Childhood Obesity and Physical Activity-Friendly School Environments

Ip, Patrick; Ho, Frederick Ka Wing; Louie, Lobo; Chung, Thomas; Cheung, Yiu‐fai; Lee, So Lun; Hui, Stanley Sai-chuen; Ho, Walter King Yan; Ho, Daniel Sai Yin; Wong, Wilfred Hing Sang; Jiang, Fan

doi:10.1016/j.jpeds.2017.08.017

Cited by 62 publications

(56 citation statements)

References 25 publications

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“…In fact, the accessibility to healthy lifestyle not only operate on individual level but also on a school neighbourhood level. A recent multilevel study in Hong Kong has found that the schools in upper class regions often had a larger campus size (r = 0.11, p = 0.02), providing the necessary space for their students to exercise, while some primary schools in poorer regions of Hong Kong did not even have a full basketball court [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic Gradient in Childhood Obesity and Hypertension: A Multilevel Population-Based Study in a Chinese Community

et al. 2016

PLoS ONE

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BackgroundThis study aims to assess evidence for any socioeconomic gradients in childhood obesity and hypertension in a population-representative sample in Hong Kong, China.MethodsThe data of a stratified random sampled growth survey collected in 2005–2006 was matched with a population by-census. Obesity was defined using the International Obesity Task Force standard and hypertension was defined using the Hong Kong norm table. Family socioeconomic status (SES) was measured by maternal education level. Neighbourhood SES was measured by median household income of the neighbourhood. Multilevel Poisson regression models with robust standard error were used to test the association. Body mass indices of children’s parents were included as potential confounders. Intra-school/neighbourhood correlations were adjusted using random factors.ResultsTotally 14842 children (age 6–19 years) included in the analysis, in which 16.6% of them were overweight or obese. Children whose mother only completed secondary school or below had higher risk of childhood obesity (RR 1.41, 95% CI 1.13–1.76, p = 0.003) and hypertension (RR 1.18, 95% CI 1.01–1.36, p = 0.03). Meanwhile, children in the lowest neighbourhood SES group had higher risk of childhood underweight (RR 1.61, 95% CI 1.04–2.49, p = 0.03), overweight (RR 1.35, 95% CI 1.05–1.72, p = 0.02), and obesity (RR 2.07, 95% CI 1.11–3.88, p = 0.02).ConclusionsSocioeconomic gradient in childhood obesity and hypertension existed in Hong Kong, one of the most developed cities in China. These results have implications for policymakers and public health experts and highlight the need to monitor trends in other parts of China.

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Section: Discussionmentioning

confidence: 99%

Socioeconomic Gradient in Childhood Obesity and Hypertension: A Multilevel Population-Based Study in a Chinese Community

et al. 2016

PLoS ONE

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“…For example, the school environment plays a crucial role for students to engage in physical activity (PA) [11,12]. The PA-friendly school environment positively associated with student's PA participation [13]. Meanwhile, the extramural activity also promotes MVPA effectively, which provides more opportunities for students to participate in PA, such as neighborhood-based PA facilities, organization, and so on [14][15][16][17].…”

Section: Page 3/23mentioning

confidence: 99%

Determinants of student’s MVPA level in school and neighborhood environment changing with age: a 12-month follow-up study in Ningxia province

Huang¹,

Shi²,

Wang³

et al. 2020

Preprint

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Background The benefits of physical activity have been identified in children and adolescents. However, the prevalence of physical inactivity in school-aged children and adolescents was high in China. Most time of students spends in neighborhood and school, and these play an important role in student’s MVPA level. Therefore, we will investigate the impact of implementing the national health promotion policy on PA behavior in school-aged children and adolescents and the effects that influence the changes in PA behavior in this study. Methods This is a longitudinal study with a 12-month follow-up. The study sample came from 2016 and 2017 Physical Activity and Fitness in China—The Youth Study, total 1611 students (aged 7–18 years) from 31 primary, junior high, and high schools were included in this study. The physical and social environment in school and neighborhood were measured by questionnaire at baseline and after 12 months. Multiple logistic regression was used to examine the relationship of influential factors and moderate- and vigorous MVPA. Results There is no significant difference in MVPA level between 2016 and 2017. Student’s attitudes to PA, neighborhood facilities, and organizations were improved significantly after 12 months. The influential factors changed after 12 months. In 2016 the top three contributors were attitude to MVPA(OR 3.08 with 95% CL 1.22, 7.76), neighborhood PA facilities(OR 1.52, 95% CL 1.24, 1.86) and age(OR 1.38, 95% CL 1.13, 1.69), and in 2017 the top three factors were student’s attitude to PA(OR 4.28, 95%CL 1.788,10.245), school extra time for PA(OR 2.29, 95% CL 1.56, 3.36) and the frequency of sports events in neighborhood(OR 1.84, 95% CL 1.34, 2.53). Conclusions The single health policy is not effective for student’s MVPA promotion. There may be some factors mediate the relationship between neighborhood environment and MVPA level with age and grade increasing. In the future, more studies are needed to explore the change of influential factors and mediators with age. The findings of this study may provide some evidence for future policy-making.

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“…Meskipun demikian, dalam penelitian yang dilakukan oleh Ip dkk tersebut. 21 juga ditunjukkan terdapat faktor lain yang dapat membantu mengurangi risiko kegemukan dan obesitas pada remaja yaitu persepsi guru mengenai manfaat aktivitas fisik, pengalaman pembelajaran mengenai aktivitas fisik, etos siswa terhadap aktivitas fisik, dan jumlah program yang dapat meningkatkan aktivitas fisik. Oleh karena itu, program di sekolah yang bertujuan untuk meningkatkan keempat faktor pendukung aktivitas fisik di sekolah tersebut merupakan alternatif yang dapat dilakukan sebagai upaya pencegahan obesitas pada remaja.…”

Section: Perbaikan Fasilitas Sekolahunclassified

Pemanfaatan sekolah sebagai sarana pencegahan obesitas sejak dini pada remaja

Muhammad

2019

J Community Empowerment for Health

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Obesity among adolescents is a new nutritional problem in Indonesia. This is not only associated with increased risk for obesity in later life but also increased the risk for cardiovascular diseases, type 2 diabetes mellitus, hypertension, and other non-communicable diseases. Therefore an effective and integrated obesity prevention program is highly warranted. There are several community-based programs for obesity prevention that have been developed in the past few decades and school-based activity is one of the potential programs that could be implemented in the Indonesian setting. School is a strategic location for obesity prevention programs in the adolescents because school is the place where most of the adolescents spending their time outside their home. In addition, a school also a centralized community where health and nutrition promotion programs can be done at the same time. In 2012, the Indonesian Ministry of Health published a guidebook on the prevention and treatment of adolescents with obesity at school. However, this guideline only focusing on the role of health workers at puskesmas level and not detailing the role of the school in managing obesity prevention program. Thus, this review was made to provide an alternative solution for obesity prevention in adolescent via programs that can be done at school. Author aimed this review for school managers, puskesmas health workers, the local department of health, researcher and non-government organization that has the concern regarding adolescents health especially in relation to nutrition. This review can be a foundation for the development and implementation of school-based obesity prevention programs as well as a reference for the development of school policy.

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Childhood Obesity and Physical Activity-Friendly School Environments

Cited by 62 publications

References 25 publications

Socioeconomic Gradient in Childhood Obesity and Hypertension: A Multilevel Population-Based Study in a Chinese Community

Socioeconomic Gradient in Childhood Obesity and Hypertension: A Multilevel Population-Based Study in a Chinese Community

Determinants of student’s MVPA level in school and neighborhood environment changing with age: a 12-month follow-up study in Ningxia province

Pemanfaatan sekolah sebagai sarana pencegahan obesitas sejak dini pada remaja

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