The effect of the Aid Student to Fit Program: The longitudinal study based on the evidences
| Autor: | Chien-Fen Chen, 陳健芬 |
|---|---|
| Rok vydání: | 2014 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 102 Background: Taiwan gets the second place of childhood obesity in Asia. Poor implementation of health behavior, the childhood obesity more likely to cause psychosocial problems of children, as well as obesity in adulthood and the vast majority easily lead to many chronic diseases. According to the 2007 cross-sectional survey of health behavior and obesity of students: the rate of over eight hours of sleep a day was 25% ; the rate of eat three servings of vegetables daily was 13.1%; the rate of screen time less than two hours a day was 48.1%; the rate of over 210 minutes of physical activity a week was 52.9%. therefore, childhood obesity is a topic which must be solved. Aim: management strategies of student obesity based on prior evidences: full eight hours of sleep a day, eating all vegetables of lunch every day, using four electric equipment less than two hours a day (watching TV, playing video games, playing on the computer, using the phone), engaging physical activity 30 minutes every day (physical activity 210 minutes per week), drinking water (drinking 1500 cc every day) and eating breakfast every day. Based on healthy promoting school model and providing health behavior intervention for 24 weeks, we track record of student achievement rate of health behavior and body weight by week, and examine its effectiveness. Methods: This study as a longitudinal study, the schools used the results of “Study of Aid Student to Fit” to develop strategies. The investigators used questionnaires of "healthy self-management of students" between September 2012 to September 2013 by the internet or on paper to track the behavior of 95,767 junior high and elementary school students with the height and weight. Hierarchical Linear Modeling (HLM) analyze the impact of long-term intervention of health behavior for students Z values of BMI; mean while Cox regression and Kaplan-Meier analyze relation of health behavior reaching or not with obesity-related risk. Results: After promotion “Study of Aid Student to Fit” in the junior high and elementary schools in Taiwan. Student achievement rate of healthy behavior increased significantly. After 24- week intervention of healthy behavior, the ratio of students’ normal bodyweight increased from 44.6 % to 48.3 %; overweight ratio decreased from 24.4% to 23.5%; obesity ratio decreased from 16.5% to 13.9%. The cross - sectional analysis based on mean effect of HLM showed the students to full eight hours sleep a day, to use four - electric equipment less than two hours a day, to engage physical activity 30 minutes every day, and to eat breakfast every day. Their BMI Z value is significantly lower than which people not reached (p |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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