Abstract:
Objective: Prevention
would be the ideal public health strategy to face the current obesity epidemic.
Adoption of healthy lifestyles during the first years of college or university
could prevent the onset of weight gain associated with this period of acquired
independence and eventually decrease the incidence of obesity.
Design:
Randomized-controlled trial over a period of 2 years. The subjects received an
educational/behavioral intervention (small group seminars) designed to help
maintain a healthy lifestyle or no specific intervention (control group).
Subjects: One-hundred and
fifteen non-obese freshmen in a Faculty of Medicine.
Measurements:
Anthropometric measurements, physical activity level, fitness level, food
intake and lipid profile were recorded at predetermined intervals.
Results: The control
group gained weight, whereas the intervention group lost a slight amount of
weight over 2 years. The difference between the two groups was 1.3 kg at the
end of the follow-up, the trend of weight gain differing between the two groups
during the 2-year intervention period (P=0.04). There was no detectable
difference in fitness, physical activity level or total caloric intake between
the two groups during follow-up. However, plasma triglyceride levels increased
in the control group and decreased in the intervention group (P=0.04).
Conclusion: In this
randomized-controlled trial, a small-group seminar educational/behavioral
intervention successfully prevents weight gain in normal weight young healthy
university students. Such small absolute changes in body composition and lipid
profile, if maintained over a prolonged period, could result in significant
long-term health benefits for the general population (ClinicalTrial.gov
registration number: NCT00306449).
My Opinion:
Hivert et al summarized
that having seminar that related to physical activities to college level
students help in preventing obesity and reduce the statistic of weight gain
among college students within two years. Having a set of routine exercise
during first year of college or university will lead to a positive impact in
preventing obesity during senior year and post-college and eventually reduce
the weight gain incidence among fresh graduate. Hivert et al did mentioned that
having a large scale prevention program that targeted to general populations
won’t have good result, same goes as prevention program at the level of school
children.
Since this is one of the
good method in reducing obesity incidence, I highly agree if the technique is
applied in Indonesia and Malaysia universities. The article also paragraphed
the contents of seminar and how it should be implemented. Some of the important
points that mentioned are healthy diets, physical activities, quitting smoking
and alcohol and frequent re-evaluation.
Physical activities play
an important role in reducing weight gain. No matter the physical training is
supervised or not, nevertheless, significant weight gain reduced is recorded by
the college students. Of course with the help of healthy diet and no smoking
and alcohol policies, a substantial positive progress towards a much healthy
younger adult society.
Reference:
1.
Hivert, M., Langlois, M.,
Bérard, P., Cuerrier, J. and Carpentier, A. (2007). Prevention of
weight gain in young adults through a seminar-based intervention program. International
Journal of Obesity, [online] 31(8), p.1262. Available at:
http://www.nature.com/ijo/journal/v31/n8/abs/0803572a.html [Accessed 31 Aug.
2016].
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