Paper
Saturday, July 24, 2004
This presentation is part of : School Health
Effects of School-Based Health Promotion Program for Obese Children at a Primary School in Korea
Hae Young Kang, PhD, Dept. of Nursing, Chonnam National University, Gwangju, South Korea, Young Hee Kim, PhD, Dept. of Nursing, Wonkwang Health College, Korea, Iksan, South Korea, and Nam Sook Seo, PhD, Dept. of Nursing, Dongshin University, Naju, South Korea.
Learning Objective #1: Understand school-based health promotion program for obese children in Korea
Learning Objective #2: Understand a method of collaboration efforts among nurses in community

Objective: Recently obese children have been increasing due to rapid change in dietary pattern and increase sedentary life style. This study was conducted to identify effects of school-based program for obese children at a rural primary school in collaboration with district Health Center in Korea.

Method: The subjects were 57 (experimental = 28, control = 29) 5th and 6th graders who reached over 150% in Röhrer index. The program was consisted of 12 sessions and conducted during May to October 2003. The study variables were Röhrer index; fat mass and lean body mass rate examined by body composition analyzer (MESMED, BA 2000); and health habit, obesity stress, dietary self-efficacy and exercise self-efficacy surveyed by self-reported questionnaire. The data were analyzed by percentage, χ2 –test, t-test and ANOVA using SPSS PC program. . Finding: Röhrer index and fat mass rate were more decreased and lean body mass was more increased in experimental than in control group, but they were not significantly different between the two groups. On the other hand, Röhrer index was significantly decreased in posttest only in boy student group (t = -3.12, p = .003). The score of obesity stress was also more decreased (t = -2.33, p = .024) and that of dietary self-efficacy (t = 2.35, p = .023) was increased in experimental than in control group.

Conclusion: These results suggest that the school-based health promotion program for obese children can be effective, provided that the program is designed in collaboration with nurses working various settings in community. Based on these findings, school-based health promotion programs need to develop not only in collaboration with health personnels but with school principal, teachers and parents.

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