School-Based Interventions on Childhood Obesity
Abstract
Background Over the past decade, childhood obesity has been recognized as an increasing health problem worldwide. It is a predictor of obesity during adulthood, which is strongly linked to chronic lifestyle diseases.Purpose This paper aims to evaluate the effectiveness of school-based programs in the prevention and management of childhood obesity.Methods A comprehensive literature search was undertaken for RCTs and clinical controlled trials on school-based interventions that addressed childhood obesity, published between 1995 and 2007. The papers included for the meta-analysis were those in which ORs or standardized mean differences and their 95% CIs were reported or could be calculated from available data.Results Meta-analysis showed that the odds of participants' being overweight and obese in the school-based intervention programs compared with the control arm were significantly protective in the short term (OR=0.74, 95% CI=0.60, 0.92). Interventions that were conducted for more than 1 year had a higher OR of decreasing the prevalence of obesity. However, intervention programs were not effective in decreasing BMI compared with control treatments, with a weighted mean difference of -0.62 (95% CI=-1.39, 0.14).Conclusions This meta-analysis showed that there was convincing evidence that school-based interventions are effective, at least short-term, in reducing the prevalence of childhood obesity. Longer-running programs were more effective than shorter programs.
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Cawley 2007, Gonzalez-Suarez 2009, and Harris 2009 found that increased MVPA in children and adolescents does not necessarily translate into reduced BMI.
“Others have found that while children and adolescents can experience increased levels of MVPA, this does not necessarily translate into reduced BMI (Cawley 2007;Gonzalez-Suarez 2009;Harris 2009).”
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 Gonzalez-Suarez 2009
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- Authors
- Gonzalez-Suarez, C., Worley, A., Grimmer-Somers, K., & Dones, V.
- Affiliations
- University of South Australia (AU)
- University of Santo Tomas (PH)
- Corresponding author
- Gonzalez-Suarez, Consuelo
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2009-11
- Volume
- 37
- Issue
- 5
- Pages
- 418-427
- ISSN
- 0749-3797 (ISSN-L)
- OpenAlex
- W2098218859
- Cited by
- 361
- References
- 67
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 13 · 2023: 6 · 2022: 12 · 2021: 24 · 2020: 17 · 2019: 11 · 2018: 23 · 2017: 22 · 2016: 33 · 2015: 21 · 2014: 41 · 2013: 40 · 2012: 38
- FWCI
- 3.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- childhood obesity, school-based intervention, obesity prevention, overweight, body mass index, intervention duration, obesity prevalence, lifestyle-related diseases
- MeSH terms
- Adolescent, Child, Child, Preschool, Female, Humans, Male, Obesity, School Health Services, Time Factors, Body Mass Index, Prevalence, Overweight
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