Physio-psychosocial and Metabolic Parameters of Obese Adolescents: Health-Promoting Lifestyle Education of Obesity Management
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The aim of the study was to determine the effect of health-promoting lifestyle education on the physio-psychosocial and metabolic parameters of obese adolescents. This quasi-experimental study was conducted at a city center in Turkey through a pretest and a post-test (n = 73). Following the collection of the first assessment data from the study and control groups, an 8-week education program was applied to students in the study group. The study found that the BMI values and obesity-related risk factors of study group decreased, the means of the self-esteem scale and total ALS and sub-scale scores increased, and the pretest and post-test inter-group difference was significant (p < 0.05). The study found a decrease in cholesterol, LDL, Hb1Ac and Triglyceride levels in the study group and an increase in HDL levels. The study concluded that health-promoting lifestyle education for obese adolescents contributed to improving their physio-psychosocial and metabolic parameters.
KeywordsObesity Physio-psychosocial parameters Metabolic parameters Health promotion Management
The authors would like to thank all the parents who participated in the study.
This research was supported by Giresun University Scientific Research Projects coordination (SAĞ-BAP-A-160317-76).
Compliance with Ethical Standards
Conflict of interest
The authors declare that there is no conflict of interest.
Ethics Committee consent (KAEK 2017/01) received to perform the study.
- AACAP-American Academy of Child and Adolescent Psychiatry. (2011). Obesity in Children and Teens, Facts for Families No: 79. Retrieved from http://www.aacap.org/AACAP/Families/Youth/FactsforFamilies/FactsforFamiliesPages/ObesityinChildrenandTeens79.aspx.
- Alıcı, M., & Pınar, R. (2008). Evaluation of the effectiveness of education given to obese patients. Journal of Research and Development in Nursing, 2, 32–47.Google Scholar
- Ardıc, A. (2008). Healthy life style behaviors of adolescents. Health Sciences Institute, Public Health Nursing Department. Master thesis, İstanbul: Istanbul University.Google Scholar
- Ayvaz, D. N. C., Nisancı Kılınc, F., Pac, F. A., & Cakal, E. (2011). Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome. Turkish Journal of Medical Sciences, 41(2), 267–274.Google Scholar
- Berry, D., Mary, S., Gail, M., & Margaret, G. (2007). An intervention for multiethnic obese parents and overweight children. Applied Nursing Research, 2, 63–71.Google Scholar
- Brown, E. C., Buchan, D. S., Drignei, D., Wyatt, F. B., Kilgore, L., Cavana, J., et al. (2018). Primary school children’s health behaviors, attitudes, and body mass ındex after a 10-week lifestyle ıntervention with follow-up. Frontiers in Pediatrics, 6, 137. https://doi.org/10.3389/fped.2018.00137.PubMedPubMedCentralGoogle Scholar
- Carrel, A. L., Clark, R. R., Peterson, S. E., Nemeth, B. A., Sullivan, J., & Allen, Db. (2005). Improvement of fitness, body composition, and insulin sensitivity in overweight children in a school-based exercise program: A randomized controlled study. Archives of Pediatrics and Adolescent Medicine, 159(10), 963–968.PubMedGoogle Scholar
- Cuhadaroglu, F. (1986). Respect for self in adolescents. Hacettepe University, Faculty of Medicine, Department of Psychiatry, Unpublished master thesis, Ankara.Google Scholar
- Demattia, L., & Denney, S. L. (2008). Childhood obesity prevention: Successful community-based efforts. The Annals of the American Academy of Political and Social Science, 615(1), 83–99.Google Scholar
- Erdim, L., Ergun, A., & Kuguoglu, S. (2014). The role of nurses in the prevention and management of obesity in children. Journal of Health Science and Profession, 1(2), 115–126.Google Scholar
- Hales, C. M., Carroll, M. D., Fryar, C. D., Ogden, C. L. (2017). Prevalence of obesity among adults and youth: United States, 2015–2016. NCHS Data Brief. No. 288.Google Scholar
- Hession, M., Rolland, C., Tuya, C., Wise, A., Murray, S., Pirie, I., et al. (2006). Weight physical activity, and general health changes after 3 and 6 months of dietary interventions. Obesity Reviews, 7(2), 307.Google Scholar
- Isıklar, A. (2012). An investigation of the quality of life and self-esteem levels in adolescents with regard to the variables of gender and obesity. Fırat University Journal of Social Science, 22(2), 84–92.Google Scholar
- Lansen, W., Borsboom, G., Meima, A., Zwanenburg, V. J., Marcenbach, J. P., Raat, H., et al. (2011). Effectiveness of a primary school-based intervention to reduce overweight. International Journal of Peadiatric Obesity, 6(2–2), e70–e77.Google Scholar
- Nogay, N. H., & Köksal, G. (2013). Metabolic syndrome and other metabolic features in children. Electronic Journal of Vocational Colleges, 4, 171–177.Google Scholar
- Piryani, S., Baral, K. P., Pradhan, B., Poudyal, A. K., & Piryani, R. M. (2016). Overweight and its associated risk factors among urban school adolescents in Nepal: A cross-sectional study. British Medical Journal Open, 6(5), e010335.Google Scholar
- Plummer, M. (2007). The Nurses role in the prevention of childhood obesity. Nursing 211: Research Final Version, Fall 2007. Retrieved July 8, 2009, from http://nurs211f07nurses-role-in-prevention-of-childhood.html.
- Sousa, P., Fonseca, H., Gaspar, P., et al. (2014). Internet-based intervention programme for obese adolescents and their families (Next Step): Research protocol of a controlled trial. Journal of Advanced Nursing, 170(4), 904–914. PMID: 24020828.Google Scholar
- Spiegel, S. A., & Foulk, D. (2006). Reducing overweight through a multidisciplinary school-based intervention. Obesity (silver spring), 14(1), 88–96.Google Scholar
- Tascılar, M. E., Hacıhamdioglu, B., Soyarslan, M., & Abacı, A. (2010). The prevalence of metabolic syndrome and frequency of cardiovascular risk factors in obese children. Gülhane Medical Journal, 52, 32–35.Google Scholar
- Whestone, L. M., Kolasa, K. M., & Collier, D. N. (2012). Participation in community-originated interventions is associated with positive changes in weight status and health behaviors in youth. American Journal of Health Promotion: AJHP, 27(1), 10–16.Google Scholar
- Yigit, R. (2011). Nurse’s role in the management of childhood obesity. Journal of Research and Development in Nursing, 1, 71–80.Google Scholar
- Yucel, B. B., & Toprak, D. (2016). Evaluation of anthropometric and biochemical parameters in obese children between 6-16 years. Ankara Medical Journal, 16(1), 27–40.Google Scholar