Children’s discourses of healthy eating and physical activities behaviours. A case study in a Portuguese primary school
Conference:
ECER 2014
Format:
Paper (Copy for Joint Session)

Session Information

30 SES 14 JS, Highlighting Different Voices in Physical Activity, Health and Sustainability Education: Teachers, Children and Youth Perspectives

Paper Session Joint Session NW 08, NW 18 and NW 30

Time:
2014-09-05
15:30-17:00
Room:
B215 Sala de Aulas
Chair:
Per Sund
Discussant:
Venka Simovska

Contribution

Accumulating evidence suggests that engaging in regular physical activities is an effective preventive measure for a variety of health risk factors; however, across all age groups the levels of physical activity remain low (Tremblay et al, 2011). Likewise, eating behaviours established during childhood track into adulthood contribute to long-term health (Story and French, 2004). Nutrition during childhood is essential for grow and development, health and well-being (Karnik and Kanekar, 2012; Story and French, 2004). Physical activity and healthy behaviors are given as key factors to prevent obesity. This is why effective school-based intervention in order to promote health must include physical activity along with healthy diet education

The findings are not consistent, but generally suggest that combined diet and physical activity school-based interventions, may help prevent children becoming overweight in a long term period. Particularly in girls attending primary school, physical activity interventions may help to prevent these children from becoming overweight in the short term (Brown and Summerbell, 2009).

But generally this programs are, in a certain way, out of context since they do not consider the opinions/feedback from the people they aimed to. 

There seems to be an absence of published research relevant to the pre-adolescent population that as examined the views of children about health and also how to develop effective health promotion and sustainable obesity prevention programmes (Hesketh et al., 2005).

Health promotion identifies the need to listen and engage people within the context of their community and, in this sense, gradually programmes aimed at improving the health of children are being designed in partnership with children and parents (Potvin et al., 2003). Therefore of the present study was to listen and understand children´s perceptions about healthy behaviours concerning nutrition and active lifestyle.

Method

The research involved a variety of qualitative methods including participant observation and focus group. This occurred along with semi-structured research conversations that were carried out with 28 children (14 girls and 14 boys) for the 1st grade, in a primary school from Porto, Portugal). Focus groups involved 5 and 6 children and were designed to be exploratory. They were structured around activities with associated interventions designed to elicit discussion. Images of healthy and unhealthy behaviors concerning nutrition and active lifestyle were used during the activities. In any of the images used in the activities was not possible a gender association. The images and activities were pretested with children who are not part of the sample. Activities were designed to allow spontaneous discussion amongst the children. Two researchers were present during the activities, one acting as an observer and the other as a facilitator of the discussion. The images include the following healthy behaviors – e.g. riding a bicycle; running; eating fruits, bread - and unhealthy behaviors - e.g. soft drinks, pizza, quick bread with chocolate, watching TV). Children had to put in order 16 of the 20 images from the most important healthy behavior to the least, and had to exclude 4 (the most unhealthy/unhealthiest behaviors). The children’s words and the interventions of the researcher on focus group were taped, after obtaining the informed consent of children and their parents. The interventions were fully transcribed and then submitted to an interpretative analysis following information treatment by the program QSRNVivo. Triangulation of data sources and investigators was used by the researchers to improve the probability that findings and interpretations were found to be credible.

Expected Outcomes

The overall findings suggest that children recognize that healthy behaviors related to healthy eating are more important than physical activity behaviors. It is expected that the conclusions from this study contribute to interventions with more meaning to children in future health programmes developed at schools. With the recently change of this kind of programmes to an optional choice instead of a mandatory project in the development of the Portuguese schools, it is expected that the conclusions of this study raise awareness in the developing of programmes which aim at health improvement through education.

References

Brown, T.; Summerbell, C. (2009). Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity: an update to the obesity guidance produced by the National Institute for Health and Clinical Excellence. Obesity reviews, 10(1), 110-41. Hesketh, K.; Waters, E.; Green, J.; Salmon, L.; Williams, J. (2005). Healthy eating, activity and obesity prevention: a qualitative study of parent and child perceptions in Australia. Health Promotion International, 20(1), 19-26. Karnik, S.; Kanekar, A. (2012). Childhood obesity: a global public health crisis. Int J Prev Med, 3(1), 1-7. Potvin, L., Cargo, M., McComber, A. M., Delormier, T. and Macaulay, A. C. (2003) Implementing participatory intervention and research in communities: lessons from the Kahnawake Schools Diabetes Prevention Project in Canada. Social Science and Medicine,56, 1295–1305. Story, M.; French, S. (2004). Food Advertising and Marketing Directed at Children and Adolescents in the US. International Journal of Behavioral Nutrition and Physical Activity. 1:3 doi:10.1186/1479-5868-1-3 Tremblay, M.; LeBlanc, A.; Kho, M.; Saundres, T.; Larouche, R.; Colley, R.; Goldfield, G.; Gorber, S. (2011).Systematic review of sedentary behaviour and health indicators in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity 8:98.

Author Information

Paula Silva (presenting / submitting)
CIAFEL, FADEUP, Portugal
CIAFEL, FADEUP, Portuga
CIAFEL, FADEUP, Portuga
FADEUP, Portuga
CIAFEL, FADEUP, Portuga

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