Reductions in child obesity among disadvantaged school children with community involvement: The Travis County CATCH Trial
Abstract
The objective of this study was to compare the impact of two intervention approaches on the prevalence of child overweight and obesity: (i) Coordinated Approach To Child Health BasicPlus (CATCH BP), in which schools were provided evidence-based coordinated school health program training, materials, and facilitator support visits, and (ii) CATCH BP and Community (BPC), in which BP schools received additional promotion of community partnerships with the aim of integrating community members and organizations into schools, local decision making and action, and best practices workshops. Schools (n = 97) in four central Texas districts were recruited to participate in the 4-year project. Of the low-income schools (n = 58), 15 schools were selected to receive the BPC intervention and matched with 15 schools in the BP condition. A serial cross-sectional design was used, in which 4th grade student BMI, physical activity, and diet were assessed in the 30 schools in spring 2007 and 2008. Measurements in spring 2007 included 1,107 students, with 53% female; 61% Hispanic, and 14% African American; and mean age of 9.9 years. Adjusted prevalence of overweight/obesity (>or=85th percentile) was 42.0 and 47.4% in spring 2007 for the BP and BPC students, respectively. From spring 2007 to spring 2008, the percent of students classified as overweight/obese decreased by 1.3 percentage points (P = 0.33) in BP schools, compared to a decrease of 8.3 percentage points (P < 0.005) in students from BPC schools; the difference between conditions was significant (P = 0.05). CATCH BPC students also reported more positive trends in related behaviors. Implementation of a community-enhanced school program can be effective in reducing the prevalence of child overweight in low-income student populations.
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Seventeen of the included studies were assessed as high risk of detection bias.
“Seventeen of the included studies were assessed as high risk [26, 28, 37, 41, 43, 44, 46–49, 52, 54–56, 58, 66, 67] and seven studies were assessed as low risk of detection bias [27, 42, 51, 53, 60, 62, 63].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [49]
Among studies reporting other continuous implementation outcomes (e.g., quantity of physical activity lessons), findings were mixed.
“Among studies reporting other continuous implementation outcomes (e.g., quantity of physical activity lessons), findings were mixed [43, 44, 46, 48, 49, 59, 64, 66].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [49]
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- Authors
- Hoelscher, D. M., Springer, A. E., Ranjit, N., Perry, C. L., Evans, A. E., Stigler, M., & Kelder, S. H.
- Affiliations
- Michael & Susan Dell Center for Healthy Living (US)
- Corresponding author
- Hoelscher, Deanna M.
- Venue
- Obesity
- Publisher
- Wiley
- Published
- 2010-02
- Volume
- 18
- Issue
- S1
- Pages
- S36-44
- ISSN
- 1930-7381 (ISSN-L)
- 1930-739X
- OpenAlex
- W1968634569
- Cited by
- 182
- References
- 34
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 5 · 2023: 10 · 2022: 13 · 2021: 10 · 2020: 10 · 2019: 15 · 2018: 6 · 2017: 13 · 2016: 15 · 2015: 16 · 2014: 14 · 2013: 14 · 2012: 13
- FWCI
- 13.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity (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 › Medicine › Physiology › Physical Activity and Health
- Keywords
- childhood obesity, childhood overweight, coordinated school health programs, CATCH program, community partnerships, school-community partnership, low-income schools, school-based intervention, body mass index, physical activity, diet, disadvantaged children
- MeSH terms
- Child, Community Participation, Cross-Sectional Studies, Diet, Female, Health Education, Health Promotion, Humans, Male, Obesity, Outcome and Process Assessment, Health Care, Schools, Students, United States, Health Behavior, Exercise, Body Mass Index, Prevalence, Evidence-Based Medicine, Overweight, Community-Based Participatory Research
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