Effects of before-school physical activity on obesity prevention and wellness
Open accessAbstract
Introduction The effects of Build Our Kids Success-a 12-week, 1-hour before-school physical activity program-on BMI and social-emotional wellness among kindergarten to eighth grade students was examined.Study design This was a nonrandomized trial.Setting/participants Participants were from 24 schools in Massachusetts; there were 707 children from kindergarten to eighth grade.Intervention Children registered for Build Our Kids Success in 2015-2016 participated in a 2 days/week or 3 days/week program. Nonparticipating children served as controls.Main outcome measures At baseline and 12 weeks, study staff measured children's heights/weights; children aged ≥8 years completed surveys. Main outcomes were 12-week change in BMI z-score, odds of a lower BMI category at follow-up, and child report of social-emotional wellness. Analyses were completed in March-June 2017.Results Follow-up BMI was obtained from 67% of children and self-reported surveys from 72% of age-eligible children. Children in the 3 days/week group had improvements in BMI z-score (-0.22, 95% CI= -0.31, -0.14) and this mean change was significantly different than the comparison group (-0.17 difference, 95% CI= -0.27, -0.07). Children in the 3 days/week group also had higher odds of being in a lower BMI category at follow-up (OR=1.35, 95% CI=1.12, 1.62); significantly different than the comparison group (p<0.01). Children in the 2 days/week program had no significant changes in BMI outcomes. Children in the 3 days/week group demonstrated improvement in their student engagement scores (0.79 units, p=0.05) and had nonsignificant improvements in reported peer relationships, affect, and life satisfaction versus comparison. The 2 days/week group had significant improvements in positive affect and vitality/energy versus comparison.Conclusions A 3 days/week before-school physical activity program resulted in improved BMI and prevented increases in child obesity. Both Build Our Kids Success groups had improved social-emotional wellness versus controls.Trial registration This study is registered at www.clinicaltrials.gov NCT03190135.
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Family-based interventions such as nutrition counseling with psychological support and more frequent family meals are effective in obesity prevention.
“Family-based interventions such as nutrition counseling with psychological support and more frequent family meals have been shown to be effective in obesity prevention.1509–1513”
From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1510]
The Introduction (page unavailable) discusses physical activity as a target for childhood obesity prevention, and the Results (page unavailable) report BMI outcomes for a before-school physical activity program. Searches for nutrition counseling, psychological support, and family meals found no passage addressing whether those family-based interventions prevent obesity. (LLM, conf=0.76)
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- Authors
- Whooten, R. C., Perkins, M. E., Gerber, M. W., & Taveras, E. M.
- Affiliations
- Massachusetts General Hospital (US)
- Harvard University (US)
- Corresponding author
- Taveras, Elsie M.
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2018-04
- Volume
- 54
- Issue
- 4
- Pages
- 510-518
- ISSN
- 0749-3797 (ISSN-L)
- PMC
- PMC5901979
- OpenAlex
- W2789968714
- Cited by
- 41
- References
- 50
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 7 · 2023: 1 · 2022: 8 · 2021: 6 · 2020: 4 · 2019: 3 · 2018: 1
- FWCI
- 3.33
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Preventive Medicine (acceptedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5t32hd075727-02)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (T32-HD075727)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- childhood obesity prevention, BMI z-score, school-based intervention, children's physical activity, peer relationships, positive affect, student engagement
- MeSH terms
- Adolescent, Child, Female, Health Promotion, Humans, Male, Massachusetts, Physical Fitness, Surveys and Questionnaires, Schools, Students, Exercise, Body Mass Index, Pediatric Obesity
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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