Journal List > Korean J Community Nutr > v.16(4) > 1038307

TOOLS
Kim, Choi, and Kim: Effect of Nutrition Education and Exercise Intervention on Physical and Dietary Patterns of Some Obese Children
Original Article
Korean Journal of Community Nutrition

Korean Journal of Community Nutrition 2011; 16(4): 426-438.

Published online: 31 August 2011

DOI: https://doi.org/10.5720/kjcn.2011.16.4.426

Effect of Nutrition Education and Exercise Intervention on Physical and Dietary Patterns of Some Obese Children

Myoung-Sook Kim, Mee-Sook Choi1, Ki-Nam Kim

Department of Food and Nutrition, Chungbuk National University, Cheongju, Korea.

1Department of Nursing, Chung Cheong University, Chungbuk, Korea.

Corresponding author: Ki-Nam Kim, Department of Food and Nutrition, Chungbuk National University, 52 Neasudong-ro, Heungdeok-gu, Cheongiu, Chungbuk 361-763, Korea. Tel: (043) 261-2745, Fax: (043) 261-2742, songhakim@hanmail.net

Received 18 July 2011       Revised 2 August 2011       Accepted 24 August 2011

Copyright © 2011 The Korean Society of Community Nutrition

Abstract

This study set out to investigate the effects of 16-week nutrition education and exercise intervention run by a public health center on the physical activities and dietary patterns of obese children at the before, after, and after one month point. After the program, the obese index of the obese children dropped by 5.9% from 38.4% to 32.5%. One month after the end of the program, their obese index increased by 1.4% to 33.9% (p < 0.001). The obese children's hours of walking of physical activities increased to 2.6 hours from 1.2 hours after the program and remained at the 2.6 hours range one month after the end of the program (p < 0.01). The total scores of their food habits increased to 10.4 points from 9.1 points after the program and 10.3 points one month after the end of the program with significant differences (p < 0.01). The total scores of their eating behavior made a significant increase to 6.5 points from 5.3 points after the program and then dropped to 5.9 points one month after the end of the program (p < 0.05). As for changes to their dietary pattern scores according to the obese index, only the food habits scores showed significant main effects of term (p < 0.05). According to these results, there is still a need to develop proper programs to help them increase regular exercise, improve their physical activities by cutting down time with TV, computer, Internet, and video games, and enhance their nutritional knowledge and to provide them with ongoing management and guidance until the improved food habits and eating behavior become part of their habits.

Keywords: obese children, obese index, nutrition education, food habits, eating behavior

Figures and Tables

Table 1
Contents of nutrition education for obese children
kjcn-16-426-i001

1) PPT materials: Powerpoint materials

Table 2
General characteristics of the subjects
kjcn-16-426-i002

1) N (%), 2) Mean ± SD, 3) ***: p < 0.001 by repeated measured ANOVA, 4) values with different alphabets within the same row are significantly different each other by repeated measured ANOVA adjusted for LSD's multiple comparison test

Table 3
Item's related to health
kjcn-16-426-i003
Table 4
Changes of physical activity
kjcn-16-426-i004

1) Mean ± SD, 2) **: p < 0.01 by repeated measured ANOVA, 3) values with different alphabets within the same row are significantly different each other by repeated measured ANOVA adjusted for LSD's multiple comparison test, 4) N (%)

Table 5
Changes of food habits
kjcn-16-426-i005

1) Mean ± SD, 2) *: p < 0.05, **: p < 0.01 by repeated measured ANOVA, 3) values with different alphabets within the same row are significantly different each other by repeated measured ANOVA adjusted for LSD's multiple comparison test

Table 6
Changes of food intake frequency
kjcn-16-426-i006

1) Mean ± SD, 2) **: p < 0.01 by repeated measured ANOVA, 3) values with different alphabets within the same row are significantly different each other by repeated measured ANOVA adjusted for LSD's multiple comparison test

Table 7
Changes of eating behavior
kjcn-16-426-i007

1) Mean ± SD, 2) *: p < 0.05, **: p < 0.01 by repeated measured ANOVA, 3) values with different alphabets within the same row are significantly different each other by repeated measured ANOVA adjusted for LSD's multiple comparison test

Table 8
Changes of nutritional knowledges
kjcn-16-426-i008

1) Mean ± SD, 2) **: p < 0.01 by repeated measured ANOVA, 3) values with different alphabets within the same row are significantly different each other by repeated measured ANOVA adjusted for LSD's multiple comparison test

Table 9
Changes of dietary pattern scores on obese index
kjcn-16-426-i009

1) Mean ± SD, 2) *: p < 0.05 by repeated measured ANOVA

Notes

*This research was supported by the research grant ot the Cungbuk National University in 2010.

References

1. Ahn JM. The change of weight and emotion through weight control for children. J Korea Sport Res. 2003. 14(5):57–68.
2. Bae YJ, Kim EY, Cho HK, Kim MH, Choi MK, Sung MK, Sung CJ. Relation among dietary habits, nutrient intakes and bone mineral density in Korean normal and obese elementary students. Korean J Community Nutr. 2006. 11(1):14–24.
3. Baek SH. The effect of physical activity on children's obesity. Korean J Obes. 2008. 17(2):55–64.
4. Cho IS, Ryu HS, Park IH, Kang SY. Effects of an obesity management program on obesity, dietary attitudes, dietary habits, and exercise habits of obese elementary school children. J Korean Acad Child Health Nurs. 2007. 13(4):399–406.
5. Cho YG, Song HR, Kim KA, Kang JH, Kang JH, Song YH, Yun HJ, Kim HS. Effect of a school-based intervention for overweight children "fitness class" performed on elementary school located in Seoul. Korean J Obes. 2009. 18(4):146–157.
6. Choi GS, Chung Y. Degree of obesity and obesity related factors in school age children. J Korean Bus Rev. 2008. 1(1):1–20.
7. Choi HJ, Seo JS. Nutrient intakes and obesity-related factors of obese children and the effect of nutrition education program. Korean J Community Nutr. 2003. 8(4):477–484.
8. Choi MK, Jun YS, Lee JE, Lee YS, Bea YJ, Kim MH, Lee YS, Kim AK, Sung CJ. Evaluation of nutritional health camp in obese elementary students. Korean J Food Nutr. 2007. 20(1):79–87.
9. Choi MK, Kim MH, Lee DH, Yoon ME, Sung MK, Sung CJ. A study of dietary habit and nutrient intake of elementary school boy with different obesity index. Sookmyung Women's Univ J Living Sci. 2004. 9:1–16.
10. Guo S, Chumlea WC, Roche AF, Gardner JD, Siervogel RM. The predictive vale of childhood body mass index values for overweight at age 35y. Am J Clin Nutr. 1994. 59:810–881.
11. Han DS, Eom WS. The effect of a 12 week rope-jumping on an obese elementary school student's body composition and blood lipid profiles. J Korea Sport Res. 2007. 18(4):523–530.
12. Han JS, Lee EH. The effect of management education program (nutritional education and physical activity program) for obesity children in Korea. J Korean Soc Cosmetol. 2008. 14(4):1392–1399.
13. Hong YH, Park JK, Lee DH. The evaluation of obese control program in elementary school. Korean J Obes. 2010. 19(1):9–15.
14. Hur S, Jang JH. The effects of after-school new sport exercise program on body composition and blood components in obese elementary boys. Korean J Growth Dev. 2009. 17(2):73–80.
15. Jeffery RW, French SA. Epidemic obesity in the United States: are fast foods and television viewing contributing? Am J Public Health. 1998. 88:277–280.
16. Jeon KS, Lee BH. The effect of obese program on body composition and fitness in obese elementary school. J Korea Sport Res. 2005. 16(4):195–204.
17. Jeong WS, Lee HS, Park UI. Effects of an educational program for obesity improvement by changing the living habits and improving the self-esteem of obese elementary school children. J Korean Home Econ Assoc. 2005. 43(12):125–134.
18. Jo OS, Nho HS, Jang MJ. Effects of weight loss program on energy metabolism, blood leptin and body fat distribution in obese children. J Phys Growth Motor Dev. 2006. 14(2):115–125.
19. Kim EK, Lee AR, Kim JJ, Kim MH, Kim JK, Moon HK. The difference of biochemical status, dietary habits and dietary behaviors according to the obesity degree among obese children. J Korean Diet Assoc. 2000. 6(2):161–170.
20. Kim EK, Nam HW, Park YS, Myung CO, Lee KW. Nutrition across the life span. 2007. Seoul: Shinkwang;169–172.
21. Kim HK, Lee HJ. Effects of obesity management program for obese elementary school children. J Korean Acad Child Health Nurs. 2006. 12(4):451–461.
22. Kim JY, Han YS, Bae HS, Ahn HS. Dietary intakes and serum lipids and iron indices in obese children. Korean J Community Nutr. 2006. 11(5):575–586.
23. Kim KH. The effects of body weight control program for obese children. Korean J Food Cult. 2001. 16(2):89–98.
24. Kim KH. Changes of obesity and depression level of obese children on body weight control program. Korean J Food Cult. 2003. 18(4):396–405.
25. Kim KH. Changes of food habits and anxiety level of obese children on body weight control program. Korean J Food Cult. 2004. 19(3):326–335.
26. Kim KH. Effects of eating habits and control of overeating of obese children on body weight control program. Korean J Food Cult. 2005. 20(4):476–486.
27. Kim KH. Changes of obesity indices, body satisfaction and self-esteem of obese children on weight control program. Korean J Community Nutr. 2007. 12(4):449–461.
28. Kim MJ. A study on effectiveness evaluation of public health center oriented anti-obesity program for children. 2002. Dankook University;15–20. MS thesis.
29. Kim MS, Choi JH, Shin HC, Joo KJ, Yoo YJ, Ko HJ, Ga H, Shin SR, Park CH. Association of TV viewing and obesity related lifestyles. J Korean Acad Fam Med. 2008. 29:182–118.
30. Kim SY, Lee HJ. The influence of food habits on nutrient intake and body mass index in elementary school students in the Gyeongnam area. Korean J Community Nutr. 2007. 12(6):705–713.
31. Kim WY. Nutrition knowledge and food habits of college students. Korean J Nutr. 1984. 17(3):178–187.
32. Kim YH, Park NH, Lee SM. The effects of obese program on the BMI, body composition, physical fitness, knowledge, eating behaviors in obese elementary school. Korean J Child Health Nurs. 2004. 10(1):14–21.
33. Ko YH, Lee AR. Effects of aerobic exercise with nutrition education on body composition, physical fitness, and liver function of obese elementary school students. J Korea Sport Res. 2006. 17(1):415–422.
34. Koo JO, Lee JW, Choi YS, Kim JH, Lee CH. Nutrition throughout the life cycle. 2004. Seoul: Hyoilbooks;241.
35. Lee AR, Moon HK, Kim EK. A study on dietary habits, dietary behaviors and body image recognition of nutrition knowledge after nutrition education for obese children in Seoul. J Korean Diet Assoc. 2000a. 6(2):171–178.
36. Lee EJ. Changes in the obesity index, nutritional knowledge, food habits and nutrient intakes in obese children after a weight control program of nutritional education. Korean J Food Cult. 2009. 24(6):793–804.
37. Lee HS, Choi JS, Kim WY. Effect of nutrition education for weight control on the dietary behavior, anthropometry, body composition, and the serum levels of adipocytokines in the elementary obese children. Korean J Food Cult. 2005. 20(3):323–330.
38. Lee JC, Kim MH. A study on dietary related factors and blood parameters of obese children residing in Samcheok. J Korean Diet Assoc. 2005. 11(2):190–204.
39. Lee JS. Nutrition and dietetics. Nutrition education of elementary school. 1993. Seoul: The Korean Dietetic Association;12–19.
40. Lee MY, Kim SK, Chang KJ. Dietary behaviors, health-related lifestyle and blood lipid profile of obese children in Incheon. Korean J Community Nutr. 2002. 7(6):803–813.
41. Lee SH. A study on educational programs for obesity management in elementary school and local health unit. 2008. Kyonggi University;1–29. MS thesis.
42. Lee YJ, Kim GM, Chang KJ. The analysis of effect an nutrition education of elementary school children, Inchon. J Korean Diet Assoc. 2000b. 6(2):86–96.
43. Lee YN. Effect of nutrition education program of body fat, blood lipids, and eating habits of obese young adolescent girl. 1995. Seoul National University;1–5. MS thesis.
44. Ministry of Education. Obesity checklist by No. 584 instructed the ministry of education. 1999.
45. Ministry of Health & Welfare. The third Korea Nutritional and Nutrition Examination Survey (KHNES III), 2005-health status and health behaviors of children and adolescents center. 2006. Ministry of Health & Welfare;108–111.
46. Increase physical activity, intake salty and greasy food less! Ministry of Health & Welfare. 2009. cited 2011 July 7. Available from http://www.mw.go.kr/front/al/sal0301vw.jsp.
47. Nam JH, Lee MY. The study of food habits according to obesity index in elementary school children in Yangju city, Kyeong-gi province. Korean J Food Nutr. 2006. 19(2):153–160.
48. Oh SI, Jang JH, Hur S. Assessment of after-school obesity control program through on life habits and physical activity in obese elementary school children. Korean J Exerc Nutr. 2008. 12(1):1–6.
49. Park GH, Kang HY. Effects of obesity management program on body composition, obesity, food habit and stress of obese children at a urban elementary school. J Korean Soc Sch Health. 2007. 20(2):1–12.
50. Park HS, Kang YJ, Shin ES. Serum lipid profile and diet patterns in obese children in Seoul. J Korean Soc Study Obes. 1994. 3(1):47–54.
51. Park JB, Choi TI, Kim JS, Jung DS, Kim KN, Lee SY, Kang JH. The prevalence of childhood obesity, risk factors, and obesity related disease in elementary students. J Korean Acad Fam Med. 2006. 27:104–112.
52. Park JH. Characteristics of obesity on the elementary student in Gwangju city. 2000. Chosun University;1–3. MS thesis.
53. Park SJ, Kim AJ. A retrospective study on the status of obesity and eating and weight control behaviors of elementary school children in Inchon. J Korean Diet Assoc. 2000. 6(1):44–52.
54. Park UI, Jeong WS, Lee HS. Effects of self-perceived obesity, peer victimization, stress, and maternal child rearing behaviors on the self-esteem of obese and normal weight elementary school children. Korean J Child Stud. 2005. 26:393–409.
55. Park YH, Park ES. Body weight control, attitudes, lifestyle and dietary habits in elementary school students according to the obesity index. J East Asian Soc Diet Life. 2010. 20(1):175–186.
56. Robinson TN. Television viewing and childhood obesity. Pediatr Clin North Am. 2001. 48:1017–1025.
57. Shin EK, Lee HS, Lee YK. Effect of nutrition education program in obese children and their parents (II). Focus on nutrition knowledge, eating behaviors, food habit and nutrient intakes. Korean J Community Nutr. 2004. 9(5):578–588.
58. Song HY. Children obesity and health behavior on elementary school students in Seoul. 2010. Ewha Womans University;1–23. MS thesis.
59. Song YS. The effect of nutrition course on the nutrition knowledge and food habits in college students. Korean J Nutr. 1986. 19(6):420–426.
60. Sung MK, Sung JJ, Yoo WC, Park JN, Park DY, Choi MK, Choi SH, Lee YS, Kim YK, Lee EJ. The evaluation of a nutrition camp program for overweight and underweight adolescents. Korean J Community Nutr. 2003. 8(4):504–511.
61. The Korean Pediatric Society. 1998 Korean children growth standard. 1998.
62. Wang SG. Prevalence of obesity, food habits, and daily nutrient intakes of 4th grade elementary school students in Deajeon. Korean J Hum Ecol. 2007. 16(3):631–642.
63. You JS, Choi YJ, Kim IS, chang KJ, Chyun JH. A study on prevalence of obesity, eating habits and life styles of 5th grade students in Inchon. Korean J Community Nutr. 1997. 2:13–22.
TOOLS
Similar articles