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Cited by 189Cardiovascular Health and Risk FactorsSchool Health and Nursing EducationObesity, Physical Activity, Diet

The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index.

Effects of a school-based intervention to reduce cardiovascular disease risk factors in elementary-school children: The Cardiovascular Health in Children (CHIC) Study

Harrell, Joanne S., McMurray, Robert G., Bangdiwala, Shrikant I., Frauman, Annette C., Gansky, Stuart A., Bradley, Chyrise B.·1996·The Journal of Pediatrics
DOI 10.1016/s0022-3476(96)70332-3
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Abstract

Objective To test a classroom-based intervention to reduce cardiovascular disease risk factors in elementary school children.Study design This was a randomized, controlled field trial in 12 schools across North Carolina, stratified by geographic region and urban/rural setting. Subjects were 1274 third and fourth graders (48% boys). The intervention, taught by regular classroom and physical education teachers, provided all children an 8-week exercise program and 8 weeks of classes on nutrition and smoking. Data were analyzed at the school level with survey regression models and at the individual level with multivariate analysis of variance and analysis of covariance models; 95% confidence intervals were computed.Results Children in the intervention group had significantly greater knowledge (7.9% more correct) and a significant increase in self-reported physical activity than children in the control group. Trends for the intervention group were a reduction in total cholesterol level (-5.27 mg/dl), an increase in aerobic power, a reduction in body fat, and smaller rise in diastolic blood pressure than control children.Conclusions This classroom-based, public health approach improved children's cardiovascular disease risk profiles; it is practical and fairly easy to incorporate into the school day. All children directly receive the potential benefits of the intervention without a risk of labeling. This program can improve health knowledge, habits, and health outcomes of young children at a time when health habits are being formed.

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Research works printed but not linked: 3

  1. Williams, 1994, Coronary heart disease prevention in childhood part I: background and rationale, Medicine, Exercise, Nutrition and Health, 3, 194
  2. Frohlich, 1988, Recommendations for human blood pressure determination by sphygmomanometers: report of a special task force appointed by the Steering Committee, American Heart Association, Hypertension, 11, 209A
  3. McMurray, 1995, Biologic and environmental factors influencing the aerobic power of children, Med Exerc Nutr Health, 4, 243

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Metadata

Authors
Harrell, J. S., McMurray, R. G., Bangdiwala, S. I., Frauman, A. C., Gansky, S. A., & Bradley, C. B.
Affiliations
University of North Carolina at Chapel Hill (US)
ORCID
Venue
The Journal of Pediatrics
Publisher
Elsevier BV
Published
1996-06
Volume
128
Issue
6
Pages
797-805
ISSN
0022-3476 (ISSN-L)
DOI
10.1016/s0022-3476(96)70332-3
OpenAlex
W1991704523
Cited by
189
References
42
Citations by year
2025: 5 · 2024: 4 · 2023: 2 · 2022: 3 · 2020: 3 · 2019: 1 · 2018: 6 · 2017: 4 · 2016: 5 · 2015: 13 · 2014: 6 · 2013: 16 · 2012: 8
FWCI
4.06
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The Journal of Pediatrics (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • U.S. Public Health Service (R01-1837)
  • National Institute of Nursing Research (R01NR001837)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
cardiovascular risk factors, school-based intervention, elementary school students, physical activity, nutrition education, smoking prevention, cholesterol, aerobic power, fat mass, blood pressure, health knowledge
MeSH terms
Cardiovascular Diseases, Child, Cholesterol, Curriculum, Female, Health Education, Humans, Health Knowledge, Attitudes, Practice, Male, North Carolina, Risk Factors, Rural Population, Urban Population, Program Evaluation

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