통합적 비만 캠프 프로그램에 참여한 과체중 아동의 식이 효능감과 식습관 향상이 비만도 감소에 미치는 영향
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
정경미 (연세대학교)
전용관 (연세대학교)
초록
본 연구에서는 ‘한국 비만 아동의 신체 활동과 건강(KOCPA)’ 연구의 2차 캠프 프로그램에 참여한4-6학년의 과체중 이상 아동들을 대상으로 캠프 참여가 캠프 직후와 1개월의 사후 관리 후 실제적인 체중 감소 및 심리적 요인에 어떤 효과를 가지는지 살펴보고, 부모가 보고한 아동의 심리적 요인의 변화는 어떠한지를 살펴보았다. 또한 프로그램 참여를 통한 식이 효능감 및 바람직한 식습관의 증가량이 실제 비만도 감소에 미치는 영향을 분석하였다. 캠프 프로그램은 신체 활동, 식이 요법, 행동 수정 프로그램으로 구성되어 7박 8일간 진행되었으며, 캠프 참여 아동들은 행동 수정 프로그램에서 학습한 내용을 토대로 캠프 종료 후 1개월 간 자기 관리를 수행하였다. 그 결과, 캠프프로그램을 통해 비만도가 유의미하게 감소하고 식이 효능감과 식습관이 유의미하게 개선되었으며, 1개월간의 사후 관리 후 비만도와 식습관에 대한 효과가 유지되었다. 또한 캠프 이전에 비해 1개월간의 사후 관리 후 부모가 보고한 아동 식이 효능감, 식습관 점수는 모두 유의미한 향상을 보였다. 마지막으로, 식이 효능감과 바람직한 식습관의 변화량이 비만도 감소를 유의미하게 예측한것으로 나타났다. 이와 같은 결과를 바탕으로 본 연구의 의의와 한계점에 대하여 논의하였다.
- 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
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
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