RESUMO
The aim of the study was to determine the effectiveness of a school-initiated cognitive and behavioral program to reduce childhood obesity. Height, weight, body mass index (BMI), and BMI z scores were obtained at the beginning and end of the school year at an intervention school (nâ=â1022) and at a control school (nâ=â692). The prevalence of overweight and obesity was 18.9% and 30.4% versus 19% and 30.2%, respectively, in the intervention and control schools. The incidence of overweight increased in the control school, but the incidence of obesity, weight, and BMI z scores increased significantly in the intervention school, suggesting that implementation of any school-based obesity intervention programs requires careful planning to achieve goals.
Assuntos
Terapia Comportamental , Obesidade/terapia , Avaliação de Resultados em Cuidados de Saúde , Programas de Redução de Peso , Índice de Massa Corporal , Peso Corporal , Criança , Cognição , Feminino , Hispânico ou Latino , Humanos , Incidência , Masculino , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Sobrepeso/terapia , Avaliação de Programas e Projetos de Saúde , Risco , Serviços de Saúde Escolar , Texas , Falha de TratamentoRESUMO
To determine the potential benefits of a residential summer camp to treat childhood obesity, 21 obese, multiethnic children (aged 11.4+/-1.4 years; body mass index [BMI] percentile 98.5+/-1.4; BMI z score 2.30+/-0.33) from a diverse socioeconomic background were enrolled in a 2-week summer camp program. Significant improvements (P<0.04) were observed in self-esteem (+0.27+/-0.33 point), body weight (-3.7+/-1.2 kg), BMI (-1.60+/-0.48 kg/m), BMI z score (-0.12+/-0.06), number of curl ups (+10.9+/-21.5), systolic and diastolic blood pressure (-10.8+/-13.4 and -9.4+/-5.5 mmHg, respectively), and heart rate (-8.2+/-12.7 bpm).