J Korean Acad Nurs.  2007 Oct;37(6):902-913.

The Effects of a Physical Activity-Behavior Modification Combined Intervention(PABM-intervention) on Metabolic Risk Factors in Overweight and Obese Elementary School Children

Affiliations
  • 1Department of Nursing, College of Medicine, Hanyang University, Korea.
  • 2National Cancer Center, Korea. visionup@ncc.re.kr
  • 3Department of Nursing, Kyungin Women's College, Korea.

Abstract

PURPOSE: The purpose of this study was to identify the effects of a physical activity-behavior modification combined intervention(PABM-intervention) on metabolic risk factors in overweight and obese elementary school children. METHODS: Thirty-two participants (BMI> or =85 percentile or relative obesity> or =10) were allocated to the PABM-intervention group and behavior modification only intervention group. The PABM-intervention was composed of exercise intervention consisting of 50 minutes of physical activity(Hip-hop dance & gymbased exercises) twice a week and the behavior modification intervention consisted of 50 minutes of instruction for modifying lifestyle habits(diet & exercise) once a week. Effectiveness of intervention was based on waist circumference, BP, HDL-cholesterol, TG, and fasting glucose before and after the intervention. RESULTS: The proportion of subjects with 1, 2, 3 or more metabolic risk factors were 28.1, 43.8, and 15.6%, respectively. After the 8-week intervention, waist circumference, systolic BP, diastolic BP, and HDL-cholesterol changed significantly(p<.01) in the PABM group. CONCLUSION: This provides evidence that a PABM-intervention is effective in changing metabolic risk factors such as waist circumference, systolic BP, diastolic BP, and HDL-cholesterol in overweight and obese elementary school children.

Keyword

Overweight; Obesity; Children; Metabolic syndrome; Physical activity

MeSH Terms

*Behavior Therapy
Blood Pressure
Body Composition
Child
Combined Modality Therapy
*Exercise Therapy
Female
Humans
Lipids/blood
Male
Metabolic Syndrome X/*etiology
Obesity/complications/*therapy
Overweight/*therapy
Physical Fitness
Program Evaluation
Risk Factors
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