การเคลื่อนไหวร่างกายหลังเลิกเรียนกับภาวะน้ำหนักเกินในเด็กอายุ 6 - 12 ปี ในเขตเทศบาลเมืองพิชัย อำเภอเมือง จังหวัดลำปาง

Abstract

This descriptive analytic study was designed to assess the physical activities after school time, the prevalence of overweight and the association between physical activity and overweight among children. The samples were children age 6 -12 years old who lived in Mueang Pichai Municipality, Lampang Povince. A total of 275 study participants was enrolled. Data collection was performed by a structured questionnaire. One of the parents either father or mother or care giver was interviewed. Analysis of the data was done by using descriptive statistics, chi square test and multiple logistic regressions for association. The results revealed that the physical activities after school time were in low level. The first 3 activities were watching TV(95%), reading books/doing their homework (82.2%) and playing games(55.6 %). Regarding the physical activities in high level, playing or exercise was found 60.7%. Due to the prevalence of overweight using body mass index (BMI) as indicator, it was found that prevalence of overweight (BMI ≥ 25 kg/m2) among children 6 -12 years was 39.3%. The percentages of females and males showed similar results. They were 38.9% and 39.7% respectively. The data showed that 26.5% of them were overweight (BMI 25.0-29.9 kg/m2) and 12.8% of them were obesity (BMI≥ 30 kg/m2).For their food consumption behavior, high sugar and starches consumption, they drank juice, yoghurt, green tea (90.2%); ate snacks (88.7%); and had dinner after 6 pm (57.8 %). Moreover they still had late night meal (33.5%). There was no significant association between physical activity after school time and overweight. But it was found the association between types of school, pocket money for school, starches group and sugar consumption, more than one plate of rice consumption and overweight significantly (p <0.05). The students in private schools had overweight more than those in government schools. It was also found higher prevalence of overweight in the students who had pocket money for school ≥30 bath/day. From the results of this study, the persons who work in a community such as health care teams, teachers and leaderships in the community can be used for planning to modify the behaviors of physical activities after school time and food consumption to prevent and to decrease overweight among children in this specific area.