Effect of maternal health education on physical activity and body mass index of overweight children

Main Article Content

Miratul Haya
Maria Mexitalia
Ani Margawati


Background The percentage of overweight children in Bengkulu (16.4%) is higher than the national percentage (11.9%). High energy intake and low physical activity are two factors that cause overweight.
Objective To assess the impact of maternal health education on changes in maternal behavior, as well as energy intake, physical activity level, and body mass index (BMI) z-scores in overweight children aged 3-6 years.
Methods This study was a quasi-experiment with non-randomized, pre-post test control group, conducted in Bengkulu, Indonesia from January to April 2014. Subjects consisted of 48 mothers with overweight children, who were selected purposively and divided into 2 groups (treatment and control). Subjects’ parents kept records of their children’s food intake and daily activity. These records were used to measure energy intake and physical activity. Health education in the treatment group was conducted 6 times in 12 weeks, while the control group received health education only once at the beginning of the study.
Results In the treatment group, the child physical activity level [0.04 (SD 0.01)] increased, while the % RDA for energy [-3.4 (SD 13.26)%] and BMI z-score [-0.57 (SD 0.26)] decreased. Significant differences were observed between the treatment and control groups in terms of maternal attitude, and children’s % RDA for energy, physical activity level, and BMI z-score after intervention (P <0.05).
Conclusion Health education for mothers effects a positive change in maternal attitude, as well as increased physical activity level, decreased energy consumption relative to their need, and BMI z-score in overweight children.

Article Details

How to Cite
Haya M, Mexitalia M, Margawati A. Effect of maternal health education on physical activity and body mass index of overweight children. PI [Internet]. 19Jul.2016 [cited 18Oct.2019];56(2):73-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/112
Developmental Behavioral & Community Pediatrics
Received 2016-07-19
Accepted 2016-07-19
Published 2016-07-19


1. Bray GA, Ryan DH. Overweight and the metabolic syndrome (from bench to bedside). NewYork: Springer; 2006. p.37.
2. Direktorat Jenderal bina gizi dan kesehatan ibu dan anak. Pedoman pencegahan dan penanggulangan kegemukan dan obesitas pada anak sekolah. Jakarta: Kementerian Kesehatan RI; 2012.
3. Reilly JJ. Physical activity, sedentary behaviour and energy balance in the preschool child: opportunities for early obesity prevention; Proceedings of the Symposium on Behavioural Nutrition and Energy Balance in the Young; 2008 August 27-28; Dundee : Nutrition Society; 2008. p. 317–25.
4. de Onis M, Blossner M, Borghi E. Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr. 2010;92:1257–64.
5. Badan penelitian dan pengembangan kesehatan Kementerian Kesehatan RI. Riset Kesehatan Dasar RISKESDAS 2013. Jakarta: Kemenkes RI; 2013. p. 401.
6. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Riset Kesehatan Dasar RISKESDAS 2010. Jakarta: Kemenkes RI; 2010. p. 50-2.
7. Gibney MJ, Margetts BM, Kearney JM, Arab L. Public health nutrition. Edisi Bahasa Indonesia: Gizi kesehatan masyarakat. Hartono A, penerjemah. Jilid 1. Jakarta: EGC Medical Publisher; 2009. p. 206-7.
8. Canadian Council of Food and Nutrition (CCFN). Current perspective on preschooler obesity prevention. Canada: CCFN; 2008.
9. Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Obes Rev. 2004;5:4–104.
10. Canadian Council of Food and Nutrition (CCFN). Prevention of overweight and obesity in young Canadian children. Canada: CCFN; 2008.
11. Wareham N. Physical activity and obesity prevention. Obes Rev. 2007;8:109–14.
12. Lindsay AC, Sussner KM, Kim J, Gortmaker S. The role of parents in preventing childhood obesity. Future Child. 2006;16:169-86.
13. Syafiq A, Setiarini A, Utari DM, Achadi EL, Fatmah, Kusharisupeni, , et al. Gizi dan kesehatan masyarakat. Jakarta: Raja Grafindo Persada; 2012. p. 319.
14. Kahn RF. Continuing medical education in nutrition. Am J Clin Nutr. 2006;83:981S–4S.
15. Prasetyawati AE. Kesehatan ibu dan anak (KIA) dalam Millenium Development Goals (MDGs). Yogyakarta: Nuha Medika; 2012. p. 133.
16. Notoatmodjo S. Kesehatan masyarakat ilmu dan seni. Jakarta: Rineka Cipta; 2007. p. 131.
17. Notoatmodjo S. Metodologi penelitian kesehatan. Jakarta: Rineka Cipta; 2012 p. 108.
18. Rich K. Parent nutrition education and the influence on family lifestyle behavior changes. [thesis]. [Logan (UT)]: Utah State University; 2012.
19. Davison KK, Jurkowski JM, Li K, Kranz S, Lawson HA. A childhood obesity intervention developed by families for families: results from a pilot study. Int J Behav Nutr Phys Act. 2013;10:3.
20. Wahyu GG. Obesitas pada anak. Yogyakarta: Bentang Pustaka; 2009. p. 22.
21. Sanigorski AM, Bell AC, Kremer Pj, et al. Reducing Obesity in Early Childhood: Results From Romp & Chomp, an Australian Community-Wide Intervention Program. Am J Clin Nutr 2010;91:831–40.
22. Ridley K, Ainsworth BE, Olds TS. Development of a Compendium of Energy Expenditures for Youth. International Journal of Behavioral Nutrition and Physical Activity.2008 [cited 2013 Oct 24]. Available from from: http://www.ijbnpa.org/content/5/1/45.
23. Notoatmodjo S. Pendidikan dan perilaku kesehatan. Jakarta: Rineka Cipta; 2007. p. 103.
24. World Health Organization. Obesity and overweight. Geneva: WHO; 2006. p. 311.
25. Tandon PS, Wright J, Zhou C, Rogers CB, Christakis DA. Nutrition menu labeling may lead to lower-calorie restaurant meal choices for children. Pediatrics. 2010;125;244-8.
26. World Health Organization. Global strategy on diet, physical activity and health. Geneva: WHO; 2004. p. 3.
27. Boles RE, Scharf C, Filigno SS, Saelens BE, Stark LJ. Differences in home food and activity environments between obese and healthy weight families of preschool children. J Nutr Educ Behav. 2013;45:222-31.
28. Nihiser AJ, Lee SM, Wechsler H, McKenna M, Odom E, Reinold C, et al. Body mass index measurement in schools. J Sch Health. 2007;77:651-71.
29. World Health Organization. WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. Geneva: WHO; 2006. p. 232-304.
30. de Silva-Sanigorski AM, Bell AC, Kremer P, Nichols M, Crellin M, Smith M, et al. Reducing obesity in early childhood: results from Romp & Chomp, an Australian community-wide intervention program. Am J Clin Nutr. 2010;91:831–40.
31. McLellan KCP, Bianchessi ALV, Rinaldi AE, Michelin E, Burini RC. Improvements of nutrition behavior fitness and body fatness with a short-term after school intervention program. Food Nutr Sci. 2013;4:18-24.
32. Sanigorski AM, Bell AC, Kremer PJ, Cuttler R, Swinburn BA. Reducing unhealthy weight gain in children through community capacity-building: results of a quasiexperimental intervention program, Be Active Eat Well. Int J Obes. 2008;32:1060–7.
33. van Grieken A, Veldhuis L, Renders CM, Borsboom GJ, van der Wouden JC, Hirasing RA, et al. Population-based childhood overweight prevention: outcomes of the ‘Be active, eat right’ study. PLoS One. 2013;8: e65376.