Healthy Buddies: A Novel, Peer-Led Health Promotion Program for the Prevention of Obesity and Eating Disorders in Children in Elementary School

Stock, Suzanne; Miranda, Charmaine; Evans, Stacey; Plessis, Suzanne; Ridley, Julia; Yeh, Sophia; Chanoine, Jean‐Pierre

doi:10.1542/peds.2006-3003

Cited by 191 publications

(256 citation statements)

References 29 publications

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“…Prevention programmes utilizing an integrated preventive approach Recent years have seen the development of preventive programmes addressing, in joint fashion, a broad spectrum of eating-and weight-related problems (76,(84)(85)(86)132) , which reflect significant progress on the path towards integrated prevention. Some are obesity prevention programmes, which have evaluated the effects of intervention on disordered eating.…”

Section: Proposals and Initiatives For The Integrated Prevention Of Omentioning

confidence: 99%

Integrated prevention of obesity and eating disorders: barriers, developments and opportunities

Sánchez-Carracedo

Neumark‐Sztainer

López-Guimerà

2012

Public Health Nutr.

109

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AbstractObjectiveThe serious consequences of obesity and eating disorders (ED), difficulties encountered in treatment and the high prevalence of these conditions are important reasons to develop efforts aimed at their prevention. The implementation of integrated interventions aimed at preventing risk factors for both obesity and ED constitutes a very exciting development. In the present paper we discuss and review the main reasons for an integrated approach to the spectrum of eating- and weight-related problems, which include anorexia nervosa, bulimia nervosa, anorexic and bulimic behaviours, unhealthy dieting practices, body dissatisfaction, binge-eating disorder, overweight and obesity. Given differences between the fields with regard to current perspectives and objectives, key barriers to an integrated approach to prevention are discussed. In order to show the possibilities of development of this approach, we review the main contributions made to date in the fields of both obesity and ED prevention. In particular, environmental approaches in the prevention of obesity and ED are reviewed, given their potential for preventing a broad spectrum of eating- and weight-related problems. Furthermore, several examples of initiatives that have utilized an integrated approach to prevention are discussed.DesignNarrative review.ConclusionsWe recommend a scenario in which the two fields share knowledge to enhance the difficult work of preventing and treating both ED and obesity.

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Section: Proposals and Initiatives For The Integrated Prevention Of Omentioning

confidence: 99%

Integrated prevention of obesity and eating disorders: barriers, developments and opportunities

Sánchez-Carracedo

Neumark‐Sztainer

López-Guimerà

2012

Public Health Nutr.

109

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“…11 Studies by our group and others have recently demonstrated that peer-led interventions are successful at eliciting behavior changes that lead to improved health outcomes in children, in particular weight status. [14][15][16] Previous communitybased interventions tailored to Aboriginal children have not included a peermentoring model; therefore, the efficacy of a peer-mentoring approach for attenuating weight gain and risk factors for T2DM in Aboriginal children remains unclear.…”

mentioning

confidence: 99%

“…In light of the positive effects of peer mentoring on obesity-related outcomes in other settings, [14][15][16] we partnered with a remote First Nation in northern Manitoba to pilot a community-based participatory action experimental trial to test the hypothesis that an afterschool, peer-led mentoring program would attenuate weight gain and improve healthy living knowledge and behaviors in children in primary school. Furthermore, we hypothesized that changes in adiposity would be associated with improvements in healthy living knowledge and behaviors and self-efficacy.…”

mentioning

confidence: 99%

Peer Mentoring for Type 2 Diabetes Prevention in First Nations Children

Eskicioglu

Halas²,

Sénéchal

et al. 2014

Pediatrics

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OBJECTIVE: The goal of this study was to assess the efficacy of an after-school, peer-led, healthy living program on adiposity, self-efficacy, and knowledge of healthy living behaviors in children living in a remote isolated First Nation. METHODS: A quasi-experimental trial with a parallel nonequivalent control arm was performed with 151 children in Garden Hill First Nation during the 2010–2011 and 2011–2012 school years. Fourth grade students were offered a 5-month, peer-led intervention facilitated by high school mentors between January and May of each school year; students in the control arm received standard curriculum. The main outcome measures were waist circumference (WC) and BMI z score. Secondary outcome measures included healthy living knowledge and self-efficacy. RESULTS: Fifty-one children (mean ± SD age: 9.7 ± 0.4 years; BMI z score: 1.46 ± 0.84) received the intervention, and 100 children were in the control arm. At baseline, WC (79.8 vs 83.9 cm), BMI z score (1.46 vs 1.48), and rates of overweight/obesity (75% vs 72%) did not differ between arms. After the intervention, the change in WC (adjusted treatment effect: –2.5 cm [95% confidence interval (CI): –4.1 to –0.90]; P = .002) and BMI z score (adjusted treatment effect: –0.09 [95% CI: –0.16 to –0.03]; P = .007) were significantly lower in the intervention arm compared to the control arm. The intervention arm also experienced improvements in knowledge of healthy dietary choices (2.25% [95% CI: –0.01 to 6.25]; P = .02). Self-efficacy was associated with the change in WC after the intervention (β = –7.9, P = .03). CONCLUSIONS: An after-school, peer-led, healthy living program attenuated weight gain and improved healthy living knowledge in children living in a remote isolated First Nation.

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“…For instance, participants in class 5F that do not pay attention and thought to be indifferent about their health by other participants have actually refuted this and claimed that they do value their health and follow the advice given by DM about personal hygiene and help spread knowledge to their family members. Hence, these participants stated that their lack of attention is simply a result of communication barriers that occur during their information session with DM in a non-conducive environment (Stock et al, 2007;Truong, 2008;Venditti et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

School Children as Health Agent: An Explorative Study on Peers’ Perspectives

Sm¹,

Pises²,

Faizal³

et al. 2017

GJHS

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Introduction: School based programme known as 'Doktor Muda' was established to empower school children using their knowledge and health skills to achieve better health status. ''Doktor Muda'' (DM) is a group involved a selection of trained school children that met certain criteria as peer educators in order to influence their peers' attitude and health practices. Methodology:A cross sectional study was carried out from March 2014 to January 2015. Qualitative data were collected by Focus Group Discussion (FGD) to identify peers perspective towards DM as a health promotion agent using a semi structured open ended questionnaire. The questionnaire was developed according to the relevant themes that identify the abilty of DM to influence their peers' attitude and health practices. Results:The findings showed that majority of participants admitted positive response towards information given by DM in their behavioural beliefs towards health. Majority of the participants agreed DM has succeeded in changing their attitudes toward the importance of health involving were participants' concern on health. However, some of the participants claimed negative response showed by the peers during dissemination of information by DM and participants' observations. Verification from the feedback groups regarding individual who influence their personal hygiene practice revealed 45.5% by their ownself, 36.4% by their parents/family and 36.4% by DM respectively. Conclusions:This study has succeeded in exploring peers' perspectives on the efficacy of DM as health promotion agent. Strengthening in positive beliefs among peers towards health, influencing positive attitudes to accentuate health and encouraging health practices at a moderate level were established in this study.

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Healthy Buddies: A Novel, Peer-Led Health Promotion Program for the Prevention of Obesity and Eating Disorders in Children in Elementary School

Cited by 191 publications

References 29 publications

Integrated prevention of obesity and eating disorders: barriers, developments and opportunities

Integrated prevention of obesity and eating disorders: barriers, developments and opportunities

Peer Mentoring for Type 2 Diabetes Prevention in First Nations Children

School Children as Health Agent: An Explorative Study on Peers’ Perspectives

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