Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Effectiveness of a combined obesity prevention program in South Korea for children from low-income families that included primary caregiver participation

  • Park, Namhee (Institute of Health Science, College of Nursing, Inje University) ;
  • Im, Mihae (Department of Nursing, Choonhae College of Health Scineces)
  • Received : 2021.03.12
  • Accepted : 2021.05.21
  • Published : 2021.07.31
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Abstract

Purpose: Obesity among children from low-income families is becoming a social problem. The aim of this study was to evaluate the effectiveness of an obesity prevention program that included physical activity, nutrition education, behavioral modification, and primary caregiver participation components among children from low-income families. Methods: The study analyzed a nonequivalent control group using a pretest-posttest design. A total of 77 children were recruited from six community childcare centers using purposive sampling. For the intervention group (n=40), the pretest was administered before the combined intervention program involving the participants' primary caregivers was conducted for 8 weeks. The posttest was conducted immediately after the program and again four weeks after the program. Results: Flexibility (F=4.64, p=.020), muscular endurance (F=11.22, p<.001), nutritional knowledge scores (F=4.79, p=.010), body image satisfaction scores (F=4.74, p=.012), and self-esteem scores (F=3.81, p=.029) showed significant differences and interactions between group and time for the intervention and control groups. Conclusion: Strategies to actively engage the primary caregivers of low-income families in children's obesity programs are needed. Obesity prevention programs for children based on the program in this study should be routinely developed, and continuing attention should be given to children from low-income families.

Keywords

Acknowledgement

We would like to give special thanks for financial support from the 'Health Specialization Project' funded by Busan Metropolitan City and the Korean Health Promotion Development Institute.

References

  1. Ogden CL, Carroll MD, Fakhouri TH, Hales CM, Fryar CD, Li X, et al. Prevalence of obesity among youths by household income and education level of head of household-United States 2011-2014. Morbidity and Mortality Weekly Report. 2018;67(6):186-189. https://doi.org/10.15585/mmwr.mm6706a3
  2. Son JY, Kwon SW. A study on the intervention plan for the mitigation of health inequality in children. Research Report. Seoul: Childfund; 2014 December. Report No.: 2014-11.
  3. Lee J, Park J, Kim HS, Kim WS, Hwang G. Barriers to promoting physical activity among overweight and obese children from low-income families using community child care centers. Journal of Korean Public Health Nursing. 2017;31(2):327-340. https://doi.org/10.5932/JKPHN.2017.31.2.327
  4. Sapkota T, Houkes I, Bosma H. Vicious cycle of chronic disease and poverty: A qualitative study in present day Nepal. International Health. 2021;13(1):30-38. https://doi.org/10.1093/inthealth/ihaa016
  5. Kim HS, Park J, Ma Y, Im M. What are the barriers at home and school to healthy eating?: Overweight/obese child and parent perspectives. Journal of Nursing Research. 2019;27(5):e48. https://doi.org/10.1097/jnr.0000000000000321
  6. Sung KS, Yoon YM, Kim EJ. Meta-analysis of the effects of obesity management program for children. Child Health Nursing Research. 2013;19(4):262-269. https://doi.org/10.4094/chnr.2013.19.4.262
  7. Feng L, Wei DM, Lin ST, Maddison R, Mhurchu CN, Jiang Y, et al. Systematic review and meta-analysis of school-based obesity interventions in Mainland China. PLoS One. 2017;12(9):e0184704. https://doi.org/10.1371/journal.pone.0184704
  8. Bleich SN, Segal J, Wu Y, Wilson R, Wang Y. Systematic review of community-based childhood obesity prevention studies. Pediatrics. 2013;132(1):e201-e210. https://doi.org/10.1542/peds.2013-0886
  9. Kelley CP, Sbrocco G, Sbrocco T. Behavioral modification for the management of obesity. Primary Care. 2016;43(1):159-175. https://doi.org/10.1016/j.pop.2015.10.004
  10. Park J, Ma H, Lee Y, Oh H. Trends in intervention study for childhood obesity in Korea. Child Health Nursing Research. 2017;23(1): 81-90. https://doi.org/10.4094/chnr.2017.23.1.81
  11. Yabanci N, Kisac I, Karakus SS. The effects of mother's nutritional knowledge on attitudes and behaviors of children about nutrition. Procedia-Social and Behavioral Sciences. 2014;116(21):4477-4481. https://doi.org/10.1016/j.sbspro.2014.01.970
  12. Kim HS, Park J, Park K, Lee MN, Ham OK. Parent involvement intervention in developing weight management skills for both parents and overweight/obese children. Asian Nursing Research. 2016;10(1):11-17. https://doi.org/10.1016/j.anr.2015.07.006
  13. Ministry of Health and Welfare. National community child care center statistical survey. Research Report. Sejong: Ministry of Health and Welfare; 2016 December. Report No.: 11-135200- 002034-10.
  14. Seoul National University Institute of Sport Science. Physical activity promotion system [Internet]. Sejong: Ministry of Education; 2009 [cited 2021 March 8]. Available from: https://www.moe.go.kr/boardCnts/view.do?boardID=316&lev=0&statusYN=C&s=moe&m=0302&opType=N&boardSeq=14508
  15. Korea Health Promotion Foundation. 4th Health Plan 2020, 2016- 2020 [Internet]. Seoul: Ministry of Health and Welfare; 2015 [cited 2021 March 8]. Available from: https://khealth.or.kr/board/view?pageNum=1&rowCnt=10&menuId=MENU00829&maxIndex=99999999999999&minIndex=99999999999999&schType=0&schText=&categoryId=&continent=&country=&upDown=0&boardStyle=&no1=0&linkId=559210
  16. Franzoi SL, Shields SA. The body-esteem scale: Multidimensional structure and sex differences in a college population. Journal of Personality Assessment. 1984;48(2):173-178. https://doi.org/10.1207/s15327752jpa4802_12
  17. Shin KH. The difference self-esteem and academic achievement according to children's body-esteem [master's thesis]. Chungcheongbuk-do: The Korea National University of Education, Chung-Buk; 1996. p. 1-68
  18. Harter S. The perceived competence scale for children. Child Development. 1982;53(1):87-97. https://doi.org/10.2307/1129640
  19. Lee Y, So H. The determinants affecting the health behavior of middle school student. Chungnam Medical Journal. 1996;23(1):75-86.
  20. Saelens BE, Sallis JF, Wilfley DE, Patrick K, Cella JA, Buchta R. Behavioral weight control for overweight adolescents initiated in primary care. Obesity Research. 2002;10(1):22-32. https://doi.org/10.1038/oby.2002.4
  21. Thivel D, Ring-Dimitriou S, Weghuber D, Frelut ML, O'Malley G. Muscle strength and fitness in pediatric obesity: A systematic review from the European childhood obesity group. Obesity Facts. 2016;9(1):52-63. https://doi.org/10.1159/000443687
  22. Azmi K, Kusnanik NW. Effect of exercise program speed, agility, and quickness (SAQ) in improving speed, agility, and acceleration. Journal of Physics: Conference Series. 2018;947(1):012043. https://doi.org/10.1088/1742-6596/947/1/012043
  23. Kim YW, Cheon SM. Meta-analysis of the effects of combined exercise on fitness and body composition in obese adolescents. Journal of Sport and Leisure Studies. 2016;66:701-713. https://doi.org/10.51979/KSSLS.2016.11.66.701
  24. World Health Organization. Physical activity and young people [Internet]. Switzerland: World Health Organization; 2021 [cited 2021 March 8]. Available from: https://www.who.int/ncds/prevention/physical-activity/factsheet_young_people/en/
  25. Lee S, Libman I, Hughan K, Kuk JL, Jeong JH, Zhang D, et al. Effects of exercise modality on insulin resistance and ectopic fat in adolescents with overweight and obesity: A randomized clinical trial. Journal of Pediatrics. 2019;206:91-98. https://doi.org/10.1016/j.jpeds.2018.10.059
  26. DeCosta P, Moller P, Frost MB, Olsen A. Changing children's eating behavior-A review of experimental research. Appetite. 2017; 113(1):327-357. https://doi.org/10.1016/j.appet.2017.03.004
  27. Ridberg RA, Bell JF, Merritt KE, Harris DM, Young HM, Tancredi DJ. Effect of a fruit and vegetable prescription program on children's fruit and vegetable consumption. Preventing Chronic Disease. 2019;16:E73. https://doi.org/10.5888/pcd16.180555
  28. Voelker DK, Reel JJ, Greenleaf C. Weight status and body image perceptions in adolescents: Current perspectives. Adolescent Health, Medicine and Therapeutics. 2015;6:149-158. https://doi.org/10.2147/AHMT.S68344
  29. Lee JH, Oh S. 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. 2016;17(9):83-93. https://doi.org/10.5762/KAIS.2016.17.9.83
  30. Lowry KW, Sallinene BJ, Janicke DM. The effects of weight management programs on self-esteem in pediatric overweight populations. Journal of Pediatric Psychology. 2007;32(10):1179-1195. https://doi.org/10.1093/jpepsy/jsm048