Lábiscsák-Erdélyi Zsuzsa, Somhegyi Annamária, Veres-Balajti Ilona, Kósa Karolina
Department of Physiotherapy, Faculty of Health Sciences, University of Debrecen, 4028 Debrecen, Hungary.
Schools for Health in Europe Network Foundation, National Center for Spinal Disorders, 1126 Budapest, Hungary.
Children (Basel). 2023 Dec 14;10(12):1929. doi: 10.3390/children10121929.
This paper describes the outcomes of an integrated health promotion programme implemented in a Hungarian high school offering health education in the curriculum, daily optional physical education, teacher training in applying a person-centered approach in teaching, and parental involvement in school activities.
The evaluation used mixed methods of which results of the before-6-months-after quantitative survey among pupils is described. The health status and behaviour of students were assessed by applying the Hungarian version of the HBSC questionnaire.
Significant improvement was found in the self-rated health of girls (6.6% increase in being of excellent health, = 0.04), and the consumption of sweets and sugary soft drinks decreased significantly for both genders (boys: -10.2%, = 0.01; girls: -6.06%, = 0.04). However, the proportion of physically inactive girls significantly increased (girls: 11.2%, = 0.01), and substance use did not change significantly.
The intervention had significant positive impacts on subjective health and dietary habits and could counteract the secular trend of increasing tobacco, alcohol, and drug consumption by age among adolescents, but this unfortunately does not include physical inactivity. Offsetting the most widespread health risk behavior, physical inactivity, may require mandatory daily physical education in schools.
本文描述了在一所匈牙利高中实施的综合健康促进计划的成果，该计划在课程中提供健康教育、每日选修体育课、教师在教学中应用以人为本方法的培训以及家长参与学校活动。
评估采用了混合方法，其中描述了学生在6个月前后定量调查的结果。通过应用匈牙利版的HBSC问卷评估学生的健康状况和行为。
发现女孩的自评健康状况有显著改善（健康状况优秀的比例增加了6.6%，P = 0.04），并且男女的糖果和含糖软饮料消费量均显著下降（男孩：-10.2%，P = 0.01；女孩：-6.06%，P = 0.04）。然而，缺乏体育活动的女孩比例显著增加（女孩：11.2%，P = 0.01），并且物质使用情况没有显著变化。
该干预措施对主观健康和饮食习惯有显著的积极影响，并且可以抵消青少年中随着年龄增长烟草、酒精和药物消费增加的长期趋势，但遗憾的是这不包括缺乏体育活动。抵消最普遍的健康风险行为——缺乏体育活动，可能需要在学校强制实施每日体育课。
