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Obesity Awareness Among Elementary School Students: A Controlled Before - After Study

Yıl 2023, Cilt: 13 Sayı: 4, 725 - 731, 29.12.2023

Eda Aktaş Çağrı Çövener Özçelik

https://doi.org/10.33808/clinexphealthsci.1192493

Öz

Objective: Obesity is a metabolic disorder that occurs due to excessive body fat accumulation and can lead to physical and emotional problems. Preventing and treating obesity in childhood and adolescence is crucial. The aim of this study was to evaluate the effectiveness of obesity awareness education provided to fourth-grade elementary school students.
Methods: An experimental study with pretest-posttest control group design was conducted. The study sample consisted of a total of 663 students, 344 students in the experimental group and 319 students in the control group, who attended the fourth grade of two elementary schools in Istanbul and met the inclusion criteria.
Results: The sample included 326 girls (49.2%) and 337 boys (50.8%). The mean (SD) BMI was 18.45 (3.49) in the experimental group and 18.04 (3.00) in the control group. 73% (n = 251) of the students in the experimental group and 77.7% (n = 248) of the students in the control group stated that obesity only made walking/running difficult. There was no difference in obesity awareness scores between the experimental and control groups before the education (p=0.92). However, at 1 week and 1 month after the education, the experimental group had significantly higher scores compared to the control group (p<0.001 for both).
Conclusions: Our results showed that fourth-grade elementary school students were aware of obesity, but their awareness increased significantly compared to the control group after receiving obesity awareness education. This study showed that raising children’s awareness would help avoid factors that could lead to obesity.

Anahtar Kelimeler

Obesity health education school-age children awareness

Kaynakça

  • World Health Organization. Obesity. Accessed [21 Dec 2022] https://www.who.int/health-topics/obesity#tab=tab1.
  • Kumar S, Kelly AS. Review of childhood obesity: from epidemiology, etiology, and comorbidities to clinical assessment and treatment. Mayo Clin Proc. 2017;92(2): 251-265. DOI: 10.1016/j.mayocp.2016.09.017
  • Lee EY, Yoon KH. Epidemic obesity in children and adolescents: risk factors and prevention. Front Med. 2018;12(6):658-666. DOI: 10.1007/s11684-018-0640-1
  • Morgan EH, Schoonees A, Sriram U, Sriram U, Faure M, Seguin‐Fowler RA. Caregiver involvement in interventions for improving children's dietary intake and physical activity behaviors. Cochrane Database Syst Rev. 2020;1(1):CD012547 DOI: 10.1002/14651858.CD012547.pub2
  • Hart DA. Obesity, the obesity epidemic, and metabolic dysfunction: The conundrum presented by the disconnect between evolution and modern societies. J Biomed Sci Eng. 2021;14(5):203-211. DOI: 10.4236/jbise.2021.145017
  • World Health Organization. Obesity and overweight. Accessed [14 Sep 2022] https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
  • Centers for Disease Control and Prevention. Childhood overweight and obesity. Accessed [14 Sep 2022] https://www.cdc.gov/obesity/data/childhood.html.
  • T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü Sağlıklı Beslenme ve Hareketli Hayat Dairesi Başkanlığı. Türkiye’de obezitenin görülme sıklığı. Accessed [14 Sep 2022] https://hsgm.saglik.gov.tr/tr/obezite/turkiyede-obezitenin-gorulme-sikligi.html. (Turkish)
  • Cuevas-Sierra A, Ramos-Lopez O, Riezu-Boj JI, Milagro FI, Martinez JA. Diet, gut microbiota, and obesity: links with host genetics and epigenetics and potential applications. Adv Nutr. 2019;10(suppl_1):S17-S30. DOI: 10.1093/advances/nmy078
  • Albuquerque D, Nóbrega C, Manco L, Padez C. The contribution of genetics and environment to obesity. Br Med Bull. 2017;123:159-173. DOI: 10.1093/bmb/ldx022
  • Cook EJ, Powell FC, Ali N, Penn-Jones CP, Ochieng B, Constantinou G, Randhawa G. ‘They are kids, let them eat’: A qualitative investigation into the parental beliefs and practices of providing a healthy diet for young children among a culturally diverse and deprived population in the UK. Int J Environ Res Public Health 2021;18:13087. DOI: 10.3390/ijerph182413087
  • Quelly SB. Characteristics associated with school nurse childhood obesity prevention practices. Pediatr Nurs. 2017;43(4), 193-199.
  • Bramante CT, Thornton RLJ, Bennett WL, Zhang A, Wilson RF, Bass EB, Tseng E. Systematic review of natural experiments for childhood obesity prevention and control. Am J Prev Med. 2019;56(1):147-158. DOI: 10.1016/j.amepre.2018.08.023
  • La Torre G, Mannocci A, Saulle R, Sinopoli A, d’Egidio V, Sestili C, Manfuso R, Masala, D. Improving knowledge and behaviors on diet and physical activity in children: results of a pilot randomized field trial. Ann Ig. 2017;29(6):584-594. DOI: 10.7416/ai.2017.2187
  • Doi L, Wason D, Malden S, Jepson R. Supporting the health and well-being of school-aged children through a school nurse programme: A realist evaluation. BMC Health Serv Res. 2018;18(1)664. DOI: 10.1186/s12913-018-3480-4
  • Williams S, Dickinson A. The provision of nurse-led school-based health services. Contemp Nurse. 2017;53(5):536-544. DOI: 10.1080/10376178.2017.1350587
  • Schroeder K, Travers J, Smaldone A. Are school nurses an overlooked resource in reducing childhood obesity? A systematic review and meta-analysis. J Sch Health. 2016;86(5):309-321. DOI: 10.1111/josh.12386
  • Malone HE, Nicholl H, Coyne I. Fundamentals of estimating size. Nurse Res. 2016;23(5):21-25. DOI: 10.7748/nr.23.5.21.s5
  • Atlı M, Özkan Z, Uyar B. Assessment of obesity awareness stage of secondary school students. ERPA International Congresses on Education; 2016 June 2-4; Sarajevo, Bosna and Herzegovina; 31:7. DOI: 10.1051/shsconf/20163101004
  • Kafkas ME, Özen G. The Turkish adaptation of the obesity awareness scale: A validity and reliability study. IUJPESS. 2014;1(2):1-15.
  • Allen A. Effects of educational intervention on children's knowledge of obesity risk factors (Phd Thesis). Carroll College, USA; 2011.
  • Smith JD, Fu E, Kobayashi M. Prevention and management of childhood obesity and its psychological and health comorbidities. Annu Rev Clin Psychol. 2020;16:351–378. DOI: 10.1146/annurev-clinpsy-100219-060201
  • Hu J, Ding N, Yang L, Ma Y, Gao M, Wen D. Association between television viewing and early childhood overweight and obesity: A pair-matched case-control study in China. BMC Pediatr. 2019;19(1):1-8. DOI: 10.1186/s12887-019-1557-9
  • Coates AE, Hardman CA, Halford JCG, Christiansen P, Boyland EJ. The effect of influencer marketing of food and a “protective” advertising disclosure on children's food intake. Pediatr Obes. 2019;14(10):e12540. DOI: 10.1111/ijpo.12540
  • Harris JL, Haraghey KS, Lodolce M, Semenza NL. Teaching children about good health? Halo effects in child‐directed advertisements for unhealthy food. Pediatr Obes. 2018;13(4):256-264. DOI: 10.1111/ijpo.12257
  • Shanks B, Lechtenberg J, Delger S, Mehrley M, Leibold N. Overweight and obesity in youth in schools-the role of the school nurse: Position statement. NASN Sch Nurse. 2014;29(3):152-153. DOI:10.1177/1942602X14525569
  • Ardeshirlarijani E, Namazi N, Jabbari M, Zeinali M, Gerami H, Jalili RB, Larijani B, Azadbakht L. The link between breakfast skipping and overweigh/obesity in children and adolescents: A meta-analysis of observational studies. J Diabetes Metab Disord. 2019;18(2):657-664. DOI: 10.1007/s40200-019-00446-7
  • Yao J, Liu Y, Zhou S. Effect of eating breakfast on cognitive development of elementary and middle school students: An empirical study using large-scale provincial survey data. Med Sci Monit. 2019;25:8843-8853. DOI:10.12659/MSM.920459
  • Miller MA, Bates S, Ji C, Cappuccio FP. Systematic review and meta‐analyses of the relationship between short sleep and incidence of obesity and effectiveness of sleep interventions on weight gain in preschool children. Obes Rev. 2021;22(2):e13113. DOI: 10.1111/obr.13113
  • Seo SH, Shim YS. Association of sleep duration with obesity and cardiometabolic risk factors in children and adolescents: A population-based study. Sci Rep. 2019;9(1):9463. DOI: 10.1038/s41598-019-45951-0
  • Miller AL, Miller SE, LeBourgeois MK, Sturza J, Rosenblum KL, Lumeng JC. Sleep duration and quality are associated with eating behavior in low-income toddlers. Appetite. 2019;135:100-107. DOI: 10.1016/j.appet.2019.01.006
  • Chang SH, Kim K. A review of factors limiting physical activity among young children from low-income families. J Exerc Rehabil. 2017;13(4):375-377. DOI: 10.12965/jer.1735060.350

Yıl 2023, Cilt: 13 Sayı: 4, 725 - 731, 29.12.2023

Eda Aktaş Çağrı Çövener Özçelik

https://doi.org/10.33808/clinexphealthsci.1192493

Öz

Kaynakça

  • World Health Organization. Obesity. Accessed [21 Dec 2022] https://www.who.int/health-topics/obesity#tab=tab1.
  • Kumar S, Kelly AS. Review of childhood obesity: from epidemiology, etiology, and comorbidities to clinical assessment and treatment. Mayo Clin Proc. 2017;92(2): 251-265. DOI: 10.1016/j.mayocp.2016.09.017
  • Lee EY, Yoon KH. Epidemic obesity in children and adolescents: risk factors and prevention. Front Med. 2018;12(6):658-666. DOI: 10.1007/s11684-018-0640-1
  • Morgan EH, Schoonees A, Sriram U, Sriram U, Faure M, Seguin‐Fowler RA. Caregiver involvement in interventions for improving children's dietary intake and physical activity behaviors. Cochrane Database Syst Rev. 2020;1(1):CD012547 DOI: 10.1002/14651858.CD012547.pub2
  • Hart DA. Obesity, the obesity epidemic, and metabolic dysfunction: The conundrum presented by the disconnect between evolution and modern societies. J Biomed Sci Eng. 2021;14(5):203-211. DOI: 10.4236/jbise.2021.145017
  • World Health Organization. Obesity and overweight. Accessed [14 Sep 2022] https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
  • Centers for Disease Control and Prevention. Childhood overweight and obesity. Accessed [14 Sep 2022] https://www.cdc.gov/obesity/data/childhood.html.
  • T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü Sağlıklı Beslenme ve Hareketli Hayat Dairesi Başkanlığı. Türkiye’de obezitenin görülme sıklığı. Accessed [14 Sep 2022] https://hsgm.saglik.gov.tr/tr/obezite/turkiyede-obezitenin-gorulme-sikligi.html. (Turkish)
  • Cuevas-Sierra A, Ramos-Lopez O, Riezu-Boj JI, Milagro FI, Martinez JA. Diet, gut microbiota, and obesity: links with host genetics and epigenetics and potential applications. Adv Nutr. 2019;10(suppl_1):S17-S30. DOI: 10.1093/advances/nmy078
  • Albuquerque D, Nóbrega C, Manco L, Padez C. The contribution of genetics and environment to obesity. Br Med Bull. 2017;123:159-173. DOI: 10.1093/bmb/ldx022
  • Cook EJ, Powell FC, Ali N, Penn-Jones CP, Ochieng B, Constantinou G, Randhawa G. ‘They are kids, let them eat’: A qualitative investigation into the parental beliefs and practices of providing a healthy diet for young children among a culturally diverse and deprived population in the UK. Int J Environ Res Public Health 2021;18:13087. DOI: 10.3390/ijerph182413087
  • Quelly SB. Characteristics associated with school nurse childhood obesity prevention practices. Pediatr Nurs. 2017;43(4), 193-199.
  • Bramante CT, Thornton RLJ, Bennett WL, Zhang A, Wilson RF, Bass EB, Tseng E. Systematic review of natural experiments for childhood obesity prevention and control. Am J Prev Med. 2019;56(1):147-158. DOI: 10.1016/j.amepre.2018.08.023
  • La Torre G, Mannocci A, Saulle R, Sinopoli A, d’Egidio V, Sestili C, Manfuso R, Masala, D. Improving knowledge and behaviors on diet and physical activity in children: results of a pilot randomized field trial. Ann Ig. 2017;29(6):584-594. DOI: 10.7416/ai.2017.2187
  • Doi L, Wason D, Malden S, Jepson R. Supporting the health and well-being of school-aged children through a school nurse programme: A realist evaluation. BMC Health Serv Res. 2018;18(1)664. DOI: 10.1186/s12913-018-3480-4
  • Williams S, Dickinson A. The provision of nurse-led school-based health services. Contemp Nurse. 2017;53(5):536-544. DOI: 10.1080/10376178.2017.1350587
  • Schroeder K, Travers J, Smaldone A. Are school nurses an overlooked resource in reducing childhood obesity? A systematic review and meta-analysis. J Sch Health. 2016;86(5):309-321. DOI: 10.1111/josh.12386
  • Malone HE, Nicholl H, Coyne I. Fundamentals of estimating size. Nurse Res. 2016;23(5):21-25. DOI: 10.7748/nr.23.5.21.s5
  • Atlı M, Özkan Z, Uyar B. Assessment of obesity awareness stage of secondary school students. ERPA International Congresses on Education; 2016 June 2-4; Sarajevo, Bosna and Herzegovina; 31:7. DOI: 10.1051/shsconf/20163101004
  • Kafkas ME, Özen G. The Turkish adaptation of the obesity awareness scale: A validity and reliability study. IUJPESS. 2014;1(2):1-15.
  • Allen A. Effects of educational intervention on children's knowledge of obesity risk factors (Phd Thesis). Carroll College, USA; 2011.
  • Smith JD, Fu E, Kobayashi M. Prevention and management of childhood obesity and its psychological and health comorbidities. Annu Rev Clin Psychol. 2020;16:351–378. DOI: 10.1146/annurev-clinpsy-100219-060201
  • Hu J, Ding N, Yang L, Ma Y, Gao M, Wen D. Association between television viewing and early childhood overweight and obesity: A pair-matched case-control study in China. BMC Pediatr. 2019;19(1):1-8. DOI: 10.1186/s12887-019-1557-9
  • Coates AE, Hardman CA, Halford JCG, Christiansen P, Boyland EJ. The effect of influencer marketing of food and a “protective” advertising disclosure on children's food intake. Pediatr Obes. 2019;14(10):e12540. DOI: 10.1111/ijpo.12540
  • Harris JL, Haraghey KS, Lodolce M, Semenza NL. Teaching children about good health? Halo effects in child‐directed advertisements for unhealthy food. Pediatr Obes. 2018;13(4):256-264. DOI: 10.1111/ijpo.12257
  • Shanks B, Lechtenberg J, Delger S, Mehrley M, Leibold N. Overweight and obesity in youth in schools-the role of the school nurse: Position statement. NASN Sch Nurse. 2014;29(3):152-153. DOI:10.1177/1942602X14525569
  • Ardeshirlarijani E, Namazi N, Jabbari M, Zeinali M, Gerami H, Jalili RB, Larijani B, Azadbakht L. The link between breakfast skipping and overweigh/obesity in children and adolescents: A meta-analysis of observational studies. J Diabetes Metab Disord. 2019;18(2):657-664. DOI: 10.1007/s40200-019-00446-7
  • Yao J, Liu Y, Zhou S. Effect of eating breakfast on cognitive development of elementary and middle school students: An empirical study using large-scale provincial survey data. Med Sci Monit. 2019;25:8843-8853. DOI:10.12659/MSM.920459
  • Miller MA, Bates S, Ji C, Cappuccio FP. Systematic review and meta‐analyses of the relationship between short sleep and incidence of obesity and effectiveness of sleep interventions on weight gain in preschool children. Obes Rev. 2021;22(2):e13113. DOI: 10.1111/obr.13113
  • Seo SH, Shim YS. Association of sleep duration with obesity and cardiometabolic risk factors in children and adolescents: A population-based study. Sci Rep. 2019;9(1):9463. DOI: 10.1038/s41598-019-45951-0
  • Miller AL, Miller SE, LeBourgeois MK, Sturza J, Rosenblum KL, Lumeng JC. Sleep duration and quality are associated with eating behavior in low-income toddlers. Appetite. 2019;135:100-107. DOI: 10.1016/j.appet.2019.01.006
  • Chang SH, Kim K. A review of factors limiting physical activity among young children from low-income families. J Exerc Rehabil. 2017;13(4):375-377. DOI: 10.12965/jer.1735060.350
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Çocuk Sağlığı ve Hastalıkları Hemşireliği
Bölüm Articles
Yazarlar

Eda Aktaş 0000-0003-1424-9678

Çağrı Çövener Özçelik 0000-0002-7912-4553

Erken Görünüm Tarihi 11 Eylül 2023
Yayımlanma Tarihi 29 Aralık 2023
Gönderilme Tarihi 21 Ekim 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 13 Sayı: 4

Kaynak Göster

APA Aktaş, E., & Çövener Özçelik, Ç. (2023). Obesity Awareness Among Elementary School Students: A Controlled Before - After Study. Clinical and Experimental Health Sciences, 13(4), 725-731. https://doi.org/10.33808/clinexphealthsci.1192493
AMA Aktaş E, Çövener Özçelik Ç. Obesity Awareness Among Elementary School Students: A Controlled Before - After Study. Clinical and Experimental Health Sciences. Aralık 2023;13(4):725-731. doi:10.33808/clinexphealthsci.1192493
Chicago Aktaş, Eda, ve Çağrı Çövener Özçelik. “Obesity Awareness Among Elementary School Students: A Controlled Before - After Study”. Clinical and Experimental Health Sciences 13, sy. 4 (Aralık 2023): 725-31. https://doi.org/10.33808/clinexphealthsci.1192493.
EndNote Aktaş E, Çövener Özçelik Ç (01 Aralık 2023) Obesity Awareness Among Elementary School Students: A Controlled Before - After Study. Clinical and Experimental Health Sciences 13 4 725–731.
IEEE E. Aktaş ve Ç. Çövener Özçelik, “Obesity Awareness Among Elementary School Students: A Controlled Before - After Study”, Clinical and Experimental Health Sciences, c. 13, sy. 4, ss. 725–731, 2023, doi: 10.33808/clinexphealthsci.1192493.
ISNAD Aktaş, Eda - Çövener Özçelik, Çağrı. “Obesity Awareness Among Elementary School Students: A Controlled Before - After Study”. Clinical and Experimental Health Sciences 13/4 (Aralık 2023), 725-731. https://doi.org/10.33808/clinexphealthsci.1192493.
JAMA Aktaş E, Çövener Özçelik Ç. Obesity Awareness Among Elementary School Students: A Controlled Before - After Study. Clinical and Experimental Health Sciences. 2023;13:725–731.
MLA Aktaş, Eda ve Çağrı Çövener Özçelik. “Obesity Awareness Among Elementary School Students: A Controlled Before - After Study”. Clinical and Experimental Health Sciences, c. 13, sy. 4, 2023, ss. 725-31, doi:10.33808/clinexphealthsci.1192493.
Vancouver Aktaş E, Çövener Özçelik Ç. Obesity Awareness Among Elementary School Students: A Controlled Before - After Study. Clinical and Experimental Health Sciences. 2023;13(4):725-31.
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