School and family-based lifestyle intervention in obese Chinese children: A follow-up control study
Tuesday, November 5, 2013
: 5:10 PM - 5:30 PM
Background: The rising trends of childhood obesity and related risk of chronic diseases is a challenge in Shanghai (24.6% of school children are overweight/obese, 2011), China. It is important to address the lifestyle intervention among school students. Purpose: To evaluate the efficacy of a lifestyle intervention in obese children with or without chronic diseases. The primary end point of the present study was changes in body mass index (BMI). Secondary end points were changes in hypertension and fatty liver disease (defined by ultrasounds). Methodology: This study was performed in two elementary schools in Shanghai with a total of 590 obese students included during 2010-2011. Two schools were randomized to intervention (n=245) or control group (n=345) and followed for 9 months. A school- and family-based lifestyle intervention consisting of strengthening nutrition information and education to teachers, students and parents, a diet tailored to the students' suitable calorie needs and increased physical activity. Results: The rate that obesity decreased at 9 months was significantly different in the intervention and control groups (14.2% versus 3.8%, P<0.01). A significant decrease also occurred in BMI in the intervention group (-0.75 versus 0.05, P<0.01). The decrease in blood pressure and improvement in liver ultrasounds performance were observed in the intervention group as well. Conclusion: The school- and family-based lifestyle intervention implemented is effective in reducing obesity in children and therefore is associated with reduction in the risk of pediatric chronic diseases.
Advocacy for health and health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education
Describe the school and family-based life intervention on obese children.
Discuss the effective long term intervention on obese children.
Keywords: Obesity, School-Based Programs
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I have been the co-principal of multiple national/insitutional funded grants focusing on the nutrition intervention on malnutrition/obese children.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.