scholarly journals Improving the Metabolic and Mental Health of Children with Obesity: A School-Based Nutrition Education and Physical Activity Intervention in Wuhan, China

Nutrients ◽  
2020 ◽  
Vol 12 (1) ◽  
pp. 194
Author(s):  
Hong-jie Yu ◽  
Fang Li ◽  
Yong-feng Hu ◽  
Chang-feng Li ◽  
Shuai Yuan ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Nutrition Education ◽  
Plasma Glucose ◽  
Fasting Plasma Glucose ◽  
Primary Schools ◽  
Physical Activity Intervention ◽  
Post Intervention ◽  
School Based ◽  
Fasting Plasma

This study aimed to evaluate the effectiveness of a school-based nutrition education and physical activity intervention on cardiovascular risk profile and mental health outcomes among Chinese children with obesity. Two primary schools were randomly allocated to the control group (CG) and the intervention group (IG). We selected children with obesity from 1340 students in the third and fourth grades as participants. The IG received 8 months of nutrition education and physical activity intervention, while the CG was waitlisted. A generalized estimating equation model was applied to assess repeated variables over time. A total of 171 children with obesity (99 IG and 72 CG) aged 9.8 ± 0.7 years completed the post-intervention stage. Compared with baseline, significant reductions were observed within the IG for depression and fasting plasma glucose at post-intervention. After adjusting for confounders, group and time interaction effects showed that the IG achieved improvements in the risk of poor well-being (p = 0.051) and social anxiety (p = 0.029), had decreased diastolic blood pressure (p = 0.020) and fasting plasma glucose (p < 0.001), and had significantly increased high-density lipoprotein (p < 0.001) from baseline to post-intervention relative to the CG. The effects of school-based nutrition education and physical activity intervention on children with obesity are diverse, including not only the improvement of metabolic health but also mental health promotion.

Fasting Plasma Glucose Concentration in Relation to Nutritional Status Indicator and Physical Activity Level among Schizophrenia Patient

2018 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Della MW Cintakaweni ◽  
Saptawati Bardosono ◽  
Hervita Diatri
Keyword(s):  
Physical Activity ◽  
Nutritional Status ◽  
Plasma Glucose ◽  
Fasting Plasma Glucose ◽  
Schizophrenia Patient ◽  
Activity Level ◽  
Plasma Glucose Concentration ◽  
Fasting Plasma ◽  
Status Indicator ◽  
Fasting Plasma Glucose Concentration

Diabetes mellitus is often accompanied to schizophrenia patient. This condition probably related to genetic, antipsychotic drugs and the development of schizophrenia that can lead to an unhealthy lifestyle, such as sedentary lifestyle and the increased of dietary intake. Cross-sectional study was held in Psychiatry Department Cipto Mangunkusumo Hospital during May to June 2014 to determine the correlation between fasting plasma glucose concentration in schizophrenia patient to their nutritional status indicator and physical activity level. Forty-seven subjects finished the study protocol. The result showed that the fasting plasma glucose concentration in schizophrenia patient has no correlation with nutritional status indicator and physical activity level, in which 91.5% subject had normal fasting plasma glucose. However, there is a need for further investigation because 31.9% subject was overweight, 48.9% subject was obesity and 74.5% subject had central obesity.

scholarly journals Consider BMI Change When Evaluating Nutrition Intervention Impact on Eating Competence: Findings from an Intervention with Eating Competence Constructs for Adults

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1326-1326
Author(s):  
Barbara Lohse ◽  
Leslie Cunningham-Sabo
Keyword(s):  
Physical Activity ◽  
Nutrition Education ◽  
Repeated Measures ◽  
Online Survey ◽  
Physical Activity Intervention ◽  
Pearson Correlation ◽  
Nutrition Intervention ◽  
Linear Modeling ◽  
Post Intervention ◽  
Eating Competence

Abstract Objectives Examine change in adult eating competence (EC) over a 12 month period following participation in a controlled 7-month nutrition education intervention with EC constructs. Methods Parents of 4th grade youth in a cluster randomized impact assessment of a 7 month school-based culinary and physical activity intervention were assigned to 1 of 4 incrementally complex treatments that included components congruent with EC tenets. An online survey included validated measures of EC (ecSI 2.0TM), physical activity, stress, diet quality, healthful modeling, self-efficacy (SE) to offer fruits and vegetables to youth, and self-reported height/weight. EC was defined as ecSI 2.0TM ≥32. Measures were completed at baseline (BL), post-intervention (FU) and 5 months later (FU2). SPSS 24.0 analyses included repeated measures general linear modeling, means testing, chi square, Pearson correlation. Results Mean age of the mostly female (86%) sample (n = 418) was 39.1 ± 6.0 y; at FU2 126 were intervention and 96 control parents. BL analyses supported EC tenets with greater ecSI 2.0TM scores associated with less stress, lower BMI, less overweight/obesity, greater physical activity, greater SE and modeling behaviors (all P &lt; 0.01). These relationships persisted at FU (n = 220) and FU2 (n = 221) for BMI, SE, modeling, and stress measures (all P &lt; 0.01) and physical activity (P = 0.001 FU and 0.09 FU2). EC was denoted for 53% and 57% at BL and FU2 respectively. BL to FU2 ecSI 2.0TM change was not significant when controlling for changes in stress or physical activity. However, compared to those with increased FU2 BMI, ecSI 2.0TM tended (P = 0.06) to increase when BMI was decreased or unchanged, even when controlling for BL BMI. BL to FU2 ecSI 2.0 change was inversely related to BMI change (P = 0.01). ecSI 2.0TM tended to decrease for control, but increase for intervention parents (P = 0.07; –0.34 vs. 1.05), but not when controlling for BMI change. Conclusions An intervention with attention to EC congruent tenets showed modest effect on ecSI 2.0TM suggesting that successful programs require attributes that directly align with EC, which may be uniquely different from traditional nutrition education. Accurate EC intervention assessment required consideration of BMI change. Funding Sources USDA, NIFA.

scholarly journals Impact of an Elementary School-Based Intervention on Physical Activity Time and Aerobic Capacity, Georgia, 2013-2014

2017 ◽  
Vol 132 (2_suppl) ◽  
pp. 24S-32S ◽  
Author(s):  
Hayley A. Braun ◽  
Christi M. Kay ◽  
Patricia Cheung ◽  
Paul S. Weiss ◽  
Julie A. Gazmararian
Keyword(s):  
Physical Activity ◽  
Elementary School ◽  
Aerobic Capacity ◽  
Physical Activity Intervention ◽  
School Level ◽  
Activity Time ◽  
Post Intervention ◽  
School Based ◽  
The Impact ◽  
The Relationship

Objectives: The objectives of this study were to (1) determine the impact of a 1-year elementary school physical activity intervention on changes in teacher-reported school-based physical activity time and (2) assess the relationship between these changes and changes in student aerobic capacity. Methods: HealthMPowers, a nonprofit organization, provided a multicomponent physical activity intervention to 3479 students in 39 schools in Georgia during 2013-2014. HealthMPowers administered a survey to faculty members before (August 2013) and after (May 2014) the intervention to measure student physical activity times. The organization collected pre- and post-intervention Progressive Aerobic Cardiovascular Endurance Run (PACER) laps (a measure of aerobic capacity that awards 1 lap for each completed 20-meter lap) for 2342 fourth-grade students. We performed linear regression to determine the relationship between school-level changes in teacher-reported school-based physical activity time and student aerobic capacity. Results: The weekly estimated teacher-reported time in physical activity increased by 39 minutes from pre- to post-intervention: 21 minutes for recess, 17 minutes for classroom, and 1 minute for physical education. The mean number of student PACER laps increased by 3 laps from pre- to post-intervention, and 1515 of 2342 (65%) students increased the number of PACER laps completed. We observed a positive association between school-level changes in school-based physical activity time and school-level changes in PACER laps ( r = 0.38; 95% confidence interval, 0.29-0.46). Conclusions: These findings highlight the need for more prospective research into multicomponent physical activity interventions. Rigorous testing, including randomized controlled trials of large-scale implementations, is needed to examine how these school-based interventions might be used to improve the physical activity and fitness of larger populations of children.

scholarly journals The Effects of a School-Based Physical Activity Teacher Intervention on the Physical Activity Attitudes and Practices of Adolescent Students in Lagos, Nigeria

2021 ◽  
Vol 10 (1) ◽  
pp. 307-324
Author(s):  
Olalekan Remigious Osifeko ◽  
Rowena Naidoo ◽  
Verusia Chetty
Keyword(s):  
Physical Activity ◽  
Physical Activity Intervention ◽  
Intervention Group ◽  
Teaching Methodology ◽  
Research Approach ◽  
Intervention Programme ◽  
Post Intervention ◽  
Intact Group ◽  
Attitudes And Practices ◽  
School Based

Background: Nigerian adolescents are faced with challenges around physical inactivity. Poor attitudes to, and practices in, physical activity during school physical education (PE) classes are also a challenge. Our study integrated an innovative PE teaching methodology (autonomous support style) into a professional development training (PDT) programme for teachers to promote PA among adolescents. The study aimed at determining the effects of this school-based physical activity intervention for teachers on the physical activity attitudes and practices of adolescents.  This study employed a descriptive quantitative research approach to determine the attitudes and practices of adolescents. One thousand two hundred students were recruited from twenty-four junior secondary schoolsthrough an intact group design process.  A PE teacher from each school was included in the PDT intervention programme. The main components of the intervention included training PE teachers to influence their students’ attitudes and practices through the use of an autonomous support style of teaching.PE teachers allocated to the intervention group implemented the autonomous support style of teaching at the schools in the intervention group for four months. There was a pre-intervention baseline assessment of the students’ physical activity attitudes and practices, with a second assessment following the intervention. Results showed that there were significant (p<0.05) changes, post-intervention, in the adolescents’ attitudes to, and practices in, physical activity participation during PE classes, and at lunch or break-time during the school day.

scholarly journals Utility of Fatty Liver Index to predict reversion to normoglycemia in people with prediabetes

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249221
Author(s):  
Carla Busquets-Cortés ◽  
Miquel Bennasar-Veny ◽  
Ángel Arturo López-González ◽  
Sergio Fresneda ◽  
Manuela Abbate ◽  
...  
Keyword(s):  
Physical Activity ◽  
Fatty Liver ◽  
Hepatic Steatosis ◽  
Plasma Glucose ◽  
Fasting Plasma Glucose ◽  
Dietary Habits ◽  
Incident Type ◽  
Liver Index ◽  
Fatty Liver Index ◽  
Fasting Plasma

Background Fatty Liver Index (FLI) is strongly associated with changes in glycemic status and incident Type 2 Diabetes (T2D). The probability of reverting to normoglycemia from a state prediabetes could be determined by FLI, however such relationship remains poorly understood. Aim To determine the clinical interest of using FLI to estimate prediabetes reversion at 5 years in patients with impaired fasting plasma glucose at baseline, and identify those factors associated with changes in FLI, that could contribute to the reversion of prediabetes. Methods This 5-year cohort study included 16,648 Spanish working adults with prediabetes. Prediabetes was defined as fasting plasma glucose (FPG) between 100 and 125 mg/dl according to the ADA criteria, while prediabetes reversion was defined as a FPG <100 mg/dL. The population was classified as: FLI <30 (no hepatic steatosis), FLI 30–59 (intermediate status), and FLI ≥60 (hepatic steatosis). Results At 5 years follow-up, 33.7% of subjects reverted to normoglycemia (annual rate of 6.7%). The adjusted binomial logistic regression model showed that scoring FLI <30 (OR 1.544; 95% CI 1.355–1.759), performing at least 150 min/week of physical activity (OR 4.600; 95% CI 4.088–5.177) and consuming fruits and vegetables daily (OR 1.682; 95% CI 1.526–1.855) were associated with the probability of reverting form prediabetes to normoglycemia. The ROC curve for prediction of reversion showed that FLI (AUC 0.774;95% CI 0.767–0.781) was a better predictor than FPG (AUC 0.656; 95% CI 0.648–0.664). Conclusions Regular physical activity, healthy dietary habits and absence of hepatic steatosis are independently associated with the probability of reversion to normoglycemia in adult workers with prediabetes at baseline. Low FLI values (especially FLI< 30) may be useful to predict the probability of prediabetes reversion, especially in active subjects with healthy eating habits, and thus identify those who might benefit from early lifestyle intervention.

scholarly journals The Daily Mile: teachers’ perspectives of the barriers and facilitators to the delivery of a school-based physical activity intervention

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e027169 ◽  
Author(s):  
Stephen Malden ◽  
Lawrence Doi
Keyword(s):  
Physical Activity ◽  
School Environment ◽  
Primary Schools ◽  
Physical Activity Intervention ◽  
School Curriculum ◽  
Structured Interviews ◽  
School Based ◽  
School Day ◽  
Context Specific ◽  
Teachers Perspectives

ObjectivesChildren spend a significant amount of their time in a school environment, often engaged in sedentary activities. The Daily Mile is a physical activity intervention which aims to increase physical activity and fitness in children through the completion of an outdoor teacher-led walk or run during the school day. This study aimed to explore the barriers, facilitators and perceived benefits of the Daily Mile from the perspectives of teachers through the use of qualitative semi-structured interviews. It also aimed to identify important context-specific factors, which might require consideration for those who intend to adopt the Daily Mile.SettingEight Local Authority primary schools in the City of Edinburgh and East Lothian, UK.ParticipantsThirteen teachers (eleven women) who teach children in primaries one to seven in a school which delivered the Daily Mile.ResultsData were analysed using an interpretative thematic analysis. Teachers were positive and enthusiastic about the Daily Mile and perceived it to be beneficial to children’s health and fitness. A number of barriers to participation were identified including inadequate all-weather running surfaces and time constraints in an already full school curriculum. The perceived impact on learning time was identified as a concern for teachers, while other benefits were also identified including increased teacher–child rapport and perceived enhanced classroom concentration levels.ConclusionThe Daily Mile appears to be a valuable addition to the school day, however important context-specific barriers to delivery of the Daily Mile exist, which should be considered when implementing the Daily Mile in schools.

scholarly journals Fasting Plasma Glucose Concentration in Relation to Nutritional Status Indicator and Physical Activity Level among Schizophrenia Patient

2018 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Della MW Cintakaweni ◽  
Saptawati Bardosono ◽  
Hervita Diatri
Keyword(s):  
Physical Activity ◽  
Nutritional Status ◽  
Plasma Glucose ◽  
Fasting Plasma Glucose ◽  
Schizophrenia Patient ◽  
Activity Level ◽  
Plasma Glucose Concentration ◽  
Fasting Plasma ◽  
Status Indicator ◽  
Fasting Plasma Glucose Concentration

Diabetes mellitus is often accompanied to schizophrenia patient. This condition probably related to genetic, antipsychotic drugs and the development of schizophrenia that can lead to an unhealthy lifestyle, such as sedentary lifestyle and the increased of dietary intake. Cross-sectional study was held in Psychiatry Department Cipto Mangunkusumo Hospital during May to June 2014 to determine the correlation between fasting plasma glucose concentration in schizophrenia patient to their nutritional status indicator and physical activity level. Forty-seven subjects finished the study protocol. The result showed that the fasting plasma glucose concentration in schizophrenia patient has no correlation with nutritional status indicator and physical activity level, in which 91.5% subject had normal fasting plasma glucose. However, there is a need for further investigation because 31.9% subject was overweight, 48.9% subject was obesity and 74.5% subject had central obesity.

scholarly journals A feasibility study of ‘The StepSmart Challenge’ to promote physical activity in adolescents

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Rekesh Corepal ◽  
Paul Best ◽  
Roisin O’Neill ◽  
Frank Kee ◽  
Jennifer Badham ◽  
...  
Keyword(s):  
Physical Activity ◽  
Feasibility Study ◽  
Physical Activity Intervention ◽  
Vigorous Physical Activity ◽  
Behavioural Change ◽  
Retention Rates ◽  
Mental Wellbeing ◽  
Post Intervention ◽  
Recruitment And Retention ◽  
School Based

Abstract Background Inactive lifestyles are becoming the norm and creative approaches to encourage adolescents to be more physically active are needed. Little is known about how gamification techniques can be used in physical activity interventions for young people. Such approaches may stimulate interest and encourage physical activity behaviour. The study investigated the feasibility of implementing and evaluating a physical activity intervention for adolescents which included gamification techniques within schools. We tested recruitment and retention strategies for schools and participants, the use of proposed outcome measures, and explored intervention acceptability. Methods This school-based feasibility study of a randomised cluster trial recruited adolescents aged 12–14 years (n = 224) from five schools (three intervention; two control) in Belfast, Northern Ireland. The 22-week intervention (The StepSmart Challenge) informed by self-determination theory and incorporating gamification strategies involved a school-based pedometer competition. Outcomes, measured at baseline, and post-intervention (at 22 weeks post-baseline and 52 weeks post-baseline) included daily minutes of moderate to vigorous physical activity (MVPA) (measured using ActiGraph accelerometer), mental wellbeing (Warwick-Edinburgh Mental Wellbeing Scale), social support for physical activity, time preference (for delayed and larger rewards or immediate and smaller rewards), pro-social behaviour (Strengths and Difficulties Questionnaire (SDQ)) and the influence of social networks. The intervention’s acceptability was explored in focus groups. Results We invited 14 schools to participate; eight showed interest in participating. We recruited the first five who responded; all five completed the trial. Of the 236 pupils invited, 224 participated (94.9%): 84.8% (190/224) provided valid MVPA (minutes/day) at baseline and 57.2% (123/215) at 52 weeks. All other outcomes were well completed apart from the SDQ (65% at baseline). Qualitative data highlighted that participants and teachers found The StepSmart Challenge to be an acceptable intervention. Conclusions The level of interest and high recruitment and retention rates provide support for the feasibility of this trial. The intervention, incorporating gamification strategies and the recruitment methods, using parental opt-out procedures, were acceptable to participants and teachers. Teachers also suggested that the implementation of The StepSmart Challenge could be embedded in a lifelong learning approach to health within the school curriculum. As young people’s lives become more intertwined with technology, the use of innovative gamified interventions could be one approach to engage and motivate health behavioural change in this population. Trial registration NCT02455986 (date of registration: 28 May 2015).

scholarly journals National Health Examination Metabolic Syndrome Item and Health Behavior Analysis

2020 ◽  
Vol 22 (4) ◽  
pp. 1-10
Author(s):  
Hyung-yeol Choi ◽  
Chang-hyun Jang ◽  
Soo-yeon Kim
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Waist Circumference ◽  
Plasma Glucose ◽  
Fasting Plasma Glucose ◽  
Density Lipoprotein ◽  
Fasting Plasma ◽  
Intensity Physical Activity ◽  
Physical Activity Group

OBJECTIVES The purpose of this study is to investigate the relationship between the habits of physical activities in several intensities, drinking, and smoking of the general public who live in the S city and diabetes, high blood pressure, high-density lipoprotein cholesterol, plasma triglyceride, and waist circumference of them.METHODS For research, residents of 2,438,370 in S city were selected by using the big data of health checkups sheets that were conducted by the National Health Insurance Corporation in 2017. Physical activities were classified into three groups by intensity. The part of drinking was divided into three groups of non-alcohol, low, and high-drinking people. There were four groups in smoking of non-smoking, the group that smoke lower than the half pack of cigarettes per day, the half to one pack, and more than one pack. Metabolic syndrome frequency analysis and logistic regression analysis were used for this research.RESULTS Compared to the low-intensity physical activity group, the high-intensity group had 0.992, 0.954, 0.871, 0.83, and 0.878 times of lower risk in fasting plasma glucose, blood pressure, high density lipoprotein (HDL-C), plasma triglycerides, and abnormal waist circumference. High drinking group had more risk of fasting plasma glucose, blood pressure, HDL-C, plasma triglyceride, and abnormal waist circumference by 1.326, 1.894, 1.334, 2.125 and 1.263 times than non-drinking group. The group who smoked more than one pack a day had more risk of fasting plasma glucose, blood pressure, HDL-C, plasma triglyceride, and abnormal waist circumference by 1.971, 1.225, 3.229, 2.871, and 1.522 times than the group of non-smoking.CONCLUSION The subjects who did not have risk factors for metabolic syndrome were 29.7%. The average of patients with metabolic syndrome was 25.2%, of which males were 30.3%, and females were 20.1% of them. Metabolic syndrome factors were proved statistically valid. In the physical activity group, the high-intensity physical activity group had a lower risk of metabolic syndrome factors than the low and medium-intensity physical activity groups. The high-drinking group had a higher risk of metabolic syndrome in triglycerides, and the smoking group who smoked more than one pack per day had a higher risk of metabolic syndrome in high-density lipoprotein cholesterol.

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