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The Effects of the Parent Training Program for Obesity Reduction on Health Behaviors of School-Age Children

Authors: Muntanavadee Maytapattana


The purposes of the study were to evaluate the effectiveness of the Parent Training Program for Obesity Reduction (PTPOR) on health behaviors of school-age children. An Ecological Systems Theory (EST) was approached the study and a randomized control trial was used in this study. Participants were school-age overweight or obese children and their parents. One hundred and one parent-child dyads were recruited and random assigned into the PTPOR (N=30), Educational Intervention or EI (N=32), and control group (N=39). The parents in the PTPOR group participated in five sessions including an educational session, a cooking session, aerobic exercise training, 2-time group discussion sessions, and 4-time telephoned counseling sessions. Repeated Measure ANCOVA was used to analyze data. The results presented that the outcomes of the PTPOR group were better than the EI and the control groups at 1st, 8th, and 32nd weeks after finishing the program such as child exercise behavior (F(2,97) = 3.98, p = .02) and child dietary behavior (F(2,97) = 9.42, p = .00). The results suggest that nurses and health care providers should utilize the PTPOR for child weight reduction and for the health promotion of a lifestyle among overweight and obese children.

Keywords: school-age children, child health behaviors, Parent training program for obesity reduction

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[1] Aekplakorn, W., & Mo-Suwan, L., (2009). Prevalence of obesity in Thailand. Obesity Reviews, 10, 589-592.
[2] Bureau of Nutrition. (2010). ดูแลหุ่นสวยด้วยตัวเอง (Taking good care of your body). Bangkok: Printing house of the War Veterans Organization.
[3] Centers for Disease Control and Prevention (CDC). (2009). Parent training programs: Insight for practitioners. Atlanta, GA: Centers for Disease Control.
[4] Chaiamnuay, P. (2002). แนวทางการป้องกันและรักษาโรคอ้วนในประชากรไทย (Guideline for prevention and treatment obesity in Thai). Bangkok: Comfort.
[5] Chokprajakchad, M. (2009). The effectiveness of a weight management program using the camp technique for obese school children (Master’s thesis). Mahidol University, Bangkok.
[6] Chuachai, K. (2009). Consequences of obesity in health behavior of obese children, Bangkok metropolitan (Master’s thesis). Mahidol University, Bangkok.
[7] Davis, C. L., Pollock, N. K., Waller, J. L., Allison, J. D., Dennis, B. A., Bassali, R., Meléndez, A., & Gower, B. A. (2012). Exercise dose and diabetes risk in overweight and obese children: A randomized controlled trial. The Journal of the American Medical Association, 308(11), 1103-1112.
[8] Davison, K. K., & Birch, L. L. (2001). Childhood overweight: A contextual model and recommendations for future research. Obesity Reviews, 2(3), 159-171.
[9] De Jong, E., Visscher, T. L. S., HiraSing, R. A., Heymans, M. W., Seidell, J. C., & Renders, C. M. (2011). Association between TV viewing, computer use and overweight, determinants and competing activities of screen time in 4- to 13-year-old children. International Journal of Obesity. Advance online publication. doi:10.1038/ijo.2011.244
[10] De Mello, E. D., Luft, V. C., & Meyer, F. (2004). Individual outpatient care versus group education programs. Which leads to greater change in dietary and physical activity habits for obese children? Jornal de Pediatria, 80(6), 468–474.
[11] De Niet, J. E., & Naiman, D. I. (2011). Psychosocial aspects of childhood obesity. Minerva Pediatrica, 63(6), 491-505.
[12] Epstein, L. H., Paluch, R. A., Beecher, M. D., & Roemmich, J. N. (2008a). Increasing healthy eating vs. reducing high energy-dense foods to treat pediatric obesity. Obesity, 16, 318-326.
[13] Estabrooks, P. A., Shoup, J. A., Gattshall, M., & Dandamudi, P. (2009). Automated telephone counseling for parents of overweight children: A randomized controlled trail. American Journal of Preventive Medicine, 36(1), 35- 42.
[14] George, D., & Mallery, P. (2003). SPSS for Windows step by step: A simple guide and reference. 11.0 update (4th ed.). Boston: Allyn & Bacon.
[15] Golan, M., Kaufman, V., & Shahar, D. R. (2006). Childhood obesity treatment: Targeting parents exclusively v. parents and children. British Journal of Nutrition, 95(5), 1008–1015.
[16] Holm, J. C., Gamborg, M., Neland, M., Ward, L., Gammeltoft, S., Heitmann, B. L., et al. (2012). Longitudinal changes in blood pressure during weight loss and regain of weight in obese boys and girls. Journal of Hypertension, 30(2), 368-374.
[17] Hood, M. M., Moore, L. L., Sundarajan-Ramamurti, A., Cupples, L. A. & Ellison, R. C. (2000). Parental eating attitudes and the development of obesity in children: The Framingham children’s study. International Journal of Obesity and Related Metabolic Disorders, 24, 1319-1325.
[18] Hughes, A. R., Stewart, L., Chapple, J., McColl, J. H., Donaldson, M. D., Kelnar, C. J., Zabihollah, M., Ahmed, F. A., & Reilly, J. J. (2008). Randomized, controlled trial of a best-practice individualized behavioral program for treatment of childhood overweight: Scottish Childhood Overweight Treatment Trial (SCOTT). Pediatrics, 121(3), e539–46.
[19] Katesira, R. (2003). Promotion of fruit consumption for substitution of snack among school children, Grade 5 in Bangkok municipality (Master’s Thesis). Mahidol University, Bangkok.
[20] Kim, I. K., Lee, H. J., Kang, J. H., & Song, J. (2010). Effect of parental overweight and serum leptin levels on the manifestation of overweight in 7-year-old Korean children. Public Health Nutrition, 13(3), 384-392.
[21] Kollias, A. K., Skliros, E. A., Leotsakos, N., Gikas, A., & Garifallos, D. (2009). Childhood obesity in relation to parental weight status in Greece. Hippokratia, 13(4), 253.
[22] Munsch, S., Hasenboehler, K., Michael, T., Meyer, A. H., Roth, B., Biedert, E., et al. (2007). Restrained eating in overweight children: does eating style run in families? International Journal of Pediatric Obesity, 2, 97 -113.
[23] Parama, T. (2002). The effectiveness of multi-media packages for knowledge and food consumption behavior of Matayomsuksa 4 Students, Doi Saket Wittayakom School, Chiang Mai Province (Master’s thesis). Cheang Mai University, Cheang Mai.
[24] Papandreou, D., Malindretos, P., & Rousso, I. (2010). Risk factors for childhood obesity in a Greek pediatric population. Public Health Nutrition, 13(10), 1535-1539.
[25] Peungposop. N. (2011). Child’s rearing practices and obesity in children. Journal of Behavioral Science, 17(2), 1686-1442.
[26] Rattanamani, K. (2003). Effects of the perceived self-efficacy promoting program in weight control with parental participation on consumption behavior and daily energy expenditure behavior of obese school age children (Master’s thesis). Chularongron University, Bangkok.
[27] Rerksuppaphol, S., & Rerksuppaphol, L. (2010). Prevalence of overweight and obesity in among school children in suburb Thailand defined by the International Obesity Task Force standard. Journal of the Medicine Association of Thailand=Chotmaihet thangphaet, 93 (Suppl 12), S27-31.
[28] Ritwong, P. (2007). Learning about vegetables and fruits by computer-assisted instruction for P4-P6 students (10-12 years old) (Master’s thesis). Mahidol University, Bangkok.
[29] Ruangdaraganon, N., Kotchabhakdi, N., Udomsubpayakul, U., Kunanusont, C. & Suriyawongpaisal, P. (2002). The association between television viewing and childhood obesity: A national survey in Thailand. Journal of the Medical Association of Thai, 65(4), 1075-80.
[30] Savoye, M., Shaw, M., Dziura, J., Tamborlane, W. V., Rose, P., Guandalini, C., et al. (2007). Effects of a weight management program on body composition and metabolic parameters in overweight children: a randomized controlled trial. The Journal of the American Medical Association, 297(24), 2697–2704.
[31] Sinawat, S. (2008). Prevalence of childhood obesity in Thailand. Siriraj Medical Journal, 60, 41-42.
[32] Thepprasit, K. (2007). The efficiency and effectiveness of computer-assisted instruction "Fun with nutrition” for prevention of children obesity (Master’s thesis). Mahidol University, Bangkok.
[33] Tryggestad, J. B., Thompson, D. M., Copeland, K. C., & Short, K. R. (2012). Obese children have higher arterial elasticity without a difference in endothelial function: The role of body composition. Obesity, 20(1), 165-171.
[34] World Health Organization. (2007). Prevalence of excess body weight and obesity in children (Fact Sheet No. 2.3). Copenhagen, DK: Author.
[35] World Health Organization. (2012). Obesity and overweight. Retrieved February, 2012, from http://www.whoint/hpr/NPH/docs/gs-obesity.pdf
[36] Yoosomran, K. (2006). The effects of food consumption health behavior modification program for overweight prevention of Pratomsuksa 5 students in city municipality schools Nakhon Ratchasima Province (Master’s thesis). Khon Kaen University, Khon Kaen.
[37] Zenzen, W., & Kridli, S. (2009). Integrative review of school-based childhood obesity prevention programs. Journal of Pediatric Health Care, 23(4), 242-258.