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MARQUETTE RESEARCHERS DEVELOP INNOVATIVE WEB PROGRAM THAT HELPS KIDS WITH DIET AND EXERCISE

Released: 3/6/04

BACKGROUND: With childhood obesity rates at record highs, a new interactive Internet program is helping children reduce dietary fat and increase exercise. A team of researchers from Marquette University reports on a new program that helps children to a more healthful lifestyle. Researchers say the program reaches students the way they learn today, through the use of the Internet and videos, making learning fun.

"An Internet and video program for seventh-grade students, who are most at risk for the ill effects of poor nutrition and lack of exercise, improved both nutrition and exercise," says lead researcher Dr. Marilyn Frenn, an associate professor of nursing at Marquette. Frenn and her colleagues conducted a two-month study, during which 137 children used an interactive Internet program and saw short videos that encouraged them to reduce fat and increase exercise.

The Internet part of the program included radio buttons, which provided information on diet and exercise and enabled selections, and interactive message boards. The children could also have their diet and exercise questions answered by personal e-mails from nursing students. The videos help children see how other children handle similar problems and suggested ways that they could use to improve their own diet and increase the amount of time they exercise.

"We work with the kids to help them think about what they're doing, what's recommended, the barriers they see to improving diet and exercise, and how can they get past them," Frenn says. Most of the children came from low-income families, Frenn says. These children are considered to be at the greatest risk for becoming obese and having high blood pressure, especially black and Hispanic children, she adds.

Among the children who participated in at least half of the eight class periods, there was significant improvement in both diet and exercise, Frenn says. For children who showed improvement, the percentage of dietary fat dropped from about 31 percent of their caloric intake to about 30 percent. But for those in the control group, the dietary fat remained about 32 percent throughout the study, the researchers report. In addition, the successful children increased their levels of exercise by an average of 22 minutes per week compared to children who attended fewer sessions, who had a 66-minute decrease in their weekly exercise.       

As part of the program, the children were encouraged to ask their parents for fruits or vegetables instead of junk food. Children also got recipes online for low-fat snacks and breakfast foods.

Frenn's team found that among low-income students there was less family support for diet and exercise. In addition, teenage girls needed more support to increase exercising. However, they found that Hispanic children in communities with strong cultural ties were more likely to lower dietary fat and had more support at home than those in more culturally diverse areas, Frenn says.

By the end of the study, the children knew how many calories they should eat and how many of these calories should come from fat. They also learned that having fast food more than once a week increases their risk of obesity, Frenn says.

Frenn believes this program can be expanded and used in middle-school health and science classes. She and her colleagues continue to fine-tune the program, and plan to retest the students in this study after a year to see if they continue to eat healthy and exercise regularly.

The Marquette researchers presented their findings March 4 at the annual meeting of the American Heart Association Annual Conference of Cardiovascular Disease, Epidemiology and Prevention in San Francisco .

For more information on nutrition, exercise and prevention of heart disease and stroke, log on to the American Heart Association's web site at: www.americanheart.org

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