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A policy-based school intervention to prevent overweight and obesity.
Pediatrics 2008; 121(4):e794-802Ped

Abstract

BACKGROUND

The prevalence and seriousness of childhood obesity has prompted calls for broad public health solutions that reach beyond clinic settings. Schools are ideal settings for population-based interventions to address obesity.

OBJECTIVE

The purpose of this work was to examine the effects of a multicomponent, School Nutrition Policy Initiative on the prevention of overweight (85.0th to 94.9th percentile) and obesity (> 95.0th percentile) among children in grades 4 through 6 over a 2-year period.

METHODS

Participants were 1349 students in grades 4 through 6 from 10 schools in a US city in the Mid-Atlantic region with > or = 50% of students eligible for free or reduced-price meals. Schools were matched on school size and type of food service and randomly assigned to intervention or control. Students were assessed at baseline and again after 2 years. The School Nutrition Policy Initiative included the following components: school self-assessment, nutrition education, nutrition policy, social marketing, and parent outreach.

RESULTS

The incidences of overweight and obesity after 2 years were primary outcomes. The prevalence and remission of overweight and obesity, BMI z score, total energy and fat intake, fruit and vegetable consumption, body dissatisfaction, and hours of activity and inactivity were secondary outcomes. The intervention resulted in a 50% reduction in the incidence of overweight. Significantly fewer children in the intervention schools (7.5%) than in the control schools (14.9%) became overweight after 2 years. The prevalence of overweight was lower in the intervention schools. No differences were observed in the incidence or prevalence of obesity or in the remission of overweight or obesity at 2 years.

CONCLUSION

A multicomponent school-based intervention can be effective in preventing the development of overweight among children in grades 4 through 6 in urban public schools with a high proportion of children eligible for free and reduced-priced school meals.

Authors+Show Affiliations

Center for Obesity Research and Education, Temple University, 3223 N Broad St, Suite 175, Philadelphia, PA 19140, USA. gfoster@temple.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

18381508

Citation

Foster, Gary D., et al. "A Policy-based School Intervention to Prevent Overweight and Obesity." Pediatrics, vol. 121, no. 4, 2008, pp. e794-802.
Foster GD, Sherman S, Borradaile KE, et al. A policy-based school intervention to prevent overweight and obesity. Pediatrics. 2008;121(4):e794-802.
Foster, G. D., Sherman, S., Borradaile, K. E., Grundy, K. M., Vander Veur, S. S., Nachmani, J., ... Shults, J. (2008). A policy-based school intervention to prevent overweight and obesity. Pediatrics, 121(4), pp. e794-802. doi:10.1542/peds.2007-1365.
Foster GD, et al. A Policy-based School Intervention to Prevent Overweight and Obesity. Pediatrics. 2008;121(4):e794-802. PubMed PMID: 18381508.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A policy-based school intervention to prevent overweight and obesity. AU - Foster,Gary D, AU - Sherman,Sandy, AU - Borradaile,Kelley E, AU - Grundy,Karen M, AU - Vander Veur,Stephanie S, AU - Nachmani,Joan, AU - Karpyn,Allison, AU - Kumanyika,Shiriki, AU - Shults,Justine, PY - 2008/4/3/pubmed PY - 2008/5/1/medline PY - 2008/4/3/entrez SP - e794 EP - 802 JF - Pediatrics JO - Pediatrics VL - 121 IS - 4 N2 - BACKGROUND: The prevalence and seriousness of childhood obesity has prompted calls for broad public health solutions that reach beyond clinic settings. Schools are ideal settings for population-based interventions to address obesity. OBJECTIVE: The purpose of this work was to examine the effects of a multicomponent, School Nutrition Policy Initiative on the prevention of overweight (85.0th to 94.9th percentile) and obesity (> 95.0th percentile) among children in grades 4 through 6 over a 2-year period. METHODS: Participants were 1349 students in grades 4 through 6 from 10 schools in a US city in the Mid-Atlantic region with > or = 50% of students eligible for free or reduced-price meals. Schools were matched on school size and type of food service and randomly assigned to intervention or control. Students were assessed at baseline and again after 2 years. The School Nutrition Policy Initiative included the following components: school self-assessment, nutrition education, nutrition policy, social marketing, and parent outreach. RESULTS: The incidences of overweight and obesity after 2 years were primary outcomes. The prevalence and remission of overweight and obesity, BMI z score, total energy and fat intake, fruit and vegetable consumption, body dissatisfaction, and hours of activity and inactivity were secondary outcomes. The intervention resulted in a 50% reduction in the incidence of overweight. Significantly fewer children in the intervention schools (7.5%) than in the control schools (14.9%) became overweight after 2 years. The prevalence of overweight was lower in the intervention schools. No differences were observed in the incidence or prevalence of obesity or in the remission of overweight or obesity at 2 years. CONCLUSION: A multicomponent school-based intervention can be effective in preventing the development of overweight among children in grades 4 through 6 in urban public schools with a high proportion of children eligible for free and reduced-priced school meals. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/18381508/A_policy_based_school_intervention_to_prevent_overweight_and_obesity_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=18381508 DB - PRIME DP - Unbound Medicine ER -