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Healthy Buddies™ Reduces Body Mass Index Z‐Score and Waist Circumference in Aboriginal Children Living in Remote Coastal Communities
Author(s) -
Ronsley Rebecca,
Lee Andrew S.,
Kuzeljevic Boris,
Panagiotopoulos Constadina
Publication year - 2013
Publication title -
journal of school health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.851
H-Index - 86
eISSN - 1746-1561
pISSN - 0022-4391
DOI - 10.1111/josh.12072
Subject(s) - waist , body mass index , obesity , medicine , curriculum , circumference , demography , physical therapy , gerontology , pediatrics , psychology , mathematics , pedagogy , geometry , sociology
BACKGROUND Aboriginal children are at increased risk for obesity and type 2 diabetes. Healthy Buddies™ ‐First Nations ( HB ) is a curriculum‐based, peer‐led program promoting healthy eating, physical activity, and self‐esteem. METHODS Although originally designed as a pilot pre‐/post‐analysis of 3 remote Aboriginal schools that requested and received HB training, one school did not implement the program and was used as a control group. Outcomes included changes in body mass index z‐score ( zBMI ), waist circumference ( WC ), blood pressure ( BP ), self‐esteem, health behavior, and knowledge over 1 school year in kindergarten to grade 12 children. RESULTS There was a significant decrease in zBMI (1.10 to 1.04, p = .028) and WC (77.1 to 75.0 cm, p < .0001) in the HB group (N = 118) compared with an increase in zBMI (1.14 to 1.23, p = .046) and a minimal WC change in the control group (N = 61). Prevalence of elevated BP did not change in the HB group, but increased from 16.7% to 31.7% in the control group (p = .026). General linear model analysis revealed a significant interaction between time, group, and zBMI (p = .001), weight status (p = .014), nutritious beverage knowledge (p = .018), and healthy living and self‐esteem score (p = .005). CONCLUSIONS The HB program is a promising school‐based strategy for addressing obesity and self‐esteem in Aboriginal children.