Medium-term evaluation of an educational intervention on dietary and physical exercise habits in schoolchildren: The Avall 2 study

Llargués, Esteve; Recasens, A; Franco, Rosa; Nadal, Anna Bröll; Vila, María Dolores Molina; Pérez, M. José; Recasens, Isabel; Salvador, Gemma; Serra, J. Dalmau; Roure, Eulàlia; Castell, Conxa

doi:10.1016/j.endoen.2012.06.004

Cited by 24 publications

(19 citation statements)

References 19 publications

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“…Other long-term measures of intervention effectiveness have been proposed, such as OB prevalence. For example, as with our present study, the AVall study [21] observed a similar reduction of À3.6% in OB prevalence in the intervention group of school children. Similarly, a meta-analysis by Ho et al [22] showed that the most healthy lifestyle interventions produced a significant weight loss in the intervention group (as measured by BMI and BMI z-score), but the post-treatment effect on BMI at 1 year from baseline was not maintained.…”

Section: Discussionsupporting

confidence: 83%

Follow-up of a Healthy Lifestyle Education Program (the Educació en Alimentació Study): 2 Years After Cessation of Intervention

Tarro¹,

Llauradó²,

Moriña³

et al. 2014

Journal of Adolescent Health

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Section: Discussionsupporting

confidence: 83%

Follow-up of a Healthy Lifestyle Education Program (the Educació en Alimentació Study): 2 Years After Cessation of Intervention

Tarro¹,

Llauradó²,

Moriña³

et al. 2014

Journal of Adolescent Health

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“…In total, we thus revised the full content of 115 papers but some of these ( n = 24, reporting on nine unique RCTs, listed in Supporting Information 4) were excluded because their data: were considered redundant, i.e., repeated or more detailed data on the same RCT could be retrieved from other paper(s) included ( n = 10); concerned the long(er)‐term effects after cessation of the intervention ( n = 4); or referred to outcomes other than BMI or BMIz and/or BP ( n = 10). Therefore, the present meta‐analysis includes data retrieved from 91 papers, published between 1985 and 2013, reporting on 85 unique RCTs (Fig. ).…”

Section: Resultsmentioning

confidence: 99%

“…The 85 unique RCTs identified were conducted in 29 different countries, mostly in Europe ( n = 37) or North America ( n = 33) , whereas the remaining were conducted in Oceania ( n = 7) , Asia ( n = 5) , South America ( n = 2) and North Africa ( n = 1) . In total, the 85 RCTs included 72,934 pupils (37,084 boys and 35,850 girls) and the median number of pupils included per RCT was 464 (range 50 to 8,301).…”

Section: Resultsmentioning

confidence: 99%

“…RCTs included in the present review were implemented over the past three decades, the oldest starting in 1980 and the most recent starting in 2011, and had a median duration of 12 months (range 1.5–96). Most of the RCTs ( n = 80) compared only one intervention arm with a control group; specifically, 32 of these RCTs evaluated the effects of one intervention comprising only one component, i.e., education ( n = 15) , physical activity ( n = 16) or diet ( n = 1) , whereas 48 RCTs evaluated the effects of one intervention combining two or more of these components such as PA and education ( n = 21) , diet and education ( n = 7) , diet and PA ( n = 3) , or a combination of diet, PA and education ( n = 17) . Five RCTs compared more than one intervention arm (consisting of single and/or multi‐components) with the same control group .…”

Section: Resultsmentioning

confidence: 99%

“…Fifty‐three RCTs also included a parental involvement component (e.g. by newsletters, information sessions, via homework tasks for children) in addition to the single or multi lifestyle components delivered directly to the children .…”

Section: Resultsmentioning

confidence: 99%

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The effects of school‐based lifestyle interventions on body mass index and blood pressure: a multivariate multilevel meta‐analysis of randomized controlled trials

2016

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Primary prevention of childhood obesity and related hypertension is warrant given that both risk factors are intertwined and track into adulthood. This systematic review and meta-analysis assess the impact of school-based lifestyle interventions on children's body mass index (BMI) and blood pressure. We searched databases and prior reviews. Eligibility criteria were the following: randomized controlled trial design, evaluation of a school-based intervention, targeting children aged 4-12 years, reporting on BMI and/or related cardiovascular risk factors, reporting data on at least one follow-up moment. The effects on BMI, systolic blood pressure (SBP) and diastolic blood pressure (DBP) were evaluated by means of univariate and multivariate three-level random effects models. A total of 85 RCTs (91 papers) were included in the meta-analyses. In univariate models, the pooled effects were -0.072 (95%CI: -0.106; -0.038) for BMI, -0.183 (95%CI: -0.288; -0.078) for SBP and -0.071 (95%CI: -0.185; 0.044) for DBP. In multivariate analyses, the pooled effects of interventions were -0.054 (95%CI: -0.131; 0.022) for BMI, -0.182 (95%CI: -0.266; -0.098) for SBP and -0.144 (95%CI: -0.230; -0.057) for DBP. Parental involvement accentuated the beneficial effects of interventions. School-based lifestyle prevention interventions result in beneficial changes in children's BMI and blood pressure, and the effects on the latter may be stronger than and accrue independently from those in the former.

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Interventions for preventing obesity in children

Brown

Moore

Hooper

et al. 2019

Cochrane Database of Systematic Reviews

1,228

659

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Background Obesity prevention is an international public health priority. The prevalence of obesity and overweight is increasing in child populations throughout the world, impacting on short and long-term health. Obesity prevention strategies for children can change behaviour but efficacy in terms of preventing obesity remains poorly understood. Objectives To assess the effectiveness of interventions designed to prevent obesity in childhood through diet, physical activity and/or lifestyle and social support. Search strategy MEDLINE, PsycINFO, EMBASE, CINAHL and CENTRAL were searched from 1990 to February 2005. Non-English language papers were included and experts contacted. Selection criteria Randomised controlled trials and controlled clinical trials with minimum duration twelve weeks. Data collection and analysis Two reviewers independently extracted data and assessed study quality. Main results Twenty-two studies were included; ten long-term (at least 12 months) and twelve short-term (12 weeks to 12 months). Nineteen were school/preschool-based interventions, one was a community-based intervention targeting low-income families, and two were familybased interventions targeting non-obese children of obese or overweight parents. Six of the ten long-term studies combined dietary education and physical activity interventions; five resulted in no difference in overweight status between groups and one resulted in improvements for girls receiving the intervention, but not boys. Two studies Interventions for preventing obesity in children (Review)

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Medium-term evaluation of an educational intervention on dietary and physical exercise habits in schoolchildren: The Avall 2 study

Cited by 24 publications

References 19 publications

Follow-up of a Healthy Lifestyle Education Program (the Educació en Alimentació Study): 2 Years After Cessation of Intervention

Follow-up of a Healthy Lifestyle Education Program (the Educació en Alimentació Study): 2 Years After Cessation of Intervention

The effects of school‐based lifestyle interventions on body mass index and blood pressure: a multivariate multilevel meta‐analysis of randomized controlled trials

Interventions for preventing obesity in children

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