Physical activity,functioning and psycho-behavioral health in obese children:policy framework and health behav-ior intervention model
10.3969/j.issn.1006-9771.2025.06.004
- VernacularTitle:肥胖儿童身体活动与功能和心理-行为健康:政策架构与健康行为干预模式
- Author:
Xueyun SHAO
1
Author Information
1. 深圳大学体育学院,广东 深圳市 518060
- Publication Type:Journal Article
- Keywords:
overweight;
obesity;
children;
physical activity;
function;
psycho-behavioral health;
International Classification of Functioning,Disability and Health;
health behavior intervention
- From:
Chinese Journal of Rehabilitation Theory and Practice
2025;31(6):642-649
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically analyze the policies on children's physical activity,sedentary behavior,obesity prevention and control,and functional and mental health issued by international organizations and China;as well as the health behavior intervention models targeting physical activity and psycho-behavioral health for overweight or obese children from the functional perspective of International Classification of Functioning,Disability and Health(ICF).Methods A total of six international policy documents and three national policies were included.Three health behavior intervention models,namely Behavioral Susceptibility Theory(BST),Family-based Behavioral Treatment(FBBT)and Healthy Lifestyles Programme(HeLP),were discussed focusing on the opportunity,motivation,and function and capability.Results International policies formed a closed loop in four domains:strategy,technology,governance and monitoring.The United Nations Children's Fund also emphasized the importance of psychosocial and equity dimensions.Chi-na's relevant policies attached great importance to the monitoring and implementation of children's physical activ-ity,as well as issues such as physical activity and mental health stressing the personalized needs of obese chil-dren and the integration of physical activity with health-related psycho-behavioral interventions.BST set up fun moderate-to-vigorous physical exercises and parent-child emotional eating education before meals,mainly target-ing children susceptible to high food responsiveness,to regulate energy balance and strengthen motivation.FBBT reshaped family environmental opportunities through behavioral control,family contracts and parental modeling,to enhance children's self-efficacy and physical activity.HeLP integrated drama therapy and peer sup-port into classroom and extracurricular activities,to create a positive atmosphere to enhance a sense of belonging and sustained participation.These intervention models improved functional and psycho-behavioral health through environmental empowerment and motivation activation.Conclusion The global policy framework has expanded from controlling body mass index to multi-dimensional health goals of improving function and psycho-behavioral health.Current international and national policies have cov-ered the four key dimensions of strategic goals,behavioral guidelines,governance measures and monitoring indi-cators.The physical activity-related health behavior intervention models,such as BST,FBBT and HeLP,may in-crease the physical activity level of obese children and promote psycho-behavioral health by expanding environ-mental opportunities,enhancing psychological motivation and improving physical function and capability.
