Effectiveness of a comprehensive intervention for childhood obesity on self-efficacy, weight perception, and behavior change

SHANG Lijia; GAO Aiyu; WANG Haijun; LIU Zheng.

doi:10.16835/j.cnki.1000-9817.2022.02.011

Volume 43 Issue 2

Feb. 2022

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2022 > 43(2): 207-210

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SHANG Lijia, GAO Aiyu, WANG Haijun, LIU Zheng.. Effectiveness of a comprehensive intervention for childhood obesity on self-efficacy, weight perception, and behavior change[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(2): 207-210. doi: 10.16835/j.cnki.1000-9817.2022.02.011

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Effectiveness of a comprehensive intervention for childhood obesity on self-efficacy, weight perception, and behavior change

doi: 10.16835/j.cnki.1000-9817.2022.02.011

1.
Health Care Center of Primary and Secondary Schools in Dongcheng District, Beijing(100007), China

Received Date: 2021-06-14
Rev Recd Date: 2021-10-31

Available Online: 2022-02-24

Publish Date: 2022-02-25

Abstract

Abstract

Objective To evaluate the effectiveness of a comprehensive intervention for childhood obesity on self-efficacy, weight perception, and stage of behavior change, and to provide a scientific evidence for childhood obesity interventions. Methods The study was a cluster-randomized controlled trial. Twelve primary schools and 1 889 children (aged 7-11 years) from Dongcheng District in Beijing were recruited in September, 2013, and were administered a comprehensive intervention for childhood obesity. Six schools (930) were randomly allocated to the intervention group, and six schools (959) were randomly allocated to the control group. A face-to-face questionnaire survey was carried out, R 4.0.3 software was used to analyze the data, and multiple linear regression model was used to analyze the intervention effect. Results After the intervention, mean (standard deviation) scores of self-efficacy among children in the intervention and control groups were (4.4±0.9) and (4.2±1.1), respectively. After the intervention, the proportion of children in the intervention group who underestimated or overestimated their body weight was 28.4% and 11.3%, respectively, while the figures in the control were 37.1% and 6.9%; compared with the control, the risk of underestimating body weight decreased among children in the intervention group(OR=0.64, 95%CI=0.52-0.80, P<0.01), while the risk of weight overestimation increased(OR=1.79, 95%CI=1.26-2.54, P<0.01). After the intervention, the proportion of children in the contemplation or action stage of behaviour change was 65.3% and 83.6%, while the figures in the control group were 59.8% and 69.8%, respectively; in comparison with the control group, more children in the intervention group were in comtemplation (OR=1.28, 95%CI=1.03-1.59, P=0.02) or action stage of behaviour change(OR=2.59, 95%CI=2.04-3.27, P<0.01). Conclusion The comprehensive intervention for childhood obesity improved self-efficacy, weight perception, and facilitated behavior change, but may increase the risk of weight overestimation.
- Obesity,
- Intervention studies,
- Body weight,
- Cognition,
- Behavior,
- Child

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References

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