期刊论文详细信息
BMC Public Health
A conative educational model for an intervention program in obese youth
Jacques Mikulovic4  Gilles Bui-Xuan5  Paul Stephen Fardy2  Laurent Béghin1  Jérémy Vanhelst3 
[1] Unité Inserm U995 & Université Lille Nord de France, Lille, France;Department of Family, Nutrition, and Exercise Sciences (FNES), Queens College, Flushing, NY, USA;Centre d’Investigation Clinique, CIC-PT-9301-Inserm-CH&U, Lille, France;ER3S, ULCO, Dunkerque, France;ER3S, Université d'Artois, Villeneuve d'Ascq, France
关键词: Intervention strategy;    Physical activity;    Obesity;   
Others  :  1163559
DOI  :  10.1186/1471-2458-12-416
 received in 2012-03-06, accepted in 2012-06-07,  发布年份 2012
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【 摘 要 】

Background

Obesity in children has increased in recent years throughout the world and is associated with adverse health consequences. Early interventions, including appropriate pedagogy strategies, are important for a successful intervention program. The aim of this study was to assess changes in body mass index, the ability to perform sport activities, behavior in the classroom and academic performance following one year of a health-wellness intervention program in obese youth.

Methods

The CEMHaVi program included 37 obese children (19 girls and 18 boys). Participants received an intervention program consisting of physical activity and health education. Assessment included body mass index, academic performance, classroom performance and ability to perform sport activities. Paired t tests were used to assess the effects of intervention, and chi square was used to assess inter-action between measures.

Results

Findings of the study suggest significant decrease in Z scores of Body Mass Index and an improvement of academic performance, classroom behavior and the ability to perform sport activities (p < 0.05). Chi square testing showed significant positive inter-actions between body mass index, classroom behavior and academic performance.

Conclusions

Results following year one of CEMHaVi showed that a program of physical activity and health education had positive effects on obesity, behavior in the classroom and the ability to perform sport activities in obese adolescents. Significant inter-action in changes between variables was observed. Findings are important for designing intervention models to improve health in obese youth.

【 授权许可】

   
2012 Vanhelst et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Bayne-Smith M, Fardy PS, Azzollini A, Magel J, Schmitz KH, Agin D: Improvements in heart health behaviors and reduction in coronary artery disease risk factors in urban teenaged girls through a school-based intervention: the PATH program. Am J Public Health 2004, 94:1538-43.
  • [2]Reilly JJ, Kelly L, Montgomery C, Williamson A, Fisher A, McColl JH, Lo Conte R, Paton JY, Grant S: Physical activity to prevent obesity in young children: cluster randomised controlled trial. BMJ 2006, 18:1041.
  • [3]James J, Thomas P, Cavan D, Kerr D: Preventing childhood obesity by reducing consumption of carbonated drinks: cluster randomised controlled trial. BMJ 2004, 22:1237.
  • [4]Müller MJ, Asbeck I, Mast M, Langnäse K, Grund A: Prevention of obesity--more than an intention. Concept and first results of the Kiel Obesity Prevention Study (KOPS). Int J Obes Relat Metab Disord 2001, 25:S66-74.
  • [5]Moreno LA, Gonzalez-Gross MM, Kersting M, Molnár D, de Henauw S, Beghin L, et al.: Assessing, understanding and modifying nutritional status, eating habits and physical activity in European adolescents. The HELENA Study. Publ Health Nutr 2008, 11:288-299.
  • [6]Dietz WH: Childhood weight affects adult morbidity and mortality. J Nutr 1998, 128:411-414.
  • [7]Swallen KC, Reither EN, Haas SA, Mejer AM: Overweight, obesity, and health-related quality of life among adolescents: the National Longitudinal Study of Adolescent Health. Pediatrics 2005, 115:340-7.
  • [8]Higgins PB, Gower BA, Hunter GR, Goran MI: Defining health-related obesity in prepubertal children. Obes Res 2001, 9:233-40.
  • [9]Wabitsch M, Hauner H, Heinze E, Muche R, Böckmann A, Parthon W, Mayer H, Teller W: Body-fat distribution and changes in the atherogenic risk-factor profile in obese adolescent girls during weight reduction. Am J Clin Nutr 1994, 60:54-60.
  • [10]Berenson G, Srinivasan S, Bao W, Newman WP, Tracy RE, Wattigney WA: Association between multiple cardiovascular risk factors and athersclerosis in children and young adults. N Engl J Med 1998, 338:1650-1656.
  • [11]Fair AM, Montgomery K: Energy balance, physical activity, and cancer risk. Methods Mol Biol 2009, 472:57-88.
  • [12]Li Y, Dai Q, Jackson JC, Zang J: Overweight is associated with decreased cognitive functioning among school-age children and adolescents. Obesity 2008, 16:1809-15.
  • [13]Van Dale D, Saris WH, Ten Hoor F: Weight maintenance and resting metabolic rate 18–40 months after a diet/exercise treatment. Int J Obes 1990, 14:347-59.
  • [14]Dumortier M, Brandou F, Perez-Martin A, Fedou C, Mercier J, Brun JF: Low intensity endurance exercise targeted for lipid oxidation improves body composition and insulin sensitivity in patients with the metabolic syndrome. Diabetes Metab 2003, 29:509-18.
  • [15]Rotenberg KJ, Flood D: Dietary restraint, attributional styles for eating, and preloading effects. Eat Behav 2000, 1:63-78.
  • [16]Figueroa-Colon R, Von Almen TK, Franklin FA, Schuftan C, Suskind RM: Comparison of two hypocaloric diets in obese children. Am J Dis Child 1993, 147:160-6.
  • [17]Ebbeling CB, Rodriguez NR: Effects of exercise combined with diet therapy on protein utilization in obese children. Med Sci Sports Exerc 1999, 31:378-85.
  • [18]Mikulovic J, Bui-Xuân G, Marcellini A: Social and professional reintegration of the long-term unemployed disabled. Intervention on the body through adapted physical activities, conative teaching skills and social re-energization. Int J Rehabil Res 2002, 25:47-50.
  • [19]Bui-Xuan G: Teaching Physical Education. In Modeling process teaching. Volume 1. Edited by Bui-xuan G, Gleyse J. Clermont Ferrand, ; 1999:62-83.
  • [20]Fardy PS, White RE, Haltiwanger-Schmitz K, Magel JR, McDermott KJ, Clark LT, Hurster MM: Coronary disease risk factor reduction and behavior modification in minority adolescents: the PATH program. J Adolesc Health 1996, 18:247-53.
  • [21]Ginsberg HN, MacCallum PR: The obesity, metabolic syndrome, and type 2 diabetes mellitus pandemic: Part I. Increased cardiovascular disease risk and the importance of atherogenic dyslipidemia in persons with the metabolic syndrome and type 2 diabetes mellitus. J Cardiometab Syndr 2009, 4:113-9.
  • [22]Emes C, Velde B, Moreau M, Murdoch DD, Trussell R: An activity based weight control program. Adapt Phys Act Quart 1990, 7:314-324.
  • [23]Gutin B, Owens S, Slavens G, Riggs S, Treiber F: Effect of physical training on heart-period variability in obese children. J Pediatr 1997, 130:938-943.
  • [24]Schwingshandl J, Sudi K, Eibl B, Wallner S, Borkenstein M: Effect of an individualised training programme during weight reduction on body composition: a randomised trial. Arch Dis Child 1999, 81:426-428.
  • [25]Faith MS, Berman N, Heo M, Pietrobelli A, Gallagher D, Epstein LH, Eiden MT, Allison DB: Effects of contingent television on physical activity and television viewing in obese children. Pediatrics 2001, 107:1043-1048.
  • [26]Woo KS, Chook P, Yu CW, Sung RY, Qiao M, Leung SS, Lam CW, Metreweli C, Celermajer DS: Effects of diet and exercise on obesity-related vascular dysfunction in children. Circulation 2004, 109:1981-1986.
  • [27]Krukowski RA, Smith West D, Philyaw Perez A, Bursac Z, Phillips MM, Raczynski JM: Overweight children, weight-based teasing and academic performance. Int J Pediatr Obes 2009, 4:274-80.
  • [28]Hillman CH, Castelli DM, Buck SM: Aerobic fitness and neurocognitive function in healthy preadolescent children. Med Sci Sports Exerc 2005, 37:1967-74.
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