Asian Nursing Research
Volume 2, Issue 3 , Pages 150-158, September 2008

The Effects of a Weight Loss Program Focusing on Maternal Education on Childhood Obesity

  • Hyun-Sook Kang, RN, MPH, PhD

      Affiliations

    • College of Nursing Science, Kyunghee University, Seoul, Korea
  • ,
  • Myoung-Hae Ryu, MSN, RN

      Affiliations

    • Inchoen Wha Jeon Elementary School, Incheon, Korea
  • ,
  • Sunhee Park, RN, PhD

      Affiliations

    • College of Nursing Science, Kyunghee University, Seoul, Korea
    • Corresponding Author InformationCorrespondence to: Sunhee Park, RN, MPH, PhD, College of Nursing Science, Kyunghee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul, 130-071, Korea

Received 23 May 2008; received in revised form 29 May 2008; accepted 29 August 2008.

Article Outline

Purpose

Childhood obesity is a matter of great concern because of its negative health and social consequences. We examined the effect of a weight control program focusing on maternal education on childhood obesity, given that the incidence of obesity is greatly affected by parents.

Methods

A two-group pre-test/post-test design was used. Participants consisted of 65 obese children and their mothers. The children were fourth- to sixth-grade elementary students who did not currently receive any therapy for weight loss. The children and their mothers were randomly assigned to either an experimental (n = 32) or a control group (n = 33). The 8-week intervention for mothers included one-time group education, three-time phone counseling, and four-time fliers regarding obesity management. Four outcomes (self-control, obesity index, abdominal circumference, and body fat percentage) were measured before and after the intervention. Chi-squared test or t test was used to test homogeneity between the two groups. Analysis of covariance was used to test the intervention effects.

Results

After the intervention was completed, the level of self-control was significantly heightened and obesity levels in the other three outcomes were greatly lowered in the experimental group when compared with the control group.

Conclusion

Due to strong maternal effects on children's weight control, mothers' active participation must be encouraged in order to resolve childhood obesity.

Key Words:  children , mothers , obesity , weight loss

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References 

  1. Ahn JM , Park JY . Effects of weight control program on weight, self-esteem, and bodyconsciousness in obese children . Korea Sport Research . 2004;15:439–452
  2. Berk LE . Child development . Boston: Allyn and Macon; 2000;
  3. Cohen J . Statistical power analysis for the behavioral sciences . 2nd ed.. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988;
  4. Doak CM , Visscher TLS , Renders CM , Seidell JC . The prevention of overweight and obesity in children and adolescents: A review of interventions and programs . Obesity Reviews . 2006;7:111–136
  5. Epstein LH , Wing RR , Voloski A . Childhood obesity . Pediatric Clinics of North America . 1985;32:363–379
  6. Incheon Metropolitan City Office of Education  . Teacher's guideline for management of obesity in children and adolescents . Incheon, Korea: Author; 2006;
  7. Jamieson J . Analysis of covariance (ANCOVA) with difference scores . International Journal of Psychophysiology . 2004;52:277–283
  8. Jeon, M. S. (2003). The effects and development of the obesity control program for obese students in elementary school. Unpublished master's thesis, Chonbuk National University, Jeonju, Korea.
  9. Joo, H. O. (1998). Development of a weight control program for obese children. Unpublished doctoral dissertation, Pusan National University, Busan, Korea.
  10. Kim HA , Kim EK . A study on effects of a weight control program in obese children . Korean Journal of Nutrition . 1996;29:307–320
  11. Kim, K. H. (2003). The effects of the obesity control program connected with school nurse and parents. Unpublished master's thesis, Keimyung University, Daegu, Korea.
  12. Korea Food & Drug Administration  . Childhood obesity, it is different from the others . Retrieved April 17, 2008, from http://www.kfda.go.kr/open_content/news/press_view.php?menucode=103004000&seq=736 2005;
  13. Lee DH , Park JK . Making a healthy and strong body . Seoul, Korea: National Health Insurance; 2006;
  14. Lee, E. J. (2004). Effects of a weight control program with cyber counseling for obese children. Unpublished doctoral dissertation, Keimyung University, Daegu, Korea.
  15. Lee KM . Correlation of body weight and fat mass reduction on body composition and blood lipids according to aerobic exercise in obese high school girls . Journal of Kyung Nam Sports . 1997;2:77–89
  16. Ministry of Education, Science and Technology  . Results of health examinations among school-aged children and adolescents in 2006 . Seoul, Korea: Author; 2007;
  17. Ministry of Health, Welfare  , Family Affairs  . Healthy lifestyle . Seoul: Author; 1992;
  18. Pietrobelli A , Faith MS , Allison DB , Gallaghe D , Chiumello G , Heymsfield SB . Body mass index as a measure of adiposity among children and adolescents: A validation study . Journal of Pediatrics . 1998;132:204–210
  19. Rossner S . Obesity through the ages of man . International Journal of Obesity . 2001;25:S29–S33
  20. Sahota P , Rudolf MJ , Dixey R , Hill AJ , Barth JH , Cade J . Randomized controlled trial of primary school based intervention to reduce risk factors for obesity . British Medical Journal . 2001;323:1029–1032
  21. The Korean Pediatric Association  . The Korean child growth standard . Retrieved April 21, 2008, from http://www.leehayoung.co.kr/cms/cms_conts_view.asp?menu=1 2002;
  22. Webster's dictionary (2008). Webster's online dictionary. Retrieved April 21, 2008, from http://www.webstersonline-dictionary.org/definition/self-control
  23. Westfall PH , Tobias RD , Rom D , Wolfinger RD , Hochberg Y . Multiple comparisons and multiple tests using the SAS system . Cary, NC: SAS; 1999;
  24. Yoo IY , Lee CY , Lee ES . Effects of a weight control program for elementary school children . Journal of Korean Society of School Health . 1998;11:91–97

PII: S1976-1317(08)60038-9

doi:10.1016/S1976-1317(08)60038-9

Asian Nursing Research
Volume 2, Issue 3 , Pages 150-158, September 2008