Advertisement

Sign up for our daily newsletter

Advertisement

School based childhood obesity prevention programs: Integrative review of school-based childhood obesity prevention programs

School wellness policies support the federal standards locally, and in the the District of Columbia, the Healthy Schools Act of exceeds them 6.

William Murphy
Wednesday, July 11, 2018
Advertisement
  • Diabetes Metab Syndr Obes. Motivational incentives e.

  • Schools can be powerful community allies to health care systems by connecting health care providers directly with children to achieve the face time required to support healthy behaviors. Here is a summary of school physical activity and physical education obesity prevention recommendations, based on a review of expert guidance from the Centers for Disease Control and Prevention, the Institute of Medicine, the World Health Organization, the American Heart Association, and others.

  • Unhealthy eating habits and physical inactivity are early to become established and contribute in a major way toward development of childhood overweight and obesity. Step 2: Special cooked meals and to min physical activity with overweight and obese kids.

  • Therefore, although school wellness policies are evidence-based, they need a catalyst if they are to realize their ambitious goal of changing individual health behaviors.

Background

Figure 3. Local school districts in the United States and Canada show wide discrepancies between physical activity and health education policy and performance 7,9. Develop active transit plans bike, walk to schoolworking with local government and community groups 12378. Keywords: health promotion; intervention; obesity; physical activity; physical activity promotion; physical fitness; school; sedentary behavior. In control schools, however, visiting KiPOW!

Pre—post measurements of body mass index BMI and blood pressure were documented in all participants. Singh, Z. Revised: July The insulin resistance and cardiometabolic risk that accompany obesity and poor nutrition 18 are associated with cognitive dysfunction White, E.

One of KiPOW! Consequences [Internet]. Minutes reported in active exercise trended up in Orange County school 1 during the Full year 1 and Lite year 2 interventions, but not in controls. We designated this shortened intervention KiPOW!

Obesity Prevention

The same guidelines and standards were pgevention to achieve this outcome in 2 environments. Invest in cafeteria facilities to store, prepare, and display healthy foods, such as salad bars 7 The CPSTF finding is based on evidence from a systematic review of 10 studies search period - Our main findings were limited to primary outcomes, which are readily available in the school setting, to minimize academic disruption.

Abstract Previous reviews of childhood obesity prevention have focused largely on schools and findings have been inconsistent. Applicability of this intervention across different settings and populations was not assessed because the CPSTF did not obesity prevention programs enough information to determine if the intervention works. Lessons Box were pre-scripted, but mentors were instructed to encourage and incorporate classroom participation. COVID is a rapidly evolving situation. For more detailed guidance on these recommendations and ideas for putting them into practice, explore the source list on each page, as well as the links to useful toolkits and other resources. Melwani, C. We entered de-identified baseline and study completion data points, paired by student participant study identification, into Stata version

Mares, E. This means schools have a rich opportunity to improve youth health and tackle obesity at the ideal point in time-before problems take hold. Six interventions 202429 — 3136 did not measure these antecedents. Childhood overweight and obesity is a global public health issue that needs urgent attention of health policy makers.

Search form

Article Google Scholar 5. Prevalence of overweight 9. Future interventions need to develop stronger strategies to influence environmental and policy level constructs and also measure changes in these constructs.

No fruit in. Public health strategies for preventing and controlling overweight and obesity in school and worksite settings. Most interventions use a behavioral theory but do not measure the changes in constructs of that theory. Removal of trials at risk of bias reduced heterogeneity and improved significance of our results.

A strong association between lifestyle behaviors linked to insulin dysregulation and student school based childhood obesity prevention programs performance has been identified among Canadian fifth graders Healthy Schools Program Framework preventipn Melwani, C. Danish public school test scores between — and — showed that for every to minute break in the school day there was an incremental increase in average test performance The interventions were limited to 5 to 10 weeks. National school-based surveillance system assessing the physical and motor development of children.

Introduction

School Meal Programs Encourage students to participate in breakfast, lunch, and after-school snack programs 1234567 Offer meals that meet national nutritional standards, such as the U. Along with the risks for life-shortening chronic diseases, being overweight in a society that stigmatizes this condition contributes to poor mental health associated with serious shame, self-blame, low self-esteem and depression. District of Columbia. Lessons Box were pre-scripted, but mentors were instructed to encourage and incorporate classroom participation. Adapt PE curricula for children with disabilities or special needs 1347.

Subject alert. A childdhood measure was taken if either the systolic blood pressure SBP or diastolic blood pressure DBP reading of the first 2 differed by more than 5 mm Hg. The face time with Team KiPOW mentors delivered with each session Figure 3 provided participating school children with an additional 6. Arch Pediatr Adolesc Med.

  • Offer meals that meet national nutritional standards, such as the U.

  • Morais, R.

  • Bandura A Health promotion by social cognitive means.

Therefore, although school wellness policies are evidence-based, they need a catalyst if they are to realize their ambitious goal of changing individual health behaviors. Social cognitive theory 23 was used to create the conceptual framework of KiPOW!. The number of studies and publications do not always correspond e. Mean age of the children ranged from 8. Oxford University Press is a department of the University of Oxford. For evaluation of interventions, the most useful design is experimental with random assignment at the group level.

Such practice would help in estimating effect sizes of interventions and improving efforts at addressing the issue of childhood obesity. DBP dropped an average of 3. The KiPOW! The challenge of obtaining self-report behavioral data from fifth-grade participants underscored the need for more objective lifestyle assessment tools. Primary prevention program that focuses on modification of environmental cues, improving social support, and building self-efficacy for healthy eating and physical activity.

Publication types

Now that the new nutrition standards are bsed the books, will schools actually be able to meet them? The model controled for the before status on each outcome and for participant sex. Minus Related Pages. The sample size varied across the studies, ranging from to participants. Meta-analysis showed a statistical significance beneficial effect of school-based intervention programs on obesity status of schoolchildren risk ratio RR 0.

There is need to develop psychometrically robust instruments that can xchool the changes in the constructs of various behavioral theories being used by intervention researchers. Third phase: Plan meals, plan healthy snacks, increase shopping of fruits and vegetables. The difference between Lite and Control interventions did not meet significance. Program satisfaction significantly linked with behavioral intentions. Address for correspondence: Dr. Extraction of data Data was extracted for the year of publication, journal's name, study's objectives, design, place, population, age, gender, type and duration of intervention, control group, randomization, blindness, sample size, power calculation, outcome, type of analysis, and results.

Melwani, C. School Nutrition Policy Recommendations. Fruits, vegetables, and whole grains, the essential foods most often missing in the American diet across the lifespan, are the foods most often discarded in the cafeteria 8. The objective of our study was to strengthen wellness policy in Title 1 schools by implementing a mentored behavior-change model that extends the continuum of care from academic to community settings and mobilizes existing public resources in accordance with US Preventive Services Task Force screening guidelines for childhood obesity management. Along with the risks for life-shortening chronic diseases, being overweight in a society that stigmatizes this condition contributes to poor mental health associated with serious shame, self-blame, low self-esteem and depression. Local school districts in the United States and Canada show wide discrepancies between physical activity and health education policy and performance 7,9. Vyas, E.

You are here

Insert children affected by obesity a childohod lifestyle program. This academic—community partnership promoting face-to-face exposure with trusted health mentors represents a feasible, replicable tool to combat obesity and its effects. Primary prevention of cardiovascular diseases in childhood: changes in serum total cholesterol, high density lipoprotein, and body mass index after 2 years of intervention in Jerusalem schoolchildren age 7—9 years. Clarke, J.

  • Louisiana LA health: design and methods for a childhood obesity prevention program in rural schools. Children require at least 60 minutes of moderate to vigorous physical activity each day.

  • Cancel Continue. Kuppanda, N.

  • Section Navigation. Outcomes of the current review were taken into account in developing the Feel4Diabetes-intervention and summed up as recommendations in the current work in order to facilitate other researchers designing similar childhood obesity prevention initiatives.

  • Increasing children's fruit and vegetable consumption: a peer modeling and rewards-based intervention.

One the other hand, the Social Cognitive Theory is a commonly used basis for interventions design. Double data entry was done in Review Manager 5. A summary table of the selected studies was constructed and the clinical significance of the results was evaluated for each study, to facilitate interpretation of the effectiveness of intervention. Interventions related to diet, physical activity, or combinations thereof, with sufficient detail to meet Community Guide standards.

The replication of KiPOW! Prevalence and sociodemographic correlates of overweight and obesity in a large Pan-European cohort of preschool children and their families: the ToyBox study. Estimated burden of paediatric obesity and co-morbidities in Europe. Never use food as a reward or punishment 310 Classroom and physical education teachers may receive special training to carry out the programs. Fourth phase: Maintenance of healthy behaviors.

Social Cognitive Theory based Intervention 32 Pre-test post-test design The interventions were limited to 5 to 10 weeks. School policy framework : implementation of the WHO global strategy on diet, physical activity and health.

Physical activity training addressed team chilehood and conflict resolution. Pettit, N. Finally, the mobilization of renewable and sustainable volunteer health professional student energy demonstrates that this program can be sustainably maintained. Never use food as a reward or punishment 310 Section Navigation. Creating communities that support healthy food and beverage choices and safe and accessible physical activity opportunities, while also increasing efforts to reduce health disparities and inequities, is a major goal in the effort to prevent and reduce the burden of chronic diseases as part of the New York State Prevention Agenda Making these types of changes in the school food environment will be no easy task, however.

Childhpod levels of excess weight among children in England. Involvement of parents and grandparents. Table 3. Offer teachers ongoing health education training 125. Braverman, C. From school based childhood obesity prevention programs 19 interventions that measured antecedents of childhood obesity, 15 interventions 1517182126 — 2832343537 — 41 showed significant changes in the favorable direction for these antecedents, whereas 4 14193342 could not demonstrate any significant change. As a result, conclusive meta-analysis type of work cannot be done with these studies and comments cannot be made regarding the effect size of the interventions.

This means schools have a rich opportunity to improve youth health and tackle obesity at the ideal point in time-before problems take hold. A mixed multiple linear regression model included a random effect for school. Encourage staff to model healthy eating 1. Previous reviews of childhood obesity prevention have focused largely on schools and findings have been inconsistent. A written measurement protocol was followed at both sites. Each subject rested seated for 5 minutes before obtaining 2 blood pressure readings.

You are here

Market healthy food choices 78 Liteand in2 separate schools joined. Links with this icon indicate that you are leaving the CDC website. Limit marketing of unhealthy foods

Make sure that PE requirements are not waived for other physical or academic activities 357. Patel, K. However, the current numbers of children with obesity or overweight show that it is easier said than done. Three-quarters of American youth fail to meet the recommended 60 minutes of daily physical activity 33which adds to the cardiometabolic risk created by poor nutrition Ensure that safe drinking water is always accessible. Data collection consisted of height, weight, blood pressure measurements, and possibly fitness assessment and behavior survey, depending on the session. At both sites, each KiPOW!

ALSO READ: Karangan Obesity Format Spm Matematik

Five-year results of a school-based intervention trial. White, E. Each subject rested seated for 5 minutes before obtaining 2 blood pressure readings. Childhood and adolescence are critical periods to introduce and stimulate healthy habits. Cost-effective implementation of existing school wellness policy with KiPOW! Fong, M.

Orange County following completion of its year as a control. So, how to prevent and tackle childhood obesity? Provide daily physical education PE to children in grades K 12345. Offer staff opportunities for physical activity 1.

Cardiol Young. Oxford Academic. Skip Nav Destination Article Navigation. Wellness programs for faculty and staff can also be integral to improving the school environment, not only serving to boost faculty and staff health but also building school-wide enthusiasm for student-focused programs. Geneva : WHO [updated ; cited Jun 26].

The intervention school had 84 participating 5th graders, and the control school had 80 participating students. Incorporate healthy eating and physical activity themes into other subject areas 1. Questionnaires were returned anonymously to a common pile, face-down. Several interventions succeeded in improving BMI, while some that did not showed an effect on other important adiposity measures, i.

ALSO READ: Children S Obesity Prevention Grants

The intervention effect was analyzed for students with chiildhood pre and post data available. Ongoing KiPOW! Efficacy is demonstrated by improvement in BMI percentile and blood pressure outcomes attainable in the school setting. Abbreviations: CI, confidence interval; SE, standard error. This training was provided by the faculty pediatrician mentor in the District of Columbia and was replicated by pediatric medicine resident leaders in Orange County. Keywords: health promotion; intervention; obesity; physical activity; physical activity promotion; physical fitness; school; sedentary behavior. What is added by this report?

Offer staff opportunities for physical activity prebention. The cuff size used was recorded at the baseline visit, and the same cuff size was used at follow-up. To improve activity, schools can develop safe walking and biking routes to school, and can promote active recess time. Hasjim, P. The purpose of this review is to systematically examine the possibility of school-based interventions on promoting physical activity and physical fitness as well as preventing obesity.

CG43 obesity: full guideline section 3-prevention: evidence statements and reviews. Institute of Nutrition and Food Technology. Canavera MSharma MMurnan J Development and pilot-testing a social cognitive theory-based intervention to prevent childhood obesity in Kentucky. Commonly suggested modifiable public health strategies to combat childhood obesity are promotion of breast-feeding, limiting television viewing, encouraging physical activity, increasing fruit and vegetable intake, controlling portion sizes, and limiting sweetened drink consumption

Interventions at school

Conclusion: School-based intervention programs are effective in prevention of childhood overweight and obesity problem and our results quantitatively supported this argument. Evaluation of a 2-year physical activity and healthy eating intervention in middle school children. Singh, Z. Office of the Surgeon General. Conclusion Childhood overweight and obesity is a global public health issue that needs urgent attention of health policy makers.

Both Full and Lite intervention effects were compared with consideration of whether there was a dose response. Lite session with 5 weeks of intervention. Open the schools to parents to make them aware of the pedagogy and be active in the process. Failing to win the battle against obesity will mean premature death and disability for an increasingly large segment of New York residents. Abrantes, V. The foundation for lifelong good health is laid in childhood.

Studies published between and January were retrieved from scientific electronic databases and grey literature. A Systematic Review and Meta-Analysis. School based childhood obesity prevention programs consumption higher in the intervention group 0. Six 6-min videos: Food Dudes, who were 2 boys and 2 girls aged 12—13 y who ate fruits and vegetables and encouraged others to also do the same. Parental involvement for 6 evenings. Percival, E. The systematic review was conducted on behalf of the CPSTF by a team of specialists in systematic review methods, and in research, practice, and policy related to obesity prevention and control.

Prohibit all advertising directed at children under 18 years in child welfare and child protection institutions, kindergartens, elementary schools and their dormitories. Effectiveness Review No content is available for this section. A third measure was taken if either the systolic blood pressure SBP or diastolic blood pressure DBP reading of the first 2 differed by more than 5 mm Hg. Bove, T.

Thus, the factors influenced by KiPOW! Meta-analyses were performed on studies judged sufficiently similar and appropriate to pool using random effect models. Shincovich, A. The real-world implementation potential of this program is illustrated through the RE-AIM framework

You are here Home » Childhood obesity Review. In general, obesiyt approaches — where physical activities and nutrition education are both implemented in schools — have the highest potential in preventing weight gain in children. Initial interventions in the the District of Columbia and Orange County delivered 10 sessions in which all participants received the intervention. Links with this icon indicate that you are leaving the CDC website. Now that the new nutrition standards are on the books, will schools actually be able to meet them? Skip directly to site content Skip directly to page options Skip directly to A-Z link. Primary prevention of chronic disease in childhood: changes in risk factors after one year of intervention.

All health mentors passed a background check before KiPOW! Pettit, N. Schools can help prevent obesity by bassd higher quality and more active physical education-for all grades, every day-and by promoting physical activity throughout the school day. Promote enjoyable activities and lifelong physical activity in PE 47. Obesity has reached epidemic proportions in New York State and across the nation. The model also took into account whether the participant attended an intervention or control school and whether the student was in the District of Columbia or Orange County.

J Adolesc Health. Significant variability was found in the programs of intervention between the studies analyzed. The involvement of the family was a prerequisite for the inclusion of studies in the current review. Prevalence of high body mass index in US children and adolescents, Removal of trials at risk of bias reduced heterogeneity and improved significance of our results. Train food service staff in healthy food preparation techniques and food safety 379.

Search form

Clinical aspects of obesity in childhood gased adolescence. Try out PMC Labs and tell us what you think. It is very important that all interventions could systematically measure and document changes at all 3 levels. On the other hand, about half of the projects 11 out of 27 did not mention whether their intervention was based on a theoretical model.

For evaluation of interventions, the most useful design is experimental with random assignment at the group level. Nutrition education for parents through 1 lecture per semester and educational materials. External link. Background Childhood obesity is a growing world-wide health problem. White, E.

Children require at least 60 minutes of moderate to vigorous physical activity each day. The intervention was standardized across all KiPOW! National Nutrition Standards Recommendations. Pekruhn C.

Additional research is needed to determine whether these interventions are effective. Health and nutrition education in primary schools in Crete: 10 childhhood follow-up of serum lipids, physical activity obesity prevention programs macronutrient intake. Both behaviors and clinical outcomes where considered in the included studies, however the interventions did not always succeed in having an effect on clinical outcomes. This article has been published as part of BMC Endocrine Disorders, Volume 20 Supplement 2, Designing, implementing and evaluating a community-based intervention to prevent diabetes in vulnerable families across Europe.

Publication types

In the Orange County year 1 intervention, increased water and decreased sweetened beverage intake were reported, but these results were not replicated in subsequent years. The program is ongoing, supported at both sites by an academic medical center and a strong board of volunteers with distinct organizational roles and transition protocols. Vyas, E. Full session with 10 weeks of intervention.

  • Project Energize: whole-region primary school nutrition and physical activity programme; evaluation of body size and fitness 5 years after the randomised controlled trial. School absences during the KiPOW!

  • The replication of KiPOW!

  • Permissions Icon Permissions. If this is not possible, then quasi experimental designs can also be instituted.

  • Accessed July 11, Melwani, C.

  • Comparative efficacy of simultaneous versus sequential multiple health behavior change interventions among adults: a systematic review of randomised trials. Policy Position Statement on School Nutrition.

Bsed real-world implementation potential of this program is illustrated through the RE-AIM framework Thal, S. Applicability of this intervention across different settings and populations was not assessed because the CPSTF did not have enough information to determine if the intervention works. Despite the finding of insufficient evidence, the following are considerations for implementation drawn from studies included in the evidence review, the broader literature, and expert opinion. Full session with 10 weeks of intervention.

Align health education with national standards 14. Effects of physical education on adiposity in children. Five-year results of a school-based intervention trial. Incorporate nutrition education into school meal programs 13 Keywords: Childhood; obesity; prevention; systematic review. Washington, D. Brady, S.

It has been recognized that schools can be an avenue for interventions directing childhood obesity. Orange County. Four min sessions using consciousness raising and self-reevaluation for fat control and physical activity. Int Q Community Health Educ. Int J Epidemiol. School policy framework: implementation of the WHO global strategy on diet, physical activity and health.

iChoose600™

Lee IM. Data from the included studies were extracted using a standardized form. This time is not readily attained in the traditional clinical setting.

  • Brown, B.

  • Policy Position Statement on School Nutrition.

  • Fighting an epidemic: the role of schools in reducing childhood obesity.

  • Arch Pediatr Adolesc Med ;— Modification of risk factors for coronary heart disease.

While nine studies among children and one among adolescents qualified for the review, they did not identify comparable outcomes. Limit marketing of unhealthy foods The JANPA web-based toolbox makes it much easier for local decision makers, schools and parents to find trustworthy information on successful measures that are suitable for their school or neighbourhood. In general, integrated approaches — where physical activities and nutrition education are both implemented in schools — have the highest potential in preventing weight gain in children. Monitor physical activity space and equipment for safety 37. Full session with 10 weeks of intervention.

Common weight-related measures as outcomes e. Past and current KiPOW! Childhood obesity prevention programx linear regression model, which included a random effect for each school, estimated differences between Full and Lite interventions compared with controls, adjusting for site, sex, and baseline status of the dependent variable. Physical activity training addressed team building and conflict resolution. Knapp, N. Develop active transit plans bike, walk to schoolworking with local government and community groups 12378.

Orange County following completion of its year as a control. The good will engendered from schools and school children and reported by the volunteer KiPOW! School policy framework : implementation of the WHO global strategy on diet, physical activity and health.

Outcome reduction in overweight or obesity assessment Reduction in overweight or obesity status has been assessed by change in body mass provrams BMI4344454647 triceps skin fold TSF thickness, 46 and BMI Z-score change. The studies showed some positive effects on outcomes related to weight status, but changes were small and the measures used were varied. Interventions childhhood to diet, physical activity, or combinations thereof, with sufficient school based childhood obesity prevention programs to meet Community Guide standards. Both groups were trained in evidence-based counseling in childhood obesity prevention 25USPSTF childhood obesity screening recommendations 14—16current school health policies, and the rationale for the mentored behavior-change model Make drinking water freely available to students in dining areas and throughout the day 1381012 Offer pleasant, clean, and safe cafeterias 127 Market healthy food choices 7810 Limit marketing of unhealthy foods 10 Bar commercial food marketing outside of dining areas; 3 Bar marketing of foods that do not meet competitive food guidelines or other nutrition standards; 23 or Bar all food advertising in schools 6 Create and support school gardens 27 Encourage staff to model healthy eating 1. Pithia, N. In Orange County, premedical students and pediatric medicine residents were also recruited.

ALSO READ: Obese To Fit Woman Lifting

The supplement is the responsibility of the Guest Editor to whom the Editor of Advances in Nutrition has delegated supervision of both technical conformity to the published regulations school based childhood obesity prevention programs Advances in Nutrition and general oversight of the scientific merit of each article. In terms of impact on adiposity indices, only 14 interventions measured it and only 6 of those were able to demonstrate significant changes. Author information Article notes Copyright and License information Disclaimer. Carbonated Drink Reduction 27 Experimental with random assignment at group level J Epidemiol Community Health. Five-year results of a school-based intervention trial. In terms of the person implementing the intervention, the majority of the interventions 18 were implemented by teachers.

Avoid withholding or mandating physical activity for disciplinary or academic reasons 17. Skip to main content Menu Search. Citing articles via Web of Science Table 3.

Double data entry was done in Review Manager 5. Orange County following completion childhod its year as a control. Being overweight or obese has serious health consequences, especially for children. Discussion The current review aimed to gather and evaluate available school-based, family-involved obesity prevention interventions targeting dietary, physical activity and sedentary behaviors among primary schoolchildren and their families. About this supplement This article has been published as part of BMC Endocrine Disorders, Volume 20 Supplement 2, Designing, implementing and evaluating a community-based intervention to prevent diabetes in vulnerable families across Europe. Spiegel SA, Foulk D.

Finally, changes in adiposity indices such as BMI, skinfold thickness, waist circumference, etc. Obesity Prevention Source Menu. In addition, health mentors who volunteer for KiPOW!

  • Cochrane Database Syst Rev.

  • Interventions at school What do most successful school programmes have in common? Cancel Continue.

  • Invest in cafeteria facilities to store, prepare, and display healthy foods, such as salad bars 7 ,

  • Clarke, J. Public Health Nutr.

  • Future interventions should aim at targeting high school kids as well.

The intervention effect was analyzed for students with both pre and post data available. Graduate nursing students implemented. Publication in English during School Meal Programs Encourage students to participate in breakfast, lunch, and after-school school based childhood obesity prevention programs programs 1234567 Offer meals that meet national nutritional standards, such as the U. Five components: self-assessment; 50 h nutrition education per student per school year using Planet Health and Know Your Body curricula; nutrition policy; social marketing; family outreach. Only 8 interventions conducted process evaluation or measured aspects of quality of intervention implementation 17252830363739 However, there was no difference in both groups after 3 years of intervention.

The relation of overweight to cardiovascular risk factors among children and adolescents: The Bogalusa Heart Study. Very few interventions documented the degree of fidelity in implementation of the planned curriculum. A policy-based school intervention to prevent overweight and obesity. Obes Facts.

Sidebar1?
Sidebar2?