Article

The B'Active programme for overweight primary school children in Glasgow: determining the prevalence of overweight and obesity and piloting an activity intervention

Department of Sport, Culture and the Arts, University of Strathclyde, Glasgow, Scotland, United Kingdom
British Journal Of Nutrition (Impact Factor: 3.34). 01/2007; 97(1):204-9. DOI: 10.1017/S0007114507257769
Source: PubMed

ABSTRACT The aim of this study was to determine the prevalence of overweight and obesity in primary school children in Glasgow and to evaluate a pilot activity programme for overweight and obese children. BMI was measured in 1548 children. Overweight, obesity and severe obesity were defined as BMI > or =85th, 95th and 98th centile, respectively. Overweight and obese children were then invited to participate in a 10-week school-based activity programme. The programme was evaluated by recording weekly attendance, intensity (using the Children's Effort Rating Scale) and enjoyment (scale 1-10). Focus groups were used to explore the experiences and views of the children, teachers, coaches and parents. Of the 1548 children, 31.4% were overweight, 19.1% were obese and 12.4% were severely obese; 38% of those invited attended the activity programme. Weekly programme attendance was 83% (range 56-99%). Mean enjoyment rating (scale 1-10) was 8 for boys and 9 for girls. The intensity of activity sessions were rated 'very easy' by boys and 'just feeling a strain' by girls. Common themes emerging from the focus groups related to perceived positive and negative aspects of the programme (fun, concerns about stigmatising children); physical and psychological outcomes (fitter, more confident); and future recommendations (involve parents). In summary, the prevalence of overweight and obesity was high. The activity programme was successful in terms of attendance and enjoyment, and overall views of the initiative were positive and there was compelling support for its continuation.

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    • "motivate early treatment of overweight and obesity during childhood. Recent studies has proven that participation in physical activities can improve a child's physical self-perception and self-confidence (Goldfield et al., 2007; Hughes, McLaughlin, McKay, Lafferty, McKay & Mutrie, 2007). Goldfield et al. (2007) indicate that multidisciplinary interventions, with the aim of increasing physical self-perception of overweight and obese children, are not only advantageous to the psychological domain, but also to the physical aspects in that it increases the physical activity in children. "
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    ABSTRACT: The aim of the study was to determine whether a physical activity, diet and behaviour modification intervention would significantly improve the self-perception of 9 to 12 year old overweight and obese children. A convenience sample of 38 subjects between the ages of 9 and 12 years (mean age = 11.0) participated in the study. Twenty children (N = 20), 13 girls and 7 boys, participated in the intervention programme for 13 week (3 times/week), while 18 children (N = 18), 11 girls and 7 boys, served as a control group. Kinanthropometric measurements were used to assess body composition and self-perception was determined by using the Harter Scale for Self-Perception. The results showed low self-perception values compared to normal children, although the self-perception of overweight and obese children did not differ from each other. There was a significant increase in all subcomponents of self-perception in the experimental group, with the largest improvement in athletic, physical and global self-perception (p < 0.05). In contrast, the control group exhibited lower values in all the subcomponents with a significant decrease in social self-perception (p < 0.05). Waist and upper arm circumferences, as well as fat percentages of the experimental group decreased significantly, while the measurements of the same components in the control group increased. The multidisciplinary intervention programme not only possesses weight loss advantages for overweight and obese children, but has the advantage of improving self-perception. Participation in the programme also showed positive effects on the self-perception of both sexes, although the effect in the various subcomponents appears to be different.
    African Journal for Physical Health Education, Recreation and Dance 04/2010; 16:101-116. DOI:10.4314/ajpherd.v16i1.53316 · 4.03 Impact Factor
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    • "Normalmente, los programas de ejercicio físico para personas con sobrepeso y obesidad, se basan en actividades aeróbicas, con una intensidad moderada, y un mínimo de 150-250 minutos semanales para prevenir el aumento de peso, y por encima de 250 minutos semanales tras producirse la pérdida de peso (Donnelly et al., 2009). Por otro lado, el tipo de actividad a realizar debe ser motivante para el practicante, buscando como objetivo primordial conseguir la adherencia a la actividad y se continúe a lo largo de la vida (Hughes et al., 2007), lo que haría posible el mantenimiento del peso perdido a largo plazo. En esta línea, los pacientes que no se adhieren a la actividad física agravan su obesidad y probablemente tendrán mayor dificultad en su tratamiento posterior, al tiempo que tienen una alta probabilidad de perpetuación del exceso de peso en la edad adulta (Togashi et al., 2002). "
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    ABSTRACT: Resumen La obesidad es una enfermedad compleja y multifactorial que puede iniciarse en la infancia, y se caracteriza por un exceso de grasa corporal que coloca al individuo en una situación de riesgo para la salud. La práctica regular de actividad física/ejercicio físico se ha convertido en uno de los objetivos principales de los planes de salud pública, debido a su relación con la prevención y tratamiento de la obesidad. En población infantil europea, el hábito de ejercicio físico es bajo y disminuye al aumentar la edad. Los objetivos del estudio fueron: (i) mostrar la metodología de las sesiones desarrolladas en un programa de ejercicio físico dirigido en niños con obesidad severa, y (ii) describir las ventajas e inconvenientes de las sesiones desarrolladas en el día a día con esta población. Las conclusiones que se pueden extraer de este trabajo son: (a) en esta población resulta importante plantear actividades cooperativas, en el que todos tengan posibilidades de participar independientemente de sus características y habilidades individuales y (b) en ocasiones y debido a la heterogeneidad observada durante las sesiones, es importante plantear y establecer varias actividades paralelas, aunando más si cabe las motivaciones y gustos de los participantes. Palabras clave: juego, actividad física, habilidad, cooperación. Abstract Obesity is a complex multifactorial disease that can begin in childhood, and is characterized by excess body fat that puts the individual's health at risk. The regular practice of physical activity / physical exercise has become one of the main objectives of public health plans due to its relationship with the prevention and treatment of obesity. In the European child population, the habit of physical activity is low and decreases with increasing age. The objectives of the study were: (i) to show "type sessions" used in physical exercise program in targeted at children with severe obesity, and (ii) to describe the advantages and disadvantages of the sessions performed as part of the daily routine of this population. The conclusions to be drawn from the work are: (a) in this population, it is important to propose cooperative activities in which all can take part regardless of their individual skills and characteristics, and (b) sometimes, because of the heterogeneity observed during the sessions, it is important to propose and establish various parallel activities that encourage even more if possible the participants' motivations and preferences. Key words: play, physical activity, inclusion, skill, cooperation
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    • "Normalmente, los programas de ejercicio físico para personas con sobrepeso y obesidad, se basan en actividades aeróbicas, con una intensidad moderada, y un mínimo de 150-250 minutos semanales para prevenir el aumento de peso, y por encima de 250 minutos semanales tras producirse la pérdida de peso (Donnelly et al., 2009). Por otro lado, el tipo de actividad a realizar debe ser motivante para el practicante, buscando como objetivo primordial conseguir la adherencia a la actividad y se continúe a lo largo de la vida (Hughes et al., 2007), lo que haría posible el mantenimiento del peso perdido a largo plazo. En esta línea, los pacientes que no se adhieren a la actividad física agravan su obesidad y probablemente tendrán mayor dificultad en su tratamiento posterior, al tiempo que tienen una alta probabilidad de perpetuación del exceso de peso en la edad adulta (Togashi et al., 2002). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Obesity is a complex multifactorial disease that can begin in childhood, and is characterized by excess body fat that puts the individual's health at risk. The regular practice of physical activity / physical exercise has become one of the main objectives of public health plans due to its relationship with the prevention and treatment of obesity. In the European child population, the habit of physical activity is low and decreases with increasing age. The objectives of the study were: (i) to show "type sessions" used in physical exercise program in targeted at children with severe obesity, and (ii) to describe the advantages and disadvantages of the sessions performed as part of the daily routine of this population. The conclusions to be drawn from the work are: (a) in this population, it is important to propose cooperative activities in which all can take part regardless of their individual skills and characteristics, and (b) sometimes, because of the heterogeneity observed during the sessions, it is important to propose and establish various parallel activities that encourage even more if possible the participants' motivations and preferences.
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