Effects of a randomized controlled study on the behaviors of overweight schoolchildren

Authors

  • Anastácio Neco de Souza Filho Universidade Federal da Paraíba, Departamento de Educação Física, João Pessoa, Paraíba, Brasil. https://orcid.org/0000-0002-0724-4513
  • Thaynã Alves Bezerra Universidade Federal da Paraíba, Departamento de Educação Física, João Pessoa, Paraíba, Brasil. https://orcid.org/0000-0003-3296-4747
  • Paulo Felipe Ribeiro Bandeira Universidade Regional do Cariri, Departamento de Educação Física, Crato, Ceará, Brasil. https://orcid.org/0000-0001-8260-0189
  • Luciana Gatto Azevedo Cabral Universidade Federal da Paraíba, Departamento de Educação Física, João Pessoa, Paraíba, Brasil.
  • José Fernando Vila Nova de Moraes Universidade Federal do Vale do São Francisco, Colegiado de Educação Física, Petrolina, Pernambuco, Brasil. https://orcid.org/0000-0002-7394-7700
  • Clarice Maria de Lucena Martins Universidade Federal do Vale do São Francisco, Colegiado de Educação Física, Petrolina, Pernambuco, Brasil. https://orcid.org/0000-0002-4947-9329
  • Ferdinando Oliveira Carvalho Universidade Federal do Vale do São Francisco, Colegiado de Educação Física, Petrolina, Pernambuco, Brasil.

DOI:

https://doi.org/10.12820/rbafs.26e0221

Keywords:

Schoolchildren, Overweight, Physical activity, Sedentary behavior

Abstract

This study aimed to determine the effects of a school-based multi-component intervention on accelerometer- measured physical activity (PA) and sedentary behavior (SB) in schoolchildren overweight. This is a randomized controlled study with overweight schoolchildren, allocated to experimental group (EG; n = 13; 7.6 ± 0.8 years; 42.9% boys) and control group (CG; n = 17; 8.2 ± 0.9 years; 26.7% boys). The EG was submitted to a 10-week school-based intervention, comprised of PA and psychological sessions (behavioral therapy), and nutritional guidance. The CG followed the daily routine of life. The time of PA and SB were measured using accelerometers used for seven days. To compare mean SB, moderate to vigorous physical activity (MVPA) and total physical activity (TPA), generalized estimation equations (GEE) were used. It was observed that the average time in MVPA and TPA increased significantly in EG at the weekend (+ 40.9 min / day, p < 0.001; and + 51.6 min/day, p = 0.035, respectively) and at full week (+ 62.9 min/day, p < 0.001; and + 225.0 9 min/day, p = 0.038, respectively). There was no significant difference in time spent in SB after the intervention in both groups. Thus, it was concluded that the proposed school-based multicomponent intervention was effective in increasing levels of MVPA and TPA in overweight schoolchildren. This finding can optimize future interventions to promote a healthy lifestyle for schoolchildren in the school environment.

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References

Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, Lee A, et al. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med. 2017;377(1):13-27.

Gonzaga N, Sena A, Coura A, Dantas F, Oliveira R, Medeiros C. Sleep quality and metabolic syndrome in overweight or obese children and adolescents. Rev. de Nutr. 2016;29:377-89.

Wang YC, McPherson K, Marsh T, Gortmaker SL, Brown M. Health and economic burden of the projected obesity trends in the USA and the UK. The Lancet. 2011;378(9793):815-25.

Pereira S, Gomes TN, Borges A, Santos D, Souza M, dos Santos FK, et al. Variability and stability in daily moderate-to-vigorous physical activity among 10 year old children. International journal of environmental research and public health. 2015;12(8):9248-63.

Mushtaq MU, Gull S, Mushtaq K, Shahid U, Shad MA, Akram J. Dietary behaviors, physical activity and sedentary lifestyle associated with overweight and obesity, and their socio-demographic correlates, among Pakistani primary school children. Int. J. Behav. Nutr. Phys. Act. 2011;8(1):130.

Schneller MB, Duncan S, Schipperijn J, Nielsen G, Mygind E, Bentsen P. Are children participating in a quasi-experimental education outside the classroom intervention more physically active? BMC Public Health. 2017;17(1):523.

García-Hermoso A, Ramírez-Vélez R, Saavedra JM. Exercise, health outcomes, and pediatric obesity: A systematic review of meta-analyses. J Sport Sci Med. 2019;22(1):76-84.

Nooijen CFJ, Galanti MR, Engström K, Möller J, Forsell Y. Effectiveness of interventions on physical activity in overweight or obese children: a systematic review and meta-analysis including studies with objectively measured outcomes. Obes Rev. 2017;18(2):195-213.

Metcalf B, Henley W, Wilkin T. Effectiveness of intervention on physical activity of children: systematic review and meta-analysis of controlled trials with objectively measured outcomes (EarlyBird 54). BMJ: Br Med J. 2012;345:e5888.

Adom T, Kengne AP, De Villiers A, Puoane T. Association between school-level attributes and weight status of Ghanaian primary school children. BMC Public Health. 2019;19(1):577.

Nishtar S, Gluckman P, Armstrong T. Ending childhood obesity: a time for action. Lancet (London, England). 2016;387(10021):825-7.

Di Cesare M, Sorić M, Bovet P, Miranda JJ, Bhutta Z, Stevens GA, et al. The epidemiological burden of obesity in childhood: a worldwide epidemic requiring urgent action. BMC med. 2019;17(1):212.

IBGE. Pesquisa de Orçamentos Familiares–POF. Antropometria e Estado Nutricional de Crianças, Adolescentes e Adultos no Brasil. In: Ministério do Planejamento OeG, editor.: IBGE Rio de Janeiro; 2010. p. 130.

WHO. Physical status: the use and interpretation of anthropometry: report of a WHO Expert Committee. Geneva; 1995. 1995;854.

de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(9):660-7.

Migueles JH, Cadenas-Sanchez C, Ekelund U, Delisle Nyström C, Mora-Gonzalez J, Löf M, et al. Accelerometer Data Collection and Processing Criteria to Assess Physical Activity and Other Outcomes: A Systematic Review and Practical Considerations. Sports med. 2017;47(9):1821-45.

Engelen L, Bundy AC, Naughton G, Simpson JM, Bauman A, Ragen J, et al. Increasing physical activity in young primary school children — it's child's play: A cluster randomised controlled trial. Prev. Med. 2013;56(5):319-25.

Evenson KR, Catellier DJ, Gill K, Ondrak KS, McMurray RG. Calibration of two objective measures of physical activity for children. J. Sports Sci. 2008;26(14):1557-65.

Branscum P, Sharma M. After-School Based Obesity Prevention Interventions: A Comprehensive Review of the Literature. Int. J. Environ. Res. Public Health. 2012;9(4).

Mead E, Brown T, Rees K, Azevedo LB, Whittaker V, Jones D, et al. Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years. Cochrane Database Syst. Rev. 2017(6).

Golley RK, Hendrie GA, Slater A, Corsini N. Interventions that involve parents to improve children's weight-related nutrition intake and activity patterns – what nutrition and activity targets and behaviour change techniques are associated with intervention effectiveness? Obes. Rev. 2011;12(2):114-30.

Hu D, Zhou S, Crowley-McHattan ZJ, Liu Z. Factors That Influence Participation in Physical Activity in School-Aged Children and Adolescents: A Systematic Review from the Social Ecological Model Perspective. Int. J. Environ. Res. Public Health. 2021;18(6):3147.

Rhodes RE, Guerrero MD, Vanderloo LM, Barbeau K, Birken CS, Chaput J-P, et al. Development of a consensus statement on the role of the family in the physical activity, sedentary, and sleep behaviours of children and youth. Int J Behav Nutr Phys Act. 2020;17(1):74.

Craike M, Wiesner G, Hilland TA, Bengoechea EG. Interventions to improve physical activity among socioeconomically disadvantaged groups: an umbrella review. Int J Behav Nutr Phys Act. 2018;15(1):43.

Klingberg S, Draper C, Micklesfield L, Benjamin Neelon S, Sluijs E. Childhood Obesity Prevention in Africa: A Systematic Review of Intervention Effectiveness and Implementation. Int. J. Environ. Res. Public Health. 2019;16(7).

WHO. Recomendaciones mundiales sobre actividad física para la salud. Geneva: WHO Library Cataloguing-in-Publication; 2010.

Wahi G, Parkin PC, Beyene J, Uleryk EM, Birken CS. Effectiveness of Interventions Aimed at Reducing Screen Time in Children: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Arch Pediatr Adolesc Med. 2011;165(11):979-86.

Friedrich RR, Polet JP, Schuch I, Wagner MB. Effect of intervention programs in schools to reduce screen time: a meta‐analysis. J. . Pediatr. 2014;90(3):232-41.

Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, et al. Sedentary Behavior Research Network (SBRN) – Terminology Consensus Project process and outcome. Int. J. Behav. Nutr. Phys. Act. 2017;14(1):75.

Biddle SJH, Petrolini I, Pearson N. Interventions designed to reduce sedentary behaviours in young people: a review of reviews. Br. J. Sports Med. 2014;48(3):182.

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Published

2021-08-10

How to Cite

1.
Souza Filho AN de, Bezerra TA, Bandeira PFR, Cabral LGA, Moraes JFVN de, Martins CM de L, et al. Effects of a randomized controlled study on the behaviors of overweight schoolchildren. Rev. Bras. Ativ. Fís. Saúde [Internet]. 2021 Aug. 10 [cited 2024 Jul. 3];26:1-8. Available from: https://rbafs.org.br/RBAFS/article/view/14583

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Original Articles