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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Effects of a weight-loss program for obese children: a "mix of attributes" approach
Teresa J C Yin1, Fei-Ling Wu, Ying-Lung Liu
1Department of Nursing, Taipei Veterans General Hospital.
Insights
A new intervention combining content, interactivity, control, channel, and objectivity effectively reduced obesity in children. This approach improved knowledge and behaviors, though attitudes require further focus.
Area of Science:
- Public Health
- Pediatrics
- Behavioral Science
Background:
- Childhood obesity presents a significant global health challenge.
- Effective, low-cost, child-centered interventions are needed for weight reduction.
- A prevalence of 15.9% obesity was observed in fourth-grade students.
Purpose of the Study:
- To evaluate a novel 'mix of attributes' intervention for obese children.
- To assess the intervention's impact on body weight, knowledge, attitude, and practice.
- To identify areas for improvement in childhood obesity interventions.
Main Methods:
- An experimental, randomized design was employed.
- Anthropometric measurements (BMI, WLI, body fat, skinfold thickness) were taken.
- Knowledge, attitude, and practice questionnaires were administered pre- and post-intervention.
Main Results:
- The intervention significantly reduced obesity indicators (p < .05).
- Obese children showed significant improvements in knowledge (p < .001) and behavior (p = .057).
- Attitudes towards weight loss were not significantly altered (p = .597).
Conclusions:
- The 'mix of attributes' approach is effective for reducing childhood obesity and improving related knowledge and behaviors.
- Incorporating 'individuality' as an attribute may enhance attitude change for more effective weight loss.
- Further research is recommended to optimize interventions for sustained behavioral and attitudinal shifts in obese children.
Abstract:
Childhood obesity is an important global public health issue. There is a need for more effective, low cost and child-centered intervention programs for reducing body weight. In response to this need, we developed a mix of attributes approach (including content, interactivity, control, channel, and objectivity) to help obese children (weight-for-length index, WLI >/= 1.20) reduce their body weight and improve their knowledge, attitude, and behavior. The prevalence of obesity in our sample was 15.9 % (140 obese children out of 882 children studying in the fourth grade) . An experimental, randomized research design was conducted in this study. Anthropometric measurements (including Body Mass Index [BMI] , WLI, body fat percentage, triceps, and subscapular skinfold thickness) and questionnaires (including the Scale of Obesity and Body Weight Loss Knowledge, Attitude, and Practice) were evaluated at baseline (pretest) and after one month of the intervention (posttest) for all obese children. Of 140 obese children, 118 completed this study (66 in the experimental group, 52 in the control group). The mix of attributes approach significantly reduced the degree of obesity revealed in anthropometric measurements. (p < .05). This approach also significantly improved obese children ' s knowledge (p < .001) and slightly improved their behaviors (p = .057); however, this program did not change the children ' s attitudes so easily (p = .597). To more effectively lose weight, we suggest an additional attribute, " individuality, " as a means of increasing efforts to change attitudes in obese children.
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