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Childhood obesity prevention programs in schools – Effectiveness of School-Based Intervention Programs in Reducing Prevalence of Overweight

We estimated the frequency of responses to each survey item for the entire sample. School Nutrition School Physical Activity Implement, fund, and monitor a comprehensive school wellness policy that addresses nutrition, physical activity, and school food, among other topics 1 , 2 , 3 , 4 Provide wellness programming for school staff 1 , 3 , 5.

Lucas Cox
Thursday, August 8, 2019
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  • Study participants also were asked to respond to 2 open-ended questions on their perceptions of facilitators and barriers to successfully implementing wellness programs and to provide any general comments. Make sure that PE requirements are not waived for other physical or academic activities 357.

  • These include insufficient funding, the use of sole-source contracts, open campuses where students can choose to leave schools to eat, a lack of nutrition education, short meal periods, and competition with vending machine options Appendix F.

Introduction

Gov't Research Support, U. Promote enjoyable activities and lifelong physical activity in PE 47. Keywords: Childhood; obesity; prevention; systematic review. All rights are reserved. Results: The final number of total participants was control and intervention

More specifically, physical activity promotion during recess and the development of an active playground as well as non-competitive, enjoyable activities, promoting whole class participation during physical education PE classes and the childhood obesity prevention programs in schools of additional hours to physical activity chilhdood shown to be effective scbools. J Am Diet Assoc 2 — Both the development and the implementation methodology of the research, as well as the barriers, challenges and possible facilitators should be encouraged to be thoroughly recorded and published in order to inform the scientific community on the feasibility and sustainability of implementing interventions in real life situations. Mechanisms to incentivize evaluation and disseminate promising practices include the provision of awards or recognition for schools or school districts that implement and evaluate relevant programs and policies and that are able to demonstrate positive changes on the path to obesity prevention. Open in a separate window. These collaboration should involve parents; after-school and child-care programs; media; sports organizations; nonprofit organizations that sponsor after-school, evening, and summer activities e.

  • Quantitative data synthesis Meta-analysis was based on post-intervention prevalence of overweight and obesity in both groups.

  • It is unclear how broadly evidence-based programs have been disseminated and whether in the absence of effective dissemination schools instead use ineffective or even harmful programs. Alliance for a Healthier Generation.

  • Scohols, a survey of schools in specific regions of four states Maryland, Minneapolis, Mississippi, and North Carolina found that of the schools with outdoor physical activity facilities, 77 percent allowed some public use of the facilities. Meetings with parents at school seemed to lead to increased effectiveness in more cases in comparison to written material, i.

  • What is the approximate proportion of students in your school who you think might have eating disorders? Prevenfion is a summary of health education and school wellness obesity prevention recommendations, based on a review of expert guidance from the Centers for Disease Control and Prevention, the Institute of Medicine, the Alliance for a Healthier Generation, and others.

  • School principals and superintendents reported that some parents expressed concerns regarding the assessments; however, approximately one-third 34 percent of the superintendents reported that no parent had con.

  • 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. Connecticut State Department of Education.

To reach the target population obesity US public school principals, we downloaded a list of all public kindergarten through twelfth-grade schools in the United States from the National Center for Education Statistics 17 and randomly sampled from the list with the goal of recruiting schools on the basis of study resources during the — school year. Funded by the US Agency for Healthcare Research and Quality AHRQ and the National Institutes of Health, we systematically evaluated the effectiveness of childhood obesity prevention programmes conducted in high-income countries and implemented in various settings. Policy Position Statement on School Nutrition. Monitor physical activity space and equipment for safety 37. It is also unknown whether schools use obesity programs that inadvertently promote weight stigma or disordered weight-control behaviors. In this study, we aimed to identify the effectiveness of an obesity prevention program focused on motivating environments in school. SOE was low for combined interventions in childcare or home settings.

As part of their work, they have developed a web-based toolbox with an overview of measures that were successful in introducing good health practices in early life, for example in schools. If yes to Q7 How have you evaluated the success schools your school-based wellness or obesity prevention program s? Hire licensed PE teachers and offer them ongoing training 345. All rights are reserved. As these evidence-based programs are being disseminated across … Read More Learn More. Provide all students an opportunity for daily physical activity 38 Give elementary school students daily recess, and schedule recess before lunch 12367 Avoid withholding or mandating physical activity for disciplinary or academic reasons 17 Develop active transit plans bike, walk to schoolworking with local government and community groups 12378 Offer children physical activity opportunities before and after school, including competitive sports and noncompetitive activities 123789 Collaborate with communities to maximize use of school and community spaces for physical activity during and outside school hours 2378 Monitor physical activity space and equipment for safety 37 Offer staff opportunities for physical activity 1.

Health at Home

Classroom Creating a healthy environment for a child in school reaches far beyond the cafeteria and PE classroom. Incorporate nutrition education into school meal programs 13 A recent systematic review of school-based obesity prevention interventions identified programs, finding moderately strong evidence of their effectiveness 1.

Although programs that focus on healthful eating, physical activity, and screen time habits for all students can simultaneously reduce the schools of obesity and disordered weight-control behaviors 10,11progams that emphasize weight loss could be harmful 12— And outside of home life, nothing provides more of prevenfion immersive experience for children than the time they spend in school. Another school administrator eg, vice principal could complete the survey if a principal felt the colleague was more knowledgeable. The country is beginning to recognize childhood obesity as a major public health epidemic that will incur substantial costs to the nation. BOX Schools as Community Centers Los Angeles County is examining the potential to use state school construction funds to create incentives for urban school districts and municipalities to jointly build mixed-use projects that co-locate schools with parks, libraries, health facilities, and other parts of the public infrastructure. Public Health Rep 1 :1—3.

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Policies related to the types of foods and beverages available in elementary, middle, and high schools generally differ, with more restrictive obesify implemented for the lower grades. State- and district-level surveys are also valuable for the assessment of the progress that has been made. PubMed Google Scholar. A risk analysis model of the relationship between beverage consumption from school vending machines and risk of adolescent overweight. Marketing data and some limited data on the foods and beverages that students consume in schools are available. Donnelly JE.

Abbreviations: BMI, body mass index. Although programs that focus on improved nutrition, physical activity, and screen time behaviors generally prevent obesity and improve health, programs that focus instead on weight status and weight loss can exacerbate both weight stigma and unhealthy weight-control behaviors 4. These include families, schools, doctors, food producers and local policy makers. 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. View All.

Corresponding Author: Erica L. A recent statewide survey of West Virginia schools found that The added value of an emphasis on surveillance, monitoring, and evaluation is in the lessons learned and compulsive overeating and obesity evidence gained from assessments of whether specific interventions and policies have a positive impact on improving nutrition, increasing physical activity, and reducing childhood obesity. Article Google Scholar 4. J Am Diet Assoc 11 : — As discussed in Chapter 2there is much to be learned from those efforts that are both effective and ineffective in achieving the desired intermediate and long-term outcomes. Graham, H, Zidenberg-Cherr, S.

Health at Home

Offer staff opportunities childhood obesity prevention programs in schools physical preventino 1. Preventing Childhood Obesity: Health in the Balance. Across schools, regardless of whether they had implemented a program, respondents cited funding as a key factor; they also cited access to adequate training opportunities for staff and having structured support for programming, both within schools and at higher levels of school administration eg, the school district, the state education agency.

  • Across schools, respondents frequently mentioned financial resources, time and curricular priorities, and staffing and training as key factors in determining uptake of a wellness program; some noted that financial resources and training opportunities were instrumental in facilitating the program, and others reported that a lack of these resources prohibited program adoption.

  • It may be difficult to answer that question, since compliance is not strictly monitored week to week.

  • Behavioral Nutrition and Physical Activity Curricula.

  • In conclusion, at least moderately strong evidence supports the effectiveness of school-based interventions for preventing childhood obesity. Which grades at your school have school-based wellness or obesity prevention programs?

Although programs that focus on improved nutrition, physical activity, childhood obesity prevention programs in schools screen time behaviors generally prevent obesity and improve health, programs that focus instead on weight status and weight loss can exacerbate both weight stigma and unhealthy weight-control behaviors 4. The State Education Standard. Many of those lifestyle habits are established in schools and kindergarten, where children spend most of their time. Alliance for a Healthier Generation. Kenney, S. Make drinking water freely available to students in dining areas and throughout the day 13810 Exploring processes involved in decision making about adopting evidence-based interventions can increase understanding of how to broaden their dissemination

Geneva, Switzerland: World Health Organization; This section of The Obesity Prevention Source summarizes obesity prevention recommendations schools the school setting, based on a review of expert guidance from the Centers for Disease Control and Prevention, the Institute of Medicine, the Alliance for a Healthier Generation, the World Health Organization, and others. Monitor the numbers, content and placement of vending machines. Implement, fund, and monitor a comprehensive school wellness policy that addresses nutrition, physical activity, and school food, among other topics 1234. Promote enjoyable activities and lifelong physical activity in PE 47. Give feedback to children with overweight and their parents with leaflets and online resources to promote healthy life style practices. Here is a summary of obesity prevention recommendations for school meals and the school food environment, based on a review of expert guidance from the Centers for Disease Control and Prevention, the Institute of Medicine, the World Health Organization, the School Nutrition Association, the American Heart Association, and others.

  • Stratifying the qualitative data by lrograms the school used any kind of predeveloped program, we found that respondents from schools with such programs were more likely to raise the themes of having an important program champion, substantial buy-in for the program within the school community, or both. You can also search for this author in PubMed Google Scholar.

  • As part of their work, they have developed a web-based toolbox with an overview of measures that were successful in introducing good health practices in early life, for example in schools. As these evidence-based programs are being disseminated across … Read More Learn More.

  • A policy-based school intervention to prevent overweight and obesity. Ensure that all school meals meet the Dietary Guidelines for Americans.

  • They facilitate healthy eating and physical activity.

  • Due to the significant increase in the prevalence of obesity and the serious public health consequences, obesity is considered one of the most important public health challenges of the twenty-first century [ 910 ]. Twenty-eight

Improve education on nutrition and healthy lifestyle Provide nutrition training to teachers and to school kitchen staff. Abbreviation: SD, standard deviation. Provide wellness programming for school staff 135. However, the intervention group showed a greater decrease in the body mass index BMI z-score If yes to Q7 Does your school have a packaged or predeveloped school-based wellness or obesity prevention program s?

The Diffusion of Innovations Model 15which suggests that exposure to knowledge about new ideas and persuasion about their adoptability are critical to adopting new programs, offers insights into the potential lag between the publication of obesity prevention research and broad adoption. What do you think are the top three health concerns for your student population? Serving healthy choices in the lunch room, limiting availability and marketing of unhealthful foods and sugary drinks, and making water available to students throughout the day are some of the ways that schools can help prevent obesity. Interested in our quarterly newsletter? However, the intervention group showed a greater decrease in the body mass index BMI z-score Provide wellness programming for school staff 135. All rights are reserved.

MeSH terms

Train food service staff in healthy food preparation techniques and food safety 379. Among schools that reported developing their programs onsite, we asked respondents to indicate whether the programs included a range of activities eg, gardening, nutrition education ; to assess whether the school used programs that could exacerbate weight stigma and disordered weight-control behaviors, respondents were asked whether the school used weight loss or calorie counting competitions for either students or staff or body mass index reporting for individual students 4, Abstract Previous reviews of childhood obesity prevention have focused largely on schools and findings have been inconsistent. Funded by the US Agency for Healthcare Research and Quality AHRQ and the National Institutes of Health, we systematically evaluated the effectiveness of childhood obesity prevention programmes conducted in high-income countries and implemented in various settings. Our small sample size may have precluded us from detecting regional or sociodemographic differences; future research, using larger samples, should further evaluate possible predictors of dissemination.

Ensure that safe drinking water is always accessible. For more detailed guidance on these recommendations and ideas for putting them into practice, explore the source list and the links to other resources. Interventions at school What do most successful school programmes have in common? Monitor and screen for children have developed overweight National school-based surveillance system assessing the physical and motor development of children. Skip directly to site content Skip directly to page options Skip directly to A-Z link. 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.

As with education in general, the sooner we act, the iin. But according to the U. Train food service staff in healthy food preparation techniques and food safety 379. A study in a large California school district finds that students may not have adequate access to water during the school day. Corresponding Author: Erica L. Please check all that apply.

Publication types

Although, many changes in school policies and practices in improving the nutritional content of the foods and beverages offered childhood obesity prevention programs in schools students are occurring, there appears to be less progress in making changes in physical education requirements, enforcing state standards where they do exist, or expanding intramural and other physical activity opportunities. Additional resources include the wellness policy evaluation checklists developed by state agencies in Pennsylvania and Texas Pennsylvania School Boards Association, ; Texas Department of Agriculture, For example, the Keystone Healthy Zone Schools program in Pennsylvania provides schools with technical assistance in improving the school wellness environment and offers competitive minigrant funding to make improvements. Data from the included studies were extracted using a standardized form. Not only are political will and leadership needed to improve school nutrition and physical activity opportunities, but it is critically important that adequate and sustained funding be provided to reinforce these priorities so that attention to this issue does not result in unfunded mandates.

Among the obstacles: budgeting schlols the higher costs of purchasing and preparing more healthful foods; coaxing children to accept the more healthful options; and addressing the multitude of ways that unhealthful foods and drinks are sold or served outside of school meals, from classroom birthday parties to school-wide bake sales and sporting events. They facilitate healthy eating and physical activity. Healthy Schools Program Framework. Which grades at your school have school-based wellness or obesity prevention programs? Foundation Leadership Donate. We identified articles intervention studies of which studies were primarily school based, although other settings could have been involved. This finding is concerning, both because school staff should not be obligated to devote scarce time and resources to developing programs when programs already exist and because well-intentioned school staff may be instituting programs that are ineffective and even potentially harmful.

  • National Institute for Health and Clinical Excellence. Four-year follow-up of school-based intervention on overweight children: the KOPS study.

  • School Meals, Competitive Foods, and the School Food Environment Serving prevention programs choices in the lunch room, limiting availability and marketing of unhealthful foods and sugary drinks, prevenntion making water available to students throughout the day are some of the ways that schools can help prevent obesity. 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.

  • Cite this article Lambrinou, CP.

  • Lambrinou, CP.

  • Results: The final number of total participants was control and intervention

  • State and local school-based nutrition and physical activity standards need to be implemented, and schools relevant educational entities should be held accountable for promoting and adhering to these standards. 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.

Connecticut State Department of Education. Minus Related Pages. Accepted : 23 March Leadership is needed at the federal, state, school district, and school levels to:. The sample also did not include private or parochial schools.

Reprints and Permissions. The school year and schools day are finite, and teachers report competing demands on their time. Does this prorams offer opportunities for students to participate in intramural activities or physical activity clubs? Parents had increased their awareness of the health consequences of obesity, and increased numbers of families reported changes in planning and preparation of healthier meals. Additionally, it is important that efforts found to be ineffective are either revised or discontinued, so they do not use resources that can be more effectively used for other efforts. Team Nutrition.

Interventions at school

This finding is concerning, both because school staff should not be obligated to devote scarce time and resources to developing programs when programs already exist and because childhood obesity prevention programs in schools school staff may be instituting programs that are ineffective and even potentially harmful. Nutrition and physical activity lessons can be woven into the curriculum-in core classroom subjects, physical education, and after-school programs-to teach skills that help students choose and maintain healthy lifestyles. Offer pleasant, clean, and safe cafeterias 127. Chan School of Public Health

Google Scholar 9. No Child Left Behind. Policies and programs have the potential to influence the behaviors of all the students in a classroom, school, or school district. Data from the included studies were extracted using a standardized form. Study population was schoolchildren and it included both boys and girls. Robinson TN.

If yes to Q7 Does your school have a packaged or predeveloped school-based wellness or obesity prevention program s? They facilitate healthy eating and physical activity. The strength of evidence SOE supporting interventions was graded for each study setting e. However, most schools clearly are not receiving adequate information about effective programs, despite having other critical elements for program adoption in place, and thus appear to be using ineffective programs instead. Although programs that focus on improved nutrition, physical activity, and screen time behaviors generally prevent obesity and improve health, programs that focus instead on weight status and weight loss can exacerbate both weight stigma and unhealthy weight-control behaviors 4.

Background

Avoid withholding or mandating physical activity for disciplinary or academic reasons 17. Article Google Scholar 5. Ten-year follow-up of the Cretan Health and Nutrition Education Program on children's physical activity levels.

For more detailed guidance on these recommendations and ideas for putting them into practice, explore the source list and the links to other resources. Make drinking water freely available to students in dining areas and throughout the day 13810 Twenty-eight Ensure competitive foods meet healthy nutrition standards that are consistent with those of the school meal program 1234678 Moreover, habits learnt at a young age have a good chance to survive through to adulthood, and there may also be a positive effect through a child influencing the health behaviours of the family.

Learn More. Although programs that focus on healthful eating, physical activity, and screen time habits for all students can simultaneously reduce the prevalence of obesity and disordered weight-control behaviors 10,11programs that emphasize weight loss could be harmful 12— School district wellness policies should also address nutrition and physical activity and encompass staff wellness, not just student wellness. Monitor and screen for children have developed overweight National school-based surveillance system assessing the physical and motor development of children. A study in a large California school district finds that students may not have adequate access to water during the school day.

Learn More about our Childhood Obesity Prevention and School Wellness Programs

Incorporate healthy eating and physical activity obesitg into other subject areas 1. Abbreviation: SD, standard deviation. In childhood obesity prevention programs in schools U. Collaborate with communities to maximize use of school and community spaces for physical activity during and outside school hours 2378. In addition to teaching evidence-based nutrition and activity messages, school physical education should focus on getting students engaged in high-quality and regular activity.

Gov't, P. Kenney, S. Make drinking water freely available to students in dining areas and throughout the day 13810 By adding to previously studied strategies, we can develop a more effective obesity prevention program for children. E-mail: ekenney hsph.

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Abstract Previous reviews of childhood obesity prevention have focused largely on schools and findings have been inconsistent. Hire licensed PE teachers and offer them ongoing training 345. You may also like… Childhood obesity Infographic Preventing childhood obesity through community-based initiatives Excess weight in childhood and adolescence: prevention and treatment Striking differences of overweight and obesity rates in schoolchildren across Europe. If yes to Q7 Does your school offer wellness or obesity prevention programs developed by you or others at the school? Telephone: What do you think are the top three health concerns for your student population?

Author information Article notes Copyright and License information Disclaimer. School Nutrition School Physical Activity Implement, fund, and monitor a comprehensive school wellness policy that addresses nutrition, physical activity, and school food, among other topics 1234 Provide wellness programming for school staff 135. Source of Support: Nil. Feenstra G, Ohmart J.

Learn More about our Childhood Obesity Prevention and School Wellness Programs

Never use food as a reward or punishment 310 Lack of funding, training, and time were widely reported as barriers to implementation. The foundation for lifelong good health is laid in childhood.

Key strategies have been identified from prevenfion effective intervention programs. From the total number of studies selected 27 intervention studies 33 publications childhood obesity prevention programs in schools the inclusion criteria and were included in the current analysis. Prevalence of overweight and prevalence in Greek school-aged children and adolescent. Students Health and Fitness Act of Effects of a school-based, early childhood intervention on adult health and well-being: A year follow-up of low-income families. Secondary references and review articles were also scanned for thematic review. Reducing overweight through a multidisciplinary school-based intervention.

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Reducing obesity via a school-based interdisciplinary intervention among youth: Planet Health. Hawkins J, Kann L. Carol M. The program obesitj pilot testing in 16 after-school programs in Texas Kelder et al. In the absence of evaluation, this multiplication of efforts and approaches has less opportunity to support effective policies, programs, and initiatives or ensure the efficient use of resources.

  • However, this same lack of coordination between educational institutions may also provide the opportunity for a broad array of highly innovative approaches to emerge or for similar approaches to be implemented within many different settings.

  • Thirty-seven schools

  • After the initial immersion process, 2 members of the study team S. Using school staff members to implement a childhood obesity prevention intervention in low-income school districts: the Massachusetts childhood obesity research demonstration MA-CORD project ,

  • Conclusions School-based interventions are vital in the prevention of the globally rising childhood obesity.

  • Austin is also supported by training grants no.

  • Promote enjoyable activities and lifelong physical activity in PE 47.

After the text data was coded and organized, these 2 investigators reviewed the text again, hand-sorted by the broad code categories, to identify important themes that emerged within and across the categories. Offer meals that meet national nutritional standards, such as the U. Accessed July 11, Take initiative In the absence of national or municipal regulation, establish own school policies. Among schools that are trying to implement obesity prevention or school wellness programs, most appear to be developing programs on their own.

Interested in our quarterly newsletter? Here is a summary of BMI assessment recommendations for schools, based on a review of expert guidance from the the Institute of Medicine, the World Health Organization, and others. Taken together, these findings suggest that schools need support from public health professionals in learning about and choosing effective programs and accessing support for training and technical assistance. These include families, schools, doctors, food producers and local policy makers. Make sure that PE requirements are not waived for other physical or academic activities 357. Preventing Childhood Obesity: Health in the Balance. Institute of Medicine.

IN ADDITION TO READING ONLINE, THIS TITLE IS AVAILABLE IN THESE FORMATS:

In the absence of national or municipal regulation, establish own school policies. School policy framework : rpograms of the WHO global strategy on diet, physical activity and health Geneva, Switzerland: World Health Organization; Align health education with national standards 14. Chan School of Public Health Provide a total of minutes of PE per week in elementary school and minutes per week in middle and high school 235.

Innovative evaluation strategies should be explored. If yes to Q7 Does your school offer wellness or obesity prevention programs developed by you or others at the school? Inclusion of studies published in English only might have induced the reporting bias. Assess student learning in PE and include in school report cards 35.

Another school administrator eg, vice principal could complete the survey if a principal felt the colleague was more knowledgeable. We estimated the frequency of responses to each survey item for the entire sample. Article Google Scholar 5. The study examines calorie content, fat content, pricing, student participation, and other elements of school food sales for a nationally representative sample of elementary, middle, and high schools. 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. Organization WH. Youth risk behavior surveillance—United States,

Vending machine policies and practices in Delaware. School District Food Service Policies. Ten-year follow-up of the Cretan Health and Nutrition Education Program on children's physical activity levels.

  • Across schools, regardless of whether they had implemented a program, respondents cited funding as a key factor; they also cited access to adequate training opportunities for programd and having structured support for programming, both within schools and at higher levels of school administration eg, the school district, the state education agency. Research and evaluations are needed to assess the ongoing trends in advertising and other commercial activities in schools and to examine whether changes in the school environment with regard to advertising can be linked to improved dietary and physical activity behaviors and health outcomes of children and youth.

  • Market healthy food choices 78 ,

  • Further, more attention needs to be paid to the provision of low-calorie and high-nutrient foods and beverages that contribute to a healthful diet and opportunities for physical activity in the child-care, after-school, and preschool environments regarding the. Download PDF.

  • On the other hand, BMI was the most commonly used clinical outcome assessed.

Abstract Previous reviews of childhood obesity prevention have focused largely on schools and findings have been inconsistent. Our small sample size may have precluded us from detecting regional or sociodemographic differences; future research, using larger samples, should further evaluate possible predictors of dissemination. School policy framework : implementation of the WHO global strategy on diet, physical activity and health Geneva, Switzerland: World Health Organization; 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. Offer pleasant, clean, and safe cafeterias 127. Gov't, P. Policy Position Statement on School Nutrition.

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Relation of obesity to clustering of cardiovascular disease risk factors in children and young adults. Am J Health Promot 20 3 — BMC Pediatr. A school- and community-based intervention to promote healthy lifestyle and prevent type 2 diabetes in vulnerable families across Europe: design and implementation of the Feel4Diabetes-study. Improvement of fitness, body composition, and insulin sensitivity in overweight children in a school-based exercise program: A randomized, controlled study. Assessments of the weight, height, and BMI of each student are implemented in some states as an additional form of health screening, similar to screening for vision or hearing problems Scheier, Physical Education Curriculum Analysis Tool.

Facebook Twitter LinkedIn Syndicate. Our small sample size may have precluded us from detecting regional or sociodemographic differences; future obesiyt, using larger samples, should further evaluate possible predictors of dissemination. In the U. Provide all students an opportunity for daily physical activity 38. One of the ways in which CATCH supports child health is through nutritional coordination with school lunchrooms and other food providers. Choose from list below.

Provide daily physical education PE to children in grades K 123proggams5. Offer staff opportunities for physical activity 1. Few schools in this study implemented nutrition, physical activity, or obesity prevention programs that known to be effective. Assess student learning in health education classes and report on school report cards 1. If yes to Q7 Do you think the school-based wellness or obesity prevention programs currently offered by your school have increased, decreased, or had no impact on the following response options: increased, no impact, decreased :. Two reviewers independently abstracted the data. If yes to Q7 On average, how do you think the wellness or obesity prevention programs currently offered by your school are impacting students in the following areas response options: none, neutral, positive :.

Ensure competitive foods meet healthy nutrition standards that are consistent with those of the school meal program 1234678 Most were conducted in the United States and within the past decade. Incorporate nutrition education into school meal programs 13 ,

From the checklist and the write-in options, the researchers then coded whether the chosen program had been evaluated in the research literature and had demonstrated evidence for effectiveness on the basis of comprehensive literature searches. Childhokd Schools Program Framework Schools the U. School programs that focused on student or staff weight, rather than on healthy eating and physical activity behaviors, were much more frequently used. More research is needed to evaluate programmes in other settings or of other design types, especially environmental, policy and consumer health informatics-oriented interventions. To reach the target population of US public school principals, we downloaded a list of all public kindergarten through twelfth-grade schools in the United States from the National Center for Education Statistics 17 and randomly sampled from the list with the goal of recruiting schools on the basis of study resources during the — school year.

This book will be of interest to federal, state, and local government childhood obesity prevention programs in schools educators and schools; public schols and health care professionals; private-sector companies and industry trade groups; media; parents; and those involved in implementing community-based programs and consumer advocacy. Connecticut State Department of Education. Most evaluations conducted to date have focused on outcome measures related to developing and implementing policy changes at the school or school district level e. Coronary risk factors measured in childhood and young adult life are associated with coronary artery calcification in young adults: The Muscatine Study. Exp Clin Endocrinol Diabetes.

In the next few years, as school wellness policies are adopted and promoted, it will be important to systematically evaluate the implementation of the wellness policies and to focus on sustainability issues. Has your district adopted a policy that prohibits elementary schools from excluding students from all or part of recess as punishment for bad behavior? Reducing overweight through a multidisciplinary school-based intervention.

  • During the past 12 months, have the school food service staff worked on school food service or nutrition activities with health education staff from this school?

  • Improve education on nutrition and healthy lifestyle Provide nutrition training to teachers and to school kitchen staff. Provide easy access to the healthy foods Eliminate unhealthy foods.

  • An ongoing survey of physical activity levels and physical fitness—spanning from schoolz and youth, preschool through adolescence—should be explored and should be conducted, either as a stand-alone survey or as a component of a current national surveillance system such as NHANES that has sustained long-term funding to track the progress of a representative sample of children and youth.

  • Cost-effectiveness of a school-based obesity prevention program.

  • After the text data was coded and organized, these 2 investigators reviewed the text again, hand-sorted by the broad code categories, to identify important themes that emerged within and across the categories. Lack of funding, training, and time were widely reported as barriers to implementation.

  • Inclusion of studies published in English only might have induced the reporting bias.

Across schools, regardless of whether they had implemented a program, respondents cited funding as a key factor; they also cited access to adequate training opportunities for staff and having structured support for programming, both within schools and at higher levels of schols administration eg, the school district, the state education agency. Promote enjoyable activities and lifelong physical activity in PE 47. And schools and face many other challenges to creating a food environment where the healthy choice is the default choice. Base PE on national standards 35. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. More research is needed to evaluate programmes in other settings or of other design types, especially environmental, policy and consumer health informatics-oriented interventions.

Provide a total of minutes of PE per week in elementary school and minutes per week in middle childhood obesity prevention programs in schools high school 235. Interested in our quarterly newsletter? Most were conducted in the United States and within the past decade. Nutrition and physical activity lessons can be woven into the curriculum-in core classroom subjects, physical education, and after-school programs-to teach skills that help students choose and maintain healthy lifestyles. These include families, schools, doctors, food producers and local policy makers.

Accessed July 11, If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to prevengion permission directly from the copyright holder. The level of progress made in increasing the number of students who walk or bike to and from school is difficult to assess. Meta-analysis was based on post-intervention prevalence of overweight and obesity in both groups. The most commonly used and assessed behavioral outcome was the consumption of fruits and vegetables and many interventions succeeded in increasing their consumption followed by physical activity, which proved to be more difficult for the interventions to significantly improve.

  • Data set linkages of this sort are useful in providing progress assessments.

  • Implement, fund, and monitor a comprehensive school wellness policy that addresses nutrition, physical activity, and school food, among other topics 1234. Preventing Chronic Disease.

  • Now that the new nutrition standards are on the books, will schools actually be able to meet them? A survey of vending machine-related policies and practices in Delaware school districts provides similar baseline data against which future progress can be assessed Gemmill and Cotugna,

  • Cochrane Database Syst Rev. Support research on means to improve the monitoring of diet and physical activity.

  • In addition, blood pressure BP was significantly reduced, and significant improvement in physical fitness followed. Take initiative In the absence of national or municipal regulation, establish own school policies.

The foundation links underserved schools and communities to the resources necessary to create and sustain healthy change for future generations. But according to the U. Taken together, these findings suggest that schools need support from public health professionals in learning about and choosing effective programs and accessing support for training and technical assistance. Schools can help prevent obesity by offering higher quality and more active physical education-for all grades, every day-and by promoting physical activity throughout the school day.

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Volume 20 Supplement 2. Most evaluations conducted to date have focused on outcome measures related to developing and implementing policy changes at the school or school district level childhood obesity prevention programs in schools. Figure 2. Does your school promote walking or biking to and from school? Tailoring interventions to fit the needs of a specific population group, as done in the study by Benjamins et al. Both the development and the implementation methodology of the research, as well as the barriers, challenges and possible facilitators should be encouraged to be thoroughly recorded and published in order to inform the scientific community on the feasibility and sustainability of implementing interventions in real life situations.

However, this intervention causes significant BMI reduction among girls. School-based interventions are proframs childhood obesity prevention programs in schools the prevention of the globally rising childhood obesity. Confronting the epidemic of childhood obesity. Data from eligible studies abstracted and pooled for relative risk. Although there are many interventions targeting childhood obesity prevention, only few have demonstrated positive results. Ideally, SHPPS or separate modules of SHPPS could be administered and the data could be aggregated at a more local level to allow progress to be tracked in schools in large metropolitan areas as is done for the School Health Profiles study or in other school districts that could potentially help fund the data collection and analysis. Has your district adopted a policy that prohibits elementary schools from excluding students from all or part of recess as punishment for bad behavior?

Even every 6 years, however, the fact childhood obesity prevention programs in schools this obesihy is repeated periodically with consistency in its methods and content makes it one of the most promising sources for assessing progress over time. During the past 12 months, have the school food service staff worked on school food service or nutrition activities with health education staff from this school? Do you enjoy reading reports from the Academies online for free? California Food Policy Advocates. Nutr Rev 64 4 —

Ensure that all school meals meet the Dietary Guidelines for Americans. Individual studies also showed effectiveness of these school-based interventions. To improve activity, schools can develop safe walking and biking routes to school, and can promote active recess time. Type 2 diabetes incidence and socio-economic position: a systematic review and meta-analysis. Ethn Dis 13 1 Suppl 1 :S65—S Does this school offer opportunities for students to participate in intramural activities or physical activity clubs? Abstract Background Although there are many interventions targeting childhood obesity prevention, only few have demonstrated positive results.

In the absence of evaluation, this multiplication of efforts and approaches has less opportunity to support effective policies, programs, and initiatives or ensure the efficient use of resources. Diabetes Metab Syndr Obes. Effectiveness scores will be developed and reported through the school district and school report cards. School lunch and snacking patterns among high school students: Associations with school food environment and policies. Conclusion Childhood overweight and obesity is a global public health issue that needs urgent attention of health policy makers. Article Google Scholar 4.

View Page In: pdf icon. The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U. Ni reviews of childhood obesity prevention have focused largely on schools and findings have been inconsistent. Ensure competitive foods meet healthy nutrition standards that are consistent with those of the school meal program 1234678 After the initial immersion process, 2 members of the study team S. Limit marketing of unhealthy foods 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.

Of 2, invited principals, agreed to participate or had a colleague participate English French German Spanish Italian. We identified articles intervention studies of which studies were primarily school based, although other settings could have been involved. Adapt PE curricula for children with disabilities or special needs 1347.

View All. Here is a summary of BMI progra,s recommendations for schools, based on a review of expert guidance from childhood obesity prevention programs in schools the Institute of Medicine, the World Health Organization, and others. Limit PE class sizes so that they are similar to academic class sizes 34. Among schools that are trying to implement obesity prevention or school wellness programs, most appear to be developing programs on their own.

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Heterogeneity among studies was assessed by I 2 statistics, chi 2and a P -value. Including long-term follow-up measurements to assess the efficacy of school-based interventions will facilitate the identification of the most effective strategies in the long-term. Institute of Nutrition and Food Technology. More information on this project can be found in the literature [ 19 ]. There was a decrease of

  • Both studies found similar perceived barriers to implementing nutrition and physical activity changes, including pressures to focus on reading and math test scores, low staff morale, budgetary concerns, and inconsistent support from the school administrators Pearlman et al.

  • Prev Chronic Dis ; Preventing Childhood Obesity: Health in the Balance.

  • Wintner, and S.

  • Encourage staff to model healthy eating 1. CATCH impresses on students key lessons about the nutritional value of various food groups.

  • Relevant federal agencies e.

View All. Includes programs demonstrated in published high-quality, peer-reviewed studies and evaluation reports to produce significant, positive health or behavioral outcomes, and policy, environment, or economic impacts. Metrics details. Department of Health and Human Services DHHS provide proggrams in establishing nutrition standards for competitive onesity in schools by marshalling the political will needed to develop, implement, and evaluate appropriate standards that are consistent with the Dietary Guidelines for Americans Policies and programs have the potential to influence the behaviors of all the students in a classroom, school, or school district. Pedometer data confirmed that students were more active at school after program implementation than before the program, with an increase of approximately steps per day. Quantitative data synthesis Effectiveness of a school-based intervention was based on producing statistical significant differences between the intervention and control groups in terms of prevalence of overweight and obesity at the end of study.

Department of Health and Human Services. Previous SNDA studies were conducted in the — and — school years and provide comparative data. J Sch Health. DoEd U. Even prograks 6 years, however, the prevention programs that this survey is repeated periodically with consistency in its methods and content makes it one of the most promising sources for assessing progress over time. 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.

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