Journal of the Korean Applied Science and Technology (한국응용과학기술학회지)

The Korean Society of Applied Science and Technology (한국응용과학기술학회)
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The effect of community based participatory obesity management program in obese school children

학령기 비만아동을 위한 지역사회 참여형 비만관리 프로그램의 효과

  • Received : 2017.09.17
  • Accepted : 2017.10.11
  • Published : 2017.12.30
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Abstract

The aim of this study was to develop a community based participatory obesity control program and measure the effects of the program on obesity, exercise habit, eating habit and life habits among obese elementary school children. The community based participatory obesity control program was provided for the experimental group of $4^{th}$ grade elementary school students for 10 weeks. The program included obesity related health educations and counseling once a week, jump rope classes twice a week and folk game classes held once a week. Method: There were 24 students with obesity in the experimental and 27 in the control groups. The collected data were analyzed by the Kolmogorov-Smirnov test, ${\chi}^2$-test, independent t-test and repeated measure ANOVA. Results: After 10weeks of participation in the program, the experimental group showed significantly lower Body Mass Index (p<.001) and waist hip ratio (p=.036), significantly higher exercise habit (p=.004), eating habit (p=.003) and life habit (p=.001) than those in the control group. Conclusion: This study provides evidence that community based participatory obesity management program is effective nursing intervention for managing child obesity.

본 연구는 학령기 비만아동을 위한 지역사회 참여형 비만관리 프로그램을 개발하여 비만지수와 운동습관, 식습관, 생활습관에 미치는 영향을 검정한 비동등성 대조군 사전 사후설계이다. 연구대상자는 초등학교 4학년 학생 중 체질량지수가 2007년 소아 및 청소년 표준 성장 도표를 이용하여 85백분위수 이상인 아동으로 실험군 24명과 대조군 27명이었다. 비만관리 프로그램은 실내활동과 실외활동으로 이루어졌으며, 10주간 진행되었다. 실외활동은 줄넘기와 걷기운동을 매주 2회, 전래놀이를 매주 1회 실시하였다. 수집된 자료의 분석은 Kolmogorov-Smirnov test, chi-square test, independent t-test, repeated measure ANOVA를 사용하였다. 연구결과 실험군에서 체질량지수는 $23.64kg/m^2$에서 $22.96kg/m^2$로 감소하였고(p<.001) 복부지방률은 0.889에서 0.887로 유의하게 감소하였다(p<.036). 그러나 체지방률은 유의한 변화가 없었다. 중재 후 운동습관(p=.004), 식습관(p=.003), 생활습관(p=.001)은 모두 향상되었다. 이러한 결과를 통해 본 연구에서 개발된 지역사회 참여형 비만관리 프로그램은 학령기 비만아동들의 비만지수와 비만을 감소시키는 생활습관의 개선에 효과적인 간호 중재임이 확인되었다.

Keywords

References

  1. S. B. Quelly, "Characteristics associated with School Nurse Childhood Obesity Prevention Practice", Pediatric Nursing, Vol.43, No.3 pp. 193-199, (2017).
  2. Korea Centers for Disease Control and Prevention. 2015 National Health Statics: Korea National Health and Nutrition Examination Survey. [Internet]. Chungju 2016[cited 2016 Dec 26] Available From: https://knhanes.cdc.go.kr/knhanes/sub04/sub04_03.do?classType=7(Retrieved Oct, 10, 2017)
  3. E. S. Jeong, S. K. Kahng, S. Y. Kim, "The Effect of Obesity in Youth on Self-Esteem: Focusing on Gender difference", Korean Journal of Social Welfare Studies, Vol.45, No.4 pp. 267-294, (2014). https://doi.org/10.16999/kasws.2014.45.4.267
  4. W, Kiess, A. Galler, A. Reich, G. Muller, T. Kapellen, J. Deutscher, K. Raile, J. Kratzsch, "Clinical Aspects of Obesity in Childhood and Adolescence", Obesity Reviews, Vol.2, No.1 pp. 29-36, (2001). https://doi.org/10.1046/j.1467-789x.2001.00017.x
  5. C. Ruxton, "Obesity in Children", Nursing Standard, Vol.18, No.20 pp. 47-52, (2004). https://doi.org/10.7748/ns.18.52.47.s58
  6. I. C. Hwang, K. S. Lee, D. K. Park, E. Y. Jung, C. H. Choi, S. J. Cho, S. M. Bae, "Association with Self-Perception for Obesity and Mental Health among Korean Adolescent", Journal of the Korean Academy of Child and Adolescent Psychiatry, Vol.22, No.2 pp. 112-119, (2011). https://doi.org/10.5765/JKACAP.2011.22.2.112
  7. J. O. Hill, "Understanding and Addressing the Epidemic of Obesity : An Energy Balance Perspective", Endocrine Review, Vol.27, No7 pp. 750-761. (2001). https://doi.org/10.1210/er.2006-0032
  8. Y. H. Shin, "A Review of Childhood Obesity", Korean Journal of Child Health Nursing. Vol.11, No.2 pp. 240-245. (2005).
  9. H. S. Lee, J. S. Park, "Development of a Web-Based Obesity Management Program for Elementary School Students", Journal of Korean Academy Society of Nursing Education, Vol.19 No.2 pp. 215-227, (2013). https://doi.org/10.5977/jkasne.2013.19.2.215
  10. Y. T. Rhim, "The Role of School Education in Solving Obesity in Adolescents", Korean Society for the Study of Physical Education, Vol.17, No.3 pp. 91-104, (2012).
  11. H. Y. Ahn, S. B. Im, K. J. Hong, M. H. Hur, "The Effects of a Multi Agent Obesity Control Program in Obese School Children", Journal of Korean Academy of Nursing, Vol.37 No.1 pp. 105-113, (2007). https://doi.org/10.4040/jkan.2007.37.1.105
  12. H. S. Kim, J. Park, K. Y. Park, M. N. Lee, O. K. Ham, "Parent Involvement Intervention in Developing Weight Management Skills for Both Parents and Overweight/Obese Children", Asian Nursing Research, Vol.10, No.1 pp. 11-17, (2016). https://doi.org/10.1016/j.anr.2015.07.006
  13. H. Kim, "Effects of Community Based Participatory Obesity Intervention Program in Middle-Aged Women", Journal of Korean Public Health Nursing, Vol.29, No.1 pp. 79-89, (2015). https://doi.org/10.5932/JKPHN.2015.29.1.79
  14. F. Faul, E. Erdfelder, A. Buchner, A.-G. Lang, "Statistical Power Analyses Using G*Power 3.1: Tests for Correlation and Regression Analyses", Behavior Research Methods, Vol.41, pp. 1149-1160, (2009). https://doi.org/10.3758/BRM.41.4.1149
  15. The Korean Pediatric Society, Korea Center for Disease Control and Prevention. Children and adolescent physical growth standard-explanation-. Chungju: The Korea Center for Disease Control and Prevention, (2007).
  16. S. Y. Kang, H. S. Ryu, I. S. Cho, "Factors Influencing the Obesity of Senior Elementary Students", Korean Journal of Health Education and Promotion, Vol.27, No.1 pp. 35-48, (2001).
  17. Y. S. Yoon, "A Study on the Effects of Abdominal Obesity Management Program in Middle Aged Women", Journal of Korea Community Health Nursing Academic Society, Vol.15 No. 2, pp. 363-375, (2001).
  18. W. K. Kim, "Effects of exercise program on % bodyfat in obese children: Systemic review and meta analysis relationships", The Korean Journal of Elementary Physical Education, Vol.18, No.3 pp. 121-131, (2012).
  19. P. E. Mary, N. S. Jagadesh, R. Vijayaraghavan, "Effectiveness of Healthy Eating and Active Lifestyle Intervention Program (Healip) on Physiological and Biochemical Parameters among Children with Obesity at Selected Schools in Chennai - A Pilot Study Report", International Journal of Nursing Education, Vol.9, No3 pp. 84-89, (2017). https://doi.org/10.5958/0974-9357.2017.00074.5
  20. S. R. Park, The Effect by Weight Control Program after School on the Eating Habit, Exercise and Obesity of Elementary Students with Obesity. Unpublished doctoral dissertation, Chonnam National University, Chonnam (2011).
  21. J. H. Lee, S. Oh, "Effects of the 26-Weeks Obesity Management Program on Obesity Index, Self-Esteem, Self-Efficacy, and Body Image Among Obese Elementary School Children", Journal of the Korea Academia-Industrial cooperation Society, Vol.17, No.9 pp. 83-93. (2016). https://doi.org/10.5762/KAIS.2016.17.9.83
  22. N. S. Seo, Y. H. Kim, H. Y. Kang, "Effects of an Obesity Control Program based on Behavior Modification and Self-efficacy in Obese Elementary School Children," Journal of Korean Academy of Nursing, Vol.35, No.3 pp. 611-620, (2005). https://doi.org/10.4040/jkan.2005.35.3.611
  23. M. S. Jeon, The Effect and Development of the Obesity Control Program for Obese Students in Elementary School. Unpublished master's thesis, Chonbuk National University, Cheonju (2003).
  24. J. S. Won, S. H. Jun, A. K. Han, "Effects of an Obesity Control Program Including Rhythmical Dance Exercise for Children With Obesity", Journal of Korean Academy of Fundamental Nursing, Vol.15, No.4 pp. 475-484, (2008).