A Coordinated School Health Approach to Obesity Prevention Among Appalachian Youth

Schetzina, Karen E.; Dalton, William T.; Lowe, Elizabeth F.; Azzazy, Nora; VonWerssowetz, Katrina M.; Givens, Connie; Pfortmiller, Deborah; Stern, H. Patrick

doi:10.1097/fch.0b013e3181ab3c57

Cited by 43 publications

(48 citation statements)

References 16 publications

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“…These findings were consistent with other programs showing success in adapting the Traffic Light Diet for schools, such as the Winning with Wellness Program [8]. Children also reported change in eating behaviors, indicating that they had absorbed information about this program in a relatively small number of group meetings.…”

Section: Discussionsupporting

confidence: 78%

“…Goals of the current pilot project were to describe the initial implementation and evaluation of a healthy eating and exercise program for children residing in low-income families in an urban Appalachian area. There are a few studies assessing prevention programming for Appalachian youth residing in rural areas [8]. However, information is lacking about obesity prevention programs for Appalachian youth in urban settings.…”

Section: Introductionmentioning

confidence: 99%

“…Schetzina et al implemented the Winning with Wellness Pilot Project at a school in Tennessee, and the Traffic Light Diet influenced their program as well [8]. The Winning with Wellness Project promoted healthy eating and increased activity at an elementary school in a rural Appalachian area.…”

Section: Introductionmentioning

confidence: 99%

“…Initial findings for the Winning with Wellness Project indicated positive change in school practices and policy as well as improved nutrition in food choices at school and increased physical activity for children during the school day. Difficulty implementing the program due to academic demands during the school day was mentioned as a barrier to program sustainability [8].…”

Section: Introductionmentioning

confidence: 99%

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Delivery and evaluation of a pilot obesity prevention project for urban Appalachian children

Nabors¹,

Burbage²,

Pangallo³

et al. 2013

OJPed

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Prevention of childhood obesity is a national concern and there is a need for interventions that can be implemented in community programs and are brief in nature. This pilot project was developed to evaluate the impact of the Children's Healthy Eating and Exercise Program, which was adapted from the Traffic Light Diet. Participants were urban Appalachian children and adolescents who were enrolled in one of two community-based summer programs. Quantitative and qualitative methods were used to examine children's impressions of the program and to assess what they learned during implementation of the program. Results indicated that younger children reported consuming fewer French fries or chips and older children reported eating more vegetables at the end of the program. Knowledge of two categories of Traffic Light foods appeared good; however, participants showed lower knowledge about one of the food categories. Future studies should involve parents as well as incorporate a more rigorous evaluation design with a comparison group to examine the impact of this new program.

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Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Delivery and evaluation of a pilot obesity prevention project for urban Appalachian children

Nabors¹,

Burbage²,

Pangallo³

et al. 2013

OJPed

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“…Minorities tend to reside in obesogenic communities with limited access to healthy foods and recreational parks and facilities [22]. Additional studies suggest residing in a rural area and lack of access to healthy foods increases the prevalence of obese children [36,37]. African Americans residing in rural areas are more likely to encounter these aforementioned risk factors.…”

Section: Risk Factorsmentioning

confidence: 99%

Childhood Obesity Perceptions Among African American Caregivers in a Rural Georgia Community: A Mixed Methods Approach

Alexander

Hansen

2014

J Community Health

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Given the pivotal role of African American caregiver's perceptions of childhood obesity in rural areas, the inclusion of caregiver's perceptions could potentially reduce childhood obesity rates. The objective of the current study was to explore childhood obesity perceptions among African Americans in a rural Georgia community. This concurrent mixed methods study utilized two theoretical frameworks: Social Cognitive Theory and Social Ecological Model. Using a convenience sample, caregivers ages 22-65 years completed a paper-based survey (n = 135) and a face-to-face interview (n = 12) to explore perceptions of obesity risk factors, health complications, weight status, built environment features, and obesity prevention approaches. Descriptive statistics were generated and a six-step process was used for qualitative analysis. Participants commonly cited behavioral risk factors; yet, social aspects and appearance of the community were not considered contributing factors. Chronic diseases were reported as obesity health complications. Caregivers had a distorted view of their child's weight status. In addition, analysis revealed that caregivers assessed child's weight and height measurements by the child's appearance or a recent doctor visit. Environmental barriers reported by caregivers included safety concerns and insufficient physical activity venues and programs. Also, caregivers conveyed parents are an imperative component of preventing obesity. Although this study found caregivers were aware of obesity risk factors, health complications, built environment features, and prevention approaches their obesity perceptions were not incorporated into school or community prevention efforts. Findings suggest that children residing in rural areas are in need of tailored efforts that address caregiver perceptions of obesity.

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Obesity Prevention Interventions and Implications for Energy Balance in the United States and Mexico: A Systematic Review of the Evidence and Meta‐Analysis

Richardson

Chen

Azhar

et al. 2019

Obesity

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Objective Obesity is preventable and yet continues to be a major risk factor for chronic disease. Multiple prevention approaches have been proposed across multiple settings where people live, work, learn, worship, and play. This review searched the vast literature on obesity prevention interventions to assess their effects on daily energy consumed and energy expended. Methods This systematic review (PROSPERO registration CRD42017077083) searched seven databases for systematic reviews and studies reporting energy intake and expenditure. Two independent reviewers screened 5,977 citations; data abstraction supported an evidence map, comprehensive evidence tables, and meta‐analysis; critical appraisal assessed risk of bias; and the quality of evidence was evaluated using Grading of Recommendations Assessment, Development and Evaluation (GRADE). Results Hundreds of published reviews were identified. However, few studies reported on energy intake and expenditure to determine intervention success. Ninety‐nine studies across all intervention domains were identified. Few areas demonstrated statistically significant effects across studies; school‐based approaches and health care initiatives reduced energy consumed, education reduced energy consumed and increased energy expended, and social‐group approaches increased energy expenditure. Conclusions Despite the amount of research on obesity prevention interventions, very few studies have provided relevant information on energy intake and expenditure, two factors determining weight gain. Future research needs to fill this gap to identify successful public health policies.

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A Coordinated School Health Approach to Obesity Prevention Among Appalachian Youth

Cited by 43 publications

References 16 publications

Delivery and evaluation of a pilot obesity prevention project for urban Appalachian children

Delivery and evaluation of a pilot obesity prevention project for urban Appalachian children

Childhood Obesity Perceptions Among African American Caregivers in a Rural Georgia Community: A Mixed Methods Approach

Obesity Prevention Interventions and Implications for Energy Balance in the United States and Mexico: A Systematic Review of the Evidence and Meta‐Analysis

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