title: School Based Multicomponent Intervention for Obese Children in Udupi District, South India - A Randomized Controlled Trial.
abstract: BACKGROUND
  Childhood obesity and overweight is a global epidemics and has been increasing in the developing countries. Childhood obesity is linked with increased mortality and morbidity independent of adult obesity. Declining physical activity, access to junk food and parenting style are the major determinants of overweight in children. Thus, there is a need for increasing the physical activity of children, educating the parents as well as the children on lifestyle modification. This can be achieved through implementation of multicomponent intervention.
  
  
  OBJECTIVE
  To evaluate the effectiveness of multicomponent intervention on improving the lifestyle practices, reducing the body fat and improving the self esteem of obese children from selected schools of Udupi District, South India.
  
  
  METHODS
  A sample of 120 obese children were enrolled for multicomponent intervention. The components of multicomponent intervention were: education provided to the obese children on lifestyle modification, education of the parents and increasing the physical education activity of these children in the form of aerobics under the supervision of physical education teacher. There was an attrition of 25% in the intervention group. Thus the final sample in the intervention group was 90. Total sample of 131 overweight/ obese children enrolled as controls. There was an attrition of 20.61% in the control group. Thus, the final sample in the control group was 104. Intervention group received the multicomponent intervention for six month.
  
  
  RESULTS
  Mixed Method Repeated measures Ananlysis of Variance (ANOVA) was applied for analysis of data. Results indicated that the intervention was effective in reducing the Body Mass Index (BMI), triceps, biceps, subscapular skin fold thickness of obese children. The intervention was also effective in improving the lifestyle practices and self-esteem of obese children.
  
  
  CONCLUSIONS
  Overweight/obese children need to control diet and perform vigorous exercise at least for 20 minutes a day to reduce the excess fat and maintain their body fat level.
authors.affiliation: Professor, Department of Child Health Nursing, Manipal College of Nursing, Manipal University , Manipal, Karnataka, India .
authors.forename: Baby S
authors.initials: BS
authors.lastname: Nayak
authors.affiliation: Professor, Department of Community Medicine, Kasturba Medical College, Manipal University , Manipal, Karnataka, India .
authors.forename: Vinod H
authors.initials: VH
authors.lastname: Bhat
keywords: Body mass index; Life style; Paediatric obesity; Self concept