Effectiveness of School Programs in Preventing Childhood Obesity: A Multilevel Comparison

Veugelers, Paul J.; Fitzgerald, Angela L.

doi:10.2105/ajph.2004.045898

Cited by 323 publications

(264 citation statements)

References 23 publications

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“…The differences in HRQOL outcomes by diet quality specifically Table 2 Associations of diet quality, physical activity, body weight status and sociodemographic factors with VAS score*: grade 5 students aged 10-11 years (n 3421), Alberta, Canada, 2008 suggest the importance of nutrition programmes focusing on improving diet quality among children in the development of school health promotion. One Canadian study has shown that nutrition programmes that are based on comprehensive school health exhibit a greater positive effect on students' diets, PA and overweight reduction than a single nutrition programme (13) . More research is needed to examine whether such comprehensive school health approaches that integrate nutrition education, nutrition policy, healthy food services, environmental support and various PA strategies into a whole school model will result in an improvement of HRQOL among children.…”

Section: Discussionmentioning

confidence: 99%

Diet quality, physical activity, body weight and health-related quality of life among grade 5 students in Canada

Öhinmaa

Veugelers

2011

Public Health Nutr.

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Objective: To assess how diet quality, physical activity and body weight are related to health-related quality of life (HRQOL) among children in the Canadian province of Alberta. Design: In 2008, we surveyed 3421 grade 5 students and their parents from 148 randomly selected schools. Students completed the Harvard Food Frequency Questionnaire, questions on physical activities, and had their height and weight measured. The HRQOL of the students was assessed using the EQ-5D-Y. Parents completed questions on socio-economic background and children's lifestyle. We applied multilevel regression methods to examine the importance of children's diet quality, physical activity and weight status for the EQ-5D-Y Visual Analogue Scale and for the EQ-5D-Y dimensions. Setting: The province of Alberta, Canada. Subjects: Grade 5 students. Results: Students with better diet quality, higher physical activity levels and normal body weights were statistically significantly more likely to report better HRQOL than students who ate less healthily, were less active or were overweight or obese. Conclusions: The importance of diet quality, physical activity and body weight status for HRQOL may help justify broader implementation of school health programmes that promote healthy eating and active living, as these programmes will help reduce the burden of childhood obesity and improve quality of life.

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Section: Discussionmentioning

confidence: 99%

Diet quality, physical activity, body weight and health-related quality of life among grade 5 students in Canada

Öhinmaa

Veugelers

2011

Public Health Nutr.

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“…In a recent study (11) , however, it was observed that private school students consumed more high-calorie foods while at school, such as: soft drinks, fried foods, and candies. Nonetheless, in another line of thought, but also considering the effect of school environment on the development of O/O, there is evidence (14) that well-structured campaigns can significantly reduce O/O prevalence and physical inactivity among those students.…”

Section: Discussionmentioning

confidence: 99%

Fatores de risco associados ao excesso de peso entre adolescentes da Região Oeste Paulista

Fernandes

Conterato

Messias

et al. 2009

Rev. esc. enferm. USP

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The objective of this study was to analyze the association between being overweight and family risk factors in adolescents from Western Sao Paulo state. This cross-sectional study involved 1779 adolescents of both genders and with ages ranging between 11 and 17 years. The participants' body mass index was calculated, and the family risk factors were analyzed through a questionnaire. Excessive weight was associated with the male gender (CR=1.55 [1.22-1.97]), studying in a private school (CR=2.14 [1.56-2.94]) and mother's higher education (CR=0.52 [0.33-0.83]). There is a need to implement initiatives to fight obesity in the school environment and reach the whole family structure, taking genderrelated specificities into consideration.

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“…19 Several systematic reviews of childhood obesity programs have been published. [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] With the exception of one recent review 20 and an earlier review conducted by our team in collaboration with the Community Guide Branch of the Center for Disease Control and Prevention (CDC), 25 this work is unique in that it focuses specifically on studies undertaken in schools. Previous reviews have focused solely on the prevention of obesity 22 or weight loss interventions among already overweight children.…”

Section: Introductionmentioning

confidence: 99%

Strategies for the prevention and control of obesity in the school setting: systematic review and meta-analysis

et al. 2008

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Objective: To determine the effectiveness of school-based strategies for obesity prevention and control using methods of systematic review and meta-analysis. Methods: Peer-reviewed studies published between 1966 and October 2004 were considered for review. Studies meeting eligibility criteria were published in English, targeted children aged 3-18 in a school setting, reported weight-related outcomes, included a control measurement and had at least a 6-month follow-up period. Studies employed interventions related to nutrition, physical activity, reduction in television viewing or combinations thereof. Weight related data were analyzed using RevMan software. Results: Sixty-four studies were considered for inclusion. Fourteen did not meet inclusion criteria; 29 were excluded due to poor methodological quality. Twenty-one papers describing 19 studies were included in the systematic review and 8 of these were included in the meta-analysis. Nutrition and physical activity interventions resulted in significant reductions in body weight compared with control ((standardized mean difference, SMD ¼ À0.29, 95% confidence interval (CI) ¼ À0.45 to À0.14), random effects model). Parental or family involvement of nutrition and physical activity interventions also induced weight reduction ((SMD ¼ À0.20, 95%CI ¼ À0.41 to 0.00), random effects model). Conclusion: Combination nutrition and physical activity interventions are effective at achieving weight reduction in school settings. Several promising strategies for addressing obesity in the school setting are suggested, and warrant replication and further testing.

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Effectiveness of School Programs in Preventing Childhood Obesity: A Multilevel Comparison

Abstract: Our finding that school programs are effective in preventing childhood obesity supports the need for broader implementation of successful programs, which will reduce childhood obesity and, in the longer term, comorbid conditions and health care spending.

Cited by 323 publications

References 23 publications

Diet quality, physical activity, body weight and health-related quality of life among grade 5 students in Canada

Diet quality, physical activity, body weight and health-related quality of life among grade 5 students in Canada

Fatores de risco associados ao excesso de peso entre adolescentes da Região Oeste Paulista

Strategies for the prevention and control of obesity in the school setting: systematic review and meta-analysis

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