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Open AccessArticle

Improving the Metabolic and Mental Health of Children with Obesity: A School-Based Nutrition Education and Physical Activity Intervention in Wuhan, China

1
School of Health Sciences, Wuhan University, Wuhan 430071, China
2
Wuhan Center for Disease Prevention and Control, Wuhan 430022, China
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Xinzhou Center for Disease Prevention and Control, Wuhan 431400, China
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Unit of Cardiovascular and Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Nobelsväg 13, 17177 Stockholm, Sweden
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Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC 3125, Australia
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Hubei Biomass-Resource Chemistry and Environmental Biotechnology Key Laboratory, Wuhan University, Wuhan 430071, China
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(1), 194; https://doi.org/10.3390/nu12010194
Received: 2 December 2019 / Revised: 31 December 2019 / Accepted: 7 January 2020 / Published: 10 January 2020
(This article belongs to the Special Issue Healthy Diet and Lifestyles in the Pediatric Population)
This study aimed to evaluate the effectiveness of a school-based nutrition education and physical activity intervention on cardiovascular risk profile and mental health outcomes among Chinese children with obesity. Two primary schools were randomly allocated to the control group (CG) and the intervention group (IG). We selected children with obesity from 1340 students in the third and fourth grades as participants. The IG received 8 months of nutrition education and physical activity intervention, while the CG was waitlisted. A generalized estimating equation model was applied to assess repeated variables over time. A total of 171 children with obesity (99 IG and 72 CG) aged 9.8 ± 0.7 years completed the post-intervention stage. Compared with baseline, significant reductions were observed within the IG for depression and fasting plasma glucose at post-intervention. After adjusting for confounders, group and time interaction effects showed that the IG achieved improvements in the risk of poor well-being (p = 0.051) and social anxiety (p = 0.029), had decreased diastolic blood pressure (p = 0.020) and fasting plasma glucose (p < 0.001), and had significantly increased high-density lipoprotein (p < 0.001) from baseline to post-intervention relative to the CG. The effects of school-based nutrition education and physical activity intervention on children with obesity are diverse, including not only the improvement of metabolic health but also mental health promotion. View Full-Text
Keywords: childhood obesity; nutrition education; physical activity intervention; metabolic health; mental health childhood obesity; nutrition education; physical activity intervention; metabolic health; mental health
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Yu, H.-J.; Li, F.; Hu, Y.-F.; Li, C.-F.; Yuan, S.; Song, Y.; Zheng, M.; Gong, J.; He, Q.-Q. Improving the Metabolic and Mental Health of Children with Obesity: A School-Based Nutrition Education and Physical Activity Intervention in Wuhan, China. Nutrients 2020, 12, 194.

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