Tackling childhood obesity through a school-based physical activity programme: a cluster randomised trial

Santina, Tania; Beaulieu, Denis; Gagné, Camille; Guillaumie, Laurence

doi:10.1080/1612197x.2020.1735257

Cited by 11 publications

(36 citation statements)

References 34 publications

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“…This finding is in line with several studies that observed the distinctive role of active self-identity, in comparison with intention, in the childhood decision-making process (Hagger and Chatzisarantis, 2006), and its contribution in improving PA behavior prediction (Rise et al, 2010) and promoting its adoption or change (Santina et al, 2021;Strachan et al, 2015).…”

Section: Discussionsupporting

confidence: 92%

Mediators and moderators of physical activity changes in a school-based intervention targeting childhood obesity

et al. 2021

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This study identifies mediators and moderators of changes in physical activity (PA) following a school-based pilot intervention. Students from two Lebanese schools were randomly allocated into intervention ( n = 191) and control ( n = 183) groups. The multiple-mediation analysis revealed that active self-identity and perceived barriers mediated the intervention’s effect on PA changes. Baseline intention, attitude, PBC, and age moderated PA changes at post-intervention. The youngest participants and those reporting the lowest PA scores at baseline benefited most from the intervention. Future interventions with students should target these mediators and moderators to promote positive change in PA behavior.

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Section: Discussionsupporting

confidence: 92%

Mediators and moderators of physical activity changes in a school-based intervention targeting childhood obesity

et al. 2021

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“…Seven different methods were used to measure PA and SB. Both PA and SB were objectively measured via accelerometer in 13 studies [65][66][67][68][69][70][71][72][73][74] and subjectively measured through self-report questionnaires in 12 studies [58,60,69,[75][76][77][78][79]. One study used a combination of self-report and accelerometers to measure PA and SB [80], and three studies used questionnaires to measure both PA and SB [63,64,81].…”

Section: Description Of the Included Studiesmentioning

confidence: 99%

“…Twenty-one (44%) studies explicitly reported that the interventions incorporated one or more behaviour change theories (Table 1). These included Social Cognitive Theory [63,64,66,68,77,88,93,99,100], Social Identity Theory [78], the Theory of Planned Behaviour [87,91], Socio-Ecological Model [71,73,93], RE-AIM (Reach, Efficacy, Adoption, Implementation, Maintenance) Theoretical Framework [72,86], the Theory of Triadic Influence and the Comprehensive School Health Program Model [79], Bronfenbrenner's Ecological Model [77] and the analysis grid for environments linked to obesity (AN-GELO) [101]; two studies used a theoretical pathway that was informed by a previous mixed-method study [58,62,65,69]. The remaining studies (n = 27, 56%) did not specify the use of a behaviour change model or theory.…”

Section: Description Of the Included Studiesmentioning

confidence: 99%

The Effectiveness of School-Based Interventions on Obesity-Related Behaviours in Primary School Children: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

et al. 2021

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School-based interventions are promising for targeting a change in obesity-related behaviours in children. However, the efficacy of school-based interventions to prevent obesity remains unclear. This review examined the effectiveness of school-based interventions at changing obesity-related behaviours (increased physical activity, decreased sedentary behaviour and improved nutrition behaviour) and/or a change in BMI/BMI z-score. Following PRISMA guidelines, seven databases were systematically searched from 1 January 2009 to 31 December 2020. Two review authors independently screened studies for eligibility, completed data extraction and assessed the risk of bias of each of the included studies. Forty-eight studies met the inclusion criteria and were included in a narrative synthesis. Thirty-eight studies were eligible for inclusion in a meta-analysis. The findings demonstrate that interventions in children when compared to controls resulted in a small positive treatment effect in the control group (2.14; 95% CI = 0.77, 3.50). There was no significant effect on sedentary behaviour, energy intake and fruit and vegetable intake. Significant reductions were found between groups in BMI kg/m2 (−0.39; 95% CI = −0.47, −0.30) and BMI z-score (−0.05; 95% CI = −0.08, −0.02) in favour of the intervention. The findings have important implications for future intervention research in terms of the effectiveness of intervention components and characteristics.

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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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Tackling childhood obesity through a school-based physical activity programme: a cluster randomised trial

Cited by 11 publications

References 34 publications

Mediators and moderators of physical activity changes in a school-based intervention targeting childhood obesity

Mediators and moderators of physical activity changes in a school-based intervention targeting childhood obesity

The Effectiveness of School-Based Interventions on Obesity-Related Behaviours in Primary School Children: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

Child obesity moderates the association between poverty and academic achievement

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