Hi everyone here the last blog that I will post related to our topics about obesity for young children. This time I will share you about the research that have been done in State of Mexico.
Research indicates that obesity is the
global epidemic of the 21st century, especially due to its prevalent
growth and health implications. In Mexico, the prevalence of overweight and
obesity increased by 9%, from 61% to 70% from 1999 to 2006. The whole
population, including both adults and school children, showed an increase in
the number of overweight individual, making it one of the countries with the
highest prevalence of overweight and obesity population. There are a few
projects that are underway in Mexico, to help curb the growth of the sombre
public health predicament. A study was conducted to evaluate the effectiveness
of a diet and physical activity strategy among school age children in the State
of Mexico, referred to as “Nutrition on the Go” to maintain BMI, as a basis for
establishing public health policy (Levy, et, al, 2012).
The method used involved a randomized
field trial using fifth grade elementary school children in 60 Mexican schools.
Subjects were participants of a school breakfast program in both federal and
state educational systems with morning and evening shifts. The strategy involved:
a gradual decrease of the energy content of school breakfasts; gradual
regulation of food offered within the school; gradual adherence to the physical
activity program; and implementation of an educational campaign, called
“Healthy Break,” for healthy eating and physical activity. The objectives of
this program were to promote consuming one fruit and one vegetable, drinking
pure water and performing physical activity (organized games and calisthenics)
during break. A baseline test was conducted in all schools to establish the
initial characteristics of intervention and control groups. Information was
also obtained related to anthropometrics, socioeconomic level, food, physical
activity, self-efficacy and knowledge. The same information was obtained for
the final evaluation (Levy, et, al, 2012).
The variables measured included: body
composition, whereby the body mass index was determined by measuring both weigh
and weight; and behaviour outcomes by examining food intake, physical activity,
knowledge, self-efficacy and expectations, using questionnaires. The main
finding of the study was that the strategy “Nutrition on the Go” had a small but
statistically significant effect on reducing the probability of shifting from
the overweight to the obesity category after 6 months of intervention. The
study indicated that interventions are most effective for females when they
include social aspects and for males when they involve physical activity. Moreover,
self-efficacy and children’s perception about their own ability to perform
physical activity and healthy eating is now considered to be more related to
changes in behaviour related to obesity risk factors (Levy, et, al,
2012).
One of the limitations of the study
was that it was conducted only in the school environment, where children are
present for 4.5 half hours, so larger effects could not be expected since
children spent the rest of the day in obesigenic environments. Another
limitation was the duration of the intervention, which lasted only 6 months; a
longer intervention is needed in order to observe the impacts. Nonetheless, previous
reports show that intervention lengths for some studies ranged from 9 weeks to
3 years and that intervention of all durations successfully reduced obesity among
overweight or obese children (Levy, et, al, 2012).
The study indicated that the
“Nutrition on the Go” strategy was effective for maintaining the BMI of school
children. The authors suggest that policies for interventions to prevent obesity
in schools in Mexico should consider changes within the school environment
itself through actions such as improving physical education classes and
creating more aggressive nutrition policies. For greater impact, the inclusion
of parents and teachers is recommended, as well as government officials,
communities and civil society as elements in healthy lifestyles as well as the
development and welfare of society (Levy, et, al, 2012).
Reference
List
Levy, T., Carmen M., Claudia A., Araceli S., Alejandra J. and
Ignacio M. (2012). Effectiveness of a diet and physical activity promotion
strategy on the prevention of obesity in Mexican school children, BMC Public
Health, 12(152), doi:10.1186/1471-2458-12-152. < http://www.biomedcentral.com/1471-2458/12/152>