Promoting Healthy Weight Among Children With Developmental Delays

2017 ◽  
Vol 39 (1) ◽  
pp. 51-65 ◽  
Author(s):  
Ruby R. Natale ◽  
Stephanie T. Camejo ◽  
Lila Asfour ◽  
Susan B. Uhlhorn ◽  
Alan Delamater ◽  
...  

An extensive body of research demonstrates a higher prevalence of obesity among children with developmental delays (DD) versus children without delays. This analysis examined the effectiveness of a randomized controlled trial to promote healthy weight in a subsample of preschool-age children with DD ( n = 71) on the adoption of quality nutrition and increased physical activity habits versus controls. Child care centers ( N = 28) randomized to the intervention group received a multilevel (parent, teacher, child) role modeling program and curriculum on obesity prevention. Results showed that children in the intervention group slightly decreased their junk food consumption while the control group increased their junk food consumption. In addition, among preschool-age children with DD, change in parent fruit and vegetable consumption significantly influenced change in their child’s consumption. Conversely, the greater the consumption of junk food by parents, the greater consumption by their children. Results imply that preschool-age children with DD may benefit from child care center–based healthy weight programs.

2019 ◽  
Vol 13 (2) ◽  
pp. 72-86
Author(s):  
Depi Lukitasari

Background. During hospitalization large number of invasive procedure recived by patient and preceived as threatening and anxiety experience. One of the invasive procedures that commonly done is the venous blood extraction. The children in preschool age preceived venous blood extraction as something that endanger the integrity of the body and lead to anxiety experience. To reduce the anxiety during the venous blood extraction, a nurse could perform a clay theraphy. The aim of this research is to ascertain the effect of clay therapy toward scoreof anxiety in preschool age children that undergoing venous blood extraction in RSUD Al-Ihsan.Methode. The study was quasi-experiment with nonequivalent control group posttest only. A total of 34 children who recieve venous blood extraction was assigned into 2 group, 17 children in control and 17 children in intevention. The children anxiety level measured using anxiety observation sheet before the procedure complete. Data were analyzed used independent t test for bivariate and logistik regresion for multivariate. Result Findings. The results  show a significat difference in anxiety score between control group and intervention group with p-value 0,001 < α 0.05 which means there is impact of clay therapy to level anxiety in preschool age children undergoing invasive procedure in RSUD Al-Ihsan. Conclusion. This research indicate that clay therapy may be used to reduce anxiety in children that undergoing venous blood extraction.


Author(s):  
Diani Maryani ◽  
◽  
Liza Anggraeni ◽  

Background: Malnutrition is estimated to account for more than one third of all child deaths, although it is rarely listed as a direct cause. Hypnoparenting is an attempt by parents to bring their children into the subconscious. This study aimed to determine the effect of hypnoparenting on nutritional status in preschool age children at Al-Fathir kindergarten, Tangerang, Banten. Subjects and Method: This was a quasi-experiment with a non-randomized pretest posttest design was conducted at Al-Fathir Kindergarten, Tangerang City, Banten Province from April to August 2020. A sample of 36 selected by purposive sampling. This study was divided into 2 groups: (1) 18 respondents were given hypnoparenting treatment and for the second group; and (2) 18 respondents were not given hypnoparenting. The dependent variable was nutritional. The independent was hypnoparenting. The data were analyzed by non-parametric tests. Results: There was a significant difference between nutritional status before hypnoparenting (p= 0.293) and nutritional status after hypnoparenting (p= 0.406) but there was no effect between changes in nutritional status made in the intervention group (Mean= 16.25; SD= 2.46; p= 0.222) and the control group (Mean= 16.18; SD= 3.88; p= 0.150). Conclusion: Hypnoparenting has effect in nutritional status of preschool age children, but it is statistically non-significant. Next, researchers will conduct further research on overcoming problems in children, especially nutritional problems, and the parents/guardians of students to be more effective in doing hypnoparenting to be maximized. Keyword: BMI, age, pre-school, hypnoparenting Correspondence: Diani Maryani, Academy of Midwifery Karya Bunda Husada, Tangerang, Banten. E-mail: [email protected]. Mobile: 081381234008. DOI: https://doi.org/10.26911/the7thicph.02.23


Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1869 ◽  
Author(s):  
Melissa Pflugh Prescott ◽  
Xanna Burg ◽  
Jessica Jarick Metcalfe ◽  
Alexander E. Lipka ◽  
Cameron Herritt ◽  
...  

Emerging evidence suggests a link between young people’s interest in alternative food production practices and dietary quality. The primary purpose of this study was to examine the impact of a student-driven sustainable food systems education and promotion intervention on adolescent school lunch selection, consumption, and waste behaviors. Sixth grade science teachers at two middle schools (n = 268 students) implemented a standards-based curriculum on sustainable food systems, addressing the environmental impacts of food choices and food waste. The cumulating curriculum activity required the 6th grade students to share their food systems knowledge with their 7th and 8th grade counterparts (n = 426) through a cafeteria promotional campaign to discourage food waste. School-wide monthly plate waste assessments were used to evaluate changes in vegetable consumption and overall plate waste using a previously validated digital photography method. At baseline, the intervention students consumed significantly less vegetables relative to the control group (47.1% and 71.8% of vegetables selected, respectively (p = 0.006). This disparity was eliminated after the intervention with the intervention group consuming 69.4% and the control consuming 68.1% of selected vegetables (p = 0.848). At five months follow up, the intervention group wasted significantly less salad bar vegetables compared to the control group (24.2 g and 50.1 g respectively (p = 0.029). These findings suggest that food systems education can be used to promote improved dietary behaviors among adolescent youth.


2017 ◽  
Vol 57 (5) ◽  
pp. 547-557 ◽  
Author(s):  
Ellen R. Wald ◽  
Linda J. Ewing ◽  
Stacey C. L. Moyer ◽  
Jens C. Eickhoff

This prospective, randomized, controlled trial for parents of overweight and obese 3- to 7-year-olds was performed to assess the feasibility of a program promoting healthy eating and lifestyle by targeting parents as agents of change. The intervention was composed of 6-in-person group sessions and a customized website over 12 months. The control group received customary care. The primary outcome was feasibility of the intervention to promote healthy behavior change measured by attendance. The secondary outcome was effectiveness assessed by attaining reduced body mass index (BMI) z scores, healthy behavior changes and increased parent self-efficacy. Seventy-three child-parent dyads were enrolled; 14 parents never attended any sessions. Participation in follow-up assessments did not meet the hypothesized level. Ultimate BMI z scores did not differ between control and intervention groups. Parenting skills did not improve in the intervention group. This intervention to achieve healthy lifestyle changes in children via their parents as “change agents” was unsuccessful.


2018 ◽  
Vol 6 (1) ◽  
pp. 63
Author(s):  
Muhammad Al-Ihsan, ◽  
Eka Santi ◽  
Anggi Setyowati

ABSTRAKHospitalisasi dapat menimbulkan respon kecemasan pada anak usia prasekolah. Dampak kecemasan pada anak dapat mengganggu tumbuh kembang, proses penyembuhan, dan trauma. Terapi bermain origami merupakan salah satu intervensi yang dapat mengurangi kecemasan anak selama menjalani hospitalisasi. Tujuan penelitian ini untuk mengetahui pengaruh terapi bermain origami terhadap kecemasan anak usia prasekolah (3-6 tahun) yang menjalani hospitalisasi di RSUD Idaman Banjarbaru. Metode pada penelitian ini bersifat quasi eksperimental dengan rancangan penelitian pretest posttest non equivalent control group design. Pengambilan sampel menggunakan teknik consecutive sampling dengan sampel 30 anak usia prasekolah yang terbagi atas 15 anak kelompok intervensi dan 15 anak kelompok kontrol. Pengukuran kecemasan anak usia prasekolah menggunakan Preschool Anxiety Scale. Hasil analisis data menggunakan uji non parametrik Wilcoxon Signed Rank Test terdapat pengaruh terapi bermain origami terhadap kecemasan anak usia prasekolah (3-6 tahun) yang menjalani hospitalisasi di RSUD Idaman Banjarbaru(p-value 0,001).Kata-kata kunci: hospitalisasi, kecemasan, terapi bermain origami.ABSTARCTHospitalization can cause anxiety responses among preschool age children. Impact of children's anxiety when undergoing hospitalization may interfere with growth and development, healing process, and trauma. Origami therapy is one of the interventions to reduce anxiety among children during their hospitalization. The objective of this study was to measure the effectiveness of origami therapy on the anxiety among preschool children (3-6 years) during hospitalizatio Idaman Banjarbaru Public Hospital. The Method this study was quasi-experimental with nonequivalent pretest posttest control group design. The consecutive sampling technique was used in this study to select the samples of 30 preschool children, divided into 15 intervention group and 15 control group. Measurement of anxiety preschoolers using Preschool Anxiety Scale. The Results Analyzed using non-parametric test Wilcoxon Signed Rank Test, there was an effect of origami therapy on the anxiety preschool age children during Hospitalization at Idaman Banjarbaru Public Hospital (p-value 0.001).Keywords: anxiety, hospitalization, origami therapy.


Author(s):  
Sara Contreras-Martos ◽  
Alfonso Leiva ◽  
Álvaro Sanchez ◽  
Emma Motrico ◽  
Juan Bellón ◽  
...  

The World Health Organization (WHO) estimated that physical inactivity (PI) is responsible for 20 to 30% of all non-communicable diseases. We aimed to analyze the effectiveness of a multiple health behavior change (MHBC) intervention to increase physical activity (PA) in patients 45 to 75 years old who had at least 2 of 3 unhealthy behaviors (tobacco use, reduced fruit and vegetable consumption, and insufficient PA). The MHBC intervention is based on the Transtheoretical Model and the conceptual framework of the “5 A’s” and includes an individually tailored intervention, group sessions, and the use of community resources. We included 3062 participants, 1481 in the intervention group and 1581 in the control group. After 12 months, there were no differences in PA intensity measured by metabolic_equivalent_of_task_minutes/week (adjusted mean difference: 284.093, 95% CI: −298.24, 866.42) nor in the proportion of participants who increased PA levels to moderate or high (OR: 1.02, 95% CI: 0.85, 1.23; p = 0.822), and no differences in blood pressure, weight loss, or waist circumference. We found an increased proportion of patients in the intervention group who followed the WHO recommendations for PA (OR: 1.29; 95% CI: 1.04, 1.60; p = 0.02). We concluded that the intervention did not lead to a significant increase in PA.


Author(s):  
Pooja Tandon ◽  
Brian Saelens ◽  
Chuan Zhou ◽  
Dimitri Christakis

The aims of this study were to quantify and examine differences in preschoolers’ indoor and outdoor sedentary time and physical activity intensity at child care using GPS devices and accelerometers. We conducted an observational study of 46 children (mean age 4.5 years, 30 boys, 16 girls) from five child care centers who wore accelerometers and GPS devices around their waists for five days during regular child care hours. GPS signal-to-noise ratios were used to determine indoor vs. outdoor location. Accelerometer data were categorized by activity intensity. Children spent, on average, 24% of child care time outdoors (range 12–37% by site), averaging 74 min daily outdoors (range 30–119 min), with 54% of children spending ≥60 min/day outdoors. Mean accelerometer activity counts were more than twice as high outdoors compared to indoors (345 (95) vs. 159 (38), (p < 0.001)), for girls and boys. Children were significantly less sedentary (51% of time vs. 75%) and engaging in more light (18% vs. 13%) and moderate-to-vigorous (MVPA) (31% vs. 12%) activity when outdoors compared to indoors (p < 0.001). To achieve a minute of MVPA, a preschooler needed to spend 9.1 min indoors vs. 3.8 min outdoors. Every additional 10 min outdoors each day was associated with a 2.9 min increase in MVPA (2.7 min for girls, 3.0 min for boys). Preschool-age children are twice as active and less sedentary when outdoors compared to indoors in child care settings. To help preschoolers achieve MVPA recommendations and likely attain other benefits, one strategy is to increase the amount of time they spend outdoors and further study how best to structure it.


2016 ◽  
Vol 20 (3) ◽  
pp. 542-548 ◽  
Author(s):  
Sarah Methner ◽  
Gesa Maschkowski ◽  
Monika Hartmann

AbstractObjectiveTo assess the impact of the European School Fruit Scheme (SFS) in North Rhine-Westphalia, Germany, on children’s fruit and vegetable (F&V) consumption, in particular frequency.DesignThe study consisted of a pre-test/post-test design with an intervention (eight primary schools) and a control group (two primary schools). Children’s F&V consumption frequency was measured prior to the introduction of the SFS in 2010 and after one year’s delivery of F&V (2011).SettingTen primary schools in North Rhine-Westphalia, Germany.SubjectsIn total, 499 primary-school children aged 6–11 years, 390 in the intervention and 109 in the control schools.ResultsChildren highly appreciated the SFS. More than 90 % evaluated the programme positively. Children in the intervention group showed a significant increase in F&V intake frequency from baseline to follow-up, from on average 1·26 (sd1·37) to 2·02 (sd1·33) times/d (P=0·000). The intervention variable had a highly significant impact on children’s F&V consumption frequency, even after controlling for gender, age and stay at school for lunch (β=0·773; 95 % CI 0·59, 0·96). The SFS did not induce a reduction of F&V consumption at home. In the control group a non-significant decline in F&V consumption frequency from 1·31 (sd1·26) to 1·18 (sd1·34) times/d (P=0·325) was observed.ConclusionOne year after the programme’s implementation, the SFS led to a significant short-term increase in children’s F&V consumption.


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