Effect of 12-Week Lifestyle Intervention on Behavioral, Anthropometry and
Biochemical Profile of School Children in Chandigarh, India
Prabhushankar T
1
, Thakur JS
1*
, Jaswal N
1
, Bharti B
2
and Bhansali A
3
1
School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2
Advanced Pediatric Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India
3
Department of Endocrinology, PGIMER, Chandigarh, India
*
Corresponding author: Jarnail Singh Thakur, Professor, School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India, Tel:
+91-946-360-2173; E-mail: jsthakur64@gmail.com
Received date: Jul 01, 2015; Accepted date: Sep 16, 2015; Published date: Sep 29, 2015
Copyright: © 2015 Prabhushankar T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits
unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
Abstract
Objective: The present study assessed the effect of a 12 weeks lifestyle intervention program on health behavior,
anthropometric measures and biochemical profile in selected schools.
Study design: A community-based intervention study. 8 schools were randomly allotted to control or intervention
group. Sample size of 180 students in each group were assessed for health behavior, anthropometry and
biochemical profile. Students in intervention group were subjected to lifestyle intervention comprising of life skill
sessions, lifestyle diary, physical activity period daily, healthier option in school canteen, etc., followed by post
assessment.
Results: 384 students were enrolled (191 from intervention and 193 from control schools). 97% of them were
evaluated at the end of the intervention. A significant increase in the behavior of children playing out in free time was
found (p<0.05). Significant number of children started watching television for <2 hours (p<0.0001.)Proportion of
children who opted for fruits in case food was not prepared at home increased from 57.4% to 67.9% (p<0.05). No
significant changes in the biochemical and anthropometric parameters were found.
Conclusions: 12-week lifestyle intervention is feasible in school settings and helped in changing health behavior
of the students. Longer duration of intervention may be required for change in anthropometry and biochemical
profile.
Keywords: Lifestyle; Intervention; Behavioral; Anthropometry;
Biochemical
Introduction
Early interventions are critical to improve health, nutrition and
development of young children. is fact is substantiated in the World
Development Report 2007 while focusing on ages 12-24 years which
states that ‘decisions during five youth transitions have the biggest long
term impact on how human capital is kept safe, developed and
deployed…’ and that ‘policies and institutions affect the risks, the
opportunities and the outcomes of youth and their families’[1].
ere are over 1.2 billion adolescents aged 10–19 years in the world,
constituting 18 per cent of world population. Worldwide, at least 12%
of the adolescents are living with a chronic condition both as a
function of the increasing incidence and improving survival aſter
childhood and adolescent illnesses [2]. e Global School Health
Survey (2007) in CBSE schools across India revealed that 1.5% of the
students aged 13-15 years were overweight and around 7-8% of them
were at risk of being overweight. It also revealed that only 30% of the
students were physically active for at least 60 minutes per day on all 7
days of a week. Around 4% of the students use some form of tobacco,
of which 1.5% of students were known to smoke [3].
School settings have long been recommended as an excellent health
promoting environment where promoting healthy eating can be an
integral and acceptable component of school curriculum [4]. Various
strategies have been adopted like office based motivational
interviewing by pediatricians, hospital based interventions and school
based interventions [5-7]. A lot of school based lifestyle intervention
programs have been successful in many parts of the world and a new
framework for health promoting schools has been prepared by WHO
India and Central Board of Secondary Education. ‘Trim and Fit’
program is a school based lifestyle intervention program implemented
throughout Singapore and has successfully resulted to decrease in the
prevalence of obesity among school children [8].
e present study aimed to implement a 12 weeks long, short-term,
school-based lifestyle intervention program among selected school
children and assess its effect on their changing health behavior and
various anthropometric measures.
Materials and Methods
is community-based intervention study was carried out in UT
Chandigarh (India) from July 2008 to March 2009 including a 12-week
long health promotion intervention program.
Prabhushankar, et al., J Community Med Health
Educ 2015, 5:5
DOI: 10.4172/2161-0711.1000367
Research Article Open Access
J Community Med Health Educ
ISSN:2161-0711 JCMHE, an Open Access
Volume 5 • Issue 5 • 1000367
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ISSN: 2161-0711
Journal of Community Medicine &
Health Education