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A study to evaluate the effectiveness of multicomponent intervention on lifestyle practices, body fat and self esteem of obese/overweight school children in selected English medium schools of Udupi district, Karnataka
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Background
Childhood obesity has emerged as a global epidemic in children. Effective interventions need to be developed to control the epidemic at its beginning.
Objective
To evaluate the effectiveness of a school based multicomponent intervention on body fat, lifestyle practices and self esteem of obese/ overweight children.
Method
A case control study followed by randomized control trial was carried out. A survey of two English medium schools of Udupi district was conducted. A total of 269 children studying in 8th, 9th &10th standard aged between 10 &16 were enrolled. Demographic data and anthropometric assessment was carried. A structured, pretested questionnaire on risk factors was administered to obese/ overweight children and normal children and their mothers. Multicomponent intervention was administered for one month for the children enrolled for experimental group.
Result
Out of 269, 13(4.8%) were overweight, 7 (2.6%) were obese. Sedentary activity after school hours, television viewing for longer duration during week days and weekend days, reduced physical activity, skipping meals, influence of media in selecting food items, parents offering food as reward, frequent consumption of fried food and junk food, and drinking carbonated drinks frequently were the important influencing factors. There was a significant reduction in the BMI of intervention group at the end of 4th week which was statistically significant (P<0.05)
Conclusion
Identifying the sedentary activity and unhealthy dietary habits among children should be done at the earliest. School based health promotion activities involving parents reduces the prevalence of obesity among children.
Keywords
- Lobstein T, Baur L, Uauy R. (2004). Obesity in children and young people: a crisis in public health. Obes Rev; 5(suppl 1): 4 – 85.
- Kapil U & et al, (2002). Prevalence of Obesity among affluent school children in Delhi. Indian Pediatr; 41: 449 – 452.
- Venkatanarayam KM, Campagna AF, Imperatore G. (2001). Type 2 diabetes in children: A problem lurking for India? Indian Pediatr; 38:17.
- Kumar S, Mahabalaraju DK, Anuroopa MS. (2007). Prevalence of Obesity and influencing factors among affluent school children of Davanagere city. Indian Journal of Community Medicine,:32(1): 15 – 17.
- Vedavathi S, Jayashree R, Rafi M: (2003). Prevalence of Overweight and Obesity in affluent adolescent school girls in Chennai in 1981 & 1998.. Indian Pediatrics,; 40; 775 – 779.
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