Shaping Behaviour and Attitude in Childhood Obesity: Difference between revisions

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= Introduction  =
= Introduction  =
'''Background:'''


Obesity is a leading preventable cause of death and disease worldwide. Global prevalence of obesity has more than doubled since 1980. The WHO has called the situation an 'epidemic' and estimates that 1.5 billion adults are overweight or obese, and 500 million people obese. Obesity increases the risk of type 2 diabetes, hypertension, cardiovascular disease, osteoarthritis and cancer, in turn increasing mortality risks. Overweight and obesity is linked to many other health problems, such as stroke, liver and gall bladder disease, respiratory problems, sleep disturbance, sub-fertility, mental illness, and poor quality of life. Globally, it is the 5th leading risk factor for death and is strongly associated with other important risk factors, such as high blood pressure, high blood glucose and physical inactivity.<br>
'''Background:'''


'''Epidemiology:'''
The negative health consequences experienced by overweight and obese children are wide ranging and include an increased risk of hypertension, type 2 diabetes and asthma. Children's mental wellbeing has also been shown to be negatively affected by overweight and obesity. The health risks of an unhealthy weight in childhood continue into adulthood and can result in an increased risk of conditions in life including cardiovascular disease..................<br>
Scotland has one of the worst obesity records in the developed world. Over the last 15 years, adult obesity in Scotland has risen significantly, from 17% of adults aged 16-64 in 1995 to 27% in 2010. If Scottish obesity follows the same trend as the US, it is predicted rates could reach 40% by 2030. In 2010, 65% of adults aged 16 and over were overweight or obese (BMI&gt;=25).


'''Epidemiology:'''&nbsp;


<br>
The Scottish Health Survey 2011 reports that;


= Learning Outcomes  =
*65.6% of children aged 2-15 had a healthy weight, a small decrease from 70.3% in 1998.
*31.6% of children were overweight or obese, a slight increase since 1998 when the prevalence was 28.0%.
*15.7% of children were obese or morbidly obese, representing a small rise in prevalence from 13.0% in 1998.<br>
*Boys were significantly less likely than girls to be a healthy weight (65.1% compared with 69.8%) and were more likely to be overweight or obese (32.7% compared with 28.0%).
*Healthy weight prevalence was significantly associated with age though not in a linear fashion. Prevalence was generally highest in the early years (aged 2-7) and was lowest among boys aged 10-11 (56.6%) and girls aged 12-13 (62.9%).
*Boys aged 10-11 and girls aged 12-13 had the highest prevalence of overweight or obesity (41.9% and 33.4%, respectively).
*There is a strong association between parental BMI and child BMI. Children with parents who are either a healthy weight or underweight are less likely to be overweight or obese than children of obese parents (21.0% compared with 40.1%).
*Boys in the lowest income households were more likely than those in&nbsp;other household income groups to be obese (19.7% compared with 14.2% in the highest income group).&nbsp;
*Area deprivation was significantly associated with obesity. Girls and boys in the most deprived quintile were less likely to be a healthy weight and more likely to be obese than girls and boys in the least deprived areas. Children living in the 15% most deprived areas in Scotland had a significantly higher prevalence of obesity than those living elsewhere (18.7% compared with 14.5%).


<br>


= Learning Outcomes  =


By the end of this Wiki the reader will be able to:<br>  
By the end of this Wiki the reader will be able to:<br>  

Revision as of 18:37, 24 October 2012

Introduction[edit | edit source]

Background:

The negative health consequences experienced by overweight and obese children are wide ranging and include an increased risk of hypertension, type 2 diabetes and asthma. Children's mental wellbeing has also been shown to be negatively affected by overweight and obesity. The health risks of an unhealthy weight in childhood continue into adulthood and can result in an increased risk of conditions in life including cardiovascular disease..................

Epidemiology: 

The Scottish Health Survey 2011 reports that;

  • 65.6% of children aged 2-15 had a healthy weight, a small decrease from 70.3% in 1998.
  • 31.6% of children were overweight or obese, a slight increase since 1998 when the prevalence was 28.0%.
  • 15.7% of children were obese or morbidly obese, representing a small rise in prevalence from 13.0% in 1998.
  • Boys were significantly less likely than girls to be a healthy weight (65.1% compared with 69.8%) and were more likely to be overweight or obese (32.7% compared with 28.0%).
  • Healthy weight prevalence was significantly associated with age though not in a linear fashion. Prevalence was generally highest in the early years (aged 2-7) and was lowest among boys aged 10-11 (56.6%) and girls aged 12-13 (62.9%).
  • Boys aged 10-11 and girls aged 12-13 had the highest prevalence of overweight or obesity (41.9% and 33.4%, respectively).
  • There is a strong association between parental BMI and child BMI. Children with parents who are either a healthy weight or underweight are less likely to be overweight or obese than children of obese parents (21.0% compared with 40.1%).
  • Boys in the lowest income households were more likely than those in other household income groups to be obese (19.7% compared with 14.2% in the highest income group). 
  • Area deprivation was significantly associated with obesity. Girls and boys in the most deprived quintile were less likely to be a healthy weight and more likely to be obese than girls and boys in the least deprived areas. Children living in the 15% most deprived areas in Scotland had a significantly higher prevalence of obesity than those living elsewhere (18.7% compared with 14.5%).


Learning Outcomes[edit | edit source]

By the end of this Wiki the reader will be able to:

  • Recognize demographic and psycho-social aspects underpinning childhood obesity.
  • Describe theories that shape and influence behaviour and attitudes.
  • To apply behavioural/attitudinal theories to effectively implement strategies to combat childhood obesity in (primary) school.
  • To evaluate the effectiveness of your strategy to change the behaviours of the children.

Theories of Behaviour Change[edit | edit source]

Changing Attitude:


Social Cognitive Theory:


Theory of Planned Behaviour:


Transtheoretical (Stages of Change) Model:






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