The Korean Journal of Health Psychology
- KOREAN
- P-ISSN1229-070X
- E-ISSN2713-9581
- KCI
Effects of improvements in eating self-efficacy and habits on the decrease in body mass index (BMI) among overweight children in a multidisciplinary camp program
Abstract
The purpose of this study was to examine 1) an effectiveness of a multidisciplinary camp program for overweight children, 2) maintenance of the effectiveness after the program, 3)changes in parent-reported child eating self-efficacy and eating habit, and 4) the association between changes in eating self-efficacy and eating habit and changes in child BMI. Total of 32 children (BMI 26.09±3.33kg/m2), aged 9 to 12 participated in the camp program and follow-up meeting. The camp program consisted of physical activities, dietary restriction and behavior modification for a week. After the program, children were instructed to continue physical activities and diet using self-management skills learned from the behavior modification in the program. After the program, BMI of children significantly decreased, and child-reported eating self-efficacy and eating habit scores significantly increased. It was shown that although the improvement in eating self-efficacy was not maintained at the one-month follow-up period,the improvements in BMI and eating habit were maintained. Parent-reported child eating self-efficacy and eating habit scores significantly increased at the follow-up. Finally, increase in child-reported eating self-efficacy and eating habit scores significantly predicted the decrease in BMI. Implications and limitations were also discussed.
- keywords
- 비만, 과체중, 아동, 통합적 캠프 프로그램, 행동 수정, 자기 관리, 비만도, 식이 효능감, 식습관, obese, overweight, children, multidisciplinary camp program, behavior modification, self-management, BMI, eating self-efficacy, eating habit
Reference
김경희. (2001). 비만아동을 위한 체중조절 프로그램의 효과. 한국식생활문화학회지, 16(2), 89-98.
김경희. (2007). 체중조절 프로그램을 통한 비만아동들의 비만도, 신체만족감 및 자아존중감의 변화. 대한지역사회영양학회지, 12(4), 449-461.
김미리혜. (2001). 체중조절 프로그램이 아동의 비만도, 체력 및 자긍심에 미친 효과. 한국심리학회지: 건강, 6(2), 145-156.
김현아, 김은경. (1996). 학령기 비만아동을 위한 체중조절 프로그램의 실시 및 효과평가. 한국영양학회지, 29(3), 307-320.
김현준. (2007). 건강교육과 자발적 운동참여 프로그램이 비만 및 과체중아동의 신체조성과 자기효능감에 미치는 영향. 대한비만학회지, 16(3), 130-137.
대한비만학회 소아비만위원회. (2006). 소아․청소년 비만관리 지침서. 서울: 대한비만학회.
박광혜, 강혜영. (2007). 일 도시 초등학교 비만 아동의 신체조성, 비만도, 식습관, 스트레스에 미치는 비만관리 프로그램 효과. 한국학교보건학회지, 20(2), 1-12.
보건복지부. (2005). 국가 비만관리 종합대책.
신은경, 이진화, 이연경, 이혜성. (2005). 단기간 영양교육 캠프가 비만아동의 식품과 영양소 섭취에 미치는 영향. 한국식품영양과학회지, 34(7), 987-999.
이미경. (2008). 비만아동의 6박7일 캠프 참여가 비만도, 심혈관 질환 위험요인 및 염증지표에 미치는 영향. 연세대학교 석사 학위 청구 논문.
이진복, 이정오, 김성원, 강재헌, 양윤준. (2000). 서울시내 일부 초등학교 아동에서의 비만의 유병률 및 위험요인. 가정의학회지, 21(7), 866-875.
전용균. 이기홍. (2005). 비만처치 프로그램이 비만아동의 혈중지질과 신체구성에 미치는 영향. 한국스포츠리서치, 16(6), 231-238.
조인숙, 류현숙, 박인혜, 강서영. (2007). 비만관리 프로그램이 비만아동의 비만도와 식생활태도, 식습관 및 운동습관에 미치는 효과. 아동간호학회지, 13(4), 399-406.
질병관리본부, 대한소아과학회, 소아․청소년 신체발육표준치 제정위원회. (2007). 2007년 소아․청소년 표준 성장도표 해설.
최미경, 전예숙, 이지은, 이용숙, 배윤정, 김미현 등. (2007). 일부 비만 초등학생을 위한 건강영양캠프의 효과 평가. 한국식품영양학회지, 20(1), 79-87.
최주연, 권정혜, 이재현. (2001). 행동수정 프로그램이 비만 아동의 체중감소에 미치는 효과. 한국심리학회지: 임상, 20(4), 611-623.
한국영양학회. (2005). 한국인 영양 섭취 기준.
Bernier, M., & Avard, J. (1986). Self-efficacy, outcome, and attrition in a weight-reduction program. Cognitive Therapy & Research, 10, 319-338.
Braet, C., Mervielde, I., & Vandereycken, W. (1996). Psychological aspects of childhood obesity: A controlled study in a clinical and nonclinical sample. Journal of Pediatric Psychology, 22(1), 59-71.
Braet, C., Tanghe, A., Bode, P. D., Franckx, H., & Winckel, M. V. (2003). Inpatient treatment of obese children: a multicomponent programme without stringent calorie restriction. European Journal of Pediatrics, 162, 391-396.
Brislin, R. W. (1970). Back-translation for crosscultural research. Journal of Cross-Cultural Psychology, 1, 185-216.
Brownell, K., D., & Kaye, F. S. (1982). A school-based behavior modification, nutrition education, and physical activity program for obese children. The American Journal of Clinical Nutrition, 35, 277-283.
Clark, M. M., Abrams, D. B., & Niaura, R. S. (1991). Self-Efficacy in weight management. Journal of Consulting and Clinical Psychology, 59(5), 739-744.
Clarke, K. K., Freeland-Graves, J., Klohe-Lehman, D. M., & Bohman, T. M. (2007). Journal of the American Dietetic Association, 107, 1146-1154.
Cooper, C., Sarvey, S., Collier, D., Willson, C., Green, I., & Porties, M. L. et al. (2006). For comparison: experience with a children's obesity camp. Surgery for Obesity and Related Diseases, 2, 622-626.
Deckelbaum, R. J., & Williams, C. L. (2001). Childhood obesity: The health issue. Obesity Research, 9(Suppl. 4), 239-243.
Deforche, B., Bourdeaudhuij, I. D., Debode, P., Vinaimont, F., Hills, A. P., Verstraaete, S. et al. (2003). Changes in fat mass, fat-free mass and aerobic fitness in severely obese children and adolescents following a residential treatment programme. European Journal of Pediatrics, 162, 616-622.
Ebbeling, C. B., Pawlak, D. B., & Ludwig, D. S. (2002). Childhood obesity: public-health crisis, common sense cure. Lancet, 360, 473-482.
Elfhag, K., & Rӧssner, S. (2005). Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain. Obesity Review, 6, 67-85.
Eliakim, A., Kaven, G., Berger, I., Friedland, O., Wolach, B., & Nemet, D. (2002). The effect of a combined intervention on body mass index and fitness in obese children and adolescents - a clinical experience. European Journal of Pediatrics, 161, 449-454.
Eneli, I. U., Cunningham, A., & Woolford, S. J. (2008). The multidisciplinary obesity program: An update. Progress in Pediatric Cardiology, 25, 129-136.
Epstein, L. H., Valoski, A., Wing, R. R., & McCurley, J. (1990). Ten-year follow-up of behavioral, family-based treatment for obese children. Journal of American Medical Association, 264(19), 2519-2523.
Epstein, L. H., & Wing, R. R. (1987). Behavioral treatment of childhood obesity. Psychological Bulletin, 101(3), 331-342.
Epstein, L. H., Wing, R. R., & Valoski, A. (1985). Childhood obesity. Pediatric Clinics of North America, 32(2), 363-379.
Gately, P. J., Cooke, C. B., Barth, J. H., Bewick, B. M., Radley, D., & Hill, A. J. (2005). Children's residential weight-loss programs can work: A prospective cohort study of short-term outcomes for overweight and obese children. Pediatrics, 116(1), 73-77.
Gately, P. J., Cooke, C. B., Butterly, R. J., Mackreth, P., & Carroll, S. (2000). The effects of a children's summer camp programme on weight loss, with a 10 month follow-up. International Journal of Obesity, 24, 1445-1453.
Glenny, A. M., O'Meara, S., Melville, A., Sheldon, T. A., & Wilson, C. (1997). The treatment and prevention of obesity: a systematic review of the literature. International Journal of Obesity, 21, 715-737.
Golan, M., Fainaru, M. & Weizman, A. (1998). Role of behaviour modification in the treatment of childhood obesity with the parents as the exclusive agents of change. International Journal of Obesity, 22, 1217-1224.
Guillaume, M. (1999). Defining obesity in childhood:current practice. American Journal on Clinical Nutrition, 70(suppl), 126-130.
Hamilton, S. B. (1980). Instructionally-based training in self-control: Behavior- specific and generalized outcomes resulting from student-implemented self-motivation projects. Teaching of Psychology, 7(3), 140-145.
Hinshaw, S. P., Owens, E. B., Wells, K. C., Kraemer H. C., Abikoff, H. B., Arnold, L. E., et al. (2000). Family process and treatment outcome in the MTA: Negative/ineffective parenting practices in relation to multimodal treatment. Journal of Abnormal Child Psychology, 28(6), 555-568.
Jelalian, E., & Saelens, B. E. (1999). Empirically supported treatments in pediatric psychology:Pediatric obesity. Journal of Pediatric Psychology, 24(3), 223-248.
King, N. A., Hester, J., & Gately, P. J. (2007). The effect of a medium-term activity- and diet-induced energy deficit on subjective appetite sensations in obese children. International Journal of Obesity, 31, 334-339.
Knöpfli, B. H., Radtke, T., Lehmann, M., Schätzle, B., Eisenblätter, J., Gachnang, A. et al. (2008). Effects of a multidisciplinary inpatient intervention on body composition, aerobic fitness, and quality of life in severely obese girls and boys. Journal of Adolescent Health, 42, 119-127.
Linde, J. A., Rothman, A. J., Baldwin, A. S., & Jeffery, R. W. (2006). The impact of self-efficacy on behavior change and weight change among overweight participants in a weight loss trial. Health Psychology, 25(3), 282-291.
Lobstein, T., Baur, L., & Uauy, R. (2004). Obesity in children and young people: a crisis in public health. Obesity Reviews, 5(Suppl.1), 4-85.
Marks, R., Allegrante, J. P., & Lorig, K. L. (2005). A review and synthesis of research evidence for self- efficacy-enhancing interventions for reducing chronic disability: Implications for health education practice (Part II). Health Promotion Practice, 6(2), 148-156.
Martin, P. D., Dutton, G. R., & Brantley, P. J. (2004). Self-efficacy as a predictor of weight change in African-American women. Obesity Research, 12(4), 646-651.
Nemet D., Barkan, S., Epstein, Y., Freidland, O., Kowen, C., & Eliakim, A. (2005). Short- and long-term beneficial effects of a combined dietary-behavioral-physical activity intervention for the treatment of childhood obesity. Pediatrics, 115(4), 443-449.
Parcel, G. S., Edmunson, E., Perry, C. L., Feldman, H. A., O'Hara-Tompkins, N., Nader, P. R. et al. (1995). Measurement of self-efficacy for diet-related behaviors among elementary school children. Journal of School Psychology, 65(1), 23-27.
Pierce, J. W., & Wardle, J. (1997). Cause and Effect beliefs and self-esteem of overweight children. Journal of Child Psychology and Psychiatry, 38(6), 645-650.
Pi-Sunyer, F. X. (1991). Health implications of obesity. The American Journal of Clinical Nutrition, 53, 1595-1603.
Renman, C., Engström, I., Silfverdal, S. A., & Åman, J. (1999). Mental health and psychosocial characteristics in adolescent obesity: a population-based case-control study. Acta Paediatrica, 88, 998-1003.
Roach, J. B., Yadrick, M. K., Johnston, J. T., Boudreaux, L. J., Forsythe III, W. A., Billon, W. (2003). Using self-efficacy to predict weight loss among young adults. Journal of the American Dietetic Association, 103(10), 1357-1359.
Rodin, J., Elias, M., Silberstein, L. R., & Wagner, A. (1988). Combined behavioral and pharmacologic treatment for obesity: predictors of successful weight maintenance. Journal of Consulting and Clinical Psychology, 56(3), 399-404.
Savoye, M., Shaw, M., Dziura, J., Tamborlane, W. V., Rose, P., Guandalini, C. et al. (2007). Effects of a weight management program on body composition and metabolic parameter in overweight children. Journal of the American Medical Association, 297(24), 2697-2704.
Snethen, J. A., Broome, M. E., & Cashin, S. E. (2006). Effective weight loss for overweight children: A meta-analysis of intervention studies. Journal of Pediatric Nursing, 21(1), 45-56.
Stuart, R. B. (1967). Behavioral control of overeating. Behavior Research and Therapy, 5, 357-365.
Sweeting, H. N. (2007). Measurement and definitions of obesity in childhood and adolescence: A field guide for the uninitiated. Nutrition Journal, 6, 32-39.
Swinburn, B., & Egger, G. (2002). Preventive strategies against weight gain and obesity. Obesity Reviews, 2, 289-301.
Varni, J. W., Limbers, C., & Burwinkle, T. M. (2007). Literature Review: Health-related quality of life measurement in pediatric oncology: Hearing the voices of the children. Journal of Pediatric Psychology, 32(9), 1151-1163.
Wadden, T. A., & Stunkard, A. J. (Eds.). (2002). Handbook of obesity. New York : The Guilford Press.
Walker, L. L. M., Gately, P. J., Bewick, B. M., & Hill, A. J. (2003). Children's weight-loss camps: psychological benefit or jeopardy? International Journal of Obesity, 27, 748-754.
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