Effects of a School-Based Behavior Modification Program on Body Composition, Dietary Behavior, and Physical Activity in Overweight High School Students in Rural Northern Thailand: A Randomized Controlled Trial.

IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Anavin Phattharaphakinworakun, Thidarat Somdee, Supattarayan Thongjit, Suneerat Yangyuen
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引用次数: 0

Abstract

Background: Behavioral modification programs have improved body composition, dietary behavior (DB), and physical activity (PA). However, there is limited evidence on the effectiveness of these programs among overweight high school students in rural areas of Thailand. Therefore, this study aimed to examine the effects of a school-based behavioral modification (SBM) program on these factors among high school students with overweight. Study Design: This study employed a randomized controlled trial.

Methods: The study was conducted from November 2022 to May 2023 among overweight high school students. A total of 100 overweight students were randomly assigned to either an intervention (n=50) or a control (n=50) group. The intervention group received an SBM, while the control group received the usual educational program. The chi-square test, independent-samples t-test, Mann-Whitney U test, ANOVA, and Cochran's Q test were used to analyze data.

Results: Both groups were female (72.0%), with a mean age of 17.03 years. At the follow-up, the intervention group demonstrated significant improvements in DB and PA and a reduction in sedentary behavior compared to the control group (P<0.05). Additionally, statistically significant differences were observed between the intervention and control groups regarding biceps (P=0.001), triceps (P=0.031), and waist circumference (P<0.001).

Conclusion: The SBM effectively increased students' PA, improved DBs, decreased sedentary behavior, and resulted in changes in body composition. These findings indicated that SBM programs are useful for healthcare providers or teachers to promote healthy behaviors among students and can be applied in related research in different contexts and situations.

以学校为基础的行为矫正计划对泰国北部农村超重高中生身体成分、饮食行为和身体活动的影响:一项随机对照试验。
背景:行为改变计划改善了身体成分、饮食行为(DB)和身体活动(PA)。然而,关于这些项目在泰国农村地区超重高中生中的有效性的证据有限。因此,本研究旨在探讨以学校为基础的行为矫正(SBM)计划对超重高中生这些因素的影响。研究设计:本研究采用随机对照试验。方法:研究于2022年11月至2023年5月在超重高中生中进行。共有100名超重学生被随机分配到干预组(n=50)和对照组(n=50)。干预组接受SBM,对照组接受常规教育方案。数据分析采用卡方检验、独立样本t检验、Mann-Whitney U检验、方差分析和Cochran’s Q检验。结果:两组患者均为女性(72.0%),平均年龄17.03岁。在随访中,干预组与对照组(PP=0.001)、肱三头肌(P=0.031)、腰围(P=0.031)相比,在DB和PA、久坐行为方面均有显著改善。结论:SBM有效地提高了学生的PA,改善了DBs,减少了久坐行为,并导致了身体成分的改变。本研究结果表明,学生健康行为管理项目对医疗服务提供者或教师在促进学生健康行为方面有一定的帮助,并可应用于不同背景和情境的相关研究中。
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来源期刊
Journal of research in health sciences
Journal of research in health sciences PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.30
自引率
13.30%
发文量
7
期刊介绍: The Journal of Research in Health Sciences (JRHS) is the official journal of the School of Public Health; Hamadan University of Medical Sciences, which is published quarterly. Since 2017, JRHS is published electronically. JRHS is a peer-reviewed, scientific publication which is produced quarterly and is a multidisciplinary journal in the field of public health, publishing contributions from Epidemiology, Biostatistics, Public Health, Occupational Health, Environmental Health, Health Education, and Preventive and Social Medicine. We do not publish clinical trials, nursing studies, animal studies, qualitative studies, nutritional studies, health insurance, and hospital management. In addition, we do not publish the results of laboratory and chemical studies in the field of ergonomics, occupational health, and environmental health
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