School-based intervention for prevention of obesity among children in Dar-es-Salaam City, Tanzania:
Summary ; Zs.-Fassung.
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| Format: | Thesis Book |
| Language: | English |
| Published: |
2002
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| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Summary: | Summary ; Zs.-Fassung. |
| Physical Description: | XIII, 151 S. graph. Darst. : 21 cm |
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| adam_text | Titel: School-based intervention for prevention of obesity among children in Dar-es-Salaam City, Tanzania
Autor: Hemed-Kyungu, Lunna
Jahr: 2002
TABLE OF CONTENTS
1. INTRODUCTION 1
1.1 Obesity as a Public Health Problem 1
1.2 Health Risks of Obesity 2
13 Factors Contributing to Obesity 3
1.3.1 Nutrition 3
1.3.2 Physical Activities 4
1.3.3 Genetic Factors 4
1.3.4 Socio-economic Factors 5
1.3.5 Age and Gender 5
U.6 Other Factors 6
1.4 Obesity in Tanzania 6
15 Economic Effect of Obesity 8
1.6 Need for Obesity Prevention 9
2. OBJECTIVES 11
2.1 General Objective 11
22 Specific Objectives 11
3. HYPOTHESES 11
4. METHODS 12
4.1 STUDY 1: Baseline Survey 12
4.1.1 Sampling 12
I
4.1.1.1 Calculation of Sample Size 12
4.1.1.2 Stratification of Sampling 13
4.1.2 Survey Questionnaires 14
4.1.3 Body Composition and Anthropometry 16
4.1.4 Interview 19
4.2 STUDY 2: Nutrition Intervention 21
4.2.1 Sampling 21
4.2.2 Home Visits 21
4.2.3 School Intervention 23
4.2.4 Teachers Meeting 24
43 Assessment of Outcome 25
4.3.1 Survey Questionnaire 25
4.3.2 Interview 26
4.4 Data Analysis 27
5. RESULTS 28
5.1 STUDY 1: Baseline Survey 28
5.1.1 General Feature of the Sample 28
5.1.2 Nutritional Status 29
5.1.3 Macronutrients Intake 33
5.1.4 Food Intake 34
5.1.5 Alcohol Intake by Mothers 37
5.1.6 Food Consumption Pattern 38
5.1.7 Physical Activities 40
5.1.8 Nutrition Knowledge 43
5.1.9 Body Image 45
5.1.10 Predictors of Children s Nutritional Status 45
5.1.11 Teachers Results 46
5.2 STUDY 2: Nutrition Intervention Outcome 48
5.2.1 Nutritional Status 48
5.2.2 Nutrition Knowledge, Eating Frequency, and Macronutrients Intake 54
5.2.3 Eating Frequency of Selected Foods 61
5.2.4 Food Consumption Pattern 63
5.2.5 Eating of Snacks 64
5.2.6 Alcohol Intake by Mothers 65
5.2.7 Mothers Attitudes Towards Nutrition 66
5.2.8 Physical Activities 68
5.2.9 Teachers Results 72
6. DISCUSSION 75
6.1 STUDY 1: Baseline Survey 75
6.1.1 Nutritional Status 75
6.1.2 Macronutrients Intake 78
6.1.3 Eating Frequency and Intake of Selected Foods 80
6.1.4 Physical Activities 81
6.1.5 Nutrition Knowledge 82
6.1.6 Comparisons Between Body Composition and Anthropometry
Assesment Methods 83
6.2 STUDY 2: Nutrition Intervention 85
6.2.1 Nutritional Status 87
6.2.2 Macronutrients Intake 89
6.2.3 Nutrition Knowledge and Attitude Towards Nutrition 90
6.2.4 Eating Frequency 91
6.2.5 Intake of Selected Foods 91
6.2.6 Food Consumption Pattern 92
6.2.7 Eating of Snacks 92
6.2.8 Alcohol Intake 93
6.2.9 Physical Activities 93
63 Strengths and Weaknesses of the Program 94
7. CONCLUSION AND RECOMMENDATION 99
7.1 STUDY 1: Baseline Survey 99
m
7.2 STUDY 2: Nutrition Intervention 100
8. SUMMARY 102
8. ZUSAMMENFASSUNG 104
9. REFERENCES 106
10. APPENDICES 117
rv
LIST OF TABLES
Table 1: Prevalence of Risk Factors of Non-communicable Diseases According to
Employed Position Among Adult Africans in Dar-es-Salaam Region, Tanzania
Table 2: Recommended Dietary Allowance for Selected Macronutrients
Table 3a: General Features of the Studied Children (n=276) and their
Mothers (n =264), from Dar-es-Salaaam City, Tanzania
Table 3b: General Features of the Studied Children (n=276) and their
Mothers (n =264), from Dar-es-Salaaam City, Tanzania
Table 4: Anthropometric and Bioelectrical Impedance Analysis Measurements of 7-15
year-old Children (n =276) and their Mothers (n =179) of Dar-es-Salaam City
(Data Presented as Mean, Range and Standard Deviation)
Table 5: Comparison of Prevalence of Underweight, Normal Weight, Overweight and
Obesity According to WHO S BMI- for- age Cut-off Points and Cole s Method
BMI- for- age Cut-off Points in 276, 7-15-years Old Children From Dar-es-
Salaam City, Tanzania
Table 6 : Macronutrients Intake, Estimated by 24-Hour Dietary Recall, of 7-15 year-old
children (n= 269) and their Mothers (n=182) in Dar-es-Salaam City, Tanzania
(Data Presented as Mean, Range and Standard Deviation)
Table 7 : Monthly Intake Frequency of Selected Foods Estimated by Food Frequency
Questionnaire of 7-15 year-old children (n=276)and their Mothers (n=264) in
Dar-es-Salaam City, Tanzania (Data Presented as Mean and Standard
Deviation)
Table 8: Monthly Intake Frequency of Selected Foods Estimated by Food Frequency
Questionnaire, of 7-15 year-old children (n=276) and their Mothers (n=264)in
Dar-es-Salaam City, Tanzania (Data Presented as Means and Standard
Deviation)
Table 9: Amount of Time (in minutes) spent in Various Activities by the Studied
Children (n=276) and their Mothers (n=221) from Dar-es-Salaam City,
Tanzania (also Divided According to their Nutritional Status) expressed in
Means, Range, Standard Deviation and as a Percentage of Total Time
Table 10:
Table 11:
Table 12:
Table 13:
Table 14:
Table 15:
Table 16:
Predictors of Children BMI at Baseline Survey (n=276)
Predictors of Children Fatmass (%) at Baseline Survey (n=276)
Anthropometric and Bioelectrical Impedance analysis Measurements in
Children (n=88) and their Mothers (n=88) before Intervention, Presented as
Mean, Range, Standard Deviation and percentage (for overweight and obesity
prevalence)
Anthropometric and Bioelectrical Impedance analysis Measurements in
Children (n=87) and their Mothers (n=87) after 14 Months of Intervention,
Presented as Mean, Range, Standard Deviation and percentage (for overweight
and obesity prevalence)
Changes in Anthropometric and Bioelectrical Impedance analysis
Measurements in Children (n=87) and their Mothers (n=87) after 14 Months of
Intervention, Presented as Mean Changes as well as Percentage Mean Changes
(except for overweight and obesity prevalence)
Anthropometric and Bioelectrical Impedance analysis Measurements in Girls
and Boys (n=87) and their Mothers (n=87) before Intervention, Presented as
Mean, Range, Standard Deviation and percentage (for overweight and obesity
prevalence)
Anthropometric and Bioelectrical Impedance analysis Measurements in Girls
and Boys (n=87) and their Mothers (n=87) after 14 Months of Intervention,
Presented as Mean, Range, Standard Deviation and percentage (for overweight
and obesity prevalence)
Table 17: Changes in Anthropometric and Bioelectrical Impedance analysis
Measurements in Girls and Boys (n=87) and their Mothers (n=87) after 14
Months of Intervention, Presented as Mean Changes as well as Percentage
Mean Change (Except for Overweight and Obesity Prevalence)
Table 18: Nutrition Knowledge Score, Eating Frequency and Macronutrients Intake
(calculated by 24-hour dietary recall method) before Intervention, of Children
(n=87) and their Mothers (n=87), Presented as Mean, Range and Standard
Deviation
Table 19: Nutrition Knowledge Score, Eating Frequency and Macronutrients Intake
(calculated by 24-hour dietary recall method) after 14 Months of Intervention,
of Children (n=87) and their Mothers (n=87), Presented as Mean, Range and
Standard Deviation
Table 20: Change in the Mean Nutrition Knowledge Score, Eating Frequency and
Macronutrients Intake (calculated by 24-hour dietary recall method) after 14
Months of Intervention, in Children (n=87) and their Mothers (n=87),
Presented as Mean Change and Percentage.
Table 21: Nutrition Knowledge Score, Eating Frequency and Macronutrients Intake
(calculated by 24-hour dietary recall method) before Intervention, of Girls and
Boys (n=87), Presented as Mean, Range and Standard Deviation
Table 22: Nutrition Knowledge Score, Eating Frequency and Macronutrients Intake
(calculated by 24-hour dietary recall method) of Girls and Boys (n=87), after
14 Months of Intervention, Presented as Mean, Range and Standard Deviation
Table 23: Nutrition Knowledge Score, Eating Frequency and Macronutrients Intake
(calculated by 24-hour dietary recall method of Normal, Overweight and Obese
VII
Children (n=87) and Mothers (n=87), ) after 14 Months of Intervention,
Presented as Mean, Range and Standard Deviation
Eating Frequency of Selected Foods after 14 Months of Intervention, by
Children (n=87) and their Mothers (n=87), Presented as Subjects Number and
Percentage
Weekly Frequencies of Eating Breakfst, Lunch and Dinner away from Home
after 14 Months of Intervention, by Children (n=87) and their Mothers (n=87),
Presented as Subjects Number and Percentages
Consumption of Alcohol Intake before and after 14 Months of Intervention, by
Mothers (n=87), Presented as Subjects Percentages
Attitude of the Mothers (n=87), Towards Certain Obesity-Related Issues after
14 Months of Intervention Presented as Subjects Number and Percentages
Attitude of the Intervention Group Mothers (n=44), Towards Certain Obesity-
Related Issues before and after 14 Months of Intervention Presented as
Subjects Number and Percentages
Types of Exercises Performed by Mothers (n=87) and Children (87) after 14
Months of Intervention Presented as Subjects Number and Percentages
Weekly Frequency of Performing A Number of Vigorous Activities by
Mothers (n=87) and their Children (n=87) after 14 Months of Intervention
Presented as Subjects Number and Percentages
Table 31 : Obesity Prevalence Among Women in Other African Countries
Table 24:
Table 25:
Table 26:
Table 27:
Table 28:
Table 29:
Table 30:
vm
LIST OF FIGURES
Fig 1. Intervention strategies of the Kiel Obesity Prevention Study (KOPS)
Fig.2: Comparison of Estimates of Fatmass (kg) Derived from Anthropometric
Measurements According to Daurenberg et al. (1990) and Bioelectrical
Impedance Analysis Data According to Schutte et al. (1984) in 276, 7-15 Years
Old Children from Dar-es-Salaam City, Tanzania
Fig. 3: Comparison of Estimates of Percentage Fatmass Derived from Anthropometric
Measurements According to Daurenberg et al. (1990) and Bioelectrical
Impedance Analysis data according to Schutte et al. (1984) in 276, 7-15 Years
Old Children from Dar-es-Salaam City, Tanzania
Fig.4: Prevalence of Obesity, Overweight, Normal Weight and Underweight
Classified According to BMI levels, Among the Studied Children (n=276) and
Mothers (n=177), Presented also by Gender (girls, n=145; boys, n=131)
Fig. 5: Daily Mean Alcohol Intake (g/day) by Studied Mothers (n=264) from Dar-es-
Salaam City, Tanzania, also Divided in Normal Weight, Overweight and Obese
Mothers, Estimated from 24-Hour Dietary Recall
Fig. 6: Weekly Frequency of Eating Breakfast and Lunch Away From Home by
Normal weight, Overweight and Obese Mothers (n=177) from Dar-es-Salaam
City, Tanzania
Fig.7: Weekly Frequency of Eating Breakfast and Lunch Away From Home by
Normal weight, Overweight and Obese Children (n=174) from Dar-es-Salaam
City, Tanzania
Fig. 8: Daily Mean Time Spent Watching Television (minutes/day calculated fron 24-
Hour physical Activitiy Recall Method) by the Mothers (n=221) and Children
(n=274), also Presented in Sub-groups According to Sex and BMI Levels
IX
Fig. 9: Nutrition Knowledge Scores, Categorised into Very Good, Good and Poor
Knowledge of the Studied 255 Mothers and 276, 7-15 Years Old Children of
Dar-es-Salaam City, Tanzania.
Fig: 10: Percentage Mean Change in Daily Fat Intake Assessed by 24-Hour Dietary
Recall, of Intervention and Control Group Children (n =87) and their Mothers
(n = 87) in Dar-es-Salaam City, Tanzania, after 14 Months of Intervention
Fig. 11: Monthly Eating Frequency of Selected Foods Assessed by Food Frequency
Questionnaire by the Intervention Group Children (n = 44) before and after 14
Months of Intervention in Dar-es-Salaam City, Tanzania .(Please note: often =
More than 9 times a month; sometimes = 3-9 times a month; seldom = 0-2
times a month
Fig. 12: Monthly Eating Frequency of Selected Foods Assessed by Food Frequency
Questionnaire by the Intervention Group Mothers (n = 44) before and after 14
Months of Intervention in Dar-es-Salaam City, Tanzania
Fig. 13: Frequencies of Eating Snacks by Intervention Children (n=44) and their
Mothers (n=44), before and after 14 Months of Intervention, , in Dar-es-
Salaam City, Tanzania
Fig 14: Weekly Frequency of Performing Number of Activities by Intervention
Children (n = 44) before and after 14 Months of Intervention, in Dar-es-Salaam
City, Tanzania
Fig 15: Weekly Frequency of Performing Number of Activities by Intervention
Mothers (n = 44) before and after 14 Months of Intervention, in Dar-es-Salaam
City, Tanzania.
Fig. 16: Daily Hours Spent on Watching Television by Mothers (n=87) and their
Children (n=87) after 14 Months of Intervention, in Dar-es-Salaam City,
Tanzania
Fig. 17: Daily Hours Spent on Watching Television by Intervention Group Mothers
(n=44) and their Children (n=44) before and after 14 Months of Intervention,
in Dar-es-Salaam City, Tanzania
Fig. 18: Responses of Teachers from 4 schools (n = 5) Towards Teaching Method,
Reading and Teaching Material, and Teachers Seminar of the Implemented
Intervention Program, 14 Months after the Intervention, in Dar-es- Salaam
City, Tanzania
XI
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| indexdate | 2024-07-09T19:06:00Z |
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| language | English |
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| spelling | Hemed-Kyungu, Lunna 1964- Verfasser (DE-588)124011284 aut School-based intervention for prevention of obesity among children in Dar-es-Salaam City, Tanzania vorgelegt von Lunna Hemed-Kyungu 2002 XIII, 151 S. graph. Darst. : 21 cm txt rdacontent n rdamedia nc rdacarrier Kiel, Univ., Diss., 2002 Summary ; Zs.-Fassung. Ernährung Fettsucht Hochschulschrift Kind Prävention Tansania (DE-588)4113937-9 Hochschulschrift gnd-content HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009999905&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Hemed-Kyungu, Lunna 1964- School-based intervention for prevention of obesity among children in Dar-es-Salaam City, Tanzania Ernährung Fettsucht Hochschulschrift Kind Prävention Tansania |
| subject_GND | (DE-588)4113937-9 |
| title | School-based intervention for prevention of obesity among children in Dar-es-Salaam City, Tanzania |
| title_auth | School-based intervention for prevention of obesity among children in Dar-es-Salaam City, Tanzania |
| title_exact_search | School-based intervention for prevention of obesity among children in Dar-es-Salaam City, Tanzania |
| title_full | School-based intervention for prevention of obesity among children in Dar-es-Salaam City, Tanzania vorgelegt von Lunna Hemed-Kyungu |
| title_fullStr | School-based intervention for prevention of obesity among children in Dar-es-Salaam City, Tanzania vorgelegt von Lunna Hemed-Kyungu |
| title_full_unstemmed | School-based intervention for prevention of obesity among children in Dar-es-Salaam City, Tanzania vorgelegt von Lunna Hemed-Kyungu |
| title_short | School-based intervention for prevention of obesity among children in Dar-es-Salaam City, Tanzania |
| title_sort | school based intervention for prevention of obesity among children in dar es salaam city tanzania |
| topic | Ernährung Fettsucht Hochschulschrift Kind Prävention Tansania |
| topic_facet | Ernährung Fettsucht Hochschulschrift Kind Prävention Tansania |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009999905&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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