Kittiya Rattanamanee. The effects of the family based behavioral counseling program on healthy eating behavior, physical activity, and body mass index in school-aged children with obesity : a randomized control trial. Doctoral Degree(Nursing Science). Burapha University. Library. : Burapha University, 2020.
The effects of the family based behavioral counseling program on healthy eating behavior, physical activity, and body mass index in school-aged children with obesity : a randomized control trial
Abstract:
The prevalence and incidence of being overweight or obese have been increasing among school-age children. Childhood obesity contributes to a wide range of health problems. Unhealthy eating and less physical activity induce obesity. This randomized controlled trial aimed to examine the effectiveness of a family-based behavioral counseling program on healthy eating behavior, physical activity, and BMI in school-age children with obesity. Participants were 10-12 years old students and studying in three municipal schools in Surat Thani Province. Participants were assigned into the intervention group I, II, and the control group, with 22 participants per group. The intervention group I received a 16-week individual family-based behavioral counseling program, the intervention group II received a 16-week group-based behavioral counseling program, and the control group received a usual program. Research instruments included a healthy eating behavior questionnaire, a physical activity questionnaire, and measures of weight and height. Repeated Measure ANOVA and Repeated Measure ANCOVA were used to analyze the data. The results revealed that after completing the interventions, mean scores of healthy eating behaviors and physical activity of participants in the intervention group I had significantly increased, compared to those in the intervention group II and the control group (F4, 120 = 24.445, p < .001; F2, 59 =14.616, p < .001, respectively). However, participants BMI was not significantly different between the three groups (F2,60 = 2.478, p = .09), but the BMI of the participants in the intervention group I changed significantly over time, in which it was lower than those at the base line (F2.825,85.561 = 23.155, p < .001). The family-based counseling program can enhance healthy eating behavior and decrease BMI but cannot increase physical activity among children with obesity. These findings indicate that children with obesity who had healthy eating behavior achieved lower BMI. This program should be replicated over a longer period. It can modify healthy lifestyle behaviors leading to weight control among children with obesity