Child Health Nurs Res.  2021 Jul;27(3):211-224. 10.4094/chnr.2021.27.3.211.

Effectiveness of a combined obesity prevention program in South Korea for children from low-income families that included primary caregiver participation

Affiliations
  • 1Associate Professor, Institute of Health Science, College of Nursing, Inje University, Busan, Korea
  • 2Assistant Professor, Department of Nursing, Choonhae College of Health Scineces, Ulsan, Korea

Abstract

Purpose
Obesity among children from low-income families is becoming a social problem. The aim of this study was to evaluate the effectiveness of an obesity prevention program that included physical activity, nutrition education, behavioral modification, and primary caregiver participation components among children from low-income families.
Methods
The study analyzed a nonequivalent control group using a pretest-posttest design. A total of 77 children were recruited from six community childcare centers using purposive sampling. For the intervention group (n=40), the pretest was administered before the combined intervention program involving the participants' primary caregivers was conducted for 8 weeks. The posttest was conducted immediately after the program and again four weeks after the program.
Results
Flexibility (F=4.64, p=.020), muscular endurance (F=11.22, p<.001), nutritional knowledge scores (F=4.79, p=.010), body image satisfaction scores (F=4.74, p=.012), and self-esteem scores (F=3.81, p=.029) showed significant differences and interactions between group and time for the intervention and control groups.
Conclusion
Strategies to actively engage the primary caregivers of low-income families in children's obesity programs are needed. Obesity prevention programs for children based on the program in this study should be routinely developed, and continuing attention should be given to children from low-income families.

Keyword

Children; Obesity; Community participation; Parents
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