Effect of a Two-Year Obesity Prevention Intervention on Percentile Changes in Body Mass Index and Academic Performance in Low-Income Elementary School Children

Hollar, Danielle; Messiah, Sarah; Lopez-Mitnik, Gabriela; Hollar, T. Lucas; Almon, Marie; Agatston, Arthur S.

doi:10.2105/ajph.2009.165746

Cited by 165 publications

(201 citation statements)

References 23 publications

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“…Decreasing the obesity burden will likely require more than a silo approach of interventional pharmacological or surgical efforts, or sporadic weight loss campaigns, since none of these strategies individually will likely have a sustained effect on weight control [36]. A more promising approach would seem to be a behavioral strategy that concentrates on encouraging and maintaining a healthy and active lifestyle, starting as early as childhood [37]. Strategies such as these require the reinforcement of wideranging public policies that specifically focus on definitions of healthy dietary intake, as well as considering more general aspects of urban planning and workplace environments in efforts to promote communities focused on healthy living [38,39].…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular Risk Factor Burden in the United Arab Emirates (UAE): The Africa Middle East (AfME) Cardiovascular Epidemiological (ACE) Study Sub-analysis

Radaideh¹,

Tzemos²,

Ali³

et al. 2017

ICFJ

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Highlights BackgroundThe Africa Middle East (AfME) Cardiovascular Epidemiological (ACE) study demonstrated that cardiovascular risk factors are highly prevalent among relatively young adult outpatients attending general practice clinics across AfME regions. ObjectiveBased on broader AfME estimates from the ACE Study, this sub-analysis evaluated the prevalence of cardiovascular risk factors in the United Arab Emirates (UAE), particularly in rural and urban cohorts attending general practice clinics. MethodsData from the cross-sectional ACE study were used, comprising stable, adult outpatients attending general practice clinics in the UAE. The prevalence of six cardiovascular risk factors was analyzed: hypertension, diabetes, dyslipidemia, obesity, smoking, abdominal obesity. Rural populations were defined as living >50km from urban centers, or lack of transportation. ResultsIn this cohort of 495 patients (aged 45.1 years; 49.8% female) from the UAE, a high prevalence of abdominal obesity (71.5%) and dyslipidemia (74.0%) was found. Nearly half of patients had hypertension (43.0%) and one-third diabetes (32.4%). Nearly all outpatients (92.9%) had ≥1 modifiable risk factor (74.9% had ≥1, 59.7% had ≥3). Observations were similar by gender, and across urban and rural centers. Many outpatients with pre-existing hypertension or dyslipidemia did not meet recognized blood pressure or low-density lipoprotein cholesterol goals. ConclusionsCardiovascular risk factors are prevalent among relatively young adult, clinically stable outpatients attending clinics across the UAE. These findings support targeted screening of outpatients visiting a general practitioner, which may provide opportunity for early discovery and ongoing management of risk factors, including recommending lifestyle changes. The ACE trial is registered under NCT01243138.

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Section: Discussionmentioning

confidence: 99%

Cardiovascular Risk Factor Burden in the United Arab Emirates (UAE): The Africa Middle East (AfME) Cardiovascular Epidemiological (ACE) Study Sub-analysis

Radaideh¹,

Tzemos²,

Ali³

et al. 2017

ICFJ

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“…Even though the results shows that good feeding pattern has significant effect on students' performance since P≤0.05, it is good to take care of students meal since they spent most of their time at school. According to [40] who stated that due to the considerable amount of time children spend at school more attention needs to be paid to the food options that are available if we want healthy eating to become a normal lifelong behavior. Schools can't ignore the importance of supporting healthy habits since about 35% of a student's daily calories are consumed at school.…”

Section: Resultsmentioning

confidence: 99%

Poor Feeding Pattern as a Factor Militating Against Students’ Achievement in Chemistry; A Mechanism for Sustainable Development

Shamsuddin¹

2017

TECS

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This research work examined poor feeding pattern as a factor militating against students' academic achievement in chemistry which is a mechanism to sustainable development. Its main objective is to examine the Effects of feeding pattern on Academic Achievement of Students and to find out whether poor feeding is gender sensitive or not. In this study, a survey research design was used with an instrument titled Feeding Pattern as a Factor Militating against Students' Achievement in Chemistry Questionnaire (FPMSACQ) and also their examination results for first term 2014/2015 academic session as data collection instrument with three hundred and six (306) respondents from six selected secondary schools from Sabon Gari local Government Area of Kaduna state chosen as sample using Krejcie and Morgan table of determining sample size. The analytical tools used was statistical package for social sciences (SPSS, Version 20). The result obtained shows that food insecurity has no significant effect on student's academic achievements in the study area this is as a result of the fact that the students were found to have good feeding pattern, since the P value is higher than the alpha level of significance ≤0.05. Further investigation and analysis was done which shows that food security has significant effect on the student's academic achievement since the alpha level of significance was found to be P≤ 0.05. It is recommended that the government should inculcate standard educational programs for orphans and also NGO's should aid the government.

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“…Further, obesity is a risk factor for poorer health outcome, decrease self-efficacy, depression, and poor academic success [25,26]. Given the huge economic toll created by obesity and T2DM, interventions that prevent both illnesses are needed.…”

Section: Discussionmentioning

confidence: 99%

A Comprehensive School Health Program to Reduce Disparities and Risk for Type 2 Diabetes in Overweight At-Risk Youth

Wright

Norris²,

Giger

2012

Endocrinol Metabol Syndrome

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With the significant increase in the number of racial/ethnic minority youth with obesity and type 2 diabetes mellitus (T2DM), effective approaches are urgently needed. Although previous school-based studies have demonstrated that programs combining environmental, behavioral and educational components can be successful in preventing cardiovascular disease in youth such studies have not focused on youth at higher risk for T2DM-inner city, racial/ ethnic minority youth. Engaging in regular physical activity is widely accepted as an effective preventative measure for a variety of obesity-related chronic diseases including diabetes and metabolic syndrome. Disparities exist where racial/ethnic minority and low-income youth do not meet these physical activity recommendations. Schools, through the provision of culturally and developmentally appropriate healthy lifestyle programs, have the power to decrease body mass index (BMI) and increase physical activity, especially for racial/ethnic, inner-city at youth at risk for T2DM. The present clustered, randomized controlled trial study utilized a community-based participatory research approach to evaluate the impact of a family-centered, culturally sensitive, comprehensive school health program, called Kids N Fitness © , on BMI z-scores and physical activity behaviors of the youth participant from baseline to the 12-month followup among a sample of Mexican-American, inner-city elementary school youth (N = 97) in Los Angeles County at risk for T2DM. Results: Youth who participated in the KNF © program had significant decreases in BMI (p = 0.05), BMI body mass index z-scores (p = 0.03), vigorous daily physical activity (p = 0.01) and PE class attendance (p = 0.02) from baseline to the 12 month follow-up. Conclusions: These results suggest that a culturally appropriate, comprehensive school health program may have promise for decreasing BMI and BMI z-scores and increasing activity in this high risk sample. Clinicians and teachers can incorporate the approaches used in this study to reduce the risk of T2DM in youth at risk. Comprehensive school health programs and prevention of T2DMGiven the rapid rise in obesity among youth, researchers have focused on developing comprehensive programs with the goal of reducing or preventing increases in BMI. A Cochrane review of 64 randomized clinical interventions designed to treat obesity in youth concluded that behavior lifestyle interventions had a significant effect on reducing BMI in youth up to 12 months post-intervention, noting that the most effective interventions combined dietary, physical activity and behavioral components [12]. Schools serve as an excellent venue to provide students with the opportunity for daily physical activity and to teach the importance of regular physical activity and a healthy diet in order to build skills that support active lifestyles [13][14][15] and decrease their risk for T2DM. Schools have access to school nurses who can provide screening, counseling and continuum of care [13][14][15]. In co...

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Effect of a Two-Year Obesity Prevention Intervention on Percentile Changes in Body Mass Index and Academic Performance in Low-Income Elementary School Children

Abstract: School-based interventions can improve health and academic performance among low-income schoolchildren.

Cited by 165 publications

References 23 publications

Cardiovascular Risk Factor Burden in the United Arab Emirates (UAE): The Africa Middle East (AfME) Cardiovascular Epidemiological (ACE) Study Sub-analysis

Cardiovascular Risk Factor Burden in the United Arab Emirates (UAE): The Africa Middle East (AfME) Cardiovascular Epidemiological (ACE) Study Sub-analysis

Poor Feeding Pattern as a Factor Militating Against Students’ Achievement in Chemistry; A Mechanism for Sustainable Development

A Comprehensive School Health Program to Reduce Disparities and Risk for Type 2 Diabetes in Overweight At-Risk Youth

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