Đánh giá hiệu quả can thiệp nhằm làm giảm các yếu tố nguy cơ thừa cân - béo phì dựa vào trường học

TAP CHl NGHliN CO'U Y HQC /

OANH GIA HIEU QUA CAN THIEP NHAM LAM GIA M CA C Y^ U T6

NGUY c a THU'A CAN - BEO PHJ DU'A VAO TRU'O'NG HOC • •

Ph^m Duy Tu'd^ng, Trln Thj Phiic Nguyft

Tmdng Dpi hpc Y Hd N^i

Nghidn cuv nhim xdy dung vd ddnh gid hidu qud md hlnh gido due truyin thdng dinh dudng can thi$p

thda cdn bdo phi. Kit qud nghidn cuv eho thiy, sau 9 thdng can thidp ed sw thay ddi rd rdt kiin thuc vi dijr

phdng thda edn bdo phi vd thwc hdnh udng nudc ngpt, dn thdm vdo ban ddm cua hpc sinh tpi trwdng can

thidp so vdi tmdng ddi chimg cOng nhw trwdc vd sau dan thidp. Ty Id thuy cdn - bdo phi chung tpi 2 trudng

can thidp dd gidjv (19,8% sau can thidp so vdi 23,2% trwdc can thidp). Vi vdy, ndn tiin hdnh can thidp thCra

cdn bdo phi thdi gian ddi han di ddnh gid hidu qud can thidp

Tip kh6a: Thira cdn. b^o phi, ydu td nguy co￾I. DAT VAN DI^

Thu-a edn vd bOo phi (TCBP) dd tdng lOn

den mii-c bdo dOng trong nhQ'ng ndm gin ddy

vd trd thdnh mOt vln de su-c khoe thd gidi.

Ngudi ta quan tdm den bOo phi tre em vl dd Id

mdi de dpa Idu ddi den siPC khoe, tudi thp vd

keo ddi tinh trgng bOo phi den tudi trudng

thdnh [9]. Ndm 2004. LO Thj Hal nghiOn cieu

tgi 7 qudn nOi thdnh Hd'NOi cho thiy ty 10 thu-a

edn d tre em 7 12 tudi Id 7.9%, Cao Thj Ydn

Thanh nghiOn cu-u tgi thdnh phd Budn Ma

ThuOt dua ra ty 10 thu-a edn bOo phi eua hpc

sinh tieu hpc 6 -11 tudi Id 10,4% [3, 7]. MOt sd

biOn phdp can thiOp dd dwgc nhidu tdc gia

nghiOn cu-u nhim ha thlp ty 10 thu-a cdn vd

bOo phi d cdng ddng nhu chuang trinh dya

vdo gia dlnh, dya vdo nhd trudng dk truydn

thdng, tu vln dinh dudng. ViOt Nam cdn rat it

nghiOn cu-u can thiOp bOo phi. tuy nhiOn cde

can thiOp cdn n$ng vd ede biOra phdp dan 10.

Chlnh vl vdy chOng tdi tidn hdnh xdy dyng

vd ddnh gid hiOu qui md hlnh gido dge truydn

thdng dinh dydng phdi hpp nhd trydng vd

gia dlnh thdng qua hogt dOng eua nhdm "Sao

do hlnh the dpp" vd nhdm "SO-c khde hlnh

thd dep"

II. D6 | TU'O'NG VA PHU'ONG PHAP

1. Thidt kd

NghiOn eCi-u thidt kd theo phuang phdp can

thiOp ed ddi chu-ng tpi cdng ddng.

2. odi tu'ang

- Hpc sinh tu- 6 -14 tudi.

Phu huynh hpc sinh, gido viOn vd cdn b6

y te cua trudng hpc.

3. Chpn miu nghiOn ciiai

Chpn 4 trudng thudc 2 qudn cd ty 10 hpc

sinh thu-a edn vd bOo phi cao nhit Bao gdm

a) Trudng can thiOp (CT): Tnj-dng tidu hpc ND

vd Trung hpc ea sd NSL thudc qudn Hodn

Kidm b) Trudng ddi chQ-ng (OC): Trudng tieu

hpc HD vd Trung hpc ca sd GV thuOc qudn

Ba Oinh. Tien hdnh can thiOp hpc sinh todn

trudng, chpn miu dgi diOn eua 4 trudng dl

ddnh gid ?au can thiOp. Kdt qua ehi phdn tich

nhQ-ng ddi tupng cd dly du cdc thOng s6

nghiOn cieu.

4. K9 thu^t thu th$p sd lieu va danh gia

Dinh gii thira cin vi beo phi

Tre em dudi 10 tudi dya vdo edn ndng/

chidu eao (W/H) so vdi quan the tham chilu

126 TCNCYH 78 (1) - 2012