Professional Documents
Culture Documents
1
College of Nursing
2
Research Development and Innovation Center
3
Our Lady of Fatima University
4
Research Adviser
October 2016
This thesis entitled: “Understanding Obesity in the Eyes of School Age Children” prepared by
Marissa E. Abe et al. of 4Y1-2, in partial fulfillment of the requirements for the degree Bachelor
of Science in Nursing has been examined and now recommended for Oral examination.
This is to certify that Marissa E. Abe et al. are ready for the Oral Examination.
This is to certify that the thesis: Understanding Obesity in the Eyes of School Age Children
prepared and submitted by Marissa E. Abe et al. of 4Y1-2, is recommended for Oral
Examination.
We hereby declare that this thesis is our own work and that, to the best of our knowledge and
belief, it contains no material previously published or written by another person nor material to
which to a substantial extent has been accepted for award of any other degree or diploma of a
university or other institute of higher learning, except where due acknowledgement is made in the
text.
We also declare that the intellectual content of this thesis is the product of our work, even though
we may have received assistance from others on style, presentation and language expression.
Marissa E. Abe
Principal Investigator
Members:
Giezel M. Gatlabayan
Arcely R. Mahidlaon
Kristine Ann M. Pavia
Simoun Johann D. Soriano
Date Signed
Date
Appendix A: Letter of permission from the Dean of Nursing to conduct the study 31
Appendix B: Assent 32
Appendix C: Informed consent 34
Appendix D: WHO/FNRI BMI Chart 47
Appendix E: DepEd Endorsement to the primary school 48
Appendix F: Institutional Ethics Review Committee Approval 49
Appendix G: Aide Memoire 50
Appendix H: Certificate of English to Tagalog Translation 57
Appendix I: Certificate of Tagalog to English Translation 58
Appendix J: Coding of Transcriptions 59
Appendix K: About the Researchers 75
Childhood obesity is one of the most talked about issue regarding children ‘s health. There has
been a slow gradual increase in the rates of childhood obesity and overweight cases among
Filipinos. The study aims to gain a greater understanding about the perception of school age
children on obesity and to determine the factors that contribute to child obesity. The researchers
used a descriptive phenomenological method in which the focus is on the key informant’s own
idea and point of view. Seven (7) participants aged 6-12 years old participated from Antipolo
City. A semi-structured interview was used to elicit the key informant’s perception of obesity
and was conducted in their home for their convenience. The data collected was transcribed and
analyzed using Giorgi’s Method wherein reading the entire description, listening to the whole
recorded interview, and understanding the data as a whole were used during the process. The data
gathered was extracted to create the themes. Two major themes were formed in the study,
Expectation VS. Reality and When Right Things Go Wrong. To be able to get more of the key
informant’s own idea, presentation of pictures was used. After analyzing the result, the
researchers found out that the key informants are homogenous in their understanding about the
concept of healthy and unhealthy. The key informants showed unity on their understanding and
awareness of their body’s condition. However, despite of this awareness and the contributing
factors that caused it, they still consider themselves healthy and still engage themselves to
unhealthy lifestyles in terms of their food preferences and activities.
Junk foods, sodas, potato fries, chips, these are some of the foods that kids love and sometimes
parents too. With the proliferation of multi- media advertisement for these food category, the
concept of healthy eating at times is being put aside. And not to forget about the flustering
schedules of work and active involvement on various social media of the parents, child’s health is
often neglected. There are some parents who believe in popular saying among Filipino families
that when a child is chubby or fat, he/she is a healthy child.
Obesity is one of the most talked about issues today regarding child’s health. Child obesity is
defined by World Health Organization (WHO, 2016) as a Body Mass Index (BMI) at or above
the 95th percentile for children of the same age and gender.It becomes a widespread nutritional
problem and has reached a very alarming numbers in most developing countries like the
Philippines. It is a growing public health concern with significant involvement for both acute and
long term health. Studies shows that children who are obese now are more likely to be
continuously obese as adults (WHO, 2016). And with the continuance of this trendas forecasted
by WHO, the number of obese children in the year 2025 will reach 70 million. The development
of diabetes and cardiovascular diseases which is now the leading cause of mortality in the
Philippines could also possibly occur (Department of Science and Technology, 2016).
Over the last decade, the number of obese children has also been on the rise in the Philippines, a
dramatic increase on the number of overweight children 0 to 5 years old from 1 % in 1989 to 5%
in 2013, in children ages from 5 to 10 years, from 5.8 % in 2003 to it goes up to 9.1% in 2013 and
a 13% of obese/overweight adolescents were revealed on the global school based health survey.
Results of nutritional surveys among Filipinos reveals a slow but steady increasing rates of
childhood obesity and overweight cases (WHO, 2016).
In light of this, the researchers aim to understand and describe obesity in the eyes of the school
age children. Also this study aspires to help parents and significant others to properly guide their
children in choosing their food preference. Moreover, this study intends to aid parents and
significant others promote healthy lifestyle among children.
The review of literature is usually a necessity and provides reasoning in a study. It also serves as
a path on how the study will progress by the use of a theoretical framework. In line with this,
inclusion of literature review in qualitative research will furnish better apprehension of the
phenomena under investigation and give an understanding for the reader (Cresswell, 2003). On
the contrary, Streubert and Carpenter (2003) mentioned that the inclusion of literature review will
pre-empt the researchers to forecast the result thus leading the key informants during the
interview and will be obviated.
With this two opposing school of thoughts the researchers decided not to conduct literature
review to prevent any presumption on the result of the study, ergo leading the key informants and
bias during the interview was avoided. Hence a brief salient information was already stated in the
introduction.
The study aimed to explore the understanding of obesity in the point of view of an obese school
age child. The study also endeavored to answer the following questions:
1. How do school age child perceive obesity?
2. What are the factors that contribute to the obesity of school age children?
This study gave an understanding about how an obese school age child perceive about obesity.
The findings of this study would be of great benefit and importance to the following:
Child Caregivers. With the use of this study, caregivers can exert enough efforts to prevent
obesity by changing their own behaviors and attitudes in order to impact or influence the eating
activity patterns and perception of the child being cared for.
Parents. The study would help them to understand the perception of their child regarding obesity
and would be able to determine how they will reshape these behaviors to be able to give
importance about their child’s perception regarding the concept of obesity.
Nurses.The findings of this study would enable the nurse to make additional adjustments on her
plan of care to children in a healthcare institution living with this condition in order to prevent
possible development of any non -communicable disease in adulthood.
Health Care Agencies. The result of this study can help health care agencies like DOH, WHO,
etc. in making future childhood obesity interventions and can be utilize to create campaigns and
strategies that are more appropriate with children’s understanding about obesity.
Future Researchers. The findings of this study would make future researchers look into further
details that could have been missed in this study. It may also serve as a subject for replication and
may utilize for similar study.
The study was limited to the exploration of the understanding of obesity of school age children
between 6 to 12 years old. School age children extends from 6 years to approximately 12 years
old (Hockenberry and Wilson, 2009). The data gathering was conducted from August 27 to
September 04, 2016. The interview of the key informants was conducted in the presence of their
parents or guardian. The length of the interview differs with every key informant. Most of them
lasts for an hour and some of them lasts for one and a half hour. The study also deals with the
Descriptive phenomenology has a four step process, intuiting, bracketing, analyzing and
describing. The study focused on intuiting in which the researchers opened their mind, gave no
prejudice and accepted what the keyinformant had said on their narrative statements. The
researchers also used bracketing wherein they put aside their own idea and concept throughout
the study and avoided directing the key informant’s from verbalizing his/her perception. During
analyzation, the researchers deduced significant information from the key informant’s narrative
statements then compared, contrasted and classified it in order to arrive in a clear and precise
description. Lastly in describing, the researchers brought all the information from the key
informant’s narrative statements into a written and verbal description in order to impart the result
of the study to others.
The study was conducted in Antipolo area. Based on the result of the 8 th National Nutritional
Survey, among the 17 regions in the country, CALABARZON is one of the highest rate of
Antipolo City is located 25 kilometers east of Manila and belongs to the province of Rizal. It has
been the highest in terms of population among the cities that belong to CALABARZON
(Philippine Statistics Authority, 2016).
3.3 Key Informants
Engaging in a qualitative study that is concerned on the richness and quality of the data gathered,
a purposive sampling was used in this study. Salustiano (2009) mentioned that in purposive
sampling the researcher identifies the key informants that suits the purpose of the study. A
snowball sampling method was exercised during the event of impediment in seeking key
informants. Snowball sampling or network sampling is when the foregoing key informant’s
parents will be asked to give a referral about other children that fits in to the eligible criteria of
the researchers (Polit & Beck, 2006).
The following criteria was set by the researchers in the selection of key informants. (1) Male or
Female, (2) Must be in school age, between 6 to 12 years old. (3) Must be obese based on the
children’s BMI as defined by WHO, at or above the 95th percentile for children of the same age
and sex. (4) Regardless of the socioeconomic status of the family, (5) With no pathologic
condition and currently not into any medications that would contribute to his/her obesity, and (6)
Regardless of school attendance.
The researchers initiated further in seeking for other key informants during the times saturation
was not reached among the foregone key informants. However, during the time when there were
no other data and themes that can be extracted from the key informant, the researchers claimed
that saturation was achieved. As defined by Morse as cited by Streubert & Carpenter (2003),
saturation refers to reaching the point of data analysis wherein additional data will no longer lead
to a more information about the study.
Moreover, principle of respect for persons was employed which indicated that key informants
should be treated with respect on their autonomy, right to self -determination and freedom to
participate or not in the study. The researchers employed full disclosure of the nature of the study
in the briefing sessions before the data gathering. Principle of non- maleficence was followed
because it was the researchers’ obligation to do no harm to the key informants, especially during
the times of interview when some issues that may cause emotional trauma to the key informants.
In the event of irritability or agitation, the interview will stop and provide therapeutic
interventions such as counselling and referral to concerned professionals thus the welfares of the
key informants were protected. Lastly is the right to privacy, after the data gathering, the
researchers protected the privacy of the key informants to a maximum degree possible by
ensuring and maintaining their anonymity. Moreover, the raw data from the key informants will
be permanently destroyed by shredding all the personal data of the key informants after the
completion of the study.
The researchers followed the set of guidelines in conducting the study to ensure the research
study is accurate.
Credibility was monitored and observed throughout the study by means of prolonged engagement
with key informants. Prolonged engagement is essential for building trust and rapport with key
informants, which in turn makes it more likely useful, accurate and rich information can be
obtained (Polit & Beck, 2004). To meet the criteria of credibility on this study, the researchers
spend time with the key informants to obtain efficient data so that the result of the study will be
Transferability refers to the degree to which the results of qualitative research can be transferred
to other contexts with other key informants (Bitsch 2005). The researchers provided a detailed
description of the inquiry and key informants were selected purposively to maintain
transferability of the study. Streubert and Carpenter (2003) stated that it is the option of the future
researchers to decide whether the result of this study will be useful on their future exploration.
Dependability of qualitative data refers to the stability of data over time and over various
conditions(Polit & Beck 2004). The researchers ensured that the study is consistent, in order to
achieve the goal of the study. Consistency of the research were maintained from beginning till
end.
Confirmability is certain for evaluating data quality and refers to neutrality and objectivity of the
data by an agreement between two or more persons that the data is similar (Polit & Beck, 2004).
The researchers’ conclusions and interpretations of the study were maintained free from bias.
This means that the study was the result of the research and not based on researcher’s belief and
presumptions.
The following key instruments helped the researchers explore the perceptions of obese school age
children about obesity.
The primary tool in this study was a female researcher as the interviewer. A female researcher
was chosen for the key informants to be more at ease and open during the process of interview.
Arvey, Miller, Gould and Burch as cited by Eagle (2011), stated that “women interviewer are
better than men when applying for traditional female roles such as being a mother, sister or a
friend thus they are more expert in building rapport with the children”.
Voice recorder, pen and paper were also used to vividly draw the account of insight of the key
informants. Moreover, flash cards or pictures of food were employed to facilitate better
understanding of the key informant’s insight about child obesity. The pictures of food showed to
the key informants was based on the recommended food for school age children of Food and
Nutrition Research Institute (FNRI).
The conduct of the study was initiated by sending a letter of permission (Appendix A) to the
College of Nursing. Likewise, the researchers secured an approval letter (Appendix F) from the
Institutional Ethics Review Committee (IERC).
The search for potential key informants led the researchers to one of the primary school in
Antipolo City. An endorsement letter (Appendix E) from the Department of Education (DepEd)
was submitted to the primary school by the researchers thus allowing them to obtain a list of
obese school aged children’s name and addresses.
A pilot study was conducted by the researcher to assess the ability of the interviewer’s skills in
interviewing, also the validity of the tools was checked if the key informants were able to
understand and answer it. The steps in doing the actual interview was implemented during the
pilot study for the interviewer to be familiar. The narratives of the key informant in the pilot study
were not analyzed and not included with the narratives of the actual key informants to prevent
pre-empting the results of the study.
Before the start of the interview, the researchers obtained the height and weight of the key
informants, then the researchers divided the weight in kilograms by the square of height in meters
to compute for the Body Mass Index. Then the researchers correlated the BMI of the key
Interview guide and flashcards was used to aid the interviewer in gathering the data and helped
the key informants express themselves better. Field notes, pen and paper and voice recorder was
also used to capture the verbal and non-verbal cues of the key informants that is vulnerable in the
data analysis.
On the times when the interviewer felt that the key informant is exhausted or he/she verbalizes
that no more data can be added, the researcher put an end to the interview and proceeded to data
analysis.
Same process of selection of potential key informants to conduct the interview and analysis of
data were repeatedly performed by the researcher until saturation of data were achieved hence the
search for potential key informants were halted.
The transcribed data was analyzed using the method of Giorgi (1985) following its’ steps. The
researcher read the entire description of the experiences, listened to the whole recorded interview
and reread the transcript several times in order to captured the sense of the whole of it. By
discriminating units from key informants, the researcher went back to the beginning and read
through the description once more. Then the researcher defined each time when transition in
meaning occurs with a specific aim of discriminating the “meaning unit” from a psychological
perspective and with a focused on the phenomenon being researched.
When the meaning units had been delineated, the researcher went through all of the units, which
was still expressed in the language of key informants, the researchers reflected on it and came up
with the essence of the experience for the key informants. Following the use of imaginative
Finally, the researchers combined all thoughts that have same meaning from the statements of
each key informant’s perceptions into one consistent statement to delineate and capture the
essence of the perception of the key informants.
4.0 Results
In this chapter, the revelation of the key informant’s perception about obesity was accentuated.
The exploration of the key informants understanding about obesity arose the themes of the study.
This chapter provides a brief description of key informant’s demographic. A deep understanding
about the perception of school age children for the development of intervention regarding obesity
is visualized.
In the quest for insight about the perception of school age children about obesity, seven qualified
key informants from Antipolo City participated in the study. Among the seven key informants
two (2) of them were female and five (5) were male. Pseudonames were used to all key
informants for the protection of their identity and to maintain confidentiality. In line with this,
names of cartoon characters were used by the researchers that was consented by the key
informants.
Key informant 1: Cookie monster is an 11-year-old male, weight of 69 kg, height of 150
cm, a student from grade five (5) and has a BMI of 30.66.
Key informant 2: Shrek is a 12-year-old male, weight of 72 kg, height of 152 cm, a
student from grade six (6) and has a BMI of 31.
Key informant 4: Lilo is a 11-year-old female, weight of 51 kg, height of 147 cm, a
student from grade five (5) and has a BMI of 23.6.
Key informant 5: Baymax is a 9-year-old male, weight of 47 kg, height of 136 cm,a
student from grade three (3) and has a BMI of 25.54.
Key informant 6: Damulag is a 10-year-old male, weight of 75kg., height of 160 cm., a
student from grade six (6) and has a BMI of 29.29.
Key informant 7: Snorlax is a 9-year-old female, weight of 38 kg, height of 133 cm, a
student from grade three (3) and has a BMI of 21.59.
4.2Presentation of Themes
The study of key informant’s perception through analysis of their narrative statements led to the
development of two themes. The researchers came up with these two themes: Expectation VS.
Reality and When Right Things Go Wrong. The themes are presented using a metaphor to
elaborate perception of the key informants.
“Expectation is a vision, it’s an illusion of what we think, it’s like of being on the other side of
the mirror were everything is so pretty and perfect “- Unknown
The key informants considered themselves as a healthy child. The concept of being fat is the
baseline of being healthy as observed in the key informants. Majority of the key informants stated
that they are healthy; they often describe themselves as vigorous and free from sickness.
"healthy po, mataba po ako kasi po wala naman ako sakit masigla naman ako"(i’m
healthy because I’m fat because I’m not sick, I’m lively)-Shrek
"healthy po, dahil malusog, dahil mataba po" (I’m healthy because I’mfat)-Patrick Star
"healthy po, hindi naman po ako nagkakasakit tsaka nakakapaglaro naman po ako"(I’m
healthy because I don’t get sick and I can play) -Lilo
"healthy po, kasi mataba, malusog tsaka malakas kumain"(healthy, because I’m fat…
healthy and I eat a lot.)-Baymax
“Reality is a state of things as they exist, it is the undeniable condition of our life.”- Anonymous
The key informants describe their physical appearance as big and chubby, with flabby arms and
having bulging cheeks. The key informants are also aware to their body size that’s why they were
able to describe themselves. The key informants perceived themselves as:
"ang taba taba po, malaki katawan, yung kamay ko po at pisngi"(very very fat, big body,
my hands and cheeks) - Cookie Monster
"Malaki ang pisngi, mataba po, pati po braso at paa pati ung tiyan ko po parang buntis
kasi malaki"(chubby cheeks, fat, so with my arms and feet, my tummy makes me looks
pregnant)-Shrek
" mataba po tapos maganda po, mahaba yung hair, medyo malaki yung hita saka yung
pisngi"(Fat, pretty, long haired, slightly enlarged thigh and cheeks)-Lilo
"mataba, malaki po tiyan at nahihirapan tumakbo at mapogi"(fat, big tummy and has a hard time
running and handsome) -Baymax
"lumalaki na nang lumalaki at pumapangit, ang itim ng batok ko"(getting bigger and
bigger and becoming ugly, the nape of my neck is dark) -Damulag
"mataba po at parang ang pangit ko na kasi malaki ang tiyan ko"(fat and seems got ugly
beacause I have a big tummy) -Snorlax
Knowing what is right isn’t the same as doing what is right. The key informants knew what is
wrong, unhealthy and what should be avoided, still, they continue in doing it. This is when the
right becomes wrong. Under the Jean Piaget cognitive development, school age children are in
the concrete operational stage wherein they can perceive and make judgement based on what they
think and believe (Hockenberry and Wilson, 2009). The transition of the statements was based on
knowing the right things and wrong things described by the key informants. The right things
which the key informants perceived were:
"Prutas po, gulay tsaka mgaisda po, tapos umiiwas po sa mga pagkaing matataba po…
ayun po kasi ang nagpapatangkad sa atin at madali po matunaw sa tiyan, para lukmakas
mga buto natin… yung nakakatakbo po siya nang mabilis at ordinary lang po
siya…nanunood ng T.V. unhealthy po kasi makakasira din po ng mata natin tapos di po
na istretch ung mga binti natin… lalo po tataba, tatamadin po, makakasama po sa atin”
(fruits, vegetables and fish, and avoiding fatty foods… those foods helps us grow taller
"unhealthy ung kumakain ng junkfood …gulay po kumakain kasi nagpapataba po…." (it
is unhealthy to eat junkfood… eating vegetable makes us fat) -Shrek
"Puro tulog po siguro kaya tumataba…..hindi po healthy ang junk food kasi galing daw
yan sa basura... tsitsirya. hindi healthy kasi basura po… steak unhealthy kasi po
nabobobo po sila…gulay po healthy kasi masustansiya” (always sleeping that’s why
getting fat… junk food isn’t healthy because It’s from junk… chips are not healthy
because its trash… steaks are unhealthy because it makes them dumb… vegetable is
healthy because its nutritious)-Patrick Star
"apple, orange, broccoli, strawberries… kasi vegetables at fruits merun silang protien at
vitamin… pampasigla po ito at pampalakas at magiging masiyahin po tayo"(apple,
orange, broccoli, strawberries… because vegetables and fruits has protein and vitamin…
gets you energized and strong and makes us joyful) -Baymax
"gulay po ung pakbet, adobong sitaw… kasi po masarap yun at napapadami kain ko…
pag ang dami niya po kinain tapos natulog siya puwede po siyang mamatay kasi po hindi
siya nakahinga sa sobrang pagkabusog… yung hindi po healthy ung mga tsitsirya po,
bubble gum, tsaka candy po yun lang… hula hoop kasi naiistretch po ung katawan natin,
yung takbuhan po kasi po nagpapawis ka po. Pag nag exercise pumapayat nagpapawis
tapos yung biking papawisan ka rin diyan" (vegetable, steamed mix vegetables in shrimp
sauce, sauteed string bean… its delicious and makes me eat more… when you eat a lot
and sleep right after it can lead to death since you weren’t able to breath due to fullness in
the stomach…unhealthy foods are junk food, bubble gum, and candy that’s all… hula-
hoop because it stretches our body, playing tag since it makes us sweat. When exercising
you build up sweat and get thin and biking also builds up sweat)—Snorlax
Whereas, the wrong things that they still do as verbalized by the key informants are:
“Puro tsitsirya at softdrinks po, pati chocolate po kasi sweet, kumakain din po ako ng ice
“Hotdog po gusto kong kainin sinasabi ko.. Bumbili po kami sa canteen katulad ng
popcorn, pizza at tinapay at juice… healthy po kasi masasarap… nakakabusog lang po…
hindi po nageexercise.. naglalaro ng cellphone… nanonood ng TV.” (i’d say that I like to
eat hotdog… we buy at the canteen like, popcorn, pizza, bread and juice… healthy
because it’s delicious… makes our tummy full… I’m not exercising… playing
cellphone… watching TV)-Shrek
“Chicken fillet, pancake, hotdog, fried chicken healthy kasi po masarap… junk food at
puro softdrinks sa canteen namin… Chicken skin pati po dugo… chicken fillet, sa KFC
kumakain din…. Naglalaro po ng tablet, nagyouyoutube pag wala pong ginagawa.
Nakaupo lang po ako hanggang sa maantok tapos tutulog po…. Naglalaro din po ng
lego… Wala po akong exercise… Nanunuod po ng TV… Hindi po healthy ang pagtakbo
dahil tumutulo po ang pawis kasi po pagnatuyuan ng pawis magkakasakit… Unhealthy
po ang pagsayaw kasi napapagod at nautuyuan ng pawis.” (chicken fillet, pancake,
hotdog, fried chicken are healthy since its delicious… Junk food and mostly soft drinks at
our canteen… Chicken skin and grilled blood… I also eat chicken at KFC… Playing
tablet, watching youtube when doing nothing… Only sitting till I feel sleepy… Also
playing lego… I don’t have exercise… Watching TV… Running isn’t healthy because it
will build up sweat and when it gets dry it can lead to sickness… Even dancing is
unhealthy because you get tired and gets your sweat dry)-Patrick Star
Figure 1
Visual representation of the self - perception of School Age Obese Child
The simulacrum represents the major themes which is Expectation VS. Reality. It shows
how a child perceived himself. The child outside the mirror represents the reality, while
the child in the mirror is his expectation about himself in terms of being healthy. It also
presents the theme “When Right Things Go Wrong”, wherein the things inside the mirror
that can be seen from the reflectionare the things they think makes a child healthy. And
the things that are outside the mirror such as activity and food preferences are the actual
doing of the child in reality. The child knows what is right but still does what is wrong.
The conflict of understanding of school age children about the concept of obesity revolves with
expectation against reality. Since the study was phenomenological in nature, it is focused on the
exploration of perception of school age children about obesity. The findings of this study that was
obtained from narrative statements of the key informants can be used to provide understanding
about the perception of school age children on obesity and the factors that contribute to obesity.
For the past years, fight against childhood obesity remains a struggle. Obesity in children has
been a major crisis and commonly caused by the imbalance of caloric intake and consumption of
energy (Karnik and Kanekar, 2012). Children nowadays are fond of eating what is conveniently
within their reach. Easy access to cheap food that are available in nearby stores and school
canteen that are high in fat and sugar content together with eating more of unhealthy food such as
chips, burgers, and other fast food in school or outdoor are a perceptive factor in obesity. These
foods are high on calories and dietary fat (Grodner,Long, and De young ,1996). Due to lack of
physical exercise and activities, it is difficult to burn these extra calories and maintain a healthy
weight. The downtrend of physical activity in children seems to be related to the time spent in
media technologies and internet games (Wintrump, 2010). Also the role of parents in child’s
nutrition is very important because it will be the building block of the child’s eating pattern as
stated by the Department of Health and Human Services (Roth, 2012).
In this study the understanding of school age children regarding their weight status was employed
as a reflection of their own expectation against what is real. Although this understanding was
limited only to themselves. In the theory of cognitive development of Jean Piaget, he referred the
term self-concept among school age children as a conscious awareness of self- perception, these
includes their physical appearance, self- ideals, expectancy and body-image (Hockenberry and
Wilson, 2009). Most of the key informants perceived that they are healthy in spite of their
awareness of their own weight status. They also stressed that they are strong, free from sickness
and able to do physical activities such as outdoor playing. They even sited some obese persona
like a celebrity that has the same weight status as with them. The prevalence of this weight
When asked about the concept of what is healthy, most of the key informants mentioned that a
healthy person is fat, hygienic, good looking with nice body and eats nutritious food. The key
informants were also able to identify healthy food from a set of pictures and healthy physical
activities from the tools used by the researchers. Children on this stage develops their rational
thoughts so they become logical about concrete and specific things (Hockenberry and Wilson,
2009). However, the researchers found out that the understanding of nutrition of the key
informants were insufficient for they only talked about it in general, like it makes them strong and
healthy and with some concepts about health that they heard from their parents or from other
people. They were not able to talked about it enormously on how those food and activities can
make themselves strong and healthy. However, some of them emphasized that they could get
certain diseases when they eat unhealthy food such as those in can and carbonated drinks.
According to Skelton, Irby, Guzman, Beech (2012) “Children seemed to have a general
knowledge that being healthy involves good nutrition but did not know what good nutrition
entails beyond fruit and vegetable consumption”.
Taylor, Evers and McKenna (2008), stated that “the food preferences among school age children
are often not consistent with their knowledge on nutrition”. This was depicted when the key
informants were asked about their usual eating patterns and food preferences. Most of the key
informant choose food regardless of the nutritional value it contains. They choose food they see
in T.V. commercials and in fast food restaurants. They said that whenever they see food
commercials in T.V. like those in fast food restaurant, it makes them crave for it. Long hours of
spending time in television expose children to infinite number of unhealthy commercial
advertisements which mostly encourage them to purchase unhealthy food such as chips, candies,
fast food and carbonated drinks (Whitney, De Bruyne, Pinna and Rolfes, 2007). The more often
they are presented with a certain kind of food, the more likely the child will have desire for it.
Due to the long hours of watching television, school age children are attracted to advertisements
of food thus affecting food preference and become potential to adiposity (Cezar, 2008).
With regards to their food preferences at home, most of the key informants mentioned that the
frequent food they eat in their home are the ones what their parents are usually serving to them.
Another finding from this study about the factors that contribute to obesity was the sedentary
lifestyle and activities that the key informants involved in. Some activities that were mentioned
by the key informants are outdoor playing, computer and cellphone games, and watching
television. These asides from school activities they do. However, the time spent with outdoor
activities were more less than what they do at home. These sedentary lifestyles occupy much of
children’s free time. Children nowadays prefers spending hours of watching TV, playing with
technological gadgets instead of getting more involved with physical activities. Zhang, Chritoffel,
Mason and Liu’s study as cited in Schwarzkopf (2008) stated that less physical activities in
school and too much screen time particularly television viewing promotes imbalance of energy
intake that results to a rapid increase in child obesity. More than two hours a day of watching
television or playing computer games or other media technology makes children prone to obesity
due to accumulation of lipids in their blood (Hockenberry, Wilson, 2009).
With the sparsity of knowledge about school age children’s perception of obesity and health, the
findings of this study could help us understand how the school age children think and by way of
understanding their perception, the researchers look positively forward to the world in providing
information that would contribute for the creation of a more appropriate interventions to prevent
and control obesity in children.
Conclusion
The study gave the researchers the opportunity to wander through the insights of obese school age
children about obesity. The key informants evidently provided unity in their understanding and
awareness of the condition. Narrative statements from the key informants showed that despite of
In this study, key informants revealed that in spite of understanding what is healthy and not, they
still regularly practice unhealthy style and does perceived themselves as healthy.
The key informant’s perception about obesity is being healthy, strong and free from sickness. In
line with this, the result shows that the contributing factors in obesity are influence of T.V.
commercials/advertisements, sedentary lifestyle, food preference, lack of nutritional knowledge
and preparation and presentation of food by the parents.
Recommendation
The results of this study will be able to contribute in the Nursing profession a deeper
understanding about the perception of children with this condition. With the help of this study,
they can be able to create an accurate plan of care in the hospital setting when encountering
patients with this condition such as giving a thorough health teaching about what kind of food to
eat and amount of exercise that should be followed by these patients to be able to persuade them
into healthy lifestyle.
This study can also give information to other health care agencies and barangays about the lack of
nutritional knowledge of the children with regards to food that they eat. They can create
campaigns and conduct a seminar on how to raise awareness of this condition and also by
encouraging the school to sell nutritious foods on school cafeterias and eliminate those unhealthy
foods such as junk food and those foods that are high in saturated fat.
The researcher also recommends parents to take part in reading this study for them to understand
their child and how they should respond to them. Parents should also understand their role as a
The researcher sees child caregivers as a beneficiary in this study since they are with the children
most of the time, they can promote the child’s daily activities, influence their perception on
obesity. They should encourage children to eat slowly and not in a hurry and enjoy the company
of family while eating. They should also teach them how to select nutrient’s dense snacks and
serve themselves appropriate portion. When providing snacks to the children think of a food
groups and offer snacks that are packed with nutrients such as sliced banana, cooked carrots, egg
sandwich and fruits. They should also prepare snacks that should be readily available to children
especially if the children arrived at home after school before their parents.
Campaigns against child obesity should be more regulated especially in the consumption and
promotion of junk food and fast food as with the advertisements and TV commercials because
this kindle the school age children to splurge and be tempt to fattening food. Another is the
attribute made by the modern technology that brought school age children into a sedentary
lifestyle instead of being outdoor doing recreation that involves physical activities.
Reflection
Although the whole process of collecting information was difficult for the researchers because of
the key informant’s juvenile mind, it didn’t hinder the researchers from continuing and finishing
the study to deliver the importance of this information in general.
“Never doubt a small group of thoughtful children, they can change the world”.- Anonymous
Care Giver
An individual with whom the child spends majority of time and assumes responsibility to the
child’s safety and well -being in the absence of parents.
Child obesity
A Body Mass Index (BMI) at or above the 95th percentile of the same age and gender.
School Age
Children who are in 6 to 12 years of age.
Assent
Used to express willingness of the child to participate in the study
Sedentary Lifestyle
Inactivity or activity that not increase energy expenditure substantially above the resting level and
includes sleeping, watching T.V., sitting.
Creswell, J.W. (2003). Research Design Quantitative, Qualitative & Mixed Method
Approaches SAGE. Thousand Oaks. USA
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Grodner, M., Long, S., De Young, S. (1996). Foundation and clinical application of
nutrition: A Nursing Approach (3rd ed.). St. Luis: Mosby-Year Book
Hockenberry, M.J. Wilson,D. (2009)Wong’s essentials of Pediatric Nursing (8th Ed.) St.
Louis,MO: Mosby/Elsevier
Karnik S., Kanekar, A. (2012). Childhood Obesity: A global Public Crisis, International
Journal of Preventive Medicine 3(1): 1-7 DOI: 10.1201/b18227-3
Lorenzetti,L. (2016)Child Obesity Is Now A Global Crisis. Retrieved September 10, 2016
fromhttp://fortune.com/2016/01/25/child-obesity-global-crisis/
National Cancer Institute (2014). Children’s Assent. Retrieved September 12, 2016 from
http://www.cancer.gov/about-cancer/treatment/clinical-trials/patient-safety/childrens-
assent
Philippine Council for Health Research and Development (2008). Childhood Obesity.
Retrieved September 9, 2016 from http://www.pchrd.dost.gov.ph/index.php/news/library-
health-news/4674-childhood-obesity
Polit, D. F., & Beck, C. T. (2004). Nursing Research: Principles and Methods (7th
ed.).Philadelphia, Lippincott Williams & Wilkins
Polit, D. F., & Beck, C. T. (2006) Essentials of Nursing Research: Methods, Appraisal,
and Utilization (6th ed.) Philadelphia, Lippincott Williams & Wilkins
Salustiano, R. (2009). Introduction to Research in the Health Sciences, (1st ed.) Quezon
City: C & E Publishing. Inc.
Sarafrazi, N., Hughes, J.P., Borrud, L., Burt, V., Paulose-Ram, R.,(2014) Perception of
Weight Status in U.S. Children and Adolescents Aged 8-15 years,2005-2012, Retrieved
August 29, 2016 from http://www.cdc.gov/nchs/data/databriefs/db158.pdf
Skelton, J.A., Irby, M.B., Guzman, A.M., Beech, B.M. (2012). Children’s perceptions of
obesity and health.,4(5).Retrieved August 28, 2016 from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3979550/
Taylor, J.P., Evers, S.& McKenna, M. (2008) Determinants of healthy eating in children
and youth. Can J Public Health, 96(3), 20-26. Doi:10.17269/cjph.96.1501
Wintrup, H. M., (2010) The Parents’Role in Child Obesity. Retrieved September 10,
2016 from http://www.digitalcommons.calpoly.2edu/cgi
Whitney, E., DeBruyne, L.K., Pinna, K., Rolfes, S.R. (2007) Nutrition for Health and
Health care (3rd ed.). Singapore:Wadsworth, Thompson Learning
World Health Organization (2016).Commission presents its final report, calling for high-
level action to address major health challengeRetrieved September 5, 2016
fromhttp://www.who.int/end-childhood-obesity/news/launch-final-report/en/
( Tagalog Version)
Kamusta, ako si Marissa Abe at ito ang aking kasama na si Gizel Gatlabayan. Kami ay mga
nursing student sa Our Lady Of Fatima University sa antipolo. Nandito kami ngayon para alamin
kung paano ang isang bata tungkol sa matatabang bata. Gusto ko sanang tulungan mo kami dahil
hindi namin gaanong alam ang iyong iniisip at pagkakaintindi, At kung ginusto mo kaming
tulungan ay ipapaliwanag ko angating pag uusapan.
Nakausap na namin ang iyong magulang at siya ay pumayag na mapasama ka sa aming pinag
aaralan. Pero kung hindi mo gusto ay hindi ka namin pipilitin at walang magagalit sayo. Kung
magbago man ang isip mo sa kalagitnaan ng ating ginagawa, ay hindi ito masama, pwede itong
itigil kahit ano man oras. Pwede kang magtanong kung may hindi ka maintindihan sa aming
tanong at gagawin. At kung ikaw ay papaya na mapasama sa aming pinag aaralan ay sasagot
lamang sa mga tanong at pwede ka din gumuhit ng larawan na iyong gusto upang maipaliwanag
mo sa aming mabuti ang nais mong sabihin.
___________________
Pangalan ng Bata
___________________
Mananaliksik
Assent
Hello my name is Marissa Abe and this is my friend Giezel Gatlabayan. We are a nursing
student in Our Lady of Fatima University from Antipolo. Right now, we are trying to learn how a
child thinks about obese children or those who are very fat. I would like you to help us because
we don’t know very much how you think about them. If you decide to help us, I will explain what
will happen. I am going to ask you some question about what do you think of obese or very fat
kids. And Giezel will be the one to write and record our conversation. There are no right or wrong
answer because this is not a test. And there will be no harmful effect or something bad that will
happen to you. By being in this study you will able to help us know how a child like you
understand the meaning of obesity or a very fat child and the things that contribute in becoming
like one. It will also help you and your parents know the importance of eating healthy foods and
healthy lifestyle.
Your parents said it’s okay for you to be in our study. But if you’re not, you don’t have to. No
one will be upset about it. In the case you want to be in this study now and change your mind
later, that’s okay. We can stop anytime. You may also ask questions about this study anytime.
_________________
Name of Child
_________________
_________________
Researchers
This informed consent form is for the parents or guardian of the key informant whom
we are inviting to participate in our research entitled “Understanding Obesity in the Eyes of a
School Age Child”.
Tagalog Translation:
Introduction:
If ever you have questions or there are any words that you do not understand in the consent form,
please do not hesitate to ask me to stop as we are going through the consent and I will give more
time to explain it to you.
Tagalog Translation:
Kung sakali po kayo na may mga katanungan or may mga hindi po naintindihan,
maaari po ninyo itanong,liwanagin at wag ho kayong magdalawang isip na patigilin ako sa aking
pagpapaliwanag upang mapagtuunan ng pansin ang inyong katanungan.
Tagalog Translation:
This research will involve your child’s participation in a one-on-one interview that may take an
hour and a half and may depend on the attention span of your child, using questionnaires,
doodles, flashcards and pictures in order to describe his/her perception regarding obesity. The
researchers will also use pen and paper to take down notes about the interview and a recorder to
record the whole interview process.
Tagalog Translation:
Participant Selection:
We have selected your child to be one of our respondents considering he/she passed our inclusion
criteria. However, you may approve and disapprove of your child’s participation.
Tagalog Translation:
Ang inyo pong anak ay aming napili na maging isa sa aming mga respondente dahil
isinaalang-alang namin ang pagpasa niya sa aming pinaghalong critera. Gayunman, nasa inyo pa
din ang desisyon kung nais o di nais ninyong sumali.
Voluntary Participation:
Tagalog Translation:
Procedure:
We are asking you for your child to be in a research study that would help us learn more about the
understanding of obesity in school age children. If you accept, your child will be asked to
participate in an interview with me. During the interview, I, together with one of my researcher in
the group will sit down with your child in a comfortable place at your home. I will be the one to
give the questions and the other researcher will be the one to take down the necessary information
during the interview. If your child does not want to answer any of the questions during the
interview, you or your child may inform us and we will proceed to the next question. No one else
will be present during the interview unless you would like to be there or with the presence of
someone else. In the case you want to be present during the interview process, you will not be
allowed to coach your child on what she wants to say or answer to us. All the information and
tape records that we gathered will be strictly confidential, and no one else except myself and the
members of the research team namely, Gizel Gatlabayan, Johann Simoun Soriano, Arcely
Mahidlaon, Kristine Ann Pavia and Norbert Lewin Soliven will have access to it. Your name will
not be mentioned on the tape and it will be kept on the possession of the research team for
protection. The tapes will be destroyed after the presentation of our study in College of Nursing at
Our Lady of Fatima University Antipolo.
Tagalog Translation:
Duration:
We are asking your child to participate in our interview which will take about 1 and a half hours
of his/her time. It will be outside of school -hour, it could be done on your home or a place you
prefer. There will also be a questionnaire presented to guide the interview. If in case, there are
follow-up questions or information needed we will be informing you ahead about our next visit.
Tagalog Translation:
In participating in this research, your child will not be at any risks. We willbe asking your child
some personal information and if he/she feels uncomfortable talking about some of the questions,
he/she can decline to answer. We will give interval during interview for break time to avoid
losing the concentration of your child.
Tagalog Translation:
Benefits:
Mostly you and your child will benefit from our study because we can share to you the
knowledge that we would learn from the study like how to prevent child obesity. You can also
share to your community what you learned, and be a help to other people.
Tagalog Translation:
Reimbursements:
Your child will not be given any kind of financial payment. However, you and your child will
receive free snacks on every interview a token of appreciation for participating in the research
and in giving us your time.
Tagalog Translation:
Ang inyo pong anak ay walang matatanggap na ano mang uri ng bayad pinansiyal. Sa
halip ay makakatanggap kayo ng libreng meryenda sa tuwing gaganapin ang panayam bilang
tanda ng pasasalamat (token of appreciation) para sa inyong pakikilahok sa aming pananaliksik.
Confidentiality:
The information that we gathered from you and your child will only be used for the sole purpose
of this study. The name of your child will be kept confidential. Instead of using names or other
information, letters in the alphabet will be used that only the researchers could understand what is
it for. We will not expose any information outside the research team, it will be kept confidential.
All the information will be secured and only the research team will have access to it.
Tagalog Translation:
In the future, we will be sharing the research findings, but the confidential information gathered
will remain confidential. At the end of the study, we will also be publishing the results in order
that other interested people may learn from our research.
Tagalog Translation:
Ibabahagi namin ang aming nasaliksik sa hinaharap ngunit ang mga impormasyong
na kumpidensyal ay mananatiling kumpidensyal. At sa pagtatapos ng aming saliksik, ilalathala
namin ang mga resulta na aming nakuha para sa mga interesadong tao na gustong matuto nito.
We will take your child’s concern and requests seriously. You can choose not to let your child
participate in this study or if he/she does not wish to do so. If incase the study already started your
child still has the option to stop participating in the interview at any time without losing any of
your rights. All information/remarks of you during the interview will be reviewed at the end of
each interview so that if there are any concern that should be change, remove or modified, there
would be time to do so.
Tatanggapin namin ang mga pag-aalala at mga kahilingan ng inyong anak. Maaari
niyong piliin kung papayagan ninyo o hindi ang inyong anak sa pagsali sa aming pananaliksik.
Kung pumayag kayo sa simula ngunit nagbago ang isip ninyo sa gitna ng panayam, maaari niyo
pa rin sabihin na gusto niyong ihinto at hindi na makilahok. Hindi mawawala ang inyong mga
karapatan.Ang mga impormasyon na aming nakalap sa panayam ay rerebyuhin pagkatapos ng
panayam upang mapalitan kung may gusto kayong ipatanggal o baguhin. Maglalaan po kami ng
oras para ditto.
Who to contact:
If you have any questions you can ask them now or later even if the study already started. If you
wish to contact us, you may contact me, Marissa Abe at 09178913939.or email me at
marieabe@rocketmaiil.com. This study has been reviewed and approved by Our Lady of Fatima
University’s Institutional Ethics Review Committee (IERC) which holds your protection against
any harm. If you wish to verify, you may contact the IERC Chairman of Our Lady of Fatima
University Ms. Snowie Y. Balansag at her email balansagsnowie@gmail.com.
Tagalog Translation:
Kung kayo ay may mga katanungan, maaari niyo na itong itanong ngayon o mamaya.
Kung gusto ninyo kaming makausap, maaari niyo po akong kontakin , Marissa Abe sa numerong
09178913939 o email na marieabe@roketmail.com. Ang pag-aaral na ito ay nasuri at
naaprubahan ng Our Lady of Fatima University’s Institutional Ethics Review Committee (IERC)
na may hawak para sa inyong proteksyon laban sa anumang panganib. Kung sakaling gusto niyo
itong mapatunayan, maaari niyong kontakin ang IERC Chairman of Our Lady of Fatima
University Ms. Snowie Y Balansag at her email balansagsnowie@gmail.com.
Tagalog Translation:
If illiterate
I have witnessed the accurate reading of the consent form to the potential participant, and the
individual has had the opportunity to ask questions. I confirm that the individual has given
consent freely.
Print name of witness: ______________________ Thumb print of
participant
Signature of witness: _______________________
Date: ______________
(Day/Month/Year)
Tagalog Translation:
I have accurately read out the information sheet to the potential participant, and to the
best of my ability made sure that the participant understands that the following will be done:
1. Interview
2. Doodle type of activity
3. Flash Cards activity
I confirm that the participant was given an opportunity to ask questions about the
study, and all the questions asked by the participant have been answered correctly and to the best
of my ability. I confirm that the individual has not been coerced into giving consent, and the
consent has been given freely and voluntarily.
A copy of this Informed Consent Form has been provided to the participant.
Tagalog Translation:
Aking nabasa ng wasto ang mga impormasyon sa aking potensyal na kalahok sa abot
ng aking makakaya at aking sinigurado na naiintindihan nito ang mga sumusunod na gagawin:
1. Pakikipanayam
2. Pag Drawing
3. Pagkilala sa mga larawan/pictures
Appendix D
WHO/FNRI BMI CHART
Preamble
Hello my name is Marissa Abe and this is my friend Giezel Gatlabayan. We are nursing students
in Our Lady of Fatima University from Antipolo. Right now we are trying to learn about how a
child thinks about obese children or those who are fat. I would like you to help us because we
don’t know much about how you think about them. And if you decide to help us, I will explain
what will happen.
I am going to ask you some question like what do you think about fat kids. And Gizel will be the
one to write and record our conversation. There are no rights or wrong answer because this is not
a test. And there will be no harmful effect or something bad will happen to you. By being in this
study you will help us know how do you understand obesity and the things that contribute to it.
Before we start I would like to ask for your approval to record our conversation and sign an
informed consent and assent.
This interview will take about 30 to 45 minutes of your time. Are you willing to answer some
questions at this time?
Tagalog Translation:
Kamusta, ako si Marissa Abe at ito ang aking kasama na si Gizel Gatlabayan. Kami ay mga
nursing student sa Our Lady ofFatima University sa Antipolo. Nandito kami ngayon para alamin
kung paano ang isang bata tungkol sa matatabang bata. Gusto ko sanang tulungan mo kami dahil
hindi namin gaanong alam ang iyong iniisip at pagkakaintindi, At kung ginusto mo kaming
tulungan ay ipapaliwanag ko angating pag- uusapan.
Bago tayo magsimula,nais ko sanang hingin ang iyong pagsang-ayon na itala ang ating usapan at
pirma sa informed consent at assent.
Tagalog Version:
Maaari mo bang sabihin sakin ang pinagkaiba ng malusog na bata sa hindi malusog na bata?
3. What do you think are the foods that are healthy for you?
Follow up questions:
What are your favorite foods?
How often do you eat those kinds of food?
Can you tell me if these food makes you healthy?
Can you point out in the pictures that I will show you if you like eating them or not.
Tagalog Version:
Ano sa tingin mo ang mga pagkain na makakapagpalusog sa iyo?
Follow up questions:
Ano ang mga paborito mong pagkain?
Gaano kadalas mo ito kainin?
Maari mo bang sabihin sa akin kung ang mga pagkain na ito ay makakapagpalusog sa iyo?
May mga pictures akong ipapakita sa iyo, pakisabi kung ito ay iyong gusto o hindi.
Tagalog Version:
Sa tingin mo ba ung mga tv komersyal ay nakakapekto sa pagpili mo ng iyong kinakain?
Paraphrase:
Ano ang masasabi mo sa mga pagkain na nakikita mo sa sa mga tv komersyal?
5. What are the usual snacks that you eat every day? At home and at school?
Tagalog Version:
Sa school at sa bahay, anu-ano ang mga meryenda na kadalasan mong kinakain?
OUR LADY OF FATIMA UNIVERSITY ANTIPOLO COLLEGE OF NURSING
6. How does your family affect the choice of food that you eat?
Paraphrase:
Can you tell me who chooses the food that you eat inside and outside your home?
When you are in the mall, who chooses food for you?
Tagalog Version:
Paano nakakaapekto ang iyong pamilya sa pagpili ng iyong pagkain?
Paraphrase:
Sino ang pumipili ng iyong kinakain sa inyong tahanan? Kapag kayo ay nasa labas?
Kapag ikaw ay nasa mall sino ang namimili ng iyong kakainin?
7. When you are with your friends, who chooses what you all you eat?
Follow up question: Can you tell me if the food what you think about the food you eat with your
friends?
Tagalog Version:
Pag kasama mo ang iyong mga kaibigan, sino ang pumipili ng inyong kakainin?
Maaari mo bang sabihin sakin kung ano ang tingin mo sa mga pagkain na kinakain niyo ng iyong
mga kaibigan?
Tagalog Version:
Ano ang mga larong pambata ang lagi mong ginagawa?
Maaari mo bang ituro sa mga larawan ang mga Gawain na madalas mong ginagawa?
Gaano kadalas ito ginagawa?
Tagalog Version:
Ano ang pumapasok sa isip mo tuwing nakikita mo ang sarili mo sa salamin?
Paraphrase:
Pakisabi sa akin kung malusog na bata ba ang nakikita mo sa tuwing titignan mo sa salamin ang
iyong sarili?
Tagalog Version:
Tingin mo ba napakataba mo?
Paraphrase:
Ano ang pinaka magandang paglalarawan ang masasabi mo sakin tungkol sa iyong kalusugan?
CLOSING
Finally, before we end this conversation, is there anything you would like to add?
Tagalog Translation:
Sa pagwawakas, nais ko sanang malaman kung may mga bagay ka pa na nais idagdag sa iyong
mga kasagutan. Sa tingin ko ang lahat ng mga impormasyon na aking kailangan ay nakuha ko na.
Maraming salamat sa iyong oras at pagsali sa aming saliksik.
Appendix H
Certificate of English to Tagalog Translation
Damulag’s Narratives
Yung sa Jollibee po, mcdo, Max, Chowking nagpapabili po ako nun kapag Attraction on TV
nasa mall kami. commercials and
fast food
restaurant
Kasi po kapag kumakain ng chichirya ay lalong gugutumin… hindi healthy Understanding on
adobong pusit kasi po maalat…taho po ay healthy kasi soya, yung soya po nutrition and
Healthy po, hindi naman po ako nagkakasakit tsaka nakakapaglaro naman Self -perception
po ako…
Munggo po, kangkong kalabasa, isda na ginataang gulay tapos talong. nag Healthy Food
papataba po kasi.
Papaya Munggo po, kangkong kalabasa, isda na ginataang gulay tapos
talong. nag papataba po kasi.
Chicken po unhealthy pag prito po madaming taba po kasi yung oil po. Unhealthy Food
Matamis po kasi kasi yung sundae kaya hindi healthy tapos may toppings
pa siya.
Pork chop po kasi siya so unhealthy prini-prito.
Hindi po healthy yung turon kasi may balot yun prini-prito pa tapos
matamis pa.
Nag ce-cellphone po kapag tapos na gumawa ng assignment at nag tatablet Usual Activity
din.
minsan po sa labas takbuhan po, taya-tayaan.
nag wawalis po ako minsan nag ma-mop Minsan po cellphone tapos tablet.
Healthy po, mataba po ako kasi po wala naman ako sakit masigla Self -perception
naman ako.
ang pisngi po.. mataba po …pati po yung mga braso po at paa pati
ung tiyan ko po parang buntis kasi malaki
yung mga baboy po….hotdog.. Cake, Sinigang, Meatloaf, Hotdog, Healthy Food
Breaded Porkchop with potato and carrots
Chocnut, Pandesal, Ice cream Chips, Candies, French fries Unhealthy Food
Healthy po, kasi mataba, malusog tsaka malakas kumain. Self -perception
Mataba, malaki po tyan at nahihirapan, tumakbo at mapogi
Apple, orange, Brocolli, strawberries.. dapat mga rice, vegetable, fruits Healthy Food
kinakain … Healthy po kasi chocolate gawa sa cacao. sinigang na
baboy.. sago pampatamis… soya.. Bearbrand
Biscuit and tsitsirya po… chicken, pork, karne ng baby un lang po… Unhealthy Food
softdrinks.. French fries.. Pusit
hotdogs
Mga nuggets po madalas kainin.. meatloaf.. Kumakain po kasi may Food preference
Minsan nag ce-cellphone kapag tapos nap o gumawa ng assignment Usual Activity
tapos tablet.
Mga ano po patintero, habulan, agawan base, tagu taguan po.
Maalat po siya eh, nagbebenta din po kasi si mama ng hotdog, Parents Influence
chichirya po.Nagagalit po siya kapag sinasabi ko ayaw kop o dapat
kung ano lang meron po…Unhealthy daw po sabi ni mama.
Si mama po bumibili eh, si papa po kasi nasa abroad, minsan din nag
papabili po ako kay lola kapag wala si mama.
Nagagalit po siya pag sinasabi kasi ayaw niya gusto niya kung ano lang
ung binibigay niya.
kasi vegetables at fruits meron silang protein at vitamin..pampasigla po Perception of
Nutrition and Health
ito at pampalakas at magiging masiyahin po tayo….Vitamins po
nakakatulong sa katawan para sumigla…..Kasi nagkakahighblood
magkakasakit kasi di sila maalaga sa katawan, di sila magiging healthy
at maalat… Kasi maalat puro karne nalang……Nakakabusog,
nakakagana, masigla nakakagana sa katawan…..kasi matagal
matunaw… Wala po, sinabi lang ni mama.
kasi nakakatibay ng buto…..kasi may preservatives….Magkakasakit
po, nakalimutan ko na, maalat. Sinabi rin po kasi ni
mama…..Nakakadulot ng sakit. Pati sakit sa tiyan po….Yung
softdrinks po pwede po sumakit yung tyan natin dyan tas pwede din po
mag ka UTI……Kapag ayun po kinain nila magkakasakit po sila, hindi
sila magiging healthy kung puro maalat po kakainin…..Healthy po kasi
ung vegetable.....Cycling, naeexercise po nastestretch ung
Prutas po, gulay tsaka mga isda po tapos umiwas po sa mga pagkaing matataba Healthy Food
po
Meat loaf po kasi po meat po siya na hindi gaano mamantika
Opo kasi yung pizza don may halong gulay tas bread po.
Mga chichirya po, softfrinks, chocolates po kasi nagpapataba kasi sweet, Unhealthy Food
kumakain din po ako ng ice cream.
Opo kasi kapag kumain ka ng taho di ka mabubusog kaya hindi po healthy
puto at kutsinta hindi po healthy din kasi hindi po nakakabusog tsaka minsan
hindi masarap.
Unhealthy po yung stick o at loaded
Ang taba taba po, malaki katawan, yung kmay ko po at pisngi. Perception of
healthy person
Healthy po pagiging malusog or mataba ganon po….Mataba tapos malaki
yung tiyan
Siguro katamtaman medyo malaki…Si Sharon cuneta po healthy..Mataba
po…hmm yun lang po.
Ganyan po mapayat may laman konti pero may buto naman, parang Perception of
Unhealthy Person
nahahawakan moyung buto niya gaano. Tapos mapayat yung kamay niya tsaka
yung eto po..Si babalu po unhealthy…
sobrang taba po kasi siguro po kain siya ng kain tas parang lagi lang siya Perception on
obese person
nakahiga o nakaupo po
Nagliligpit po ng higaan, naglalagay po ng tubig sa pitchel tapos pag gabi Usual Activity
naman po nag papagpag ng higaan wala na po magpapahinga na…Nanunuod
ng tv. cartoons po, minsan po palabas na pambata.
Patintero, habulan tapos tagauan po Minsan po kasi hapon narin po ako
dumadating tas gagawa pa po ako assignment kaya minsan lang po…Opo
meron po ako cellphone iniiwan ko naman po kapag nasa school ako eh kapag
pumapasok ako…Nagtatablet po pati cellphone, minsa lang pong maglaro kasi
hapon na din ako dumadating tas gagawa pa ako assignment kaya minsan lang.
…Kapag wala pong pasok simula pagkagising ko po hanggang hapon
nanunuod lang ng tv.
Medyo po minsan po kasi ung niluluto ni mama may mantika po..Hinahatidan Parents Influence
po ako ni mama ng hotdog, adobo, fried chicken sa school…..Si mama po ang
napili ng mga pagkain namin
Mga chichirya po, softdrinks, chocolates po kasi nagpapataba kasi sweet, Perception of
Nutrition and
kumakain din po ako ng ice cream.
Health