Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Department of Nutrition, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Prim Health Care Res Dev. 2024 Oct 31;25:e60. doi: 10.1017/S1463423624000501.
Developing an appropriate context-based school-age obesity prevention programme, understanding the root causes of obesity in real-life situations is vital. The objectives of this study were to explore the risk factors of school-age obesity based on Ecological System Theory (EST) and develop mutual problem-solving guidelines for school-age obesity prevention.
Participation Action Research (PAR) was used as the study design. The data collection employed focus group discussions, in-depth interviews, participant's observations, together with the procedures of Appreciation, Influence, and Control (AIC) with 55 school key informants.
Risk factors supported by EST at all level included high-calorie intake; sedentary lifestyles; perceptions of 'Chubby are cute'; indulgent parenting, including limited exercise area in school. PAR process guarantees the sustained context-based prevention guidelines.
The results could be used as a policy-driven for school-based participation and environmental support in order to promote health-promoting school.
制定一个合适的基于情境的学龄期肥胖预防方案，了解现实生活中肥胖的根本原因至关重要。本研究旨在基于生态系统理论（EST）探讨学龄期肥胖的危险因素，并制定相互解决学龄期肥胖预防问题的指南。
采用参与行动研究（PAR）作为研究设计。数据收集采用焦点小组讨论、深入访谈、参与者观察以及与 55 名校方关键信息者进行的欣赏、影响和控制（AIC）程序。
EST 在各个层面支持的危险因素包括高热量摄入、久坐不动的生活方式、“胖乎乎的很可爱”的认知、纵容式育儿，包括学校内有限的运动区域。PAR 过程保证了持续的基于情境的预防指南。
研究结果可作为以政策为导向的学校参与和环境支持的依据，以促进健康促进型学校。
