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Identifier 000386236
Title Εκπαιδευτική παρέμβαση στα σχολεία της Κύπρου για ελάττωση του επιπολασμού της παχυσαρκίας
Alternative Title Confronting the epidemic of childhood obesity in Cyprus.The Cyprus school and family intervention study
Author Πάπουτσου, Χρυστάλλα
Thesis advisor Καφάτος, Γεώργιος
Μπριασούλης, Γεώργιος
Φιλαλήθης, Αναστάσιος
Abstract Introduction: Childhood obesity is increasing in Cyprus but also in entire Europe. The Western lifestyle in combine to the economic crisis it is possible to negatively affect quality of life and nutrition. Prevention of childhood obesity is considered as one of the most important means to fight increasing obesity prevalence in childhood, adulthood and its health consequences to both age groups. Aim: The main goal of the current study was to conduct and evaluate an intervention program on a school base and a family base, in order to lower obesity rates and promote healthy lifestyle in relation to nutrition and physical activity. Methods: Children two to nine years of age from Pafos and Strovolos areas participated in IDEFICS (Identification and prevention of dietary and life style induced health effects in children and infants) study in Cyprus (n=2380). From the rest seven European countries of the IDEFICS study, 13884 participated at baseline study (2007-2008). The association of breastfeeding and the introduction of solid foods, was investigated from data coming from all eight European countries (n=11657. 50.3% males). Respectively, within the European population, the association of breakfast consumption and health indices was investigated (n=8863, 51.2% males) while on a national level, breakfast habits were studied in relation to daily nutrients intake. (n=1558, 50.3% males, 4-8 years). After the two year school based and family based intervention program (2007-2010) in Cyprus (school based family intervention took place in Strovolos while family based intervention took place in Strovolos as well, in “Open Schools” with two hours-weekly sessions for exercise and family nutritional education/intervention). In total, 1743 out of 2380 children participated in follow up study in 2009-2010 (850 children from Strovolos intervention group, 865 children from Pafos control group and 28 children from Open School intervention group (50.6% males for all groups). Results: The two years intervention study did not affect significantly Cyprus population’s obesity prevalence. Still, boys of Strovolos intervention group, significantly reduced their 9 Total Cholesterol blood levels while boys and girls reduced their weekly consumption of junk food, compared to control group. In Open School intervention group, boys reduced significantly their weekly consumption of junk food and girls increased significantly their daily consumption of fruits and vegetables. Within the European population of the study it was found that exclusive breastfeeding for 4 to 6 months followed by solid food introduction is protective over future obesity in childhood; early introduction of fruits as well, regardless of milk infant feeding practices. Daily breakfast consumption was found to help controlling school aged children’s weight, lipid profile and promotes higher physical activity in boys. On a national level, within the Cypriot study population girls who have breakfast on a daily basis had lower mean Body Mass Index and they were also less likely of having abnormal levels of serum triglycerides, atheromatic index (Total Cholesterol to HDL-cholesterol ratio) and diastolic blood pressure after controlling for several confounding factors. Within regular breakfast consumers, of both boys and girls, those having RTE cereals had a superior nutrient intake profile. Conclusions: According to results, early infant nutrition and breakfast habits are two significant nutrition areas that need to be further investigated; current data support that optimal breakfast habits, sufficient exclusive breastfeeding and timely introduction of solids during infancy play a key role for the prevention of future adiposity and/or abnormal cardiovascular risk factors during childhood. Intervention had light positive outcomes so the need for efficient intervention programs in Cyprus remains as a challenge and it is urgently needed for such prevention and intervention programs to be stratified and implemented in public schools.
Language Greek
Subject Breakfast
Cardiovascular disease
Solid food introduction
Εισαγωγή στερεάς τροφής
Issue date 2014-07-24
Collection   Faculty/Department--School of Medicine--Department of Medicine--Doctoral theses
  Type of Work--Doctoral theses
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