Changes in Fiber Intake and Body Weight of Multi-Component Intervention Program among Bogor Obese Children, Indonesia
DOI:
https://doi.org/10.3923/pjn.2015.785.791Keywords:
Body weight, dietary fiber, obese childrenAbstract
The study aimed to analyze the effect of multi-component intervention program on fiber intake and body weight of obese children in Bogor, Indonesia. Three schools of Bogor city were randomly selected (A, B, C). A multi-component intervention program was conducted for 5 weeks with a quasi-experimental design. School A received nutrition education and physical activity intervention, school B received nutrition education and fruit intervention and school C received nutrition education, physical activity and fruit intervention. Body weight, 24 h food recall and food frequency habit were measured at pre-and post-intervention. The data was analyzed using SPSS 17.0 for windows with Paired t-test and ANOVA. The study showed that the average of fiber intake was still low in all groups. After the intervention, the average of fiber intake in all groups was increased. The greatest contributor to total dietary fiber was cereal, both pre and post-intervention. Body weight significantly decreased in school A and C with the exception of school B. The highest body weight decrease was in school A, i.e., 0.71 kg in average. A multi-component intervention program used in this study could increase fiber intake among obese children and decrease body weight. The decrease in body weight was higher with moderate physical activity rather than without any physical activity.
References
Balitbangkes, 2007. Basic health research 2007 (Riskesdas). Indonesian Ministry of Health, Jakarta.
Ministry of Health of Indonesia, 2010. [Result of 2010 basic health research]. Badan Penelitian dan Pengembangan Kesehatan, Departemen Kesehatan, Republik Indonesia, Desember 1, 2010, (In Indonesian).
Ministry of Health, 2013. [Basic health research in year 2013]. Report, Ministry of Health, Indonesia. http://www.litbang.depkes.go.id/sites/download/rkd2013/Laporan_Riskesdas2013.PDF, (In Indonesian).
Beydoun, M.A., L.M. Powell and Y. Wang, 2008. The association of fast food, fruit and vegetable prices with dietary intakes among US adults: Is there modification by family income? Social Sci. Med., 66: 2218-2229.
Blanchette, L. and J. Brug, 2005. Determinants of fruit and vegetable consumption among 6-12-year-old children and effective interventions to increase consumption. J. Hum. Nutr. Diet., 18: 431-443.
Bogart, L.M., B.O. Cowgill, M.N. Elliott, D.J. Klein and J. Hawes-Dawson et al., 2014. A randomized controlled trial of students for nutrition and eXercise: A community-based participatory research study. J. Adolesc. Health, 55: 415-422.
Brauchla, M., W.Y. Juan, J. Story and S. Kranz, 2012. Sources of dietary fiber and the association of fiber intake with childhood obesity risk (in 2-18 year olds) and diabetes risk of adolescents 12-18 year olds: NHANES 2003-2006. J. Nutr. Metab.
Mushi-Brunt, C., D. Haire-Joshu, M. Elliott and R. Brownson, 2007. Fruit and vegetable intake and obesity in preadolescent children: The role of neighborhood poverty and grocery store access. Am. J. Health Educ., 38: 258-265.
Burrows, T., J.M. Warren, L.A. Baur and C.E. Collins, 2008. Impact of a child obesity intervention on dietary intake and behaviors. Int. J. Obes., 32: 1481-1488.
Chaput, J.P., M. Brunet and A. Tremblay, 2006. Relationship between short sleeping hours and childhood overweight/obesity: Results from the 'Quebec en Forme' Project. Int. J. Obes., 30: 1080-1085.
Du, H., A.D.L. van Der, H.C. Boshuizen, N.G. Forouhi and N.J. Wareham et al., 2010. Dietary fiber and subsequent changes in body weight and waist circumference in European men and women. Am. J. Clin. Nutr., 91: 329-336.
Evans, C.E., M.S. Christian, C.L. Cleghorn, D.C. Greenwood and J.E. Cade, 2012. Systematic review and meta-analysis of school-based interventions to improve daily fruit and vegetable intake in children aged 5 to 12 y. Am. J. Clin. Nutr., 96: 889-901.
Friedrich, R.R., I. Schuch and M.B. Wagner, 2012. Effect of interventions on the body mass index of school-age students. Rev Saude Publica, 46: 551-560.
He, Q., Z.Y. Ding, D.Y.T. Fong and J. Karlberg, 2000. Risk factors of obesity in preschool children in China: A population-based case-control study. Int. J. Obes., 24: 1528-1536.
Janssen, I., P.T. Katzmarzyk, W.F. Boyce, C. Vereecken and C. Mulvihill et al., 2005. Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obesity Rev., 6: 123-132.
Johnson, L., A.P. Mander, L.R. Jones, P.M. Emmett and S.A. Jebb, 2008. Energy-dense, low-fiber, high-fat dietary pattern is associated with increased fatness in childhood. Am. J. Clin. Nutr., 87: 846-854.
Mahan, L.K. and S.E. Stump, 2004. Krause's Food and Nutrition Therapy. Suanders Elsevier, Missouri.
McLean-Meyinsse, P.E., E.G. Harris, S.S. Taylor and J.V. Gager, 2013. Examining college students' daily consumption of fresh fruits and vegetables. J. Food Distribut. Res., 44: 10-16.
Nurhayati, 2013. Alternative fruit and vegetables consumption for 1-3 year old Indonesian children. Health Sci. J. Indonesia, 2: 74-78.
Ohly, H., J. Pealing, A.K.M. Hayter, C. Pettinger, H. Pikhart, R.G. Watt and G. Rees, 2013. Parental food involvement predicts parent and child intakes of fruits and vegetables. Appetite, 69: 8-14.
Peltzer, K. and S. Pengpid, 2012. Fruits and vegetables consumption and associated factors among in-school adolescents in five southeast Asian countries. Int. J. Environ. Res. Public Health, 9: 3575-3587.
Perikkou, A., A. Gavrieli, M.M. Kougioufa, M. Tzirkali and M. Yannakoulia, 2013. A novel approach for increasing fruit consumption in children. J. Acad. Nutr. Diet., 113: 1188-1193.
Reicks, A., S. Jonnalagadda, A.M. Albertson and N. Joshi, 2014. Total dietary fiber intakes in the US population are related to whole grain consumption: Results from the National Health and Nutrition Examination Survey 2009 to 2010. Nutr. Res., 34: 226-234.
Sandvik, C., I. De Bourdeaudhuij, P. Due, J. Brug and M. Wind et al., 2005. Personal, social and environmental factors regarding fruit and vegetable intake among schoolchildren in nine European countries. Ann. Nutr. Metab., 49: 255-266.
Schaefer, A., K. Winkel, E. Finne, P. Kolip and T. Reinehr, 2011. An effective lifestyle intervention in overweight children: one-year follow-up after the randomized controlled trial on Clin. Nutr., 30: 629-633.
Singhal, N., A. Misra, P. Shah and S. Gulati, 2010. Effects of controlled school-based multi-component model of nutrition and lifestyle interventions on behavior modification, anthropometry and metabolic risk profile of urban Asian Indian adolescents in North India. Eur. J. Clin. Nutr., 64: 364-373.
Storey, S. and P. Anderson, 2014. Income and race/ethnicity influence dietary fiber intake and vegetable consumption. Nutr. Res., 34: 844-850.
Struempler, B.J., S.M. Parmer, L.M. Mastropietro, D. Arsiwalla and R.R. Bubb, 2014. Changes in fruit and vegetable consumption of third-grade students in body quest: Food of the warrior, a 17-class childhood obesity prevention program. J. Nutr. Educ. Behav., 46: 286-292.
Webb, G.P., 2008. Nutrition A Health Promotion Approach. 3rd Edn., Hachette UK Company, London, Pages: 560.
Yoshinaga, M., A. Shimago, C. Koriyama, Y. Nomura, K. Miyata, J. Hashiguchi and K. Arima, 2004. Rapid increase in the prevalence of obesity in elementary school children. Int. J. Obes. Relat. Metab. Disord., 28: 494-499.
Downloads
Published
Issue
Section
License
Copyright (c) 2015 Asian Network for Scientific Information
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
