Healthy Buddies™ Reduces Body Mass Index Z‐Score and Waist Circumference in Aboriginal Children Living in Remote Coastal Communities

Journal of School Health - Tập 83 Số 9 - Trang 605-613 - 2013
Rebecca Ronsley1, Andrew S. Lee2, Boris Kuzeljevic3, Constadina Panagiotopoulos4,5,6
1Medical Student, ([email protected]), Faculty of Medicine, University of Toronto, 77 Gerrard Street West, Toronto, Ontario M5G2A1, Canada.
2Medical Student, ([email protected]), Faculty of Medicine, University College Dublin, 67 Baroness Crescent, Toronto, Ontario M2J3K4, Canada.
3Statistical consultant, ([email protected]), Clinical Research Support Unit, Child & Family Research Institute, 950 28th Ave West, Vancouver, British Columbia V5Z4H4, Canada.
4Associate Professor, ([email protected]), Department of Pediatrics, University of British Columbia, 4480 Oak Street, ACB K4-213, Vancouver, British Columbia V6H3V4, Canada.
5Clinician Scientist, Diabetes Research Program, Child & Family Research Institute, 4480 Oak Street, ACB K4-213, Vancouver, British Columbia V6H3V4, Canada.
6Endocrinologist, Department of Pediatrics, British Columbia Children's Hospital, 4480 Oak Street, ACB K4-213, Vancouver, British Columbia V6H3V4, Canada.

Tóm tắt

ABSTRACTBACKGROUNDAboriginal children are at increased risk for obesity and type 2 diabetes. Healthy Buddies™‐First Nations (HB) is a curriculum‐based, peer‐led program promoting healthy eating, physical activity, and self‐esteem.METHODSAlthough originally designed as a pilot pre‐/post‐analysis of 3 remote Aboriginal schools that requested and received HB training, one school did not implement the program and was used as a control group. Outcomes included changes in body mass index z‐score (zBMI), waist circumference (WC), blood pressure (BP), self‐esteem, health behavior, and knowledge over 1 school year in kindergarten to grade 12 children.RESULTSThere was a significant decrease in zBMI (1.10 to 1.04, p = .028) and WC (77.1 to 75.0 cm, p < .0001) in the HB group (N = 118) compared with an increase in zBMI (1.14 to 1.23, p = .046) and a minimal WC change in the control group (N = 61). Prevalence of elevated BP did not change in the HB group, but increased from 16.7% to 31.7% in the control group (p = .026). General linear model analysis revealed a significant interaction between time, group, and zBMI (p = .001), weight status (p = .014), nutritious beverage knowledge (p = .018), and healthy living and self‐esteem score (p = .005).CONCLUSIONSThe HB program is a promising school‐based strategy for addressing obesity and self‐esteem in Aboriginal children.

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Journal of School Health

Tập 83 Số 9

605-613

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