Resumen
El uso de estrategias multimedia para programas de prevención de la obesidad y los trastornos alimentarios en niños es un enfoque prometedor que ha mostrado buenos resultados. El desafío actual para su difusión es instrumentar y evaluar estos programas para asegurar su validez en diferentes países. Recientemente, un grupo de investigadores de España ha desarrollado y evaluado un sistema de e-terapia inteligente (ETIOBE). El programa involucra el aprendizaje a través de un sistema de capacitación multimedia sobre hábitos nutricionales, actividad física y estilos de vida. El presente estudio tiene como objetivo validar los resultados dentro del componente psicoeducativo del sistema ETIOBE en población mexicana. Una muestra de 149 niñas y niños de la Ciudad de México participó en un diseño cuasiexperimental con pretest y postest. Los resultados muestran diferencias en las puntuaciones medias de conocimiento nutricional sobre alimentos. Los resultados de esta investigación indican cambios significativos en los conocimientos sobre la salud y la promoción de estilos de vida saludables.
Citas
A.A. (2017). La obesidad entre los niños y los adolescentes se ha multiplicado por 10 en los cuatro últimos decenios. Recuperado de https://www.who.int/es/news/item/11-10-2017-tenfold-increase-in-childhood-and-adolescent-obesity-in-four-decades-new-study-by-imperial-college-london-and-who.
Ajie, W.N. y Chapman-Novakofski, K.M. (2014). Impact of computer-mediated, obesity-related nutrition education interventions for adolescents: A systematic review. Journal of Adolescent Health, 54(6), 631-645). Doi: 10.1016/j.jadohealth.2013.12.019.
Baños, R.M., Cebolla, A., Etchemendy, E., Felipe, S., Rasal, P. y Botella, C. (2011). Validación del cuestionario holandés de comportamiento alimentario (DEBQ-C) para su uso en niños españoles. Nutricion Hospitalaria, 26(4), 890-898. Doi: 10.3305/nh.2011.26.4.5238.
Baños, R.M., Cebolla, A., Oliver, E., Alcañiz, M. y Botella, C. (2013). Efficacy and acceptability of an Internet platform to improve the learning of nutritional knowledge in children: The ETIOBE mates. Health Education Research, 28(2), 234-248. Doi: 10.1093/her/cys044.
Baños, R.M., Oliver, E., Navarro, J., Vara, M.D., Cebolla, A., Lurbe, E., Pitti, J.A., Torró, M.I. y Botella, C. (2019). Efficacy of a cognitive and behavioral treatment for childhood obesity supported by the ETIOBE web platform. Psychology, Health and Medicine, 24(6), 703-713. Doi: 10.1080/13548506.2019.1566622.
Bentham, J., Di Cesare, M., Bilano, V., Bixby, H., Zhou, B., Stevens, G.A., Riley, L.M., Taddei, C., Hajifathalian, K., Lu, Y., Savin, S., Cowan, M.J., Paciorek, C.J., Chirita-Emandi, A., Hayes, A.J., Katz, J., Kelishadi, R., Kengne, A.P., Khang, Y.H. y Cisneros, J.Z. (2017). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. The Lancet, 390(10113), 2627-2642. Doi: 10.1016/S0140-6736(17)32129-3.
Cardel, M.I., Jastreboff, A.M. y Kelly, A.S. (2019). Treatment of adolescent obesity in 2020. Journal of the American Medical Association, 322(17), 1707-1708). Doi: 10.1001/jama.2019.14725.
Cole, J.M., Weigel, J., Albrecht, S., Ren, D., Reilly, A.K. y Danford, C.A. (2019). Setting Kids Up for Success (SKUFS): Outcomes of an Innovation project for promoting healthy lifestyles in a pediatric patient-centered medical home. Journal of Pediatric Health Care, 33(4), 455-465. Doi: 10.1016/j.pedhc.2019.01.001.
Fleming, T.M., de Beurs, D., Khazaal, Y., Gaggioli, A., Riva, G., Botella, C., Baños, R.M., Aschieri, F., Bavin, L.M., Kleiboer, A., Merry, S., Lau, H.M. y Riper, H. (2016). Maximizing the impact of e-therapy and serious gaming: Time for a paradigm shift. Frontiers in Psychiatry, 7(Apr.), 65. Doi: 10.3389/fpsyt.2016.00065.
Garris, R., Ahlers, R. y Driskell, J.E. (2002). Games, motivation, and learning: a research and practice model. Simulation & Gaming, 33(4), 441-467. Doi: 10.1177/1046878102238607.
Gross, E.F. (2004). Adolescent internet use: What we expect, what teens report. Journal of Applied Developmental Psychology, 25(Special Issue 6), 633-649. Doi: 10.1016/j.appdev.2004.09.005.
Haines, J. y Neumark-Sztainer, D. (2006). Prevention of obesity and eating disorders: A consideration of shared risk factors. Health Education Research, 21(6), 770-782). Doi: 10.1093/her/cyl094.
Hay, P.J., Mond, J., Buttner, P. y Darby, A. (2008). Eating disorder behaviors are increasing: findings from two sequential community surveys in South Australia. PLoS ONE, 3(2), e1541. Doi: 10.1371/journal.pone.0001541.
Hermans, R.C.J., Van Den Broek, N., Nederkoorn, C., Otten, R., Ruiter, E.L.M. y Johnson-Glenberg, M.C. (2018). Feed the Alien! The effects of a nutrition instruction game on children’s nutritional knowledge and food intake. Games for Health Journal, 7(3), 164-174. Doi: 10.1089/g4h.2017.0055.
Instituto Nacional de Salud Pública (2018). Encuesta Nacional de Salud y Nutrición 2018. Cuernavaca (México): INSP. Recuperado de https://ensanut.insp.mx/encuestas/ensanut2018/informes.php.
Jacobi, C., Hütter, K. y Fittig, E. (2017). Psychosocial risk factors for eating disorders. En W. Stewart Agras (Ed.): The Oxford Handbook of Eating Disorders (pp. 106-125). Oxford, UK: Oxford University Press. Doi: 10.1093/oxfordhb/9780190620998.013.6.
Luttikhuis, H.O., Baur, L., Jansen, H., Shrewsbury, V.A., O’Malley, C., Stolk, R.P. y Summerbell, C.D. (2009). Interventions for treating obesity in children. Cochrane Database of Systematic Reviews (Issue 1). John Wiley & Sons Ltd. Doi: 10.1002/14651858.CD001872.pub2.
Nguyen, B., Kornman, K.P. y Baur, L.A. (2011). A review of electronic interventions for prevention and treatment of overweight and obesity in young people. Obesity Reviews, 12(5). Doi: 10.1111/j.1467-789X.2010.00830.x.
Nitsch, M., Adamcik, T., Kuso, S., Zeiler, M. y Waldherr, K. (2019a). Usability and engagement evaluation of an unguided online program for promoting a healthy lifestyle and reducing the risk for eating disorders and obesity in the school setting. Nutrients, 11(4), 713. Doi: 10.3390/nu11040713.
Nitsch, M., Dimopoulos, C.N., Flaschberger, E., Saffran, K., Kruger, J.F., Garlock, L., Wilfley, D.E., Taylor, C.B. y Jones, M. (2016). A guided online and mobile self-help program for individuals with eating disorders: An iterative engagement and usability study. Journal of Medical Internet Research, 18(1), e7. Doi: 10.2196/jmir.4972.
Organización Mundial de la Salud (2021). Obesidad y sobrepeso. Ginebra: OMS.
Parmenter, K. y Wardle, J. (1999). Development of a general nutrition knowledge questionnaire for adults. European Journal of Clinical Nutrition, 53(4), 298-308. Doi: 10.1038/sj.ejcn.1600726.
Spitzer, R.L., Yanovsky, S.Z. y Marcus M.D. (1993). The Questionnaire on Eating and Weight Pattern-revised (QEWP-R). New York: New York State Psychiatric Institute.
Summerbell, C.D., Waters, E., Edmunds, L., Kelly, S.A., Brown, T. y Campbell, K.J. (2005). Interventions for preventing obesity in children. Cochrane Database of Systematic Reviews (Issue 3). New York: John Wiley & Sons, Ltd. Doi: 10.1002/14651858.cd001871.pub2.
Tate, D.F. (2008). Application of innovative technologies in the prevention and treatment of overweight in children and adolescents. En E. Jelalian y R. G. Steele (Eds.): Handbook of Childhood and Adolescent Obesity (pp. 387-404). New York: Springer. Doi: 10.1007/978-0-387-76924-0_23.
Van Strien, T. y Oosterveld, P. (2007). The children's DEBQ for assessment of restrained, emotional, and external eating in 7-to 12-year-old children. International Journal of Eating Disorders, 41, 72-81.
Wang, Y. (2017). Global perspectives of childhood obesity: Prevalence, contributing factors, and prevention. En Michael I. Goran (Ed.): Childhood obesity causes, consequences, and intervention approaches (pp. 28-31). CRC Press. Oxfordshire, UK: Francis and Taylor Group. Doi: 10.1201/9781315370958.
Zeiler, M., Waldherr, K., Philipp, J., Nitsch, M., Dür, W., Karwautz, A. y Wagner, G. (2016). Prevalence of eating disorder risk and associations with health-related quality of life: results from a large school-based population screening. European Eating Disorders Review, 24(1), 9-18. Doi: 10.1002/erv.2368.