Child health behaviour and parent priorities for a school-based healthy lifestyle programme

2020 ◽  
pp. 001789692097215
Author(s):  
Cristina R Fernández ◽  
Janet Lee ◽  
Nathalie Duroseau ◽  
Ileana Vargas-Rodriguez ◽  
Jessica Rieder
Keyword(s):  
Physical Activity ◽  
Child Health ◽  
Nutrition Education ◽  
Health Behaviour ◽  
Healthy Lifestyle ◽  
Food Choices ◽  
School Based ◽  
Child Involvement ◽  
Physical Activity Classes ◽  
Lifestyle Programme

Objective: The purpose of this study was to characterise parents’ concerns for their children’s health behaviour and perceptions of motivators and barriers to positive child health behaviour change, and to determine associations between motivators and barriers and parents’ priorities for a school-based healthy lifestyle programme. Design: Cross-sectional study of 46 parents who had completed an un-validated survey distributed during school-wide events. Setting: School for children aged 5–14 years in The Bronx, New York City, USA. Methods: Wilcoxon Rank Sum tests compared motivators and barriers to positive child health behaviour change by heath behaviour concern; Spearman’s correlation assessed associations between motivators and barriers and programme priorities. Results: Parents concerned about child weight significantly ranked keeping up with others and decreasing clothing size as motivators, while parents concerned about child food choices significantly ranked improving food choices and decreasing body mass index (BMI) and clothing size as motivators. Food-, play-, and self-esteem-related motivators were associated with nutrition education ( rs ⩾ .41, p ⩽ .01), physical activity classes ( rs ⩾ .29, p ⩽ .04) and child involvement in programme decision-making ( rs ⩾ .43, p ⩽ .01) priorities. Consistency-, child resistance- and home rules-related barriers were associated with nutrition education ( rs ⩾ .37, p = .02), physical activity classes ( rs ⩾ .32, p = .02) and child involvement ( rs ⩾ .40, p ⩽ .02) priorities. Conclusions: Despite the study sample size, selection bias, and generalisability limitations, prioritising nutrition, physical activity and child involvement in programme decision-making may enhance parent support for school-based healthy lifestyle programmes.

Relationships between physical activity, food choices, gender and BMI in Southern Californian teenagers

2017 ◽  
Vol 31 (5) ◽  
Author(s):  
Jaclyn B. Gaylis ◽  
Susan S. Levy ◽  
Shiloah Kviatkovsky ◽  
Rebecca DeHamer ◽  
Mee Young Hong
Keyword(s):  
Physical Activity ◽  
Healthy Lifestyle ◽  
Food Choices ◽  
Cross Sectional Study ◽  
Red Meat ◽  
Overweight And Obesity ◽  
Healthy Food ◽  
Processed Meat ◽  
Healthy Weight ◽  
Cross Sectional

Abstract Given the increased prevalence of pediatric obesity and risk of developing chronic disease, there has been great interest in preventing these conditions during childhood by focusing on healthy lifestyle habits, including nutritious eating and physical activity (PA). The purpose of this study was to determine the relationship between PA, body mass index (BMI) and food choices in adolescent males and females. This cross-sectional study, using a survey questionnaire, evaluated 1212 Southern Californian adolescents’ self-reported PA, BMI and food frequency. Results revealed that even though males are more active than females, they have higher BMI percentile values (p < 0.05). Females consumed salad, vegetables and fruit more frequently than males (p < 0.05), where males consumed hamburgers, pizza, red meat, processed meat, eggs, fish, fruit juice, soda and whole milk more frequently than females (p < 0.05). Overweight/obese teens consumed red meat, processed meat and cheese more frequently than healthy weight teens (p < 0.05), yet there was no difference in PA between healthy and overweight/obese teens. These results demonstrate that higher levels of PA may not counteract an unhealthy diet. Even though PA provides numerous metabolic and health benefits, this study suggests that healthy food choices may have a protective effect against overweight and obesity. Healthy food choices, along with PA, should be advocated to improve adolescent health by encouraging maintenance of a healthy weight into adulthood.

scholarly journals Barriers to a healthy lifestyle for three- to four-year-old children of Australian-born and overseas-born mothers with post-gestational diabetes: An Australian qualitative study

2018 ◽  
Vol 22 (3) ◽  
pp. 447-459 ◽  
Author(s):  
Tehzeeb Zulfiqar ◽  
Christopher J Nolan ◽  
Cathy Banwell ◽  
Rosemary Young ◽  
Lynelle Boisseau ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Child Health ◽  
Gestational Diabetes ◽  
Health Risks ◽  
Metabolic Diseases ◽  
Healthy Lifestyle ◽  
Physical Activity Advice ◽  
Diet And Physical Activity ◽  
Future Child

Children of mothers affected by gestational diabetes mellitus (GDM) are at higher risk of long-term cardio-metabolic diseases. We explore the diet and physical activity knowledge and practices of Australian-born and overseas-born mothers with GDM history, for their three- to four-year-old children following antenatal health promotion education at a tertiary hospital. We conducted face-to-face, semi-structured interviews with 8 Australian-born and 15 overseas-born mothers with a history of GDM. Findings indicated that mothers of both groups were unaware of the increased health risks of their GDM for their children and could not recall receiving specific dietary or physical activity advice aimed at future child health. Their understanding of the diet and physical activity recommendations was inconsistent. Mothers of both groups expressed concern about the lack of reiteration of child health promotion messages following childbirth, particularly at postnatal follow-up visits. Diet and physical activity of the children of overseas-born mothers were adversely affected by inadequate maternal understanding of the recommendations due to language barriers, and child weight, healthy eating, and physical activity patterns derived from their home countries. We recommend enhanced health education for women with GDM on the future child health risks and their reduction by healthy lifestyle choices. This needs to be culturally relevant and reiterated after pregnancy.

Childhood obesity: food, nutrient, and eating-habit trends and influences

2007 ◽  
Vol 32 (4) ◽  
pp. 635-645 ◽  
Author(s):  
Lynn Roblin
Keyword(s):  
Physical Activity ◽  
Childhood Obesity ◽  
Nutrition Education ◽  
Eating Habits ◽  
Fats And Oils ◽  
Obese Children ◽  
Physically Active ◽  
School Based ◽  
The Media ◽  
High Calorie

The need has never been greater to support healthy eating and physical activity in children and youth; the numbers of overweight and obese children have doubled and tripled, respectively, over the past 3 decades. Poor eating habits, including inadequate intake of vegetables, fruit, and milk, and eating too many high-calorie snacks, play a role in childhood obesity. Grain products provide the highest percentage (31%) of daily calories, followed by “other foods,” which have limited nutritional value (22% of daily calories). Snacks account for 27% of total daily calories, which is more than the calories consumed at breakfast (18%) and lunch (24%), but not dinner (31%). For Canadians older than 4 years of age, more than 41% of daily snack calories come from other foods, such as chips, chocolate bars, soft drinks, fruit drinks, sugars, syrup, preserves, fats, and oils. Habits that protect against childhood obesity include eating more vegetables and fruit, eating meals with family, and being physically active. Children’s food habits and choices are influenced by family, caregivers, friends, schools, marketing, and the media. Successful interventions for preventing childhood obesity combine family- and school-based programs, nutrition education, dietary change, physical activity, family participation, and counseling.

scholarly journals Cost–utility and cost–benefit analyses of school-based obesity prevention program

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Haiquan Xu ◽  
Yanping Li ◽  
Songming Du ◽  
Qian Zhang ◽  
Ailing Liu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Outcome ◽  
Childhood Obesity ◽  
Nutrition Education ◽  
Obesity Prevention ◽  
Cost Benefit ◽  
Cost Effective ◽  
Cost Utility ◽  
School Based ◽  
Obesity Interventions

Abstract Background Economic evaluation of school-based obesity interventions could provide support for public health decision of obesity prevention. This study is to perform cost–utility and cost–benefit assessment of three school-based childhood obesity interventions including nutrition education intervention (NE), physical activity intervention (PA) and comprehensive intervention (both NE and PA, CNP) with secondary data analysis of one randomized controlled trial. Methods The standard cost-effectiveness analysis methods were employed from a societal perspective to the health outcome and costs that are attributable to the intervention. NE, PA and CNP were carried out separately for 2 semesters for childhood obesity interventions in primary schools. The additional quality-adjusted life years (QALYs) resulting from the interventions were measured as the health outcome. A cost–utility ratio (CUR) and A cost–benefit ratio (CBR) was calculated as the ratio of implementation costs to the total medical and productivity loss costs averted by the interventions. Results The CUR and CBR were ¥11,505.9 ($1646.0) per QALY and ¥1.2 benefit per ¥1 cost respectively, and the net saving was ¥73,659.6 ($10,537.9). The CUR and CBR for nutrition education and physical activity interventions were ¥21,316.4 ($3049.6) per QALY and ¥0.7 benefit per ¥1 cost, ¥28,417.1 ($4065.4) per QALY and ¥0.4 benefit per ¥1 cost, respectively (in 2019 RMB). Compared with PA intervention, the ICERs were ¥10,335.2 ($1478.6) and 4626.3 ($661.8) for CNP and NE respectively. The CBR was ¥1.2, 0.7, and 0.4 benefits per ¥1 cost for CNP, NE, and PA interventions, respectively. Net estimated savings were achieved only through CNP intervention, amounting to ¥73,659.6 ($10,537.9). Conclusions Comprehensive school-based obesity intervention is a beneficial investment that is both cost-effective and cost saving. Compared with PA intervention, both CNP and NE intervention were more cost-effective.

scholarly journals Multi-Year Examination of School-Based Programs in Preventing Childhood Obesity: A Case of a State Policy in the U.S.

2020 ◽  
Vol 17 (24) ◽  
pp. 9425
Author(s):  
Chang-Yong Jang ◽  
Nam-Gyeong Gim ◽  
Yoonhee Kim ◽  
TaeEung Kim
Keyword(s):  
Physical Activity ◽  
Childhood Obesity ◽  
Nutrition Education ◽  
Fixed Effects ◽  
The Body ◽  
Physically Active ◽  
School Based ◽  
American Children ◽  
Teenage Obesity ◽  
State Programs

This study examined the association between the obesogenic factors and the risk of suffering from weight excess in school-based state programs regarding physical activity, physical education, nutrition standards, and nutrition education in preventing childhood obesity. Data were drawn from the 1999–2011 Youth Risk Behavior Survey in the State of Mississippi (N = 8862; grades 9–12). Logistic regression with year-fixed effects was performed to capture the influence of the legislation on teenage obesity, controlling for demographics and nutrition- and physical activity-related behaviors. The age-, sex-, and ethnicity-adjusted mean of the body mass index had reduced since 2007 (year 1999: 23.52; year 2001: 23.53; year 2003: 23.76; year 2007: 24.26; year 2009: 24.29; and year 2011: 23.91). The legislation was significantly associated with a decreased likelihood of being overweight (year 2007, odds ratio (OR) = 0.686; year 2009, OR = 0.739; and year 2011, OR = 0.760; all p < 0.01). Children who were more sedentary, more frequently fasted to lose weight, and were less physically active and likelier to be overweight (OR = 1.05, 1.37, and 0.97, respectively; all p < 0.05), as were African-American children (OR = 0.64; p < 0.05) and female students (OR = 1.59; p < 0.05). In conclusion, schools are among the most easily modifiable settings for preventing childhood obesity and reducing its prevalence, with the implementation of physical activity and nutritional policies.

Determinants of Participation in Sport and Physical Activity for Students with Disabilities According to Teachers and School-based Practitioners Specialized in Recreational and Competitive Physical Activity

2016 ◽  
Vol 25 (3-4) ◽  
pp. 135-158 ◽  
Author(s):  
Emilie Belley-Ranger ◽  
Hélène Carbonneau ◽  
Romain Roult ◽  
Isabelle Brunet ◽  
Marie-Michèle Duquette ◽  
...  
Keyword(s):  
Physical Activity ◽  
Young People ◽  
Students With Disabilities ◽  
Extracurricular Activities ◽  
Professional Competence ◽  
Healthy Lifestyle ◽  
Sporting Events ◽  
Structured Interviews ◽  
Youth With Disabilities ◽  
School Based

AbstractBecause youth with disabilities participate less in physical activity than young people without disabilities and that schools play an important role in adopting a healthy lifestyle, it is important to deepen our understanding of the elements that foster participation of young people with disabilities in physical activity. The objective of this research is twofold: 1) establish the determinants of participation of youth with disabilities in physical education according to practitioners and 2) document the effects of an initiation and competition program for youth with disabilities on their physical activity. The collection of data using semi-structured interviews was conducted in two phases. The first, among teachers and school-based practitioners (n = 18), aimed to understand their experiences relating to the adoption of healthy lifestyles among their students with disabilities. As for the second, practitioners (n = 12) were interviewed during organized adapted sporting events. Analysis of the interviews shows two categories of determinants, namely determinants relating to school (winning conditions of the environment, the importance of extracurricular activities, and obstacles) as well as determinants relating to the professional competence of teachers (the role of teachers, collaboration between professionals, the benefits of sport and physical activity and obstacles encountered).

scholarly journals Effectiveness of a 5-year school-based intervention programme to reduce adiposity and improve fitness and lifestyle in Indian children; the SYM-KEM study

2015 ◽  
Vol 101 (1) ◽  
pp. 33-41 ◽  
Author(s):  
Sheila Bhave ◽  
Anand Pandit ◽  
Rajiv Yeravdekar ◽  
Vaishali Madkaikar ◽  
Trushna Chinchwade ◽  
...  
Keyword(s):  
Physical Activity ◽  
Waist Circumference ◽  
Physical Fitness ◽  
Nutrition Education ◽  
Intervention Programme ◽  
Indian Children ◽  
School Based Intervention ◽  
Breathing Exercises ◽  
School Based ◽  
Watching Tv

DesignNon-randomised non-blinded school-based intervention study.SettingTwo schools in the cities of Pune and Nasik, India.ParticipantsThe intervention group comprised children attending a Pune school from 7–10 years until 12–15 years of age. Two control groups comprised children of the same age attending a similar school in Nasik, and children in the Pune intervention school but aged 12–15 years at the start of the study.InterventionA 5-year multi-intervention programme, covering three domains: physical activity, diet and general health, and including increased extracurricular and intracurricular physical activity sessions; daily yoga-based breathing exercises; making physical activity a ‘scoring’ subject; nutrition education; healthier school meals; removal of fast-food hawkers from the school environs; and health and nutrition education for teachers, pupils and families.Main outcome measuresBody mass index (BMI), waist circumference, physical fitness according to simple tests of strength, flexibility and endurance; diet; and lifestyle indicators (time watching TV, studying and actively playing).ResultsAfter 5 years the intervention children were fitter than controls in running, long jump, sit-up and push-up tests (p<0.05 for all). They reported spending less time sedentary (watching TV and studying), more time actively playing and eating fruit more often (p<0.05). The intervention did not reduce BMI or the prevalence of overweight/obesity, but waist circumference was lower than in the Pune controls (p=0.004).ConclusionsIt was possible to achieve multiple health-promoting changes in an academically competitive Indian school. These changes resulted in improved physical fitness, but had no impact on the children's BMI or on the prevalence of overweight/obesity.

scholarly journals Lifestyle Clusters and Cardiometabolic Risks in Adolescents: A Chinese School-Based Study Using a Latent Class Analysis Approach

2021 ◽  
Vol 9 ◽  
Author(s):  
Weiying Zhao ◽  
Danyan Su ◽  
Luxia Mo ◽  
Cheng Chen ◽  
Bingbing Ye ◽  
...  
Keyword(s):  
Physical Activity ◽  
Latent Class Analysis ◽  
Latent Class ◽  
Healthy Lifestyle ◽  
Class Analysis ◽  
Lifestyle Behaviors ◽  
School Based ◽  
Significant Difference ◽  
Cardiometabolic Risks ◽  
Lifestyle Pattern

Background: Unhealthy dietary and lifestyle behaviors are associated with a higher prevalence of non-communicable chronic diseases and higher mortality in adults. However, there remains some uncertainty about the magnitude of the associations between lifestyle behaviors and cardiovascular factors in adolescents.Methods: We conducted a school-based cross-sectional study of 895 Chinese adolescents aged 15–19 years. They participated in a questionnaire survey, physical examination, and blood sample collection. Latent class analysis (LCA) was used to identify heterogeneous subgroups of lifestyle behaviors. A set of 12 latent class indicators, which reflected lifestyle behaviors including dietary habits, physical activity, sleep duration, screen time, and pressure perception, were included in the analysis. Logistic regression analysis was performed to determine whether the derived classes were related to a cardiometabolic risk.Results: In total, 13.7 and 5.6% of the participants were overweight and obese, respectively, and 8.4 and 14.1% reported having pre-hypertension and hypertension, respectively. A two-class model provided the best fit with a healthy lifestyle pattern (65.8%) and a sub-healthy lifestyle pattern (34.2%). There were more female participants with a healthy lifestyle (56.2 vs. 43.8%), whereas there were more males with a sub-healthy lifestyle (45.4 vs. 54.6%), (all P = 0.002). Increased risk of cardiometabolic abnormality (BMI categories, blood pressure and lipids) was not significant across lifestyle patterns, except for waist circumference (70.5 vs 69.1 cm, P = 0.044). There was no significant difference in physical activity and intake of fruit and vegetable between the two patterns.Conclusion: Primary prevention based on lifestyle modification should target patterns of behaviors at high risk in adolescents. Due to the complex effect of lifestyle clusters on cardiometabolic risks, well-designed and prospective studies in adolescents are needed in the future.

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