion: The study shows that an educational intervention based on WHO-ECHO recommendations can be useful for improving the knowledge of a healthy lifestyle in children and adolescents. Over time, it might lead to a positive attitude and behavior toward a healthier lifestyle. Continued professional education and implementation of guidelines for the prevention and management of early childhood overweight and obesity are suggested.


2013 ◽  
Vol 16 (6) ◽  
pp. 1043-1051 ◽  
Author(s):  
Ana Isabel Rito ◽  
Maria Ana Carvalho ◽  
Carlos Ramos ◽  
João Breda

AbstractObjectiveResults of the WHO European Childhood Obesity Surveillance Initiative indicated that on average one out of four primary-school children is overweight or obese. Portugal presented one of the highest prevalences of obesity. Childhood obesity prevention and treatment should be a top priority. The aim of the present study was to evaluate the effectiveness of Program Obesity Zero (POZ), a multi-component, community-, family- and school-based childhood obesity intervention.DesignParents and children attended four individual nutrition and physical activity counselling sessions, a one-day healthy cooking workshop and two school extracurricular sessions of nutrition education. Waist circumference, BMI, physical activity level, sedentary behaviours, and nutrition and physical activity knowledge, attitudes and behaviour were assessed at baseline and after 6 months. Diet was assessed using two 24 h recalls, at baseline and at 6 months.SettingFive Portuguese municipalities and local communities.SubjectsTwo hundred and sixty-six overweight children (BMI ≥ 85th percentile) aged 6–10 years, from low-income families in five Portuguese municipalities, were assigned to the intervention.ResultsChildren showed reductions in waist circumference (−2·0 cm; P < 0·0001), mean BMI (−0·7 kg/m2; P < 0·0001) and BMI-for-age percentile (−1·7; P < 0·0001) at 6 months. Overall, children's intake of fruit and vegetables was <400 g/d throughout the intervention. After 6 months, higher fibre consumption and an apparent decrease in sugary soft drinks intake to a quarter of that observed at baseline (mean intake: 198 ml/d at baseline), with improvements in physical activity levels and screen time <2 h/d, were also observed.ConclusionsThe findings suggested that POZ is a promising intervention programme, at municipality level, to tackle childhood overweight and obesity.


2014 ◽  
Vol 6 (2) ◽  
pp. 181-186
Author(s):  
Chloe Souza

Childhood obesity is an increasingly serious issue worldwide. There is substantial research that explores health problems, psychosocial issues and rising medical costs related to obesity, however, limited research has discovered the etiology and specific risk factors associated with the epidemic. This study sought to understand the prevalence and related risk factors of obesity in rural Aguas Zarcas, Costa Rica in Spring 2011. The sample included 1 025 school-aged children ages four to 18. Each child participating in the study completed a survey that addressed hypothesized risk factors (i.e. media screen time and physical activity). I also measured each subject’s height, weight, and abdominal circumference to determine whether significant relationships existed between the proposed risk factors and the overall rate of obesity among school children. Results showed a positive relationship between screen time (time spent in front of a television, computer, or video game) and BMI/abdominal circumference and a negative relationship between physical activity and BMI/abdominal circumference. Time spent watching television on the weekend was positively correlated to BMI (p < 0,001) and physical activity throughout the week and weekend was negatively correlated with both BMI and abdominal circumference (p < 0,0001). Most children involved in the study fell within healthy height and weight classifications, while 12% were considered obese according to the Center for Disease Control’s BMI standards. Obesity rates were especially high among males and females ages ten through 12. This research serves as a foundation for further exploration of obesity risk factors and prevalence, and can be used to inform policy and programming to prevent the impending rise of childhood obesity in Costa Rica.


2020 ◽  
Vol 69 (4) ◽  
pp. 233-241
Author(s):  
Luis Miguel Cano Martín ◽  
Jaime González González ◽  
Alicia Mohedano Moriano ◽  
Antonio Viñuela ◽  
Juan José Criado-Álvarez

La obesidad infantil ha incrementado su prevalencia en España, y aunque se considera un problema multifactorial, es atribuible principalmente al aumento de la ingesta y la disminución de la actividad física por un ocio sedentario mayor. El objetivo de este estudio fue conocer la prevalencia de sobrepeso y obesidad infantil en la Zona Básica de Salud (ZBS) de Menasalbas (Toledo, España), y la influencia de los hábitos alimentarios, de actividad física y deporte, y de ocio sedentario. Se realizó un estudio transversal en la población escolarizada de 3 a 12 años de la ZBS de Menasalbas, tomando medidas de peso y talla a 725 menores, calculando su IMC y clasificando su estado ponderal según las tablas de Cole. También se recogieron datos referentes a sus hábitos alimentarios y cuestionario Kidmed de adherencia a la dieta mediterránea, y hábitos de actividad física y ocio sedentario, para estudiar su relación con el estado ponderal de los menores. La prevalencia de sobrecarga ponderal (suma de prevalencias de sobrepeso y obesidad) fue del 24,9%, con un 18,8% de sobrepeso y un 6,1% de obesidad, sin diferencias por edad y sexo. No se observaron diferencias respecto a los hábitos alimentarios, pero si una menor actividad física y un mayor ocio sedentario en aquellos con sobrecarga ponderal. La prevalencia de sobrepeso y obesidad en nuestra población es elevada, aunque menor a las de otros trabajos. La alimentación, la actividad física y el ocio sedentario influenciaron el sobrepeso y la obesidad infantil en este estudio. Childhood obesity has increased its prevalence in Spain, and although it´s considered a multifactorial problem, it is mainly attributable to increased intake and decreased physical activity due to increased sedentary leisure. The objective of this study was to know the prevalence of overweight and childhood obesity in the Basic Health Zone (ZBS) of Menasalbas (Toledo, Spain), and the influence of eating habits, physical activity and sport, and sedentary entertainment. A cross-sectional study was conducted in the school children of 3 to 12 years of age in the ZBS of Menasalbas, taking weight and height measurements for 725 minors, calculating their BMI and classifying their weight status according to Cole´s tables. Data regarding their eating habits and Kidmed questionnaire of adherence to the mediterranean diet, physical activity habits and sedentary leisure habits were also collected, to study its relationship with the weigh status of minors. The prevalence of weight overload (understood as the sum of the prevalence of overweight and obesity) was 24.9% , with 18.8% overweight and 6.1% of obesity, with no differences by age and sex. No differences were observed regarding eating habits, but less physical activity and a more sedentary leisure in those with weight overload was observed. The prevalence of overweight and obesity in our population is high, although lower than reported in other works. Diet, physical activity and sedentary leisure are confirmed as fundamental aspects in childhood overweight and obesity.


2018 ◽  
Vol 16 (2) ◽  
pp. 205-208 ◽  
Author(s):  
Madhusudan Saha ◽  
Dipal Krishna Adhikary ◽  
Irin Parvin ◽  
Yuba Raj Sharma ◽  
Fahmida Akhter ◽  
...  

Background: Childhood obesity is found in affluent society, less physical activity and changes in food pattern. This study was designed to see prevalence and risk factors of childhood obesity among school children of Sylhet city.Methods: Students of class five and six of two schools of Sylhet city were randomly selected. Demographic and anthropometric data were collected and recorded in predesigned data sheet. BMI and percentile were calculated using official centre for disease control growth chart for 2 to 20 years. Logistic regression analysis was done to see association of various factors with childhood obesity. P value of ≤0.05 was taken as significant.Results: Total 288 children were included in this study. Age varied from 10 to 14 years. Among them 5.6% and 8.7% were found to be obese and overweight respectively. Obesity was significantly higher among girls (6.8% vs3.6%). Prevalence of obesity and overweight (p=0.001) was more among those who spent less time in physical exercise and outdoor games. Food habit, television watching, computer gaming and duration of sleep were not found as significant predictor of obesity.Conclusions: Obesity was significantly higher among girls (6.8% vs3.6%). Girls with less physical activity were mainly associated with overweight and obesity. 


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