인터벌 걷기 운동이 비만 아동의 신체구성, 뇌 활성도, 혈중 BDNF 농도 및 주의집중력에 미치는 영향

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한국학교보건학회지 제38권 제2호, 2025년 8월 J Korean Soc Sch Health Vol. 38 No. 2, 136-146, August 2025

p-ISSN 1225-9608 | e-ISSN 2288-9957 https://doi.org/10.15434/kssh.2023.38.2.136

생태학적 모델을 적용한 초등학생 비만예방 프로그램 개발 및 적용 효과

김희진1 · 이진화2 · 남은정3 · 권 민4

울산대학교 대학원 박사과정1, 울산대학교 간호학과 부교수2, 서울여자간호대학교 간호학과 조교수3,

수원대학교 간호학과 조교수4

Ecological Model-Based Obesity Prevention Program for Elementary School Students: Development and Effectiveness

Hee Jin Kim1 · Jinhwa Lee2 · Eunjeong Nam3 · Min Kwon4

1Graduate Student, Department of Nursing, University of Ulsan 2Associate Professor, Department of Nursing, University of Ulsan 3Assistant Professor, Department of Nursing, Seoul Women's College of Nursing 4Assistant Professor, Department of Nursing, The University of Suwon

ABSTRACT Purpose: This study aimed to develop and evaluate the effectiveness of a school-based obesity prevention program for elementary school students, based on the ecological model. Methods: A non-equivalent control group pretest-posttest design was employed. Participants were 85 fourth-grade students from two elementary schools in U Metropolitan City, with one class from each school assigned to the intervention group (n=42) or the experimental group (n=43). The intervention group participated in the Be Healthy, Not Just Fit program, conducted 40 minutes weekly for eight weeks. The program addressed five ecological levels; individual, interpersonal, organizational, community, and policy, through both educational and experiential activities. The data were collected on anthro- pometric indicators (height, weight, and body mass index) and validated questionnaires measuring dietary and exercise behaviors, obesity-related knowledge, self-esteem, self-efficacy, and perceived social support. Statistical analyses included paired t-tests and ANCOVA, with significance set at p<.05. Results: The intervention group demonstrated statistically significant improvements in height (p<.001), weight (p<.001), dietary behaviors (p=.021), exercise behaviors…

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