Effect of a dietary and exercise intervention on children's cognition and behaviors: the mediating role of family support

PENG Yuanzhou; WANG Haijun; LIN Yi; FENG Xiangxian; ZHANG Fang; GAO Aiyu; ZHOU Shuang; LIU Zheng

doi:10.16835/j.cnki.1000-9817.2022.11.003

Volume 43 Issue 11

Nov. 2022

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2022 > 43(11): 1609-1612

PENG Yuanzhou, WANG Haijun, LIN Yi, FENG Xiangxian, ZHANG Fang, GAO Aiyu, ZHOU Shuang, LIU Zheng. Effect of a dietary and exercise intervention on children's cognition and behaviors: the mediating role of family support[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1609-1612. doi: 10.16835/j.cnki.1000-9817.2022.11.003

Citation:

PENG Yuanzhou, WANG Haijun, LIN Yi, FENG Xiangxian, ZHANG Fang, GAO Aiyu, ZHOU Shuang, LIU Zheng. Effect of a dietary and exercise intervention on children's cognition and behaviors: the mediating role of family support[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1609-1612. doi: 10.16835/j.cnki.1000-9817.2022.11.003

Citation:

PENG Yuanzhou, WANG Haijun, LIN Yi, FENG Xiangxian, ZHANG Fang, GAO Aiyu, ZHOU Shuang, LIU Zheng. Effect of a dietary and exercise intervention on children's cognition and behaviors: the mediating role of family support[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1609-1612. doi: 10.16835/j.cnki.1000-9817.2022.11.003

PDF( 360 KB)

Effect of a dietary and exercise intervention on children's cognition and behaviors: the mediating role of family support

doi: 10.16835/j.cnki.1000-9817.2022.11.003

1.
Department of Maternal and Child Health, School of Public Health, Peking University, Beijing (100191), China

Received Date: 2022-02-23
Rev Recd Date: 2022-05-25

Available Online: 2022-11-30

Publish Date: 2022-11-25

Abstract

Abstract

Objective To evaluate the effect of a dietary and exercise intervention on cognition and behaviors among primary school students, and to further explore the mediating role of family support, in order to provide scientific evidence for future effective intervention strategies. Methods A dietary and exercise intervention program for childhood obesity prevention was carried out in 24 primary schools in Beijing, Changzhi and Urumqi from 2018 to 2019, and 1 392 children in grade four as well as their parents were included. Family support and children's cognition and behaviors were collected through questionnaire. To carry out diet and exercise behavior intervention on the three levels of school, family and individual in the intervention group, and children's dietary and exercise knowledge, eating habits, physical activities, as well as sedentary and screen behaviors were evaluated. The linear mixed model was used to analyze the effect of intervention on children's cognition and behaviors, and the mediation model was used to explore the role of family support. Results The proportion of children with higher score of dietary and exercise knowledge (OR=2.34, 95%CI=1.71-3.21), eating habits (OR=2.58, 95%CI=1.75-3.82), and sedentary and screen behaviors (OR=1.91, 95%CI=1.35-2.68) increased in the intervention group after one-year intervention (P < 0.01), compared with the control group, respectively. The intervention also increased the proportion of children's family support in the intervention group compared with the control group (OR=3.45, 95%CI=2.19-5.45), and the support from children's fathers (OR=2.70, 95%CI=1.68-4.35), mothers (OR=3.71, 95%CI=2.28-6.04), paternal grandmothers (OR=1.65, 95%CI=1.00-2.70), and maternal grandmothers (OR=2.14, 95%CI=2.12-2.16) increased significantly (P < 0.05). The mediation analysis showed that family support played a mediating role in association between comprehensive intervention and children's eating habits as well as sedentary and screen behaviors. Conclusion The dietary and exercise intervention effectively promoted children's cognition and behaviors, and family support played an important mediating role.
- Family,
- Food habits,
- Motor activity,
- Intervention studies,
- Knowledge,
- Child

FullText(HTML)

References(29)

References

[1]	国家卫生健康委员会. 中国居民营养与慢性病状况报告(2020年)[J]. 营养学报, 2020, 42(6): 521. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLBJ202102011.htm National Health Commission of the PRC. Report on nutrition and chronic diseases of Chinese residents (2020)[J]. Acta Nutr Sinica, 2020, 42(6): 521. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLBJ202102011.htm
[2]	马冠生, 米杰, 马军, 等. 中国儿童肥胖报告(2017)[M]. 北京: 人民卫生出版社, 2017: 1. MA G S, MI J, MA J, et al. Report on childhood obesity in China(2017)[M]. Beijing: People's Medical Publishing House, 2017: 1. (in Chinese)
[3]	AYER J, CHARAKIDA M, DEANFIELD J E, et al. Lifetime risk: childhood obesity and cardiovascular risk[J]. Eur Heart J, 2015, 36(22): 1371-1376. doi: 10.1093/eurheartj/ehv089
[4]	LLEWELLYN A, SIMMONDS M, OWEN C G, et al. Childhood obesity as a predictor of morbidity in adulthood: a systematic review and Meta-analysis[J]. Obes Rev, 2016, 17(1): 56-67. doi: 10.1111/obr.12316
[5]	WEIHRAUCH-BLUHER S, SCHWARZ P, KLUSMANN J H. Childhood obesity: increased risk for cardiometabolic disease and cancer in adulthood[J]. Metabolism, 2019, 92: 147-152. doi: 10.1016/j.metabol.2018.12.001
[6]	WANG S, SUN Q, ZHAI L, et al. The prevalence of depression and anxiety symptoms among overweight/obese and non-overweight/non-obese children/adolescents in China: a systematic review and Meta-analysis[J]. Int J Environ Res Public Health, 2019, 16(3): 340. doi: 10.3390/ijerph16030340
[7]	LEE E Y, YOON K H. Epidemic obesity in children and adolescents: risk factors and prevention[J]. Front Med, 2018, 12(6): 658-666. doi: 10.1007/s11684-018-0640-1
[8]	岳亚平, 任亚茹. 家庭支持对5~6岁幼儿学习品质发展的影响[J]. 学前教育研究, 2021(7): 5-16. doi: 10.3969/j.issn.1007-8169.2021.07.003 YUE Y P, REN Y R. The influence of family support on the learning quality of 5-6 years old children[J]. Stud Early Child Educ, 2021(7): 5-16. (in Chinese) doi: 10.3969/j.issn.1007-8169.2021.07.003
[9]	董彦会, 杨招庚, 王西婕, 等. 体育锻炼家庭支持性环境对中小学生身体素质的影响[J]. 中国学校卫生, 2018, 39(9): 1297-1300. doi: 10.16835/j.cnki.1000-9817.2018.09.005 DONG Y H, YANG Z G, WANG X J, et al. Effect of family physical activity environment on physical fitness among children and adolescents[J]. Chin J Sch Health, 2018, 39(9): 1297-1300. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.09.005
[10]	LAIRD Y, FAWKNER S, KELLY P, et al. The role of social support on physical activity behaviour in adolescent girls: a systematic review and Meta-analysis[J]. Int J Behav Nutr Phys Act, 2016, 13(7): 79.
[11]	WELCH J D, ELLIS E M, GREEN P A, et al. Social support, loneliness, eating, and activity among parent-adolescent dyads[J]. J Behav Med, 2019, 42(6): 1015-1028. doi: 10.1007/s10865-019-00041-4
[12]	MORGAN E H, SCHOONEES A, SRIRAM U, et al. Caregiver involvement in interventions for improving children's dietary intake and physical activity behaviors[J]. Cochran Database Syst Rev, 2020, 1(1): CD012547.
[13]	ENRIGHT G, ALLMAN-FARINELLI M, REDFERN J. Effectiveness of family-based behavior change interventions on obesity-related behavior change in children: a realist synthesis[J]. Int J Environ Res Public Health, 2020, 17(11): 4099. doi: 10.3390/ijerph17114099
[14]	CARBERT N S, BRUSSONI M, GELLER J, et al. Moderating effects of family environment on overweight/obese adolescents' dietary behaviours[J]. Appetite, 2019, 134: 69-77. doi: 10.1016/j.appet.2018.12.034
[15]	STAIANO A E, BEYL R A, GUAN W, et al. Home-based exergaming among children with overweight and obesity: a randomized clinical trial[J]. Pediatr Obes, 2018, 13(11): 724-733. doi: 10.1111/ijpo.12438
[16]	LIU Z, WU Y, NIU W Y, et al. A school-based, multi-faceted health promotion programme to prevent obesity among children: protocol of a cluster-randomised controlled trial (the DECIDE-Children study)[J]. BMJ Open, 2019, 9(11): e027902. doi: 10.1136/bmjopen-2018-027902
[17]	LIU Z, GAO P, GAO A Y, et al. Effectiveness of a multifaceted intervention for prevention of obesity in primary school children in China: a cluster randomized clinical trial[J]. JAMA Pediatr, 2022, 1767(1): e214375.
[18]	BARON R M, KENNY D A. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations[J]. J Pers Soc Psychol, 1986, 51(6): 1173-1182. doi: 10.1037/0022-3514.51.6.1173
[19]	PREACHER K J, HAYES A F. SPSS and SAS procedures for estimating indirect effects in simple mediation models[J]. Behav Res Methods Instrum Comput, 2004, 36(4): 717-731. doi: 10.3758/BF03206553
[20]	MACKINNON D P, COX M C. Commentary on "mediation analysis and categorical variables: the final frontier" by Dawn Iacobucci[J]. J Consum Psychol, 2012, 22(4): 600-602. doi: 10.1016/j.jcps.2012.03.009
[21]	HARRIS C, VAZSONYI A T, OZDEMIR Y, et al. Family environment and school engagement: an investigation of cross-lagged effects[J]. J Adolesc, 2020, 84: 171-179. doi: 10.1016/j.adolescence.2020.08.006
[22]	CATANZARO S J, LAURENT J. Perceived family support, negative mood regulation expectancies, coping, and adolescent alcohol use: evidence of mediation and moderation effects[J]. Addict Behav, 2004, 29(9): 1779-1797. doi: 10.1016/j.addbeh.2004.04.001
[23]	KRAL T V, RAUH E M. Eating behaviors of children in the context of their family environment[J]. Physiol Behav, 2010, 100(5): 567-573. doi: 10.1016/j.physbeh.2010.04.031
[24]	HAIDAR A, RANJIT N, ARCHER N, et al. Parental and peer social support is associated with healthier physical activity behaviors in adolescents: a cross-sectional analysis of Texas School Physical Activity and Nutrition (TX SPAN) data[J]. BMC Public Health, 2019, 19(1): 640. doi: 10.1186/s12889-019-7001-0
[25]	GRUBER K J, HALDEMAN L A. Using the family to combat childhood and adult obesity[J]. Prev Chronic Dis, 2009, 6(3): A106.
[26]	FAITH M S, VAN HORN L, APPEL L J, et al. Evaluating parents and adult caregivers as "agents of change" for treating obese children: evidence for parent behavior change strategies and research gaps: a scientific statement from the American Heart Association[J]. Circulation, 2012, 125(9): 1186-1207. doi: 10.1161/CIR.0b013e31824607ee
[27]	KULIK N, VALLE C G, TATE D F. Friend and family support for weight loss in adolescent females[J]. Child Obes, 2016, 12(1): 44-51. doi: 10.1089/chi.2015.0044
[28]	LI B, ADAB P, CHENG K K. Family and neighborhood correlates of overweight and obesogenic behaviors among Chinese children[J]. Int J Behav Med, 2014, 21(4): 700-709. doi: 10.1007/s12529-013-9333-y
[29]	BLANCO M, VEIGA O L, SEPULVEDA A R, et al. Family environment, physical activity and sedentarism in preadolescents with childhood obesity: ANOBAS case-control study[J]. Aten Primar, 2020, 52(4): 250-257. doi: 10.1016/j.aprim.2018.05.013