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Instituto Nacional de Salud Pública

2014, Number s2

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salud publica mex 2014; 56 (s2)

Effects of an intervention strategy for school children aimed at reducing overweight and obesity within the State of Mexico

Morales-Ruán MC, Shamah-Levy T, Amaya-Castellanos CI, Salazar-Coronel AA, Jiménez-Aguilar A, Amaya-Castellanos MA, Méndez-Gómez HI

Language: English
References: 35
Page: 113-122
PDF size: 299.69 Kb.


ABSTRACT

Objective. This study explored the intervention effect of the “Nutrition on the Go” strategy on the prevalence of overweight and obesity (OW+O), according to the role played by different patterns. Materials and methods. Pattern Groups (PG) were determined based on schools’ food availability and other variables at individual level: nutrition knowledge, physical activity, socioeconomic level and self-efficacy, using an ecological approach. The PG classification was achieved using Ward’s cluster method. Results. The prevalence of OW+O was higher in PG1 (intermediate food availability and high socioeconomic index [SEI]) compared to PG 2 (high availability of food and lower SEI) and PG 3 (low availability of food and medium SEI) with a lower prevalence (p‹0.001). The PG-intervention interaction showed differences for PG 3 (p=0.066), the stage-PG interaction showed differences between PGs 1 and 3 (p=0.014) and between PGs 2 and 3 (p=0.055). Conclusions. Differences between PGs have important implications for the prevalence of OW+O.


REFERENCES

  1. Kimbro RT, Brooks-Gunn J, McLanahan S. Racial and ethnic differentials in overweight and obesity among 3-year-old children. Am J Public Health 2007;97(2):298-305.

  2. Rivera-Dommarco J, Cuevas-Nasu L, Shamah-Levy T, Villalpando- Hernández S, Ávila-Arcos MA, Jiménez-Aguilar A. Estado nutricio. En: Olaiz-Fernández G, Rivera-Dommarco J, Shamah-Levy T, Rojas R, Villalpando-Hernández S, Hernández-Avila M, et al. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca, Mexico: Instituto Nacional de Salud Pública, 2006.

  3. Institute of Medicine. Joint U.S - Mexico workshop on preventing obesity in children and youth of Mexican origin. Washington, DC, USA: Institute of Medicine of the National Academies, the National Academies Press, 2007.

  4. Swinburn B, Eggar G, Raza F. Dissecting obesogenic environments; the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med 1999;29(6):563-570.

  5. Instituto Nacional de Salud Pública. Documento técnico de recomendaciones para guías de alimentación en escuelas primarias públicas. Caracterización del ambiente escolar en escuelas primarias de estados de la República Mexicana y Recomendaciones para un “Refrigerio escolar saludable”. Cuernavaca, Mexico, 2008 [accessed November 6, 2012]. Available at: http://www.insp.mx/images/stories/Centros/cinys/Docs/ DOC_TECNICO_GUIAS_INSP_SSA_2010.pdf

  6. Bonvecchio A, Safdie M, Theodore F, Aburto N, Gust T, Villanueva M, et al. Diseño y evaluación de una estrategia para la prevención de la obesidad en el niño mexicano. Salud Publica Mex 2007;49(supl 1):229.

  7. Instituto Nacional de Salud Pública. Nutrición en movimiento [website]. México: INSP, 2011 [accessed December 10, 2012]. Available at: http://www.nutricionenmovimiento.org.mx/dif/

  8. Murray DM. Design and Analysis of Group-Randomized Trials. New York: Oxford University Press, 1998.

  9. Shamah-Levy, T, Morales-Ruán C, Amaya-Castellanos C, Salazar- Coronel A, Jiménez-Aguilar A, Méndez Gómez-Humarán I. Effectiveness of a diet and physical activity promotion strategy on the prevention of obesity in Mexican school children. BMC Public Health 2012;12(1):1-13 [accessed November 5, 2012]. Available at: http://www.biomedcentral. com/1471-2458/12/152.

  10. Cole T, Bellizzi M, Flegal K, Dietz W. Establishing a Standard definition for child overweight and obesity worldwide: international survey. British Medical J 2000;320(7244):1240-1243.

  11. Rodríguez S, Mundo V, Jiménez A, Shamah T. Methodology for the analysis of dietary data from the Mexican National Health and Nutrition Survey 2006. Salud Publica Mex 2009;51(4):S523-S529.

  12. Bronfman M, Guiscafré H, Castro V, Castro R, Gutiérrez G. La medición de la desigualdad: una estrategia metodológica, análisis de las características socioeconómicas de la muestra. Arch Invest Med 1988;19:351-360.

  13. Hernández B, Gortmarker S, Larid N, Colditz G, Parra-Cabrera S, Peterson K. Validez y reproductibilidad de un cuestionario de actividad e inactividad física para escolares de la Ciudad de México. Salud Publica Mex 2000;42(4):315-323.

  14. Council on Sports Medicine and Fitness, Council on School Health. Active Healthy Living: Prevention of Childhood Obesity Through Increased Physical Activity. Pediatrics 2006;117(5):1834-1842.

  15. Morales-Ruán MC, Hernández-Prado B, Gómez-Acosta LM, Shamah- Levy T, Cuevas-Nasu L. Obesity, overweight, screen time and physical activity in Mexican adolescents. Salud Publica Mex 2009;51(4):S613-S620.

  16. American Academy of Pediatrics. Committee on Public Education. Media Violence. Pediatrics 2001;108:1222-1226.

  17. Aedo A, Ávila H. Nuevo cuestionario para evaluar la auto eficacia hacia la actividad física en niños. Rev Panam Salud Publica 2009;26(4):324-329.

  18. Norman GJ, Carlson JA, Sallis JF, Wagner N, Calfas KJ, Patrick K. Reliability and validity of brief psychosocial measures related to dietary behaviors. Int J Behav Nutr Phys Act 2010;7(1):56.

  19. PACE PROGRAM. [website]. San Diego UC: Physician Assessment and Clinical Education program, Inc; 2008 [accessed July 25, 2011]. Available at: http://www.paceprogram.ucsd.edu/.

  20. Bandura A. Self-efficacy: The exercise of control. New York: WH Freeman, 1997.

  21. Ruiz VM, Berrocal C, López AE, Rivas T. Autoeficacia en el control de la conducta de ingesta. Adaptación al castellano de la Eating Self-Efficacy Scale. Psicothema 2003;15(1):36-40.

  22. Johnson-Dallas E. Applied Multivariate Methods for Data Analysts. Belmont: Duxbury Press, 1998.

  23. Ziegler A. Generalized Estimating Equations. New York: Springer Science+Business Media, LLC, 2011.

  24. Selvin S. Statistical Analysis of Epidemiological Data. New York: Oxford, 2004.

  25. Melendez G. Factores asociados con el sobrepeso y obesidad en el ambiente escolar. México: Médica Panamericana, 2008.

  26. Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity: public-health crisis, common sense cure. Lancet 2002;360:473-482.

  27. Government Office for Science. Foresight Tackling Obesities: Future Choices Project. [website]. United Kingdom: 2007 [accessed December 13, 2012]. Available at: http://www.bis.gov.uk/assets/foresight/docs/ obesity/14.pdf.

  28. Dehghan M, Akhtar-Danesh N, Merchant AT. Childhood obesity, prevalence and prevention. Nutr J 2005;4:24.

  29. Lobstein T, Baur L, Uauy R, IASO International Obesity TaskForce. Obesity in children and young people: a crisis in public health. Obes Rev 2004;5(suppl 1):4-104.

  30. Guedes DP, Rocha GD, Silva AJ, Carvalhal IM, Coelho, EM. Effects of social and environmental determinants on overweight and obesity among Brazilian schoolchildren from a developing region. Rev Pan Salud Pública 2011;30(4):295-302.

  31. O’Malley PM, Johnston LD, Delva J, Bachman JG, Schulenberg JE. Variation in obesity among American secondary school students by school and school characteristics. Am J Preventive Medicine 2007;33(Suppl 4):S187-S194.

  32. Summerbell CD, Waters E, Edmunds LD, Kelly S, Brown T, Campbell KJ. Intervenciones para prevenir la obesidad infantil (revisión Cochrane traducida). In: La Biblioteca Cochrane Plus, 2008 Number 4. Oxford: Update Software Ltd. (The Cochrane Library, 2008 Issue 3. Chichester, UK: John Wiley & Sons, Ltd.) [accessed: October 17, 2012]. Available at: http://www.update-software.com/

  33. Brown T, Summerbell C. Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity: an update to the obesity guidance produced by the National Institute for Health and Clinical Excellence. Obes Rev 2009;10(1):110-141.

  34. Katz L. School-Based Interventions for Health Promotion and Weight Control: Not Just Waiting on the World to Change. Annu Rev Public Health 2009;30:253-272.

  35. Shamah-Levy T, ed. Encuesta Nacional de Salud en Escolares 2008. Cuernavaca (Mexico): Instituto Nacional de Salud Pública, 2010.




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