DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20194702

Effectiveness of healthy eating and active lifestyle intervention program on physiological parameters among children with obesity

Ester Mary Pappiya, Sumathi Ganesan, Ibrahim Mubrak Al Baalharith

Abstract


Background: The aim of the study was to investigate the effectiveness of Healthy Eating and Active Lifestyle Intervention Program (HEALIP) on physiological parameters among children with obesity.

Methods: True experimental research design was adopted with 200 children between the age group of 12-18 years who met the inclusion criteria from four different schools in Chennai, Tamil Nadu, India. Samples were allocated into experimental group (n=100) and control group (n=100) by random sampling technique. Children were screened for weight, height, body mass index, and blood pressure were measured before as well as after the intervention. Healthy eating and active lifestyle intervention program were administered for the experimental group for 16 weeks, whereas the control group received routine practices. Post-test was conducted at the end of the 16th week for the both groups. Data were analysed using SPSS.

Results: There was a difference in the pre-test systolic blood pressure (128.4±1.3) and post-test (118.6±0.7) and in the pre-test diastolic blood pressure (78.8±0.6) and post-test (72.8±0.6) mean value in the experimental group and found statistically significant at the level of p <0.001. It was also observed the significant difference between the experimental and control group.

Conclusions: The finding of the study concluded that healthy eating and active lifestyle intervention program has proved the beneficial effect in maintaining the physiological parameters. Hence, it was concluded that there is a need to educate the children about the obesity and its complications. The study findings ensure that periodic monitoring of the basic physiological parameters among obese children will prevent the furthermore complications. 


Keywords


Children, Healthy eating and active lifestyle intervention, Obesity, Physiological parameters

Full Text:

PDF

References


World Health Organization. Global Action Plan for the Prevention and Control of Non Communicable Diseases; 2014:2013-2020.

Maïano C, Hue O, Morin AJ, Moullec G. Prevalence of overweight and obesity among children and adolescents with intellectual disabilities: a systematic review and meta-analysis. Obese Rev. 2016;17(7):599-611.

Hinkle JL, Cheever K. Brunner and Suddarthk’s Textbook of Medical Surgical Nursing. 13th ed. Lippincott Publishers; 2014.

Park K. Epidemiology of chronic non communicable diseases and conditions. Park’s Textbook of Preventive and Social Medicine. 23rd ed. Jabalpur, India: Banarsidas Publishers; 2017: 315–316.

Goyal JP, Kumar N, Parmar I, Shah VB, Patel B. Determinants of overweight and obesity in affluent adolescent in Surat City, South Gujarat region, India. Indian J Comm Med. 2011;36(4):296-300.

Park K. Epidemiology of chronic non communicable diseases and conditions. Park‟s Textbook of Preventive and Social Medicine. 23rd Edition, Jabalpur, India: Banarsidas Publishers; 2017:315-316.

Gortmaker SL, Dietz WH, Cheung LW. Physical inactivity, diet and the fattening of America. Am Diet Assoc. 1990;90:1247-55.

Riva P, Martini G, Rabbia F, Milan A, Paglieri C, Chiandussi L. Obesity and autonomic function in adolescence. Clin Exp Hyperten. 2001;23:57-67.

Children RR. Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: summary report. Pediatrics. 2011;128(5):S213.

Desh Pande AV. Study of prevalence of hypertension in adolescent in Central India. Int J Basic Medicine Clinical Resear. 2014;1(3):66- 70.

Berenson GS, Srinivasan SR, Bao W, Newman WP, Tracy RE, Wattigney WA. Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults. New England J Med. 1998;338(23):1650-6.

Freedman DS, Mei Z, Srinivasan SR, Berenson GS, Dietz WH. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: The Bogalusa Heart Study. J Pediatr. 2007;150:12-7.

Jaganathan D, Mathew MM. Dietary pattern of obese children in Erode District of Tamil Nadu. Int J Heal Sci Res. 2012;1(2):74-81.

Ebbeling CB, Feldman HA, Chomitz VR, Antonelli TA, Gortmaker SL, Osganian SK, et al. A randomized trial of sugar-sweetened beverages and adolescent body weight. N Engl J Med. 2012;367:1407-16.

Ruyter JC, Olthof MR, Seidell JC, Katan MB. A trial of sugar-free or sugar-sweetened beverages and body weight in children. N Engl J Med. 2012;367:1397-406.

Bernhardt DT, Gomez J, Johnson MD. Strength training by children and adolescents. Paediatrics. 2001:107:1470-2.

Ainsworth BE, Haskell WL, Whitt MC. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exercise. 2000;32(9):S498-S516.

World health Organization. 2007. Growth reference data for 5- 19 years.

Falkner B, Daniels SR, Flynn JT, Gidding S, Green LA, Ingelfinger JR, et al. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114(2):555-76.

Soudarssanane MB, Karthigeyan M, Stephen S, Sahai A. Key predictors of high blood pressure and hypertension among adolescents: a simple prescription for prevention. Indian J Comm Med. 2006;31(3):164.

Kavitha B, Bhuvaneswari VK. Prevalence of sustained hypertension among adolescent school children in Pondicherry. Indian J Basic Applied Med Res. 2016;5(4):649-55.

Kumutha V, Aruna S, Poongodi R. Effectiveness of progressive muscle relaxation technique on stress and blood pressure among elderly with hypertension. IOSR J Nurs Heal Sci. 2014;3(4):01-6.

Goud TG, Kumar KP, Ramesh K. Risk factors of non- communicable disease among adolescents. Int J Current Res Acad Rev. 2014;2(9):281-5.

Soudarssanane MB, Karthigeyan M, Stephen S, Sahai A. Key predictors of high blood pressure and hypertension among adolescents: a simple prescription for prevention. Indian J Community Medicine. 2006 Jul 1;31(3):164.

Gupta GK, Agarwal D, Singh RK, Arya RK. Prevalence, risk factors and sociodemographic co-relates of adolescent hypertension in district Ghaziabad. Indian J Commun Health. 2013,25(3):293-8.

Ezzati M, Bentham James. Worldwide trends in body mass index, underweight, overweight, and obesity among the children between the 12 to 19 age group. J Paediatrics. 2017;3:213-7.