보건교사와 학부모가 연계한 비만관리프로그램의 적용효과

Abstract

Objective : The purpose of this study was to examine the effects of a collaborative program of school nurses and parents for the obesity control on the obese children. Methods : The subjects of the study were the 4th, 5th and 6th graders with moderate or severe obesity(30% or more weight than standard weight) attending in two primary schools in Andong, Kyeongbuk, Eighteen pupils with obesity in A primary school whose parents had agreed to participate, were selected for the experimental group, and 20 pupils with obesity in B primary school were selected for control group. For 12 weeks the obesity control program was applied to the pupils and their parents together with the specified diet, exercise, and behavior modification methods. Follow-up measurement of the obesity was done 4 weeks after the completion of control program. The data was analyzed with χ²-test, t -test, repeated measures ANOVA, analysis of simple main effect and time contrast method, processed by SPSS WIN 10.0. Results : The experimental group showed an improved behavior of dietary life(F=6.95, p=0.012), improved dietary habits(F=10.69, p=0.002), and improved exercise habits(F=5.21, p=0.029) than control group. Follow-up measure of the obesity revealed that the degree of obesity of the experimental group decreased from 37.22% to 34.78% while that of the control group increased from 38.16% to 39.53%(F=5.70, p=0.005). The skinfold thickness of experimental group also decreased from 31.17mm to 30.22mm while that of the control group increased from 31.37mm to 32.58mm (F=20.12, p=0.000). Conclusion : The results of this study showed that the obesity control program was effective for obese children; the program needed participation of both school nurses and patents. Therefore, we recommend to utilize this program for obesity control in school health.