Abstract
Childhood obesity has been increasing worldwide and is considered an important public health problem. There are several strategies addressed to control obesity in children. The objective of this study was to compare the effect of an Integral Health Program (IHP) to improve parameters associated with obesity in children in two different time interventions and to measure their impact in the adherence to the program as a life style. 77 overweight or obese scholars were recruited (8,11y), they were randomly assigned into two groups (A, 37 and B, 40). Both groups were divided in two stages, stage 1 for intervention and stage 2 for adherence. During stage 1 both groups received an IHP, which consisted in receiving hypocaloric diets, nutritional education, physical activity sessions and ludic activities. Group A had a two months intervention and Group B a three months. Adherence was measured during the consecutive six months after the intervention. Anthropometric variables, nutritional education status, eating behavior indicators were measured during the study. During the intervention, SDS‐BMI was significantly reduced in both groups (A+B), 2.73±0.12 at the baseline and 2.38±0.12 (p<0.05) by the end of the intervention, however there were not significant differences between individual groups. Similar was in the Waist‐Height Radio from 0.59±0.008 to 0.55±0.008 (p<0.001) and body fat from 36.70±0.92 to 33.44±0.92 (p<0.05). Nutrition knowledge significantly increased in A+B after the intervention from 65.27±1.68 to 73.35±1.68 (p<0.05). Body fat was significantly reduced in group B compared to group A (11.8±1.97 versus 5.8±1.82, p<0.05). All the changes observed during the intervention stage, were maintained during the follow up period (adherence). Both groups improve their food choices, however Group B had better results than group A. We concluded that the implementation of an IHP improve the body composition and other important parameters associated with the development of obesity in children.
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