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

Autor/inn/en	Ronsley, Rebecca; Lee, Andrew S.; Kuzeljevic, Boris; Panagiotopoulos, Constadina
Titel	Healthy Buddies[TM] Reduces Body Mass Index Z-Score and Waist Circumference in Aboriginal Children Living in Remote Coastal Communities
Quelle	In: Journal of School Health, 83 (2013) 9, S.605-613 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12072
Schlagwörter	Foreign Countries; Indigenous Populations; Canada Natives; At Risk Persons; Obesity; Diabetes; Health Promotion; Peer Teaching; Eating Habits; Physical Activity Level; Self Esteem; Rural Areas; Body Composition; Hypertension; Knowledge Level; Elementary Secondary Education; Incidence; Comparative Analysis; Body Weight; Program Effectiveness; Questionnaires + Suchen Sie Ihr Suchwort? Ausland; Sinti und Roma; Risikogruppe; Adipositas; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Peer group teaching; Peer Group Teaching; Ernährungsgewohnheit; Essgewohnheit; Self-esteem; Selbstaufmerksamkeit; Rural area; Ländlicher Raum; Bluthochdruck; Hypertonie; Wissensbasis; Vorkommen; Körpergewicht; Fragebogen
Abstract	Background: Aboriginal children are at increased risk for obesity and type 2 diabetes. Healthy Buddies [TM]-First Nations (HB) is a curriculum-based, peer-led program promoting healthy eating, physical activity, and self-esteem. Methods: Although 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. Results: There was a significant decrease in zBMI (1.10 to 1.04, p=0.028) and WC (77.1 to 75.0 cm, p less than 0.0001) in the HB group (N=118) compared with an increase in zBMI (1.14 to 1.23, p=0.046) 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=0.026). General linear model analysis revealed a significant interaction between time, group, and zBMI (p=0.001), weight status (p=0.014), nutritious beverage knowledge (p=0.018), and healthy living and self-esteem score (p=0.005). Conclusions: The HB program is a promising school-based strategy for addressing obesity and self-esteem in Aboriginal children. (Contains 3 tables and 2 figures.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10