Changes in Nutrient Intakes of Elementary School Children Following a School-Based Intervention: Results from the CATCH Study

Lytle, Leslie A.; Stone, Elaine J.; Nichaman, Milton Z.; Perry, Cheryl L.; Montgomery, Deanna; Nicklas, Theresa A.; Zive, Michelle; Mitchell, Paul D.; Dwyer, Johanna T.; Ebzery, Mary Kay; Evans, Marguerite; Galati, Todd

doi:10.1006/pmed.1996.0078

Cited by 113 publications

(73 citation statements)

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“…CATCH (Child and Adolescent Trial for Cardiovascular Health): This randomized trial in four communities tested interventions at three levels (schools, families, and students) (43). They encouraged schools to 1) reduce the fat content of food served, 2) increase the amount of time devoted to physical exercise, and 3) implement classroom curricula addressing healthy eating.…”

Section: Box 1 Examples Of Multilevel Intervention Trials Commit (Comentioning

confidence: 99%

Introduction: Understanding and Influencing Multilevel Factors Across the Cancer Care Continuum

et al. 2012

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Health care in the United States is notoriously expensive while often failing to deliver the care recommended in published guidelines. There is, therefore, a need to consider our approach to health-care delivery. Cancer care is a good example for consideration because it spans the continuum of health-care issues from primary prevention through long-term survival and end-of-life care. In this monograph, we emphasize that health-care delivery occurs in a multilevel system that includes organizations, teams, and individuals. To achieve health-care delivery consistent with the Institute of Medicine's six quality aims (safety, effectiveness, timeliness, efficiency, patient-centeredness, and equity), we must influence multiple levels of that multilevel system. The notion that multiple levels of contextual influence affect behaviors through interdependent interactions is a wellestablished ecological view. This view has been used to analyze health-care delivery and health disparities. However, experience considering multilevel interventions in health care is much less robust. This monograph includes 13 chapters relevant to expanding the foundation of research for multilevel interventions in health-care delivery. Subjects include clinical cases of multilevel thinking in health-care delivery, the state of knowledge regarding multilevel interventions, study design and measurement considerations, methods for combining interventions, time as a consideration in the evaluation of effects, measurement of effects, simulations, application of multilevel thinking to health-care systems and disparities, and implementation of the Affordable Care Act of 2010. Our goal is to outline an agenda to proceed with multilevel intervention research, not because it guarantees improvement in our current approach to health care, but because ignoring the complexity of the multilevel environment in which care occurs has not achieved the desired improvements in care quality outlined by the Institute of Medicine at the turn of the millennium.

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Section: Box 1 Examples Of Multilevel Intervention Trials Commit (Comentioning

confidence: 99%

Introduction: Understanding and Influencing Multilevel Factors Across the Cancer Care Continuum

et al. 2012

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“…65 With regard to the prevention of CVD in children, the evidence from well-designed school-based interventions indicates that health-related knowledge, attitudes, and behaviors in children can be changed significantly and positively in a relatively short time. [66][67][68][69] In addition, several randomized, controlled trials have shown that risk factors in children and adolescents can be modified outside the school setting. Overall, these changes are usu-ally modest, but they might prove to be of importance when translated to the general population of pediatric age and to high-risk children in particular.…”

Section: Evidence That Diabetes and Cvd Start Early In Lifementioning

confidence: 99%

Is Family History a Useful Tool for Detecting Children at Risk for Diabetes and Cardiovascular Diseases? A Public Health Perspective

et al. 2007

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Several studies indicate that the risk for type 2 diabetes or cardiovascular disease is detectable in childhood, although these disorders may not emerge until adulthood. In addition, type 2 diabetes and cardiovascular disease seem to share risk factors, including obesity and dyslipidemia, and might even share etiology, which has important implications for screening and prevention strategies for both diseases. Primary prevention, in particular, has gained importance because the results of major randomized, controlled trials strongly suggest that, at least in high-risk adult groups, type 2 diabetes can be prevented or delayed. Furthermore, some intervention studies indicate that the risk factors for diabetes and cardiovascular disease can be reduced in children. A simple way to detect risk for either diabetes or cardiovascular disease is to examine the family history. Numerous studies have shown that adults who have 1 or more first-or second-degree relatives affected with diabetes or cardiovascular disease are at high risk of having or developing these diseases. Currently, there are no overall screening strategies recommended for either diabetes or cardiovascular disease among children and adolescents. The evidence is strong, however, that youth with a positive family history already show signs of increased risk for these conditions. Family history can be part of the approach to screening for children at risk of diabetes and cardiovascular disease and should be part of prevention campaigns aimed at reducing the burden of these diseases and their risk factors in children.www.pediatrics.org/cgi

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“…Nutrition education, which may take various forms of formal and informal education, can also significantly change nutrition behaviour and dietary habits of children (Lytle et al, 1996;Reynolds, Winton, …”

Section: Introductionmentioning

confidence: 99%

The Effects of Nutrition Education on 6th graders Knowledge of Nutrition in Nine-year Primary Schools in Slovenia

Kostanjevec

Jerman

Koch

2011

EURASIA J MATH SCI T

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Incorporating nutrition topics in the primary school curricula should support the acquisition of nutrition knowledge in different ways and indirectly the development of healthy eating habits in children and teenagers. In Slovenia, nutrition education is part of all primary school education levels and may take the form of compulsory and/or elective school subjects. The main goal of the study was to find out the effectiveness of nutrition education of 6 th graders where home economics is taught as a compulsory subject in ninegrade primary schools. The sample involved 630 pupils from 28 Slovenian primary schools. The nutrition knowledge was assessed by a knowledge test at the beginning and the end of the school year. The results show that the nutrition knowledge of students significantly improved. The students who scored lower on the test at the beginning of the school year made most improvement, and the students who scored best on the same test did not improve significantly. The results show that students' knowledge and understanding of the facts about energy and nutritive values of the foods is poor. Understanding a particular nutrient's role in human nutrition, or the energy value of the foods, requires certain abstract thinking ability, which the students, due to their cognitive developmental level, find difficult. Therefore, nutrition education should be adapted to the cognitive level of students and later, in the third triad of primary school, reinforced with interdisciplinary and constructivist approach.

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Changes in Nutrient Intakes of Elementary School Children Following a School-Based Intervention: Results from the CATCH Study

Cited by 113 publications

References 0 publications

Introduction: Understanding and Influencing Multilevel Factors Across the Cancer Care Continuum

Introduction: Understanding and Influencing Multilevel Factors Across the Cancer Care Continuum

Is Family History a Useful Tool for Detecting Children at Risk for Diabetes and Cardiovascular Diseases? A Public Health Perspective

The Effects of Nutrition Education on 6th graders Knowledge of Nutrition in Nine-year Primary Schools in Slovenia

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