Document Detail

Healthy buddies™ reduces body mass index z-score and waist circumference in aboriginal children living in remote coastal communities.
MedLine Citation:
PMID:  23879779     Owner:  NLM     Status:  In-Data-Review    
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.
Rebecca Ronsley; Andrew S Lee; Boris Kuzeljevic; Constadina Panagiotopoulos
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of school health     Volume:  83     ISSN:  1746-1561     ISO Abbreviation:  J Sch Health     Publication Date:  2013 Sep 
Date Detail:
Created Date:  2013-07-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376370     Medline TA:  J Sch Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  605-13     Citation Subset:  IM; N    
Copyright Information:
© 2013, American School Health Association.
Medical Student, (, Faculty of Medicine, University of Toronto, 77 Gerrard Street West, Toronto, Ontario M5G2A1, Canada.
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