Volume 29 Issue 10
Oct.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(10): 1735-1738
SHI Dongwen, CHEN Fenglan, LYU Xia, WANG Fang, HE Daikun. Effect of health belief model intervention on BMI and health behavior in children and adolescents with simple obesity[J]. Chinese Journal of General Practice, 2025, 23(10): 1735-1738. doi: 10.16766/j.cnki.issn.1674-4152.004217
Citation: SHI Dongwen, CHEN Fenglan, LYU Xia, WANG Fang, HE Daikun. Effect of health belief model intervention on BMI and health behavior in children and adolescents with simple obesity[J]. Chinese Journal of General Practice, 2025, 23(10): 1735-1738. doi: 10.16766/j.cnki.issn.1674-4152.004217
shu

Effect of health belief model intervention on BMI and health behavior in children and adolescents with simple obesity

doi: 10.16766/j.cnki.issn.1674-4152.004217
  • 1.

    Preventive Health Care Department, Shanghai Jinshan District Caojing Town Community Health Service Center, Shanghai 201507, China

Funds:

 JSKJ-KTGW-2021-06

  • Received Date: 2025-04-16
    Abstract
  •   Objective  To explore the influence of health education based on the health belief model (HBM) on obesity-related knowledge cognition, health behavior, and physical fitness index in simple obese children and adolescents, so as to provide a reference for the physical and mental health development of this group.  Methods  Using the convenience sampling method, 240 children and adolescents with pure obesity were selected from the 2022 student health examination database in Shanghai' s Jinshan District. They were stratified and randomly assigned to an intervention group and a control group. The control group received standard health education, while the intervention group underwent HBM interventions supplemented with routine health education for one year. Both groups' obesity knowledge awareness rates, BMI, and health behaviors were compared before and after the interventions. Logistic regression analysis was conducted to examine how behavioral factors influenced BMI changes.  Results  Ultimately, 240 people completed the follow-up, including 90 in the intervention group and 150 in the control group. After one year of intervention, the obesity-related knowledge awareness rate in the intervention group (62.22%) was significantly higher than that in the control group (43.33%, χ2=8.028, P < 0.05). The height and BMI indexes of the intervention group were significantly different from those of the control group (P < 0.05). In the intervention group, the improvement of health behavior indicators such as physical activity, sleep duration, video time, soda intake, dessert intake, fried food intake, fruit intake, vegetable intake, western fast food intake, and roadside stall intake had statistically significant differences in the impact on BMI (P < 0.05). The independent protective factors for BMI improvement were: increased physical activity (OR=0.041, 95% CI: 0.005-0.346), increased fruit intake (OR=0.158, 95% CI: 0.026-0.964), increased vegetable intake (OR=0.052, 95% CI: 0.011-0.256), and reduced consumption of Western fast food (OR=0.175, 95% CI: 0.036-0.851).  Conclusion  Health education based on HBM can significantly improve the health cognition of children and adolescents with simple obesity, promote behavioral change, and help with scientific weight loss and physical and mental health development.

     

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