scholarly journals Does the Healthy Body Image program improve lifestyle habits among high school students? A randomized controlled trial with 12-month follow-up

2019 ◽  
Vol 48 (3) ◽  
pp. 030006051988945
Author(s):  
Christine Sundgot-Borgen ◽  
Oddgeir Friborg ◽  
Elin Kolle ◽  
Monica K. Torstveit ◽  
Jorunn Sundgot-Borgen ◽  
...  

Objectives Positive embodiment and healthy lifestyle habits seem to be related; therefore, stimulating positive embodiment should promote healthy lifestyle habits. In the current study, we delivered the Healthy Body Image (HBI) intervention among Norwegian high school students and examined the effects on healthy lifestyle habits. Methods The HBI intervention comprises three interactive workshops, with three overarching themes related to body image, social media literacy, and lifestyle. A total of 2446 boys (43%) and girls in grade 12 (mean age 16.8 years) from 30 high schools participated in this cluster-randomized controlled study. Schools were randomized to the HBI intervention or control study arm. Data on physical activity, eating habits, and sleep were collected at baseline, post intervention, and 3- and 12-month follow-up and analyzed using linear mixed regression models. Results The intervention had a minor negative effect on physical activity levels in boys at 12-month follow-up and short-term small-to-moderate positive effects on consumption of breakfast and fruit and vegetables, and sleep duration on school days. Conclusions In future, the lack of satisfactorily long-term effects might be better addressed using a combination of cognitive and behavioral approaches to more optimally integrate positive embodiment and lifestyle changes in the daily life of adolescents. Trial registration: ClinicalTrials.gov ID: PRSNCT02901457. Approved by the Regional Committee for Medical and Health Research Ethics.

10.2196/29913 ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. e29913
Author(s):  
Marcus Bendtsen ◽  
Preben Bendtsen ◽  
Ulrika Müssener

Background The prevalence of daily or occasional smoking among high school students in Sweden was approximately 20% in 2019, which is problematic since lifestyle behaviors are established in adolescence and track into adulthood. The Nicotine Exit (NEXit) Junior trial was conducted in response to a lack of evidence for the effects of text message smoking cessation interventions among high school students in Sweden. Objective The aim of this study was to estimate the 3- and 6-month effects of a text messaging intervention among high school students in Sweden on smoking cessation outcomes. Methods A 2-arm, single-blind randomized controlled trial was employed to estimate the effects of the intervention on smoking cessation in comparison to treatment as usual. Participants were recruited from high schools in Sweden using advertising and promotion by school staff from January 10, 2018, to January 10, 2019. Weekly or daily smokers who were willing to make a quit attempt were eligible for inclusion. Prolonged abstinence and point prevalence of smoking cessation were measured at 3 and 6 months after randomization. Results Complete case analysis was possible on 57.9% (310/535) of the participants at 6 months, with no observed statistically significant effect on 5-month prolonged abstinence (odds ratio [OR] 1.27, 95% CI 0.73-2.20; P=.39) or 4-week smoking cessation (OR 1.42; 95% CI 0.83-2.46; P=.20). Sensitivity analyses using imputation yielded similar findings. Unplanned Bayesian analyses showed that the effects of the intervention were in the anticipated direction. The findings were limited by the risk of bias induced by high attrition (42.1%). The trial recruited high school students in a pragmatic setting and included both weekly and daily smokers; thus, generalization to the target population is more direct compared with findings obtained under more strict study procedures. Conclusions Higher than expected attrition rates to follow-up 6 months after randomization led to null hypothesis tests being underpowered; however, unplanned Bayesian analyses found that the effects of the intervention were in the anticipated direction. Future trials of smoking cessation interventions targeting high school students should aim to prepare strategies for increasing retention to mid- and long-term follow-up. Trial Registration IRCTN Registry ISRCTN15396225; https://www.isrctn.com/ISRCTN15396225 International Registered Report Identifier (IRRID) RR2-10.1186/s13063-018-3028-2


2018 ◽  
Vol 10 (9) ◽  
pp. 3104 ◽  
Author(s):  
Lovro Štefan ◽  
Marjeta Mišigoj-Duraković ◽  
Antonela Devrnja ◽  
Hrvoje Podnar ◽  
Vilko Petrić ◽  
...  

Background: The aim of the present study was to investigate the extent of tracking of physical activity (PA), sports participation (SP), and sedentary behaviors (SB) over four years of high school education among the Croatian Physical Activity in Adolescence Longitudinal Study (CRO-PALS) cohort. Methods: In this investigation, participants were 844 high school students (15.6 years at baseline; 49% girls). The SHAPES questionnaire was used to assess PA, SP, and SB at ages 15, 16, 17, and 18 and tracking was assessed using generalized estimating equations. Results: Tracking coefficients for PA were similar in both sexes, ranged from 0.49 to 0.61, and indicated moderate tracking, while the tracking of SB tended to be somewhat higher over the four years of follow-up (β = 0.60–0.72). Youth that participated in sports at baseline had a 16 to 28 times higher odds of continued participation at follow-up, depending on the type of sport and gender. Finally, both low physical activity and high screen time showed strong tracking in both genders. Conclusion: PA and SB tracked moderately between ages 15 and 18. Moreover, the strong tracking of low PA and high screen time indicates that the detection of these risk factors at the beginning of high school should be advocated.


2016 ◽  
Vol 71 (1) ◽  
pp. 38-52
Author(s):  
Jolanta Mogiła-Lisowska ◽  
Beata Bukowska

AbstractThe specific type of human activities that aim to maintain full health by maintaining biological, psychological and social comfort indicate the need to adopt a holistic perspective in any analysis of determinants of pro-health behaviour. When analysing the aetiology of somatic diseases, it is important to take into account biological and mental well-being as well as the connections between needs, interests and lifestyle decisions and their consequences. One of the measures used to reduce the risk of a progressive lack of immunity to non-infectious diseases is prevention, understood as actions aimed at preventing diseases or other adverse health phenomena by controlling their causes and risk factors. An important component of prevention programmes is preventing the occurrence of negative social behaviour patterns that contribute to the increased risk of diseases. Three basic components of a healthy lifestyle – regular physical activity, proper nutrition and sufficient rest and relaxation (stress management) – justify the importance of practising healthy habits from an early age. The role of promoting pro-health behaviours among children and adolescents is of particular importance in the context of increasingly sedentary lifestyles, obesity and weight problems.The aim of this study is to analyse the determinants of physical activity and a balanced diet in the lifestyle of high school students in Radom aged 16-19. The study was conducted in 2013 at VII Krzysztof Kamil Baczyński High School in Radom and involved 140 students. The results of the study indicate that only one-third of respondents fulfilled the requirements for minimal physical activity for their subjective and objective needs of this phase of ontogenetic development, such as being in the company of their peers, spending time in open air and taking care of their physical fitness. Unfortunately, the majority of the parents of the surveyed high school students, who were at the time about 40 years old, did not engage in any systematic physical activity. In other words, the family environment of the studied young people did not promote patterns of physical activity. Similarly, healthy nutrition in the study group was lacking. Both the boys and girls ate around five meals a day, but many respondents snacked between meals on sweets and crisps. The majority of students drank water. The vast majority of them ate their meals at home, ensuring that their meals were freshly prepared and not pre-cooked.Although school children prefer to spend time with their peers, the family is still a point of reference in terms of values and ways of spending free time. The authors of this paper must take into account the minimal impact of the family on choices regarding physical activity. The studied group of high school students demonstrated a lack of preventive care for their health and did not have a well-established systematic approach to physical activity and healthy eating habits.


2020 ◽  
Vol 5 (1) ◽  
pp. 22
Author(s):  
Cahyo Wibowo ◽  
Venti Agustina ◽  
Suroto Suroto

Prediabetes mellitus is a condition of a person's blood sugar, which, if in a fasting state, ranges from 100-125 mg / dL (IFG) or 2 hours after eating, the blood sugar level is 140-199 mg / dL. Physical activity and BMI are factors that trigger prediabetes mellitus. Therefore it is necessary to hold preventive efforts to reduce the rate of development of prediabetes mellitus which is increasing and increasing public awareness regarding the importance of maintaining a healthy lifestyle. The purpose of writing this literature is to analyze physical activity and body mass index on the incidence of prediabetes mellitus in high school students. The research writing method used a literature review. Data were collected from 30 journals which were then selected into 22 journals with related variables, namely physical activity and body mass index with the incidence of prediabetes mellitus, a sample of high school students aged 15-18 years . The results of the literature review are that physical activity plays a role in controlling blood sugar and Body Mass Index (BMI) contributes to the occurrence of prediabetes if followed by an unhealthy waist circumference, less physical activity results in an increase in BMI which ultimately triggers prediabetes mellitus.


2021 ◽  
Vol 10 (s1) ◽  
Author(s):  
Intan Lisetyaningrum ◽  
Hening Pujasari ◽  
Kuntarti Kuntarti

Background: Changes in the lifestyle and eating habits of people in large cities in Indonesia have increased the risk of obesity. In Indonesia, the prevalence of obesity in adolescents increased from 1.6% in 2013 to 4.0% in 2018; in Jakarta, it increased from 4.2% in 2013 to 8.3% in 2018. Obesity is closely related to health behavior in adolescence, and it is a risk factor for the occurrence of non-communicable diseases (NCDs). This study aimed to describe the snacking habits, eating habits, physical activity, and indicators of obesity among adolescents in Jakarta. Design and Methods: This study used a cross-sectional design involving 170, 10th–12th grade public high school students in Jakarta Province, recruited using purposive sampling technique. Using standardized instruments, the following surveys were delivered online: The Beverage and Snack Questionnaire, the Eating Habits Questionnaire, and the Youth Risk Behavior Survey Questionnaire (Q78). The Chi-squared test was used to determine the correlation between the study’s variables.Results: The majority of the 170 respondents were female (81.2%). Among the respondents, 11.2% were obese and 6.5% were overweight. Of the 170 respondents 52.4% had the habit of snacking, 64.1% had healthy eating habits, 73.5% engaged in physical activity ≤3 days/week, 79.4% watched TV <3 hours/day, and 61.2% played video games and spent time on computers ≥3 hours/day. The bivariate analysis results showed that there was no significant relationship between snacking habits, eating habits, and physical activity with indicators of obesity (p>0.05).Conclusions: In general, the respondents in our study were found to have a healthy lifestyle, thus helping to prevent the development of an NCD. However, a number of the respondents were overweight and obese.


2016 ◽  
Vol 28 (4) ◽  
pp. 363-372 ◽  
Author(s):  
Yvonne Kahlin ◽  
Suzanne Werner ◽  
Gunnar Edman ◽  
Anders Raustorp ◽  
Marie Alricsson

Abstract Background: Physical activity provides fundamental health benefits and plays a positive role in physical well-being. The aim of this present study was to investigate whether a 6-month physical activity program could influence physical self-esteem and frequency of physical activity in physically inactive female high school students in short- and long-term periods and whether personality traits were related to physical activity behaviour and compliance with the program. Methods: The study was a cluster-randomised controlled intervention study including 104 physically inactive female high school students aged 16–19 years, 60 females in an intervention group and 44 females in a control group. The intervention group exercised at sport centres at least once per week during a 6-month period. Questionnaires were used for evaluation. Results: At a 6-month follow up, the intervention group improved physical self-perception in all subdomains and significantly improved physical condition, physical self-worth and self-related health compared to the control group. At 1-year follow up, 25 females out of 53 females were still physically active, and all ratings remained almost the same as at the 6-month follow up. There were no particular personality traits that were dominant in the groups. Conclusion: A 6-month physical activity program can positively influence physical self-esteem and the frequency of physical activity, both from a short- and long-term perspective.


2021 ◽  
Author(s):  
Marcus Bendtsen ◽  
Preben Bendtsen ◽  
Ulrika Müssener

BACKGROUND The prevalence of daily or occasional smoking among high school students in Sweden was approximately 20% in 2019, which is problematic since lifestyle behaviors are established in adolescence and track into adulthood. The Nicotine Exit (NEXit) Junior trial was conducted in response to a lack of evidence for the effects of text message smoking cessation interventions among high school students in Sweden. OBJECTIVE The aim of this study was to estimate the 3- and 6-month effects of a text messaging intervention among high school students in Sweden on smoking cessation outcomes. METHODS A 2-arm, single-blind randomized controlled trial was employed to estimate the effects of the intervention on smoking cessation in comparison to treatment as usual. Participants were recruited from high schools in Sweden using advertising and promotion by school staff from January 10, 2018, to January 10, 2019. Weekly or daily smokers who were willing to make a quit attempt were eligible for inclusion. Prolonged abstinence and point prevalence of smoking cessation were measured at 3 and 6 months after randomization. RESULTS Complete case analysis was possible on 57.9% (310/535) of the participants at 6 months, with no observed statistically significant effect on 5-month prolonged abstinence (odds ratio [OR] 1.27, 95% CI 0.73-2.20; <i>P</i>=.39) or 4-week smoking cessation (OR 1.42; 95% CI 0.83-2.46; <i>P</i>=.20). Sensitivity analyses using imputation yielded similar findings. Unplanned Bayesian analyses showed that the effects of the intervention were in the anticipated direction. The findings were limited by the risk of bias induced by high attrition (42.1%). The trial recruited high school students in a pragmatic setting and included both weekly and daily smokers; thus, generalization to the target population is more direct compared with findings obtained under more strict study procedures. CONCLUSIONS Higher than expected attrition rates to follow-up 6 months after randomization led to null hypothesis tests being underpowered; however, unplanned Bayesian analyses found that the effects of the intervention were in the anticipated direction. Future trials of smoking cessation interventions targeting high school students should aim to prepare strategies for increasing retention to mid- and long-term follow-up. CLINICALTRIAL IRCTN Registry ISRCTN15396225; https://www.isrctn.com/ISRCTN15396225 INTERNATIONAL REGISTERED REPORT RR2-10.1186/s13063-018-3028-2


2021 ◽  
Vol 8 (4) ◽  
pp. 152-159
Author(s):  
Mohammad Faramarzi ◽  
Majid Mardaniyan Ghahfarrokhi ◽  
Zahra Hemati Farsani ◽  
Zahra Raisi ◽  
Maryam Jamali ◽  
...  

Background and aims: Decreased levels of physical activity (PA) during the coronavirus disease 2019 (COVID-19) pandemic can cause physical and psychological problems for individuals. Therefore, the aim of this study was to investigate the relationship between PA, body image, and eating disorders (EDs) during the COVID-19 pandemic among high school girls in Farsan, Iran. Methods: This was a descriptive-analytical cross-sectional study, and the research population included female high school students from Farsan, Iran, who were studying in 2019-2020. In this regard, 535 high school girls (age: 15.95±1.42, weight: 53.07±10.01, BMI: 20.14±3.48) were selected based on cluster-random sampling to participate in the study. Multidimensional Body Self-relation Questionnaire (MBSRQ), Baecke’s Physical Activity Questionnaire, and the Eating Disorder Diagnostic Scale (EDDS) were used to collect data, and Pearson correlation coefficients were administered to establish statistical relationships. Results: The results indicated significant positive correlations between body image and PA levels (r=0.304, P=0.001). However, no significant correlations were observed between body image and anorexia nervosa (AN) (r=-0.035, P=0.424), bulimia nervosa (BN) (r=-0.033, P=0.446), and binge ED (r=-0.041, P=0.339). Likewise, no relationships were observed between PA and AN (r=0.084, P=0.052), BN (r=0.073, P=0.092), as well as binge ED (r=0.071, P=0.099). Conclusion: During the COVID-19 pandemic, PA was positively associated with body image but not with EDs. Based on the obtained results, it can be concluded that PA improved body image in adolescent girls during the COVID-19 pandemic.


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