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  3. Investigating factors predicting overweight and obesity in children upon entering primary schools in Rasht in 2013

Investigating factors predicting overweight and obesity in children upon entering primary schools in Rasht in 2013

Number of pages: 198 File Format: word File Code: 32067
Year: 2013 University Degree: Master's degree Category: Paramedical
Tags/Keywords: Childhood obesity - Children - health - obese people - obesity - Obesity in adulthood - overweight - Overweight children - Predictive factors - weight gain
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  • Summary of Investigating factors predicting overweight and obesity in children upon entering primary schools in Rasht in 2013

    Dissertation for obtaining a master's degree in nursing education

    (community health orientation)

    Abstract:

    Introduction: Overweight and obesity are one of the health related problems, the prevalence of which is increasing in developed and developing countries, and as a It has become a health problem. Obesity in childhood and adolescence, especially during the second decade of life, is considered as a strong predictor of obesity in adulthood.

    Aim: The purpose of the present study is to determine the predictors of overweight and obesity in children entering elementary schools in Rasht city in 2013

    Materials and methods: This is a descriptive-cross-sectional study based on 426 children aged 6-7 years old, who were selected to enter the primary schools of Rasht city in 2013 in the national health assessment plan of children upon entering school, were selected by the classification method and by the two districts of Rasht city. The data collection tool is a researcher-made questionnaire to examine the predictors of overweight and obesity and the demographic characteristics of the research units, as well as scales and meters to measure body mass index. The data was analyzed using SPSS=17 software and with the help of independent t-test, analysis of variance and Pearson's correlation coefficient test. Findings: The results showed that 8.6% of boys and 14% of girls are overweight, and 19% of boys and 15.3% of girls are obese. Overweight and obesity in children with a history of family obesity (P < 0.001), mass index Mother's body (P<0.025), amount of food consumption compared to people of the same age (P<0.001) and child's physical activity hours (P<0.023) were related.

    Conclusion: Four variables of family history of obesity, mother's body mass index, parent's opinion about child's eating compared to peers and child's physical activity hours as predictors of children's overweight and obesity They were recognized upon entering the school.

    Keywords: overweight, obesity, predictive factors, children

    Research field:

    Human is the center of development and human health is considered the secret of development. We all want to be healthy, but many of us do not know what health is and how to get it. Humans have different definitions of health, some define it negatively, meaning "not having disease" and some define it positively, meaning "being the highest level of well-being" to the extent that two healthy people may have a different understanding of their health. The definitions that people have of health affects their performance to provide, maintain and improve health (1).

    Generally, the determinants of health are divided into three categories, which include genetics, environment and lifestyle. These three factors form a triangle that is constantly interacting.            Although a person's health status is primarily influenced by genetic factors, it has been seen that environmental factors and lifestyle strongly affect a person's health, so that health experts today consider lifestyle to be one of the most important factors affecting health (2). is Contrary to the past, when fat people were thought to be healthy and strong people. Today, it has been proven that these people are not only not strong, but also get sick more often and have a shorter life span (4).

    Today, the number of obese people is increasing, and this problem, which was considered a problem in developed and industrialized countries not too long ago, is now increasing in all parts of the world, including in developing countries where food shortages are usually the main nutritional problem. In addition, reducing the age of obesity and its prevalence in children and adolescents is also very important, because obesity at this age has a greater impact on health.In addition, reducing the age of obesity and its prevalence in children and adolescents is also very important, because obesity at this age has a greater impact on health. In many cases, adult obesity starts from childhood, and effective prevention depends on how childhood obesity is treated and controlled (4).

    Actually, obesity is a condition in which fat reserves in the body increase and reach a level that harms a person's health. Also, according to the definition of overweight [1], it is a condition in which a person's weight exceeds the standard value according to height (19).

    But in the case of overweight and obese children, based on the standard curves of the body mass index (BMI [2]) for age and gender according to the reference of the Center for Disease Prevention and Control (CDC [3]) and based on the border limits of BMI between the 85th and 95th percentiles as overweight and the 95th percentile It is mostly defined as obese (4).

    Obesity in childhood and adolescence, especially during the second decade of life, is considered as a strong predictor of adult obesity. The prevalence of obesity among children and adolescents is increasing in many countries of the world, even in countries where malnutrition due to lack of intake is still a public health problem (5). Accordingly, there is a close relationship between childhood obesity and the increased likelihood of obesity in adulthood and the resulting physical problems. Nowadays, overweight and obesity are chronic diseases that have become a health problem, one of the most serious public health challenges in the world. It is the 21st century (11).

     

     

    Abstract:
    Introduction: Overweight and obesity is one of health related problems that its prevalence in developed and developing countries is on the rise and has become a public health problem. Obesity in childhood and adolescence, especially during the second decade of life is a strong predictor of adult obesity.
    Materials and Methods: This descriptive cross-sectional study was conducted on 426 children aged 6-7 years old, who were selected by classification method from two districts of Rasht city from all children who referred to National program of children health measurement in 1391. Data collection instrument consisted of a researcher made questionnaire to assess predictors of overweight and obesity and sample's demographic characteristics and also a scale and meter were used to determine body mass index. Data were analyzed using the software SPSS = 17 and t-test and ANOVA and Pearson correlation test.                              
    Results: The results showed that 6.8% of boys and 14 percent of children are overweight and 19% of boys and 3.15% of girls are obese. There was a positive relationship between children's overweight and obesity with family history of obesity (p<0.001), maternal BMI (p<0.025), amount of food eaten in comparison with same age children (p<0.001) and the amount of physical activity for children (p<0.023).                                       
    Conclusions: Four variables of family history of obesity, maternal body mass index, and parents' view on food taken compared with other same age children and hours of physical activity were shown as predictors of overweight and obesity in children entering elementary school.

  • Contents & References of Investigating factors predicting overweight and obesity in children upon entering primary schools in Rasht in 2013

    List:

    Summary of the research ............................. 1

    Chapter one: General

    1-1 Introduction (research field) ......................... 3

    2-1 Research objectives ........................................ 13

    3-1 Research questions ........................................ 14

    4-1 Research hypotheses ........................................ 14

    5-1 Definitions of words .........................15

    6-1 Limitations of the research .........................15

    Chapter Two: Context and background of the research

    1-2 Research framework .........................17

    2-2 Overview of the studies done .....................60

    Chapter three: Implementation method

    1-3 Type of research ........................... 83

    2-3 Research community ........................... 83

    3-3 Research sample ........................... 83

    4-3 characteristics of research units .................... 83

    3-5 Sampling method ........................................ 84

    6-3 Research environment .............................. 86

    3-7 Information gathering tool 86 8-3 Determining the validity and scientific trust of the tool 89 9-3 Analysis method 90 10-3 Ethical considerations 93 Chapter 4: Research results 1-4 Research findings 95 2-4 Tables and Diagrams .......................... 100

    Chapter Five: Discussion and Review of Findings

    1-5 Discussion and Interpretation of Research Results ....................... 145

    2-5 Final Conclusions ......................... 168

    3-5 Application of Findings ........................................ 171

    4-5 Suggestions for Further Research ...................... 171

    Resources and source

    List of sources .............................. 172

    Appendices .............................. 179

    English abstract

    Source:

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               2 - Maurer F, Smith MC. Community Public Health Nursing Practice, Third Edition, Elsevier Saunders, 2005. 3- Parsa S, Soltany R. Maternal and child health, first publication in Tehran, Sanjesh publication, 1381. 4- Jazaeri F, Recognition and treatment of obesity. First publication in Tehran: Jameahnegar Publication, 1382. 5 - Park, Park, Fundamentals of Health Services. Translated by Hussein Tehrani Shojaee. Volume (3) Printing (6). Tehran: Samat Publications, 1384.

    6-Cihad Dundar, Hatice Oz, Obesity-Related Factors in Turkish School Children.  The Scientific World Journal, 2012. 7- Nelson, Pediatric Basics 2011. Translated by: Mohsen Arjmand, First Edition, Arjmand Publication, 1389. 8- Hajiyan K, et al. Prevalence of overweight and underweight in elementary school children in the city of Babol. Journal of Babol University of Medical Sciences, Tenth Period (1387). PP 93-81

    9 - Fesharaki M, et al. Investigate the effect of teaching on lifestyle of overweight female elementary school students in Orumieh city. Iran Journal of Diabetes and Lipid, 1389, Volume 9, pp. 295-290

    10-Parizkova. A.J. Childhood obesity prevention and treatment 2000

                   11-Wong, Nursing Care of infants and children. Philadelphia: MosbyPhiladelphia: Mosby co. 2003

    12-Marja Vanhala, et al. Lifestyle risk factors for obesity in 7-year-old children. Obesity Research Clinical Practice, 2009 13-Muazzez G. et al. Obesity Risk Factors in Turkish Children. International Pediatric Nursing, 2009

    14- Pilliten A. Maternal & Child Health Nursing, sixth edition, Philadelphia, 2010

    15- Mohtasham Amiri Z, Maddah M. Survey prevalence of overweight and obesity in female medical students in Guilan University. Iran Journal of Endocrinology, 1385, Vol. 8, pp. 162-157

    16-Meriem S, et al. Predictive Factors of Obesity and their Relationships to Dietary Intake in Schoolchildren in Western Algeria. A Journal of Clinical Medicine. Vol 6.2011

    17 - Khabazkhob, M. Prevalence of overweight and obesity based on body mass index. Iran Specialized Journal of Epidemiology, 1386, Volume 3. pp 36-35

    18 - Helen G, Basics of Nutrition. Translation: Minu Farzani, Fifth printing, Chehr Publication, 1376 19-Dudek SG, Nutrition essentials for nursing, Fifth edition, Philadelphia: LWW, 2006. 20- Krause M, Mahan K. Food, Nutrition and diet therapy, Philadelphia: WB Saunders Company, 2004 21- Iranzad I, News on obesity, First Publication, Tehran, Iran University of Medical Sciences Publication 1381 22- Caroline Moore. The best nutrition for children and young kids. Translation: doctor J. Field, fourth edition, Tehran, Sabryn Press, 1379. 23- Dorosty, AR et al. Prevalence of obesity among school children in Neyshabour.  Journal of Qazvin University of Med Sci. Vole 12.No 1.2008.

                                24-Armstrong, J. et al. Breastfeeding and lowering the risk of childhood obesity. The Lancet. Vole (359). , 2003. PP 2003-2004. 

    25 - Harrison Tynsley. Nutrition and nutritional disorders. Translation: K. Sobhanian. First edition, Tehran: Generation Next Publications, 1384.

    26-Lean M. Obesity A clinical issue, UK Science Press 1996.

    27-Mahan LK, Escott S. Krauses Food, nutrition, diet therapy, 11 th Edition, USA. Elsevier Sunders, 2004.

    28-Schafer EJ. Lipoproteins, nutrition and heart disease. AM.J.CLIN. , 2002. 75, 191-212 29 - Williams SR. Basic Nutrition and Diet Therapy. Eleven edition, ST Louis: Mosby 2001.

              30 – Astensen, R. Good fats, bad fats. Translation: Riahi Hesamoddin. Tehran, Nikayeh publisher, 1383.

    31- Garo J. Role of nutrition in the prevention and treatment of diseases. Translation: Samira Ebrahim, F. et al. Tehran, Kamal Danesh Publication, 1380.

        32 - Mahan K, Scott S. Kraves nutrition and diet therapy. Translation: Vosogh Simin. Second edition, Tehran: Hayan Publications, 1384.

                                         33 - Nasrollahzadeh J. Nutritional treatment of obesity, diabetes and cardiovascular diseases. Tehran, Pelk Publication, 1382.

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