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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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“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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Metadata
- 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 › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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