The food environment in schools and their immediate vicinities associated with excess weight in adolescence: A systematic review and meta-analysis

Gonçalves, Vivian Siqueira Santos; Figueiredo, Ana Cláudia Morais Godoy; Silva, Sara Araújo da; Silva, Simoni U.; Ronca, Débora Barbosa; Dutra, Eliane Said; Carvalho, Kênia Mara Baiocchi de

doi:10.1016/j.healthplace.2021.102664

Cited by 18 publications

(26 citation statements)

References 38 publications

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“…These findings were also emphasized by Pacific et al [ 18 ], who conducted a systematic literature review on the contribution of home and school environment on children’s weight and food choices in Africa. They found ten Africa-based studies, which confirmed that the perception and availability of healthy foods provided at home and in schools positively impacted the children’s food choices [ 18 ], while equally healthy foods provided by school food vendors may decrease the odds of obesity among the schoolchildren [ 34 ]. Subsequently, an integrated approach should be applied.…”

Section: Discussionmentioning

confidence: 99%

The Food and Health Environment in Junior Secondary Schools in Urban Burkina Faso: A Cross-Sectional Study of Administrators, Food Vendors and Early Adolescents

Mauti

Mank

Neve

et al. 2021

IJERPH

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School enrolment rates have increased globally, making the school environment a unique setting to promote healthy nutrition and eating outcomes among early adolescents. In this cross-sectional study, we describe the food and health environment of junior secondary schools in Ouagadougou (Burkina Faso, West Africa). We evaluated the food and health environment using three components: (1) the implementation of health-related policies or guidelines in the schools, (2) the provision of health, nutrition and water, sanitation & hygiene (WASH) services in the schools, and (3) the quality of the school food environment, including foods sold by vendors. We used stratified random sampling to recruit 22 junior secondary schools from the five Ouagadougou districts in 2020. Trained fieldworkers collected standardized questionnaire data from 19 school administrators, 18 food vendors, and 1059 in-school adolescents. We report that only 7 out of 19 school administrators were aware of existing health-related policies and guidelines at their school and only 3 schools had a school health and nutrition curriculum in place. The overall provision of health, nutrition and WASH services was low or inadequate. Likely because of the lack of school canteens, 69% of the students bought snacks and unhealthy foods from food vendors. There is a critical need to improve the food and health environment of junior secondary schools in urban Burkina Faso.

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Section: Discussionmentioning

confidence: 99%

The Food and Health Environment in Junior Secondary Schools in Urban Burkina Faso: A Cross-Sectional Study of Administrators, Food Vendors and Early Adolescents

Mauti

Mank

Neve

et al. 2021

IJERPH

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“…Environmental factors can stand out among obesity causes, from an ecological perspective [ 4 – 7 ]; and school, where adolescents spend much of their time, is among them [ 8 ]. Thus, depending on its features, the school environment can expose adolescents to unhealthy diets [ 9 – 12 ] and discourage exercising(PA) [ 13 ]. This process may derive from ultra-processed food sales [ 12 ] in school facilities and in their surroundings, as well as from lack of infrastructure for sports and leisure [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…Thus, depending on its features, the school environment can expose adolescents to unhealthy diets [ 9 – 12 ] and discourage exercising(PA) [ 13 ]. This process may derive from ultra-processed food sales [ 12 ] in school facilities and in their surroundings, as well as from lack of infrastructure for sports and leisure [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…A systematic review and meta-analysis of 20 studies on the potential association between the school environment and obesity in adolescents showed positive correlation between food sales in school facilities or in their surroundings and BMI, negative association between healthy food availability at school and obesity odds, and null association between the presence of nutrition policies or programs at school and obesity [ 12 ]. It was shown that eight out of the twenty reviewed studies did not apply cluster analysis [ 12 ]. Dighe et al (2020) [ 13 ] conducted a cross-sectional study and estimated the association between school environment food aspects and PA with BMI outcome in a sample of 6–19-year-old students from public schools in low-income cities in New Jersey (USA) [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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School environment and obesity in adolescents from a Brazilian metropolis: cross-sectional study

et al. 2022

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Background Childhood-juvenile obesity is a globally acknowledged public health issue. The school environment has been widely assessed because it is where adolescents stay longer during the day, and it may have impact on obesity. School became a crucial environment for obesity prevention in children and adolescents. The aim of the present study was to associate schools’ internal environment factors and its surrounding areas with obesity in adolescents from a Brazilian metropolis. Methods Cross-sectional study based on data from the Study on Cardiovascular Risk in Adolescents. The sample comprised 2,530 adolescents in the age group 12–17 years, who were enrolled in public and private schools in Belo Horizonte City, Brazil. Obesity was the dependent variable based on the cut-off point score-z + 2 for body mass index based on age. School environment’s independent variables were ‘managerial dependence type’, ‘number of drinking fountains’, ‘school sports environment’ and ‘ready-to-eat food shops’ around the school (within an 800 m buffer). Results Obesity prevailed in 7.21% in sample. The largest number of drinking fountains decrease by 9% the chances of obesity in adolescents enrolled in public and private schools; however, the second and third terciles recorded for the number of ready-to-eat food shops within the 800 m buffer around schools increased by 24% and 44% the chances of obesity, respectively. Conclusion School food environment aspects such as the number of operational drinking fountains and the availability of ready-to-eat food shops around the school were associated with obesity in adolescents from a Brazilian metropolis.

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Urban environment and children's health: An umbrella review of exposure response functions for health impact assessment

Wies,

Valls,

Fernandes

et al. 2024

Environmental Research

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The food environment in schools and their immediate vicinities associated with excess weight in adolescence: A systematic review and meta-analysis

Cited by 18 publications

References 38 publications

The Food and Health Environment in Junior Secondary Schools in Urban Burkina Faso: A Cross-Sectional Study of Administrators, Food Vendors and Early Adolescents

The Food and Health Environment in Junior Secondary Schools in Urban Burkina Faso: A Cross-Sectional Study of Administrators, Food Vendors and Early Adolescents

School environment and obesity in adolescents from a Brazilian metropolis: cross-sectional study

Urban environment and children's health: An umbrella review of exposure response functions for health impact assessment

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