Design and Implementation of a 5-Year School-Based Nutrition Education Intervention

Hawkins, Melissa; Watts, Elizabeth; Belson, Sarah Irvine; Snelling, Anastasia

doi:10.1016/j.jneb.2019.12.005

Cited by 17 publications

(11 citation statements)

References 15 publications

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“…In this context, schools and teachers should play a leading role in addressing and preventing adolescents' overweight and obesity by providing nutrition education intervention. However, changing intention and behavior is more challenging than changing knowledge ( 35 ). Therefore, we should also attend to the influence of the community and families.…”

Section: Discussionmentioning

confidence: 99%

Association Between Nutrition Literacy and Overweight/Obesity of Adolescents: A Cross–Sectional Study in Chongqing, China

Zhu

Zeng³

et al. 2022

Front. Nutr.

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ObjectiveThe burden of overweight and obesity in adolescents is increasing rapidly. This study aimed to assess the association between nutrition literacy and overweight/obesity among adolescents in China.MethodsThis cross–sectional online study involving adolescents aged 10–18 years was conducted in September 2020 in 239 schools in Chongqing China. Overweight and obese adolescents were determined based on the International Obesity Task Force's recommended age–sex specific body mass index cutoff points. Nutrition literacy was measured using the “Nutrition literacy scale for middle school students in Chongqing (CM–NLS).” The CM–NLS included three subdomains (functional nutritional literacy, interactive nutrition literacy, and critical nutrition literacy). Multinomial logistic regression model was used to examine the association.ResultsA total of 18,176 adolescents (49.8% girls) were included. The prevalence of overweight and obesity was 9.6% and 17.0%, respectively. Compared with those having a low nutrition literacy score (below median), those with a high score were less likely to be overweight and obese. The odds ratio (95% CI) for overweight was 0.87 (0.79–0.97) (nutrition literacy) and 0.81 (0.73–0.90) (functional nutritional literacy). The corresponding figures for obesity were 0.84 (0.77–0.91) and 0.73 (0.67–0.80), respectively. Significant interaction existed between grade and nutrition literacy. The inverse association between nutrition literacy and overweight/obesity was significant among those in senior school but not among those in junior high school.ConclusionNutrition literacy was inversely associated with overweight/obesity among adolescents, especially those attending senior high schools.

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Section: Discussionmentioning

confidence: 99%

Association Between Nutrition Literacy and Overweight/Obesity of Adolescents: A Cross–Sectional Study in Chongqing, China

Zhu

Zeng³

et al. 2022

Front. Nutr.

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“…It is clear that we need continued research and development of cost‐effective behavioral and systems‐level interventions to curb obesity and promote more successful educational outcomes (Davies et al, 2007). Some nascent approaches appear to be promising, including implementation of nutrition policies in schools (e.g., alternatives to food‐based rewards/celebrations; Ickovics et al, 2019), promotion of healthy school food environments (Teo et al, 2019), classroom‐based lifestyle interventions (Hsiang et al, 2020; Salam et al, 2020), school‐based nutritional education programs (Hawkins et al, 2020), summer and after‐school weight management programs (Mabli et al, 2020; Reesor et al, 2018), as well as initiatives aimed at reducing sedentary behavior and screen time (Goldthorpe et al, 2020), with a synchronized focus on increased physical activity through after‐school clubs, class physical activity breaks (Jones et al, 2020; Santina et al, 2020; Yuksel et al, 2020), and play‐based interventions (Sanchez‐Lopez et al, 2020). Moreover, an important component of any intervention strategy is to incentivize decision‐makers to advocate for increased funding as a way to implement more large‐scale social policy changes to educate and train the next generation of school‐based health practitioners (e.g., occupational therapists) who will undoubtedly have a significant impact on child body weight management and obesity prevention (Hartley, 2019).…”

Section: Discussionmentioning

confidence: 99%

Child obesity moderates the association between poverty and academic achievement

Kranjac

2021

Psychology in the Schools

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Childhood overweight and obesity are major public health problems in the United States. Children who experience poverty are 1.5 times more likely to suffer with overweight and 1.6 times more likely to have obesity. The extent to which overweight or obesity exacerbates the negative influence of socioeconomic inequality on child academic outcomes has not yet been examined. We estimated the effect of poverty on math and reading achievement trajectories using the Early Childhood Longitudinal Study (ECLS) Kindergarten class of 1998−1999 survey data and multilevel growth curve modeling techniques. Our findings indicate that the impact of obesity status is more pronounced for children from low socioeconomic backgrounds in both reading and math achievement, as well as for children with overweight in reading achievement scores. Thus, we see evidence that overweight and obesity moderate the pathway through which early‐childhood poverty affects school performance. Given that we identified overweight and obesity as putative mechanisms through which socioeconomic deprivation affects academic achievement, focusing on overweight and obesity prevention may alter students’ academic trajectories. Taken together, we see evidence that the combined negative effect of increased weight status and poverty, beyond the independent effects of each, has far‐reaching consequences for educational outcomes.

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“…The data are multilevel in nature; teachers are nested within schools and students are nested within classrooms. The study methods are described previously in Hawkins et al [ 26 ]. This analysis focuses on all student baseline and post-test scores during their first year of the program.…”

Section: Methodsmentioning

confidence: 99%

“…Healthy Schoolhouse 2.0 is a comprehensive childhood obesity prevention program that seeks to improve nutrition literacy among elementary school students and supports the health of students, teachers, and the community. The key component of the intervention is the empowerment of teachers as agents of change by equipping them with the skills, knowledge, and materials to integrate nutrition education in core subject areas [ 26 ]. The overarching approach of this work is based on the social ecological model (SEM) [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Healthy Schoolhouse 2.0 Health Promotion Intervention to Reduce Childhood Obesity in Washington, DC: A Feasibility Study

et al. 2021

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Childhood obesity prevalence trends involve complex societal and environmental factors as well as individual behaviors. The Healthy Schoolhouse 2.0 program seeks to improve nutrition literacy among elementary school students through an equity-focused intervention that supports the health of students, teachers, and the community. This five-year quasi-experimental study follows a baseline–post-test design. Research activities examine the feasibility and effectiveness of a professional development series in the first program year to improve teachers’ self-efficacy and students’ nutrition literacy. Four elementary schools in Washington, DC (two intervention, two comparison) enrolled in the program (N = 1302 students). Demographic and baseline assessments were similar between schools. Teacher participation in professional development sessions was positively correlated with implementing nutrition lessons (r = 0.6, p < 0.001, n = 55). Post-test student nutrition knowledge scores (W = 39985, p < 0.010, n = 659) and knowledge score changes (W = 17064, p < 0.010, n = 448) were higher among students in the intervention schools. Students who received three nutrition lessons had higher post knowledge scores than students who received fewer lessons (H(2) =22.75, p < 0.001, n = 659). Engaging teachers to implement nutrition curricula may support sustainable obesity prevention efforts in the elementary school environment.

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Design and Implementation of a 5-Year School-Based Nutrition Education Intervention

Cited by 17 publications

References 15 publications

Association Between Nutrition Literacy and Overweight/Obesity of Adolescents: A Cross–Sectional Study in Chongqing, China

Association Between Nutrition Literacy and Overweight/Obesity of Adolescents: A Cross–Sectional Study in Chongqing, China

Child obesity moderates the association between poverty and academic achievement

Healthy Schoolhouse 2.0 Health Promotion Intervention to Reduce Childhood Obesity in Washington, DC: A Feasibility Study

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