Dutch Obesity Intervention in Teenagers: Effectiveness of a School-Based Program on Body Composition and Behavior

Singh, Amika S.; Chin A Paw, Marijke J. M.; Brug, Johannes; van Mechelen, Willem

doi:10.1001/archpediatrics.2009.2

Cited by 188Obesity, Physical Activity, DietPhysical Activity and HealthNutrition, Health and Food Behavior

Dutch Obesity Intervention in Teenagers: Effectiveness of a School-Based Program on Body Composition and Behavior

Singh, Amika S., Chin A Paw, Marijke J. M., Brug, Johannes, van Mechelen, Willem·2009·Archives of Pediatrics & Adolescent Medicine

DOI 10.1001/archpediatrics.2009.2

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Abstract

OBJECTIVE: To determine whether a multicomponent health promotion intervention for Dutch adolescents (defined as persons between 12 and 14 years of age) would be successful in influencing body composition and dietary and physical activity behavior in both the short and long terms. DESIGN: Randomized controlled trial. SETTING: Ten intervention and 8 control prevocational secondary schools. PARTICIPANTS: A total of 1108 adolescents (mean age, 12.7 years). Intervention An interdisciplinary program with an adapted curriculum for 11 lessons in biology and physical education and environmental change options. MAIN OUTCOME MEASURES: Body height and weight, waist circumference, 4 skinfold thickness measurements, and dietary and physical activity behavior data. RESULTS: Multilevel analyses showed that the intervention remained effective in preventing unfavorable increases in important measures of body composition after 20-month follow-up in girls (biceps skinfold and sum of 4 skinfolds) and boys (triceps, biceps, and subscapular skinfolds). Consumption of sugar-containing beverages was significantly lower in intervention schools both after intervention (boys: -287 mL/d; 95% confidence interval [CI], -527 to -47; girls: -249; -400 to -98) and at 12-month follow-up (boys: -233; -371 to -95; girls: -271; -390 to -153). For boys, screen-viewing behavior was significantly lower in the intervention group after 20 months (-25 min/d; 95% CI, -50 to -0.3). No significant intervention effects on consumption of snacks or active commuting to school were found. CONCLUSION: The Dutch Obesity Intervention in Teenagers program resulted in beneficial effects on the sum of skinfold thickness measurements in girls and consumption of sugar-containing beverages in both boys and girls in both the short and long terms.

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In Singh 2009, incomplete outcome data was at low risk of bias because analyses followed the intention-to-treat principle.
“Incomplete outcome data (attrition bias) All outcomes Low risk Quote:”
From School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18 (2013) · cites this paper as Singh 2009, p311
In Singh 2009, blinding was at high risk of bias because measurements were performed within a 6-week period by a trained research team not blinded to group assignment.
“Blinding (performance bias and detection bias) All outcomes High risk Quote:”
From School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18 (2013) · cites this paper as Singh 2009, p310

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Authors: Singh, A. S., Chin A Paw, M. J. M., Brug, J., & van Mechelen, W.
Affiliations: Amsterdam Public Health (NL)
ORCID: Singh, Amika S.
Brug, Johannes
Venue: Archives of Pediatrics & Adolescent Medicine
Publisher: American Medical Association (AMA)
Published: 2009-04-06
Volume: 163
Issue: 4
Pages: 309
ISSN: 1072-4710 (ISSN-L)
DOI: 10.1001/archpediatrics.2009.2
OpenAlex: W2163461477
Cited by: 188
References: 43
Citations by year: 2026: 1 · 2025: 2 · 2024: 6 · 2023: 2 · 2022: 5 · 2021: 18 · 2020: 10 · 2019: 8 · 2018: 6 · 2017: 8 · 2016: 15 · 2015: 17 · 2014: 23 · 2013: 18 · 2012: 16
FWCI: 16.39
Type: journal article
Language: en
Open access: closed
Locations: Archives of Pediatrics and Adolescent Medicine (publishedVersion)
PubMed (publishedVersion)
Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
Pure Amsterdam UMC (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Medicine › Physiology › Physical Activity and Health
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords: adolescent obesity prevention, body composition, skinfold thickness, dietary behavior, screen viewing, physical activity, school-based intervention
MeSH terms: Adolescent, Adolescent Behavior, Age Factors, Body Composition, Body Height, Body Weight, Child, Female, Follow-Up Studies, Health Education, Humans, Male, Netherlands, Obesity, Physical Education and Training, School Health Services, Sex Factors, Time Factors, Program Evaluation, Health Behavior, Confidence Intervals, Program Development, Risk Assessment, Multilevel Analysis

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Dutch Obesity Intervention in Teenagers: Effectiveness of a School-Based Program on Body Composition and Behavior

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