Internet Intervention's Impact on Adolescent Obesity in Kuala Lumpur

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Journal name: The Malaysian Journal of Medical Sciences
Original article title: Effect of Internet-based Intervention on Obesity among Adolescents in Kuala Lumpur: A School-based Cluster Randomised Trial
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Original source:

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Author:

AZMAWATI Mohammed Nawi, FARRAH ILYANI Che Jamaludin


The Malaysian Journal of Medical Sciences:

(A peer-reviewed, open-access journal)

Full text available for: Effect of Internet-based Intervention on Obesity among Adolescents in Kuala Lumpur: A School-based Cluster Randomised Trial

Year: 2015

Copyright (license): CC BY 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

Obesity among adolescents is a pressing global health issue, particularly in developing countries, where factors such as increased consumption of fast food and sedentary lifestyles have contributed to rising obesity rates. In Malaysia, the prevalence of obesity among adolescents was reported to have increased from 5.3% in 2006 to 6.1% in 2011. To address this concern, a three-month randomized controlled trial was conducted to assess the effectiveness of an internet-based intervention program called "obeseGO!" aimed at promoting healthier lifestyle choices among adolescents in Kuala Lumpur.

The Role of Internet-based Interventions in Obesity Prevention

The study involved a total of 196 secondary schools, from which six were randomly selected for the trial. The participants were divided into two groups: one receiving the obeseGO! intervention that provided health education online, and another receiving printed pamphlets as control. Measurements including Body Mass Index (BMI), waist circumference, and body fat percentage were taken at baseline and after the three-month period. Results showed that while both groups exhibited some positive changes in body composition, those in the obeseGO! group experienced a statistically significant reduction in BMI, waist circumference, and body fat percentage. However, the overall effect sizes were relatively small, indicating that although internet-based interventions can be a useful medium for health education, their impact might be modest compared to traditional methods.

Conclusion

The findings from this study suggest that internet-based interventions such as the obeseGO! program can effectively promote healthier dietary habits and encourage physical activity among adolescents. However, the limited impact observed signifies the need for further research to determine the long-term effectiveness and sustainability of such interventions. Collaborative efforts between public health practitioners, schools, and relevant authorities are crucial to enhancing internet-based health programs, ensuring they are well-maintained, and expanding their reach to broader demographics, particularly in rural areas. Future studies should consider utilizing larger sample sizes and longer intervention durations to achieve more significant results in combating adolescent obesity.

FAQ section (important questions/answers):

What was the goal of the obeseGO! intervention study?

The study aimed to determine the effectiveness of the internet-based intervention, obeseGO!, in promoting a healthy lifestyle and reducing obesity among adolescents in Kuala Lumpur.

What methodology was used in the study?

The study was a 3-month randomized controlled trial involving 47 students in the intervention group receiving internet-based education and 50 students in the control group receiving pamphlets on health education.

What were the main findings of the study?

The study found that the obeseGO! intervention had a small effect on reducing body mass index (BMI), waist circumference, and body fat percentage, but no significant differences compared to the control group.

What are the implications of the study's findings?

The findings suggest that internet-based interventions can be effective in promoting healthy behaviors among adolescents, although a larger sample size and longer study duration may yield more significant results.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Internet Intervention's Impact on Adolescent Obesity in Kuala Lumpur”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Table:
Table refers to a systematic arrangement of data organized in rows and columns, often used in research papers to present numerical results clearly. In the context provided, tables summarize findings of the study, making comparisons between groups visible, facilitating understanding of the data analysis and results.

2) Study (Studying):
Study indicates a structured investigation aimed at understanding a specific phenomenon. In this context, it relates to researching the effectiveness of an internet-based intervention on adolescent obesity. Studies are usually designed to collect data through various methods, including surveys, interviews, or trials to draw conclusions.

3) Measurement:
Measurement involves quantifying variables to gain insights into a subject or phenomenon. In the context of this research, various metrics, such as BMI, waist circumference, and body fat percentage, were measured to evaluate the efficacy of the obesity intervention. Accurate measurement is essential for valid results.

4) Activity:
Activity refers to physical actions or exertions undertaken by individuals. In the context of obesity intervention, physical activity signifies exercise levels among adolescents. Increasing physical activity is pivotal for weight management and overall health, making it a key focus in interventions aimed at preventing obesity.

5) Diet:
Diet encompasses the food and drink choices a person makes regularly. In obesity studies, diet is a crucial factor; it influences body weight and health. The intervention aims to promote healthier eating habits among adolescents, highlighting the importance of a balanced diet in obesity management.

6) Education:
Education refers to the process of imparting knowledge and skills. In this study, health education is utilized to promote better lifestyle choices among adolescents. By educating participants about nutrition and exercise, the intervention aims to foster long-lasting positive changes in health behaviors.

7) Food:
Food constitutes the substances consumed for nutritional support. Within the obesity intervention context, food choices directly impact body weight and health. Strategies to educate adolescents about healthy food options are essential for combating obesity, encouraging them to make informed dietary decisions.

8) Medium:
Medium refers to the method or channel through which information is communicated or delivered. In this context, the internet serves as a medium for delivering health education via the obeseGO! intervention. Effective use of media can enhance engagement and facilitate better understanding among adolescents.

9) Post:
Post refers to the time period after a specific event or intervention. In this study, it indicates measurements and evaluations conducted after the intervention period. Assessing post-intervention results is crucial for determining the effectiveness and lasting impact of the obesity management program.

10) Rules:
Rules refer to established guidelines or principles governing behavior or procedures. In the context of health interventions, rules may pertain to dietary guidelines or exercise protocols aimed at promoting healthy lifestyles. Adhering to these rules enhances the effectiveness of intervention strategies.

11) Blood:
Blood relates to the bodily fluid that carries nutrients and oxygen throughout the body. Although not a direct focus in the study, blood health indicators can reflect broader health issues, including those related to obesity, making it a relevant factor in comprehensive obesity research.

12) Quality:
Quality denotes the standard or degree of excellence of something. In the context of health, quality is relevant as it pertains to the well-being of individuals. The aim of the intervention is to improve the quality of life among adolescents through better health outcomes.

13) Disease:
Disease refers to a pathological condition of a bodily part, an organism, or system resulting from various causes, including infection, genetic defect, or environmental stress. The relevance of addressing obesity lies in its association with chronic diseases such as diabetes and heart disease, necessitating preventive measures.

14) Hand:
Hand signifies the part of the body used for manipulation and interaction with the environment. In broader health contexts, hand activities relate to life skills, such as food preparation or physical activity. Encouraging active engagement in hands-on activities is vital in educational interventions promoting health.

15) Life:
Life refers to the condition of living organisms, encompassing physical, mental, and social well-being. In health and obesity research, the focus is often on enhancing quality of life through improved health outcomes, dietary habits, and physical activity. Interventions aim to promote sustainable healthy lifestyles.

16) Reliability:
Reliability pertains to the consistency and dependability of results or measurements. In research, reliable metrics are crucial for trustworthy results. The study tests the reliability of various tools used for measuring physical health indicators, impacting the validity of conclusions drawn from the intervention outcomes.

17) Discussion:
Discussion denotes the examination and evaluation of research findings. In this context, the discussion section analyzes results, compares them with existing literature, and provides interpretations. It helps contextualize findings within broader research, offering insights into practical applications and implications of the intervention.

18) Lahore:
Lahore is a city in Pakistan known for its cultural significance and urban landscape. While not related to the primary study on obesity in Kuala Lumpur, it may signify geographical differences in obesity prevalence. Cultural and regional contexts are important when discussing obesity interventions.

19) Reason:
Reason signifies the rationale behind actions, decisions, or beliefs. In the context of the study, reasons for choosing an internet-based intervention are critical for understanding the approach's relevance. Identifying underlying reasons helps justify various methods used for obesity prevention strategies.

20) Visit:
Visit relates to the act of going to a location. In health research, visits are often associated with data collection, participant check-ins, or intervention sessions. Regular visits can enhance adherence to intervention protocols, ultimately resulting in better health outcomes for participants.

21) Male:
Male refers to the gender of participants in the study. Understanding gender differences is vital, as males and females can have different patterns of obesity and respond differently to interventions. Analyzing outcomes based on gender can provide insights for tailored obesity prevention strategies.

22) Accumulation (Accumulating, Accumulate):
Accumulated refers to the total amount of something gathered or collected over time. In the context of health data, it can relate to physical activity levels or dietary intake over the intervention period. Monitoring accumulated behaviors is essential for analyzable trends in health outcomes.

23) Practising (Practicing):
Practicing denotes the act of repeatedly doing something to improve proficiency. In health interventions, practicing healthy behaviors is vital for internalizing positive changes. Encouraging consistent practice of healthy eating and physical activity helps adolescents develop long-lasting habits necessary for weight management.

24) Developing:
Developing refers to the process of growth, progress, or evolution. In this context, developing health-promoting behaviors is a primary objective of the intervention. Guiding adolescents to develop healthier lifestyle choices is crucial for sustainable weight management and preventing obesity-related diseases.

25) Knowledge:
Knowledge signifies the information, understanding, or awareness gained through experience or education. In health interventions, enhancing knowledge around healthy eating and physical activity is fundamental. Increased knowledge encourages informed decision-making in adolescents, leading to improved health behaviors and outcomes.

26) Listening:
Listening involves actively paying attention to sounds or information being communicated. In health education, effective listening ensures that adolescents absorb vital health information. Encouraging active listening during educational sessions can enhance engagement and retention of essential health-related messages.

27) Cutting:
Cutting refers to the act of reducing or shortening something. In dietary contexts, it relates to cutting down on unhealthy foods or calorie intake. Encouraging adolescents to practice cutting unhealthy options is essential for fostering sustainable health changes and managing weight effectively.

28) Misuse:
Misuse denotes inappropriate or wrongful use of something. In the context of health and technology, misuse of the Internet can lead to negative outcomes, including unhealthy behaviors. It is crucial to educate adolescents on the appropriate use of technology to combat obesity risks associated with misuse.

29) Kappa:
Kappa refers to a statistical measure of reliability or agreement between observers or measurements. In research, a Kappa value indicates the level of agreement in interpreting data or outcomes. Higher Kappa values in health intervention studies signify greater reliability in data collection and analysis processes.

30) Field:
Field can refer to a physical area of activity, often used in sports or healthcare contexts. In the discussion of obesity, active fields of play are essential for encouraging physical activity among adolescents. Access to safe fields supports structured physical activities, promoting healthier lifestyles.

31) Cukan:
Sukan means 'sport' in Malay. In the context of health promotion, encouraging participation in sports is vital for boosting physical activity levels among adolescents. Sukan exemplifies the importance of engaging in enjoyable physical activities to combat obesity and improve overall health.

32) Cina:
China is a country with significant cultural and health diversity. In obesity discussions, China's rapid urbanization and lifestyle changes have led to increasing obesity rates. Understanding the context of obesity in diverse countries like China aids in the development of culturally appropriate interventions to prevent obesity.

33) Tai:
Thai relates to Thailand, a Southeast Asian country. In health research, examining Thailand's obesity rates and intervention strategies provides valuable insights into regional health trends. Comparisons with other nations contribute to understanding global obesity challenges and the effectiveness of various public health measures.

34) Pur:
Poor refers to those lacking sufficient resources, often leading to inadequate access to nutrition and healthcare. In the context of obesity, poor dietary choices are often linked to socioeconomic factors. Addressing poverty can enhance obesity prevention strategies, enabling comprehensive public health approaches.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Internet Intervention's Impact on Adolescent Obesity in Kuala Lumpur’. Further sources in the context of Science might help you critically compare this page with similair documents:

Chronic disease, Physical activity, Adolescent, Obesity, Healthy lifestyle, Traditional method, Sedentary lifestyle, Control group, Negative impact, Future studies, Health education, Rural population, Rural area, Sample size, Ethical consideration, Body mass index, Health awareness, BMI, Adolescent obesity, Body fat percentage, Intervention group, Waist circumference, Study period, Multivariate ANOVA, Prevalence of obesity, Preventing Obesity, Eating behaviour, Emotional functioning, Healthier Lifestyle, Self-monitoring, Randomised controlled trial, Obese adolescents, Health promotion strategies, Effect Size, Internet-based intervention, Interactive sessions, Larger sample size, Longer study period.

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