scholarly journals Changes in weight status, quality of life and behaviours of South Australian primary school children: results from the Obesity Prevention and Lifestyle (OPAL) community intervention program

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lucinda Bell ◽  
Shahid Ullah ◽  
Eva Leslie ◽  
Anthea Magarey ◽  
Timothy Olds ◽  
...  

Abstract Background Childhood obesity is a serious public health concern worldwide. Community-based obesity prevention interventions offer promise due to their focus on the broader social, cultural and environmental contexts rather than individual behaviour change and their potential for sustainability and scalability. This paper aims to determine the effectiveness of a South Australian community-based, multi-setting, multi-strategy intervention, OPAL (Obesity Prevention and Lifestyle), in increasing healthy weight prevalence in 9 to 11-year-olds. Methods A quasi-experimental repeated cross-sectional design was employed. This paper reports on the anthropometric, health-related quality of life (HRQoL) and behaviour outcomes of primary school children (9–11 years) after 2–3 years of intervention delivery. Consenting children from primary schools (20 intervention communities, INT; 20 matched comparison communities, COMP) completed self-report questionnaires on diet, activity and screen time behaviours. HRQoL was measured using the Child Health Utility 9D. Body Mass Index (BMI) z-score and weight status were determined from children’s measured height and weight. A multilevel mixed-effects model, accounting for clustering in schools, was implemented to determine intervention effect. Sequential Bonferroni adjustment was used to allow for multiple comparisons of the secondary outcomes. Results At baseline and final, respectively, 2611 and 1873 children completed questionnaires and 2353 and 1760 had anthropometric measures taken. The prevalence of children with healthy weight did not significantly change over time in INT (OR 1.11, 95%CI 0.92–1.35, p = 0.27) or COMP (OR 0.85, 95%CI 0.68–1.06, p = 0.14). Although changes in the likelihood of obesity, BMI z-score and HRQoL favoured the INT group, the differences were not significant after Bonferroni adjustment. There were also no significant differences between groups at final for behavioural outcomes. Conclusions OPAL did not have a significant impact on the proportion of 9 to 11-year-olds in the healthy weight range, nor children’s BMI z-score, HRQoL and behaviours. Long-term, flexible community-based program evaluation approaches are required . Trial registration ACTRN12616000477426 (12th April 2016, retrospectively registered).

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jane Jacobs ◽  
Claudia Strugnell ◽  
Steven Allender ◽  
Liliana Orellana ◽  
Kathryn Backholer ◽  
...  

Abstract Background Approximately a quarter of Australian children are classified as overweight or obese. In high-income countries, childhood obesity follows a socio-economic gradient, with greater prevalence amongst the most socio-economically disadvantaged children. Community-based interventions (CBI), particularly those using a systems approach, have been shown to be effective on weight and weight-related behaviours. They are also thought to have an equitable impacts, however there is limited evidence of their effectiveness in achieving this goal. Methods Secondary analysis was conducted on data collected from primary school children (aged 6–13 years) residing in ten communities (five intervention, five control) involved in the Whole of Systems Trial of Prevention Strategies for Childhood Obesity (WHO STOPS) cluster randomised trial in Victoria, Australia. Outcomes included Body Mass Index z-score (BMI-z) derived from measured height and weight, self-reported physical activity and dietary behaviours and health related quality of life (HRQoL). Repeat cross-sectional data from 2015 (n = 1790) and 2019 (n = 2137) were analysed, stratified by high or low socio-economic position (SEP). Multilevel linear models and generalised estimating equations were fitted to assess whether SEP modified the intervention effect on the outcomes. Results There were no overall changes in BMI-z for either SEP strata. For behavioural outcomes, the intervention resulted in a 22.5% (95% CI 5.1, 39.9) point greater improvement in high-SEP compared to low-SEP intervention schools for meeting physical activity guidelines. There were also positive dietary intervention effects for high SEP students, reducing takeaway and packaged snack consumption, although there was no significant difference in effect between high and low SEP students. There were positive intervention effects for HRQoL, whereby scores declined in control communities with no change in intervention communities, and this did not differ by SEP. Conclusion The WHO STOPS intervention had differential effects on several weight-related behaviours according to SEP, including physical activity. Similar impacts on HRQoL outcomes were found between high and low SEP groups. Importantly, the trial evaluation was not powered to detect subgroup differences. Future evaluations of CBIs should be designed with an equity lens, to understand if and how these types of interventions can benefit all community members, regardless of their social and economic resources.


2019 ◽  
Author(s):  
Zahari Ishak ◽  
Suet Fin Low ◽  
Wan Abdul Hakim Wan Ibrahim ◽  
Abqariyah Yahya ◽  
Fuziah Md. Zain ◽  
...  

<p>Obesity has been shown to impact the health-related quality of life (HRQOL) among children. This study aimed to determine the effectiveness of MyBFF@school program on HRQOL among overweight and obese primary school children in Malaysia. KINDL<sup>R</sup> Questionnaire was used to collect data on their HRQOL before and after the program. ANCOVA was used to analyse the comparison between intervention and control group after 6 months. There are significant effect on family functioning, F(2,1103)=7.452, p<0.05 and school functioning, F(1,1117)=7.103, p<0.05 after the intervention. Effects can also be seen on physical well-being, emotional well-being and friends functioning. The program is effective in improving the HRQOL significantly in two dimensions namely the family and school functioning. In order to achieve greater overall success,social support should be an integral part of the program and stigma on obesity should be managed and reduced by including normal-weight children in the program.</p>


2018 ◽  
Vol 46 (21_suppl) ◽  
pp. 68-73 ◽  
Author(s):  
Kristen Ringdal ◽  
Gerd Inger Ringdal ◽  
Helene Kristin Olsen ◽  
Asgeir Mamen ◽  
Per Morten Fredriksen

Aims: The primary aim of the present study was to evaluate the association between parents’ level of education, measurements of physical attributes, and quality of life in a general sample of primary school children. Methods: The children’s and the parents’ versions of the Inventory of Life Quality in Children and Adolescents (ILC) were used to measure health-related quality of life (QOL) in 2140 school children (response rate 93%) and 1639 parents (response rate 71%) recruited from nine primary schools in Norway. A set of physical characteristics were also measured in the children: body mass index (BMI), waist circumference, average daily minutes of physical activity, aerobic fitness, and handgrip strength. Results: The regression analysis showed stronger relationships between the covariates and QOL for the parents’ assessments than for the children’s. Parents’ level of education was significantly related to children’s QOL, with the strongest association for parental QOL assessment. Among the physical variables, aerobic fitness ( B = 0.01, p > .001 in both samples), and handgrip strength in the parents’ sample ( B = 0.21, p < .05) were significantly related to the children’s QOL. Conclusions: The present study replicated the well-known finding that parents’ sociodemographic status is important for children’s QOL. Our new contribution is to show that the physiological variables aerobic fitness and muscular strength also contributed significantly to explain variance in QOL. This opens up interesting perspectives on how to improve QOL among children through more emphasis on physical activity and physical fitness in schools.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Choon Huey Teo ◽  
Yit Siew Chin ◽  
Poh Ying Lim ◽  
Shahril Azian Haji Masrom ◽  
Zalilah Mohd Shariff

Abstract Background Malnutrition among school children may contribute to adverse health consequences such as non-communicable diseases, poor cognitive performance, psychological distress and poor quality of life that may persist into adulthood. In order to prevent childhood malnutrition, an intervention programme that integrates nutrition education and healthy school food environment is needed to provide nutrition information and reinforce the skills on healthy eating behaviours in schools. This paper describes a study protocol of a school-based intervention programme that integrates nutrition education and healthy school food environment, namely School Nutrition Programme (SNP). The SNP is a primary prevention programme that promotes healthy lifestyle among primary school children in light of the high prevalence of malnutrition in Malaysian children. Methods/design This quasi-experimental study aimed to evaluate the effectiveness of the SNP between intervention and comparison groups before and after the SNP, and after a 3-month follow-up. The SNP consisted of two main components, whereby three nutrition education sessions were implemented by trained teachers using three standardised modules, and healthy school food environment was implemented by the canteen food handlers with the provision of healthy menu to children during school recess times. Children from intervention group participated in the SNP, in addition to the standard Physical and Health Curriculum. The comparison group attended only the standardised Physical and Health Curriculum and the school canteen food handlers were reminded to follow the standard canteen guidelines from the Ministry of Education Malaysia. The assessment parameters in evaluating the effectiveness of the programme were knowledge, attitude and practice on nutrition, eating behaviours, physical activity, body composition, psychological distress, cognitive performance and health-related quality of life. Assessments were conducted at three time points: pre-intervention, post-intervention and 3-month follow-up. Discussion It was hypothesised that the SNP would be effective in promoting healthy lifestyle among school children, and further contributes in preventing malnutrition problem, enhancing cognitive performance and improving health-related quality of life among school children. Findings of the present study can be expanded to other schools in future on ways to improve nutrition education and healthy school food environment. Trial registration UMIN Clinical Trial Registration UMIN000032914 (Date of registration: 7th June 2018, retrospectively registered). Protocol version 16th September 2019 & Version 4


2020 ◽  
pp. 1-7
Author(s):  
Jesús Alberto García-García ◽  
Larissa Osornia-Ramón ◽  
José Ricardo Ramírez-Cerecero ◽  
Gabriela Morán-Delgado

The objective of this article is to analyze the dimensions of school violence and its impact on the health-related quality of life of primary school children at social risk in the city of Saltillo, Coahuila. The methodology used is quantitative, observational, cross-sectional, prospective and descriptive. The information was collected through two instruments, CUVE3-EP to measure School Violence and KIDSCREEN-27 for Health-Related Quality of Life, where 416 children aged 5 and 6 were taken as a sample. Primary education. The sampling method used is convenience sampling. The statistical techniques used were descriptive, correlational and comparative. The contribution of the study starts from the identification of the different types of school violence and its association with the quality of life of primary school children. Being verbal violence between students a factor that decreases psychological well-being, as well as their autonomy and relationship with parents.


2019 ◽  
Author(s):  
Zahari Ishak ◽  
Suet Fin Low ◽  
Wan Abdul Hakim Wan Ibrahim ◽  
Abqariyah Yahya ◽  
Fuziah Md. Zain ◽  
...  

<p>This study aimed to elucidate the relationship between fast foods and snacks consumption with the health-related quality of life (HRQOL) among 1138 overweight and obese primary school children with mean(SD) age of 9.9(0.9) years old. Data was collected at baseline in which the frequency of fast food consumption (FFC) and snacking in the past week were measured using a pre-tested nutritional knowledge, attitude and practice questionnaire whereas the HRQOL was measured using the KINDL<sup>R </sup>questionnaire. Spearman’s rank order correlation found significant negative association between FFC and emotional well-being (rs=-0.066, p<.05). Significant negative associations were also observed between snacking frequency with physical well-being (rs=-0.071, p<.05) and emotional well being (rs=-0.073, p<.05). The findings from this study suggest that the physical well-being and emotional well-being of overweight and obese children could be attributed to the FFC and snacking. Therefore, these type of foods should not be encouraged to be included in children’s diet.</p>


Sign in / Sign up

Export Citation Format

Share Document