International Journal of Biomedical and Clinical Sciences
Articles Information
International Journal of Biomedical and Clinical Sciences, Vol.3, No.1, Feb. 2018, Pub. Date: Jan. 25, 2018
Impact of a Three Years Multi-Approach Intervention on Childhood and Adolescent Obesity at School Setting
Pages: 1-6 Views: 1733 Downloads: 517
Authors
[01] Waleed Al Faisal, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, UAE.
[02] Hamid Y. Hussein, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, UAE.
[03] Nusaiba Al Behandy, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, UAE.
Abstract
Background: Obesity and overweight are recognized as major global public health phenomena. Its long term consequences are many of wide variety of chronic conditions including high blood pressure, type 2 diabetes, stroke, cardiovascular disease, and certain forms of cancer; which in turn are primary drivers of healthcare spending, disability, and deaths, childhood obesity is complex and multidimensional, which has been identified as a public health priority. Objectives: To assess the impact of a multi-approach population-based childhood obesity intervention over three years at school population in Dubai. Methodology: Follow up was conducted on about 260000 students in the age range of 5-18 years (grades 1–12) over about 180 private schools in Dubai in three consequence academic years 2014-2015, 2015-2016 and 2016-2017. BMI measurement as per WHO growth charts was used at the beginning of each academic year (September). Wide variety of interventions have been designed an applied like health promotion, school nutritional education activities, Food labelling, happy schools initiatives, 10/10 initiative physical activity platform, parents awareness, students health file initiative, City Makers (blue team initiative), community participation ( private –public partnership, Governmental stockholders intersect oral collaborations school canteen policy and guideline. Results: The current study revealed that about 10.1% of the total students in private schools in Dubai in the academic year 2014-2015 were obese. The study showed that the prevalence of obesity among student population at private schools in Dubai during the academic year 2015-2016 was 9.88%. The study reflected that prevalence of obesity among student population at private schools in Dubai during the academic year 2016-2017 was 8.9%. The study revealed that the trend of obesity prevalence among students population at private schools in Dubai is declining over that last three academic years (2014-2015, 2015-2016 and 2016-2017) showing that about 1.2% total reduction during the three years period of applying effective intervention program. Conclusion: Multi approach public health intervention for childhood obesity is significantly successful in producing weight reduction in the short and long term, by bringing stakeholders on board and implementing effective intervention program with wide variety of tasks. Maintaining intervention need to be revised, re assessed, monitored and there is a need for strengthening sustainable long-term approach through governmental and nongovernmental accountability.
Keywords
Obesity, Intervention, Population Based, School Setting
References
[01] Al-Othaimeen AI, Al-Nozha M, Osman AK. Obesity: An emerging problem in Saudi Arabia. Analysis of data from National Nutritional Survey. East Mediterr Health J 2007; 13: 441-7.
[02] Lobstein T. Prevalence and trends of childhood obesity. In: Crawford D, Jeffrey R, Ball K, Brug J, editors. Obesity Epidemiology. 2nd ed. London: Oxford University Press; 2010. p. 3.
[03] Musaiger AO. Overweight and obesity in the Eastern Mediterranean Region: Can we control it? East Mediterr Health J 2004; 10: 789-93.
[04] Obesity: Preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser; 2000. p. 100-42.
[05] Sturm R. The effects of obesity, smoking, and drinking on medical problems and costs. Health Affairs 2002;21: 245-53.
[06] Lobstein T, Baur L, Uauy R. IASO International. Obesity in children and young people: A crisis in public health. Obesity Rev 2004; 5: 4-85.
[07] El-Hazmi MA, Warsy AS. The prevalence of obesity and overweight in 1-18-year-old Saudi children. Ann Saudi Med 2002; 22: 303-7.
[08] Amin TT, Al-Sultan AI, Ayub A. Overweight and obesity and their relation to dietary habits and socio-demographic characteristics among male primary school children in Al-Hassa, Kingdom of Saudi Arabia. Eur J Nutr 2008; 47: 310-8.
[09] World Health Organization. Childhood overweight and obesity. Available from: http://www.who.int/dietphysicalactivity/childhood/en/[Last accessed 2017 sept10].
[10] U.S. Department of Health and Human Services. The Surgeon General's call to action to prevent and decrease overweight and obesity. Rockville, MD: Office of Disease Prevention and Health Promotion; Centers for Disease Control and Prevention, National Institutes of Health; 2001.
[11] Berge JM. A review of familial correlates of child and adolescent obesity: What has the 21st Century Taught us so Far? Internat J Adolesc Med Health. 2009; 21(4): 16.
[12] Kitzmann KM, Beech BM. Family-based interventions for pediatric obesity: methodological and conceptual challenges from family psychology. J Fam Psychol. June 2006; 20(2): 175–189.
[13] Procter KL. The etiology of childhood obesity: A review. Nutr Res Rev. 2007;20: 29–45.
[14] Marcus MD, Levine MD, Kalarchian MA, Wisniewski L. Cognitive behavioral interventions in the management of severe pediatric obesity. Cogn Behav Pract. 2003; 10: 147–56.
[15] Barlow SE, Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: Summary report. Pediatrics. 2007; 120(Suppl 4):S164–92.
[16] Knowlden AP, Sharma M. Systematic review of family and home-based interventions targeting paediatric overweight and obesity. Obes Rev. 2012; 13: 499–508.
[17] Tounian P. Programming towards childhood obesity. Ann Nutr Metab. 2011;58(Suppl 2): 30–41.
[18] Higgins V, Dale A. Ethnicity and childhood overweight/obesity in England. Pediatr Obes. 2012; 7: E22–6.
[19] D’Auria JP. Weighing in: Prevention of childhood overweight and obesity. J Pediatr Health Care. 2011; 25:E26–30.
[20] Haynos AF, O’Donohue WT. Universal childhood and adolescent obesity prevention programs: Review and critical analysis. Clin Psychol Rev. 2012; 32: 383–99.
[21] Roy M, Millimet DL, Tchernis R. Federal nutrition programs and childhood obesity: Inside the black box. Rev Econ Househ. 2012;10: 1–38.
[22] Huus K, Ludvigsson JF, Enskär K, Ludvigsson J. Risk factors in childhood obesity-findings from the All Babies In Southeast Sweden (ABIS) cohort. Acta Paediatr. 2007;96: 1321–5.
[23] Pelone F, Specchia ML, Veneziano MA, Capizzi S, Bucci S, Mancuso A, et al. Economic impact of childhood obesity on health systems: A systematic review. Obes Rev. 2012; 13: 431–40.
[24] Musaiger AO. Overweight and obesity in Eastern mediterranean region: Prevalence and possible causes. J Obes 2011; 2011: 2-17.
[25] El-Mouzan MI, Foster PJ, Al Herbish AS, Al Salloum AA, Al Omer AA, Qurachi MM, et al. Prevalence of overweight and obesity in Saudi children and adolescents. Ann Saudi Med 2010; 30: 203-8.
[26] Bayer O, von Kries R, Strauss A, Mitschek C, Toschke AM, Hose A, et al. Short- and mid-term effects of a setting based prevention program to reduce obesity risk factors in children: A cluster-randomized trial. Clin Nutr. 2009; 28: 122–8.
[27] Neumark-Sztainer D, Story M, Hannan PJ, Rex J. New Moves: A school-based obesity prevention program for adolescent girls. Prev Med. 2003; 37: 41–51.
[28] Thivel D, Isacco L, Lazaar N, Aucouturier J, Ratel S, Doré E, et al. Effect of a 6-month school-based physical activity program on body composition and physical fitness in lean and obese schoolchildren. Eur J Pediatr. 2011; 170: 1435–43.
[29] Caballero B, Clay T, Davis SM, Ethelbah B, Rock BH, Lohman T, et al. Pathways: A school-based, randomized controlled trial for the prevention of obesity in American Indian schoolchildren. Am J Clin Nutr. 2003;78: 1030–8.
[30] Bean MK, Wilson DB, Thornton LM, Kelly N, Mazzeo SE. Dietary intake in a randomized-controlled pilot of NOURISH: A parent intervention for overweight children. Prev Med. 2012;55: 224–7.
[31] Taveras EM, Gortmaker SL, Hohman KH, Horan CM, Kleinman KP, Mitchell K, et al. Randomized controlled trial to improve primary care to prevent and manage childhood obesity: The High Five for Kids study. Arch Pediatr Adolesc Med. 2011; 165: 714–22.
[32] Looney SM, Raynor HA. Are changes in consumption of “healthy” foods related to changes in consumption of "unhealthy" foods during pediatric obesity treatment? Int J Environ Res Public Health. 2012;9: 1368–78.
[33] Waling M, Lind T, Hernell O, Larsson C. A one-year intervention has modest effects on energy and macronutrient intakes of overweight and obese Swedish children. J Nutr. 2010; 140: 1793–8.
[34] Lofrano-Prado MC, Antunes HK, do Prado WL, de Piano A, Caranti DA, Tock L, et al. Quality of life in Brazilian obese adolescents: Effects of a long-term multidisciplinary lifestyle therapy. Health Qual Life Outcomes. 2009; 7: 61.
[35] Kalavainen MP, Korppi MO, Nuutinen OM. Clinical efficacy of group-based treatment for childhood obesity compared with routinely given individual counseling. Int J Obes (Lond) 2007; 31: 1500–8.
[36] Garipağaoğlu M, Sahip Y, Darendeliler F, Akdikmen O, Kopuz S, Sut N. Family-based group treatment versus individual treatment in the management of childhood obesity: Randomized, prospective clinical trial. Eur J Pediatr. 2009; 168: 1091–9.
[37] Barlow SE, Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: Summary report. Pediatrics. 2007; 120(Suppl 4): S164–92.
[38] Gately PJ, King NA, Greatwood HC, Humphrey LC, Radley D, Cooke CB, et al. Does a high-protein diet improve weight loss in overweight and obese children? Obesity (Silver Spring) 2007; 15: 1527–34.
[39] Lubans DR, Morgan PJ, Callister R, Collins CE, Plotnikoff RC. Exploring the mechanisms of physical activity and dietary behavior change in the program x intervention for adolescents. J Adolesc Health. 2010; 47: 83–91.
[40] Plachta-Danielzik S, Landsberg B, Lange D, Seiberl J, Müller MJ. Eight-year follow-up of school-based intervention on childhood overweight – The Kiel Obesity Prevention Study. Obes Facts. 2011; 4: 35–43.
600 ATLANTIC AVE, BOSTON,
MA 02210, USA
+001-6179630233
AIS is an academia-oriented and non-commercial institute aiming at providing users with a way to quickly and easily get the academic and scientific information.
Copyright © 2014 - American Institute of Science except certain content provided by third parties.