- The role of health saving technologies on the prevention of the obesity and excessive weight in children of the school age
The role of health saving technologies on the prevention of the obesity and excessive weight in children of the school age
PERINATOLOGIYA AND PEDIATRIYA.2019.1(77):69-73; doi 10.15574/PP.2019.77.69
Beketova H. V., Savinova K. B., Dybohay O. D., Mishcherska H. D., Sokolenko I. M.
Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine
National Pedagogical Dragomanov University, Kyiv, Ukraine
Kyiv Regional Children's Hospital, Boiarka, Ukraine
Introduction. The obesity is one of the most popular chronic diseases in the world and in accordance in Ukraine. Due to the data of the World Health organization there are 340 millions of the children and teenagers at the age from 5 to 19 years had excessive weight of the body (EWB) in 2016 year. The main reasons of obesity were low physical activity and inappropriate nutrition, that is mostly in line to pupils. The beginning of the studying is characterized with the sharp decreasing of volume physical activity because of increasing of the static strain. All above-mentioned in accordance with the misuse of the sweets and fizzy drinks, disorder of the nutrition regime, limitless of the fresh fruits and vegetables on the menu build the high risk of the progression of the obesity and EWB in children. The mechanism of the prevention of the obesity progression can be the implementation of the health saving technologies (HST), that contains formation of the healthy lifestyle habits and enough moving.
Purpose. Estimate the HST «Education in moving» of the Dubohai O.D. influence on the prevention of the obesity progression and Excessive weight of the body in primary school age children.
Patients and methods. The clinical-instrumental examination of 153 preschool age children was held at Kyiv Regional Children's Hospital before the entering school and during the studying at the I–IV classes, among them 65 pupils from the middle school No. 287 in Kyiv, where HST were implemented( main group) and 88 pupils of the middle school No. 3 in Boiarka, where the HST were not used (comparison group). The examination included the evaluation of the anthropometric indicators according to the directive of the Ministry of Health of Ukraine from 13.09.2013 No. 802 «Criteria for assessing the physical development of school_age children», calculation of body mass index (BMI), laboratory and instrumental research methods.
Results. The usage of the HST in main group provided sufficient (corresponding to age) physical activity and having finished the primary school the part of the children with harmonical enlargement increased from 27.7% to 63.9%, while in comparison group it stayed mostly the same (38.6% and 41.7%). A significant increasing of the specific weight children with obesity and EWB was found in the comparing group during the years of studying (from 33.3% to 50.0%), and the tendency of the decreasing amount of the children with EWB and obesity from 20.0% to 16.7%.
Conclusions. Conducted scrutiny showed positive influence of the HST «Education in moving» on the saving harmonical physical development and prevention of the enlargement of the obesity and EWB in primary school age children providing enough physical activity and rational nutrition.
Key words: obesity, excessive weight of body, health saving technologies, primary school age children.
REFERENCES
1. Beketova GV, Savinova KB. (2018). Influence of health saving techniques on the anti-infectious resistance and formation of chronical pathologies of pre-school aged children. Sovremennaya pediatriya. 4(92): 17–22. https://doi.org/10.15574/SP.2018.92.17
2. Beketova GB, Savinova KB. (2018). Prophylaxis of school deadaptation with the help of healthsaving technologies in children of elementary school age. Neonatology, surgery and perinatal medicine. 8; 4(30): 37–42. https://doi.org/10.24061/2413-4260.VIII.4.30.2018.7
3. Dybohai OD. (2005). Education in moving: health saving technologies in primary school: methodological recommendation. Kyiv: Shkilnyi svit: 112.
4. Kvashninа LV. (2016). Alimentary deficiency of calcium in children and approaches to its correction. Sovremennaya pediatriya. 7(79): 26–32. https://doi.org/10.15574/SP.2016.79.26
5 Lukyanova EM. (2003). Medical and pedagogical aspects of the problem of keeping children’s health. International medical Journal. 9; 3: 6–9.
6. Davis MM, Gance–Cleveland B, Hassink SC et al. (2007). Recommendations for Prevention of Childhood Obesity, Pediatrics. 120; Suppl. 4: S229–S253. https://doi.org/10.1542/peds.2007-2329E; PMid:18055653
7. Datar A, Sturm R. (2004). Physical education in elementary school and body mass index: evidence from the early childhood longitudinal study. Am. J. Public Health. 94(9): 1501–1506. https://doi.org/10.2105/AJPH.94.9.1501; PMid:15333302 PMCid:PMC1448481
8. DeBoer MD, Scharf RJ, Demmer RT. (2013). Sugar-sweetened beverages and weight gain in 2- to 5-year-old children. Pediatrics. 132 (3): 413–420. https://doi.org/10.1542/peds.2013-0570; PMid:23918897 PMCid:PMC3876761
9. Malik VS, Pan A, Willett WC, Hu FB. (2013). Sugar-sweetened beverages and weight gain in children and adults: a systematic review and metaanalysis. Am. J. Clin. Nutr. 98 (4): 1084–1102. https://doi.org/10.3945/ajcn.113.058362; PMid:23966427 PMCid:PMC3778861
10. Pelegrini A, Silva DA, Gaya AC, Petroski EL. (2013). Comparison of three criteria for overweight and obesity classification in Brazilian adolescents. Nutr J. 12: 5. https://doi.org/10.1186/1475-2891-12-5; PMid:23294869 PMCid:PMC3564842
11. World Health Organization. Commission on Ending Childhood Obesity. (2016). ENDING CHILDHOOD OBESITY. Available on: http://apps.who.int/iris/bitstream/10665/204176/1/9789241510066_eng.pdf?ua=1.
Article received: Nov 03, 2018. Accepted for publication: Mar 12, 2019.
