Motivating Overweight Children to Increase Physical Activity

2021 ◽  
Vol 14 (01) ◽  
pp. 006-010
Author(s):  
Valeria Moro ◽  
Luiz Antonio Del Ciampo

Abstract Introduction The global obesity epidemic has mobilized health services to offer care at all levels, with reference outpatient clinics playing a prominent role in cases of greater complexity. Objectives The present study aimed to identify soft drinks consumption and physical activity habits among children and adolescents diagnosed with overweight and obesity during the first visit at a secondary level nutrology outpatient clinic, and to verify attendance at follow-up visits in a 2-year period from the first visit. Materials and Methods This is a retrospective, descriptive study based on data collection from medical records of overweighted or obese patients receiving first care at the Nutrology Clinic of the Municipal Health Secretariat from Ribeirão Preto, São Paulo, Brazil. The study population included children and adolescents aged between 2 and 18 years old cared for from January 2, 2013 to December 30, 2017. Age, weight, height, soft drinks consumption, physical activity, and attendance in scheduled follow-up visits during a 2-year period were analyzed. Results During the study period, 316 patients were registered, including 302 (95.5%) diagnosed with obesity. Of these, 112 (35.4%) were children and 204 (64.6%) were adolescents. Only 2.0% of the children and adolescents did not consume soft drinks, while 23.5 and 26.2% of the children and adolescents, respectively, consumed them daily. Physical inactivity was reported by 31.8% of the children and by 35.8% of the adolescents. Among those who practiced some type of physical activity, 81.3% of the children and 78.2% of the adolescents did not meet the recommendation of moderate to vigorous activity for 60 minutes per day. Dropout rates within the 1st year were of 41.9% for children and of 34.3% for adolescents, increasing to 76.9% and 73.8%, respectively, within the 2nd year. Conclusion There was a high consumption of soft drinks and low adherence to physical activity among patients who started outpatient follow-up. A small adherence to the follow-up program was also identified, with high dropout rates within the 2-year period following the first visit.


2015 ◽  
Vol 47 ◽  
pp. 827
Author(s):  
Huimin Yan ◽  
Katrina D. DuBose ◽  
Patricia M. Brophy ◽  
Bryant R. Schmitt ◽  
Joseph R. Pierce ◽  
...  

2011 ◽  
Vol 8 (5) ◽  
pp. 682-692 ◽  
Author(s):  
Daniel Arvidsson ◽  
Mark Fitch ◽  
Mark L. Hudes ◽  
Catrine Tudor-Locke ◽  
Sharon E. Fleming

Background:Different movement efficiency in overweight children may affect accelerometer output data. The purpose was to investigate the ability of accelerometers to assess physical activity intensity and number of steps in normal-weight compared with overweight children.Methods:Eleven normal-weight and 14 overweight African American children walked at 2, 4, 5, and 6 km/h on a treadmill wearing Lifecorder, ActiGraph, RT3, and Biotrainer. Oxygen uptake was measured and steps manually counted. Fat free mass (FFM) was assessed from bioelectrical impedance analysis. Accelerometer counts and the individual linear regression lines of accelerometer counts versus VO2/FFM were evaluated, together with steps recorded by Lifecorder and Actigraph.Results:Correlations between accelerometer counts and VO2/FFM for all monitors were r ≥ .95 (P < .01). The accelerometer counts and their relationship to VO2/FFM did not generally differ significantly by body weight status. Lifecorder and Actigraph underestimated steps at 4, 5, and 6 km/h by less than 9%, but the error was up to −95% at 2 km/h.Conclusions:All 4 accelerometers show high ability to assess physical activity intensity, and can be used to compare physical activity between normal-weight and overweight children. The Lifecorder and the ActiGraph showed high accuracy in assessing steps, providing speed of movement exceeded 2 km/h.


2015 ◽  
Vol 47 (5) ◽  
pp. 452-458.e1 ◽  
Author(s):  
Daniel P. Hatfield ◽  
Virginia R. Chomitz ◽  
Kenneth K.H. Chui ◽  
Jennifer M. Sacheck ◽  
Christina D. Economos

2019 ◽  
Vol 16 (9) ◽  
pp. 765-771
Author(s):  
Kasper Salin ◽  
Mikko Huhtiniemi ◽  
Anthony Watt ◽  
Harto Hakonen ◽  
Timo Jaakkola

Background: This study examined the distribution of objectively measured physical activity (PA) and sedentary time of fifth-grade students during school, leisure time, and physical education (PE) classes. Demographic, anthropometric, and PA data were collected from 17 representative Finnish schools. Methods: To estimate the PA and sedentary time, participants (N = 592) wore wGT3X-BT ActiGraphs for 7 consecutive days. Comparisons were made between genders and different BMI groups. Results: From the study sample, 43.7% met the moderate to vigorous PA (MVPA) guidelines. Participants spent 62.2% of the day sedentary and 8.2% in moderate and vigorous activities. Boys performed more MVPA than girls, and girls were more sedentary during school days. Boys had more MVPA than girls in leisure time, but there were no differences in sedentary time. However, an examination of PA assessed during PE classes revealed no differences between boys and girls. Normal-weight boys engaged in more MVPA than overweight and obese boys. No differences were found for girls. Conclusions: The PA levels differ between different BMI groups in leisure time and during school but not during PE lessons. PA for overweight children should be targeted and compulsory PE time should be increased to achieve the PA guidelines.


2016 ◽  
Vol 4 (1) ◽  
pp. 9-15
Author(s):  
Miratul Haya ◽  
Mexitalia Setiawati E ◽  
Ani Margawati

Background : The percentage of overweight children in Bengkulu (16.4%) is higher than the national (11.9%). Factors causing overweight is a high energy intake and low physical activity.Objective : To analyze the impact of health education for mothers in changes of maternal behavior, energy intake, physical activity level and Body Mass Index (BMI) z-score among overweight children 3-6 years old.Methode : Quasi-Experiment with non-randomized pre-post test control group design. Subjects (48 mothers) were selected purposively and divided into 2 groups (treatment and control). Health education in the treatment group was conducted 6 times in 12 weeks. Analyses were conducted by Independent t-test, Mann Whitney, Paired t-test, Wilcoxon and Covariance.Results: There was an increased in attitude score (20.9 ± 3.52), carbohydrate intake percentage (3.7 ± 7.30%) and physical activity level (0.04 ± 0.01) in the treatment  group. The energy  adequacy  level (-3.4 ± 13.26%)  and BMI z-score (-0.57 ± 0.26) decreased in the treatment group. There were difference between the treatment and control groups in attitude, energy adequacy level, physical activity level and BMI z-score after intervention (p <0.05).Conclusion: Health education for mothers affect the positive change in mother attitude in terms of the overweight children treatment and increased physical activity level, decreased energy adequacy level and BMI z-score in overweight children.


2006 ◽  
Vol 38 (Supplement) ◽  
pp. S15
Author(s):  
Adrienne R. Hughes ◽  
John J. Reilly ◽  
Laura M. Stewart ◽  
Jan Chapple

Heart ◽  
2012 ◽  
Vol 99 (6) ◽  
pp. 376-381 ◽  
Author(s):  
Daniela Lucini ◽  
Gaia de Giacomi ◽  
Fabio Tosi ◽  
Mara Malacarne ◽  
Stefano Respizzi ◽  
...  

2014 ◽  
Vol 112 (2) ◽  
pp. 260-268 ◽  
Author(s):  
Sandrine Lioret ◽  
Sarah A. McNaughton ◽  
Adrian J. Cameron ◽  
David Crawford ◽  
Karen J. Campbell ◽  
...  

Findings from research that has assessed the influence of dietary factors on child obesity have been equivocal. In the present study, we aimed to test the hypothesis that a positive change in diet quality is associated with favourable changes in BMI z-scores (zBMI) in schoolchildren from low socio-economic backgrounds and to examine whether this effect is modified by BMI category at baseline. The present study utilised data from a subsample (n 216) of the Resilience for Eating and Activity Despite Inequality study, a longitudinal cohort study with data collected in 2007–8 (T1) and 2010–11 (T2) in socio-economically disadvantaged women and children (5–12 years at T1). Dietary data were collected using a FFQ and diet quality index (DQI) scores derived at both time points. The objective measures of weight, height and physical activity (accelerometers) were included. The other variables were reported in the questionnaires. We examined the association between change in DQI and change in zBMI, using linear regression analyses adjusted for physical activity, screen sedentary behaviour and maternal education level both in the whole sample and in the sample stratified by overweight status at baseline. After accounting for potential covariates, change in diet quality was found to be inversely associated with change in zBMI only in children who were overweight at baseline (P= 0·035), thus supporting the hypothesis that improvement in diet quality is associated with a concurrent improvement in zBMI among already overweight children, but not among those with a normal BMI status. The identification of modifiable behaviours such as diet quality that affect zBMI longitudinally is valuable to inform future weight gain prevention interventions in vulnerable groups.


2011 ◽  
Vol 8 (6) ◽  
pp. 804-810 ◽  
Author(s):  
Consuelo Belmonte Gonzalez-Suarez ◽  
Karen Grimmer-Somers

Background:Childhood obesity has been inconsistently associated with decreased levels of physical activity and fitness. Moreover, little is known about this relationship among Filipino preteens.Methods:This cross sectional study reports the association between childhood obesity, measures of physical activity, and fitness. Children aged 11 to 12 from randomly selected schools from San Juan, Metromanila were included. Outcome measures were body mass index, Filipino modified Physical Activity Questionnaire for Older children (F_PAQ-C), standing broad jump, 50 m sprint and 20 m multistage shuttle run.Results:380 children participated in the study. Obese children had significantly lower median scores in the F_PAQ-C compared with overweight children. Overweight children had lower scores in the standing broad jump, 50 m sprints and predicted VO2max as compared with children with normal BMI. There were modest associations between the 50 m sprint, predicted VO2max, and F_PAQ-C.Conclusion:Our study has showed that physical activity and fitness scores were strongly correlated with childhood obesity. If childhood physical fitness is a predictor of physical fitness in adulthood which is a risk factor in cardiovascular diseases, there is a strong possibility that the prevalence of cardiovascular disease in the Philippines will increase dramatically in the future.


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