Effects of Participatory Training Program on the Control of Overweight and Obesity in Female Adolescents

Document Type: Original Article

Authors

1 Health Education and Promotion Department, School of Health Sciences & Student Research Committee, Gonabad University of Medical Sciences, Gonabad, Iran

2 Lecturer in Nursing Education, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran

3 School of Health Sciences & Student Research Committee, Gonabad University of Medical Sciences, Gonabad, Iran

4 Professor of Health Education and Promotion Department, School of Health Sciences; Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran

Abstract

Background:Adolescent obesity has become a serious public health challenge in the 21st century.The purpose of this study was to determine the effects of a participatory training program on the control of overweight and obesity in female adolescents.
Methods:One hundred female participants aged 12 to 14 years with overweight or obesity were recruited from four schools which were selected randomly from the list of all schools. The height, weight, and body mass index (BMI) of participants were measured. A training program which consisted of proper nutritional behaviors as well as balanced physical activities was proposed through educational tools and lectures to the experimental group. Besides, questioning and answering sessions as well as group discussion with health and nutrition experts were held.
Results:After the intervention, a significant difference was observed in the BMI of experimental group (26.39±3.06) compared with that of the control group (27.71±3.29). Also, the frequency of rice consumption (4.14±1.14), macaroni (121±0.40), eggs (2.15±0.92), meat (2.03±0.83) and chicken (2.06±1.008) significantly decreased after the intervention. Prior to the intervention, two groups were not significantly different in the terms of physical activity; however, a significant difference was found between the two groups after the intervention.
Conclusion:According to the results of this study and the observed positive impact on the nutrition and physical activity patterns of adolescents, it seems that such training interventions in schools would be effective on preventing and controlling obesity as well as long-term health.

Keywords


  1. Alizadeh Z, Younespour S, Mansournia MA. Long term effects of a continuous and intermittent aerobic exercise on weight changes and body fat percentage in overweight and obese women. Tehran University Medical Journal 2013; 70(10):630-9. [In Persian].
  2. Hajikazemi ES, Moghaddam M, Hosseini AF, Heidarikhayat N. Relationship between obesity and food habits among female adolescents. Iran Journal of Nursing 2012; 25(77):21-9. [In Persian].
  3. Chandrakala P, Soumya A. A study of prevalence of overweight and obesity in adolescents. Int J Contemp Pediatrics 2016; 3(3): 960-4.
  4. Kathleen Mahan L. Krause’s Food, Nutrition and Diet Therapy. Translated by Abbasalizad Farhangi M. Tehran: Arjmand Pub, 2008 [In Persian].
  5. Ngwenya NA, Ramukumba TS. Prevalence of adolescent obesity at a high school in the City of Tshwane. Curationis 2017; 40(1):1-7.
  6. Bazhan M, Kalantari N. Association of anthropometric indices with some dietary factors of high school girls in Lahijan. Iranian Journal of Endocrinology and Metabolism 2009; 11(2):159-67. [In Persian].
  7. Bagherniya M, Sharma M, Mostafavi F, Keshavarz SA. Application of social cognitive theory in predicting childhood obesity prevention behaviors in overweight and obese Iranian adolescents. Int Q Community Health Educ 2015; 35(2):133-47.
  8. www.amar.org.ir. Selected Results of Population and Housing General Census, 2011. Available from: https://www.amar.org.ir/Portals/0/sarshomari90/n_sarshomari90_2.pdf [In Persian].
  9. Weigley ES, Mueller DH, Robinson CH. Robinson’s Basic Nutrition. Translated by kholdi N. Tehran: Salami pub, 2009 [In Persian].
  10. Aryeetey R, Lartey A, Marquis GS, Nti H, Colecraft E, Brown P. Prevalence and predictors of overweight and obesity among school-aged children in urban Ghana. BMC Obes2017; 4(38):1-8.
  11. Mollerup PM, Gamborg M, Trier C, Bojsoe C, Nielsen TR, Baker JL, et al. A hospital-based child and adolescent overweight and obesity treatment protocol transferred into a community healthcare setting. Plos One 2017; 12(3):1-17.
  12. Tabatabaei-Molazi O, Larijani B. A review of the prevalence of obesity and its management in Iran. Iranian Journal of Diabetes and Metabolism 2013; 12(5):357-74. [In Persian].
  13. Rahimi R, Fesharaki, Sahebolzamani M, Rahmani A. The efficacy of a lifestyle modification course in overweight female elementary school students in Urmia, Iran. Journal of Isfahan Medical School 2012; 30(188):1-9. [In Persian].
  14. Sahota P, Rudolf MC, Dixey R, Hill AJ, Barth JH, Cade J. Randomised controlled trial of primary school based intervention to reduce risk factor for obesity. BMJ 2001; 323(7320):1029-32.
  15. Jafarzadeh S, Mohammad khan Kermanshahi S, Hajizadeh E. The effect of health promotion program with collaborative approach on body weight of overweight elementary school girls. Journal of Fasa University of Medical sciences 2015; 4(4): 446-55. [In Persian].
  16. Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Fleqal KM, Guo SS, Wei R, et al. CDC growth charts: United States. Adv Data 2000; (314):1-27.
  17. Esfahani FH, Asghari G, Mirmiran P, Azizi F. Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran lipid and glucose study. J Epidemiol 2010; 20(2): 150-8.
  18. Moeini B, Jalilian F, Jalilian M, Barati M. Predicting factors associated with regular physical activity among college students applying BASNEF model. Scientific Journal ofHamadan University of Medical Sciences 2011; 18(3):70-6. [In Persian].
  19. Guo H, Zeng X, Zhuang Q, Zheng Y, Chen S. Intervention of childhood and adolescents obesity in Shantou city. Obes Res Clin Pract 2015; 9(4):357-64.
  20. Sun MX, Huang XQ, Yan Y, Li BW, Zhong WJ, Chen JF, et al. One-hour after-school exercise ameliorates central adiposity and lipids in overweight Chinese adolescents: a randomized controlled trial. Chin Med J (Engl) 2011; 124(3):323-9.
  21. Peyman N, Ezzati-Rastegar KH, Taghipour A, Esmaily H. Effect of education on the weight self-efficacy lifestyle among adolescent girls with overweight and obesity. Armaghan-e-Danesh 2012; 17(2): 117-28. [In Persian].
  22. Azadi A, Anoosheh M, Alhani F, Hajizadeh E. The effect of implementation of health promotion program in school to control risk factors for obesity in adolescents. Iranian South Medical Journal 2009; 11(2):153-62. [In Persian].
  23. Sadrzadeh Yeganeh H, Alavi Naeeni AM, Dorosti Motlagh AR, Mahmoudi M, Jar Elahi N, Chamari M. Relationship between obesity and nutritional behavior among high school girls in Kerman. PAYESH 2007; 6(3):193-9. [In Persian].
  24. Alborzimanesh M, Kimiagar M, Rashidkhani B, Atefi Sadraini S. The relation between overweight and obesity with some lifestyle factors in the 3rd–5th grade primary schoolgirls in Tehran City 6th district. Iranian Journal of Nutrition Sciences and Food Technology 2011; 6(3):75-84. [In Persian].
  25. Jiang MH, Yang Y, Guo XF, Sun YX. Association between child and adolescent obesity and parental weight status: a cross-sectional study from rural north China. J Int Med Res 2013; 41(4):1326-32.
  26. Dorosty AR, Hodjat P. The study of some obesity associate factors in primary school girls. Journal of School of Public Health and Institue of Public Health Research 2005; 3(2):25-35. [In Persian].
  27. Mohamadpour Koldeh M, Fouladvand MA, Avakh Keysami M. Prevalence of overweight and obesity among Bushehrian high-school girls at aged 14-17 years old. Iranian South Medical Journal 2012; 15(3): 221-32. [In Persian].