PMID- 23477209
OWN - NLM
STAT- MEDLINE
DCOM- 20130702
LR  - 20191210
IS  - 0004-0622 (Print)
IS  - 0004-0622 (Linking)
VI  - 62
IP  - 1
DP  - 2012 Mar
TI  - [Evaluation of an obesity prevention intervention which included nutrition 
      education and physical activity applied in public schools of Santiago, Chile].
PG  - 60-7
AB  - The main objective of this study was to assess the effectiveness of an obesity 
      prevention intervention which included nutrition education and physical activity 
      applied to low income Chilean children in a longitudinal three-year follow-up 
      study. Participants included all 4-7 year old children from 7 public schools 
      located in a low socioeconomic district of Santiago. The main aspects of the 
      intervention were: training of teachers so they could apply an educational 
      program on healthy eating, increase in physical education classes from 3 to 4 per 
      week, and improvement of their quality. Weight, height, waist circumference (WC) 
      and the 6-minute walk distance (6MWD) were assessed yearly in 597 children. We 
      calculated BMI, BMI Z, % normal (N), overweight (OW) and obesity (OB), WC > 90th 
      percentile (NHANES III) and fitness (6MWD/height). Annual changes in BMI Z, WC, 
      6MWD and fitness were assessed, using repeated measures ANOVA and the test of 
      proportions. Knowledge in healthy eating was assessed during 2 of the 3 years. 
      Results showed that % OB remained unchanged for 2 years (17%) but increased to 
      19.3% at follow-up. BMI Z increased from 0.3 to 0.38 (p = 0.052) in the N, 
      remained unchanged in the OW, while decreasing significantly in the OB (2.73 to 
      2.41 p < 0.0001). % WC > 90 th percentile decreased in the OW and OB; 6 MWD was 
      higher in the OW, but the increase in distance overtime was greater among the N. 
      Overall fitness improved, however it was only significant among the N (p = 
      0.0002). There was a significant increase in food knowledge. We conclude that in 
      spite of a decrease in BMI Z of the OB, an improvement in fitness in the N and 
      food knowledge in all the children, obesity increased at follow-up. This study 
      shows that in school-based obesity programs it is necessary to apply more intense 
      interventions with another type of methodology; otherwise this condition will 
      continue to rise.
FAU - Kain, Juliana
AU  - Kain J
AD  - Instituto de Nutricion y Tecnologia de los Alimentos (INTA), Universidad de 
      Chile, Santiago de Chile.
FAU - Leyton, Barbara
AU  - Leyton B
FAU - Concha, Fernando
AU  - Concha F
FAU - Weisstaub, Gerardo
AU  - Weisstaub G
FAU - Lobos, Luz
AU  - Lobos L
FAU - Bustos, Nelly
AU  - Bustos N
FAU - Vio, Fernando
AU  - Vio F
LA  - spa
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
TT  - Evaluacion de una intervencion en educacion alimentaria y actividad fisica para 
      prevenir obesidad infantil en escuelas publicas de Santiago de Chile.
PL  - Venezuela
TA  - Arch Latinoam Nutr
JT  - Archivos latinoamericanos de nutricion
JID - 0067507
SB  - IM
MH  - Body Mass Index
MH  - Child
MH  - Child, Preschool
MH  - Chile
MH  - Female
MH  - Health Promotion/*methods
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Obesity/*prevention & control
MH  - *Physical Education and Training
MH  - Program Evaluation
MH  - *School Health Services
MH  - Socioeconomic Factors
EDAT- 2013/03/13 06:00
MHDA- 2013/07/03 06:00
CRDT- 2013/03/13 06:00
PHST- 2013/03/13 06:00 [entrez]
PHST- 2013/03/13 06:00 [pubmed]
PHST- 2013/07/03 06:00 [medline]
PST - ppublish
SO  - Arch Latinoam Nutr. 2012 Mar;62(1):60-7.