A framework for understanding school based physical environmental influences on childhood obesity
Open accessAbstract
Schools are inviting settings for the promotion of healthy behaviours in children, and a number of interventions have been trialled to improve diet or increase physical activity levels with the ultimate aim of reducing the prevalence of obesity. However, these have seen mixed results and there is suggestion that consideration needs to be given to a broader definition of the school environment in order to encourage sustainable behaviour changes. This review considers evidence for associations between the physical school environment and diet, physical activity and adiposity. School environment covers the neighbourhood around the school as well as the school grounds, buildings and facilities. Reviewed evidence is used to construct a conceptual framework for understanding associations between the physical school environment and adiposity and related behaviours. The framework highlights how school environments may be modified to promote behaviour changes, and how they may limit or enhance the success of other school-based interventions. Consideration is also given to where future work may best be directed.
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It is unclear how the associations observed in reviews examining evidence across childhood and adolescence operate among different age groups.
“Given that the aforementioned reviews 11, 12 and others 14, 15, 16 examine evidence across childhood and adolescence (e.g. 5–18 years old), it is unclear how the associations observed operate among different age groups.”
From The school environment and adolescent physical activity and sedentary behaviour: a mixed-studies systematic review (2016) · cites this paper as [14]
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- Authors
- Harrison, F., & Jones, A. P.
- Affiliations
- University of East Anglia (GB)
- Corresponding author
- Harrison, Flo
- Venue
- Health & Place
- Publisher
- Elsevier BV
- Published
- 2012-05
- Volume
- 18
- Issue
- 3
- Pages
- 639-648
- ISSN
- 1353-8292 (ISSN-L)
- PMC
- PMC3759222
- OpenAlex
- W2087245634
- Cited by
- 80
- References
- 62
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 8 · 2023: 5 · 2022: 3 · 2021: 5 · 2020: 4 · 2019: 5 · 2018: 11 · 2017: 6 · 2016: 6 · 2015: 10 · 2014: 9 · 2013: 3
- FWCI
- 3.72
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health & Place (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Funders
- ESRC/MRC interdisciplinary research studentship
- Higher Education Funding Council for England (HEFCE)
- Centre for Diet and Activity Research (CEDAR), a UK Clinical Research Collaboration Public Health Research Centre of Excellence
- British Heart Foundation, Department of Health, Economic and Social Research Council, Medical Research Council, and the Wellcome Trust, under the auspices of the UKCRC
- 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
- Social Sciences › Transportation › Urban Transport and Accessibility
- Keywords
- childhood obesity, school space, school facilities, diet, physical activity, adiposity, school-based intervention, conceptual framework, behavior change, built environment
- MeSH terms
- Adolescent, Child, Environment Design, Female, United Kingdom, Humans, Male, Obesity, Residence Characteristics, Schools, Social Environment, Risk Reduction Behavior
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