Educational Activities of School Health Instructors (school nurses) for the Prevention of Eating Disorders in Children

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  • 小児摂食障害予防における養護教諭による学校内での啓発活動
  • ショウニ セッショク ショウガイ ヨボウ ニ オケル ヨウゴ キョウユ ニ ヨル ガッコウ ナイ デ ノ ケイハツ カツドウ

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Abstract

Objective: We have previously reported on how the participation of school health instructors can directly influence the effect and significance of integrated treatment for childhood onset anorexia nervosa. Recently, the prevention of eating disorders in schools has attracted attention. Beginning in 2000, after two-years of preparation, health instructors of junior high schools in the District A of Kobe City participated in a program of educational activities focused on the prevention of eating disorders. This study investigates the effect of these activities on the percentage of emaciated children. Methods: We investigated changes in the percentage of emaciated students (the proportion of students with weight equal to or less than 80% of standard weight) from District A, Kobe City, after school health instructors began conducting the above educational activities. This was compared with the percentage of emaciated students from District B which closely resembled the residential environment and emaciation percentage in District A, but where these activities had not been carried out. Results: 1. Before beginning the program of educational activities, an increased tendency in the percentage of emaciation had been seen, but the percentage significantly decreased after starting the activities. 2. In District B where activities were not performed, no significant changes in the percentage of emaciation were seen. Conclusions: The decrease in emaciation was directly due to the activities of school health instructors focused on the prevention of eating disorders in children. This indicates that prevention of childhood onset eating disorder is possible.

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