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BMC Public Health

, 12:152

Health policies, systems and management in high-income countries

Abstract

BackgroundOverweight and obesity in children in Mexico was among the countries with the highest prevalence-s in the world. Mexico currently has few innovative and comprehensive experiences to help curb the growth of this serious public health problem. Therefore, the aim of this study is to assess the effectiveness of a nutrition and physical activity strategy, called -Nutrition on the Go-nutrición en movimiento- in maintaining the BMI values of school children in the State of Mexico.

MethodsA two-stage cluster trial was carried out. Sixty schools were selected in the State of Mexico, of which 30 were randomly assigned to the intervention group IG and 30 to the control group CG. A total of 1020 fifth grade school children participated. The intervention strategy aimed to decrease the energy content of school breakfasts and include fruits and vegetables, as well as increase physical activity and the consumption of water during the time spent at school. The strategy was implemented over a 6-month period.

ResultsThe estimated probability EP of obesity between baseline and the final stage for the IG decreased 1% Initial EP = 11.8%, 95%CI 9.0, 15.2, final EP = 10.8, 95%CI 8.4, 13. For the CG, the probability increased 0.9% baseline EP = 10.6%; 95%CI 8.1, 13.7; final EP = 11.5, 95%CI 9.0, 14.6. The interaction between the intervention and the stage is the average odd time corrected treatment effect, which is statistically significant p = 0.01 OR = 0.68, 95%CI 0.52, 091.

This represents the interaction between intervention and stage, which is highly significant p = 0.01 OR = 0.68; 95%CI 0.52, 091. In addition, girls had a protective effect on obesity OR = 0.56; 95%CI 0.39, 0.80.

ConclusionsThe intervention strategy is effective in maintaining the BMI of school children.

KeywordsObesity Scholars Effectiveness Mexico Eating Physical activity Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-12-152 contains supplementary material, which is available to authorized users.

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Autor: Teresa Shamah Levy - Carmen Morales Ruán - Claudia Amaya Castellanos - Araceli Salazar Coronel - Alejandra Jiménez Aguilar

Fuente: https://link.springer.com/







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