Randomised controlled trial adapting US school obesity prevention to England

Kipping, R R; Payne, C; Lawlor, D A

doi:10.1136/adc.2007.116970

Cited by 83Obesity, Physical Activity, DietSchool Health and Nursing EducationPhysical Activity and Health

Randomised controlled trial adapting US school obesity prevention to England

Kipping, R R, Payne, C, Lawlor, D A·2008·Archives of Disease in Childhood

DOI 10.1136/adc.2007.116970

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Abstract

OBJECTIVES: To determine whether a school obesity prevention project developed in the United States can be adapted for use in England. METHODS: A pilot cluster randomised controlled trial and interviews with teachers were carried out in 19 primary schools in South West England. Participants included 679 children in year 5 (age 9-10). Baseline and follow-up assessments were completed for 323 children (screen viewing) and 472 children (body mass index). Sixteen lessons on healthy eating, physical activity and reducing TV viewing were taught over 5 months by teachers. Main outcome measures were hours of screen activities, body mass index, mode of transport to school and teachers' views of the intervention. RESULTS: Children from intervention schools spent less time on screen-viewing activities after the intervention but these differences were imprecisely estimated: mean difference in minutes spent on screen viewing at the end of the intervention (intervention schools minus control schools) adjusted for baseline levels and clustering within schools was -11.6 (95% CI -42.7 to 19.4) for a week day and was -15.4 (95% CI -57.5 to 26.8) for a Saturday. There was no difference in mean body mass index or the odds of obesity. CONCLUSIONS: It is feasible to transfer this US school-based intervention to UK schools, and it may be effective in reducing the time children spend on screen-based activities. The study has provided information for a full-scale trial, which would require 50 schools ( approximately 1250 pupils) to detect effects on screen viewing and body mass index over 2 years of follow-up.

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For Kipping 2008, the review judged random sequence generation as unclear risk, quoting that random allocation to intervention or control school was concealed and done by one of the authors.
“Unclear risk Quote:”
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 Kipping 2008
In Kipping 2008, confounding was adequately controlled.
“all relevant confounders were controlled for”
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 Kipping 2008
In Kipping 2008, outcome assessment for height and weight was blinded: school health assistants taking the measurements were unaware of school allocation.
“school health assistants, who were blinded to the allocation of schools, took height and weight measurements”
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 Kipping 2008
In Kipping 2008, the physical activity measurement instrument was not demonstrated to be valid or reliable, although other measurements were.
“the physical activity instrument was not shown to be valid or reliable although other measurements were”
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 Kipping 2008
In Kipping 2008, selective reporting bias was low because all a priori identified outcomes were reported.
“all outcomes identified a priori were reported on”
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 Kipping 2008

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Additional file 5 of Identifying effective intervention strategies to reduce children’s screen time: a systematic review and meta-analysis
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Additional file 2 of The effectiveness and complexity of interventions targeting sedentary behaviour across the lifespan: a systematic review and meta-analysis
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Additional file 1 of The effectiveness and complexity of interventions targeting sedentary behaviour across the lifespan: a systematic review and meta-analysis
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Additional file 4 of Identifying effective intervention strategies to reduce children’s screen time: a systematic review and meta-analysis
Jones, A., Armstrong, B., Weaver, R. G., Parker, H., von Klinggraeff, L., & Beets, M. W. (2021) · Figshare · doi:10.6084/m9.figshare.16633427
Additional file 3 of Identifying effective intervention strategies to reduce children’s screen time: a systematic review and meta-analysis
Jones, A., Armstrong, B., Weaver, R. G., Parker, H., von Klinggraeff, L., & Beets, M. W. (2021) · Figshare · doi:10.6084/m9.figshare.16633424
Additional file 1 of Identifying effective intervention strategies to reduce children’s screen time: a systematic review and meta-analysis
Jones, A., Armstrong, B., Weaver, R. G., Parker, H., von Klinggraeff, L., & Beets, M. W. (2021) · Figshare · doi:10.6084/m9.figshare.16633418
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Randomised controlled trial adapting US school obesity prevention to Englan
Kipping, R., Jago, R., & Lawlor, D. (2008) · Bristol Research (University of Bristol)
Published Online First
Payne, C., Lawlor, D. A., South, E. G., & Uk, G. (2008)
Effectiveness of a childhood obesity prevention programme delivered through schools, targeting 6 and 7 year olds: Cluster randomised controlled trial (WAVES study)
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Adab, P., Barrett, T. G., Bhopal, R. S., Cade, J. E., Canaway, A., Cheng, K. K., Clarke, J. L., Daley, A., Deeks, J. J., Duda, J. L., et al. (2018) · Health Technology Assessment · doi:10.3310/hta22080 · Cited by 41 · see citing works

Authors: Kipping, R. R., Payne, C., & Lawlor, D. A.
Affiliations: University of Bristol (GB)
Corresponding author: Kipping, R R
ORCID: Kipping, R R
Lawlor, D A
Venue: Archives of Disease in Childhood
Publisher: BMJ
Published: 2008-06-01
Volume: 93
Issue: 6
Pages: 469-473
ISSN: 0003-9888 (ISSN-L)
1468-2044
DOI: 10.1136/adc.2007.116970
OpenAlex: W2135053803
Cited by: 83
References: 21
Citations by year: 2025: 2 · 2024: 1 · 2023: 1 · 2022: 5 · 2021: 9 · 2020: 7 · 2019: 5 · 2017: 5 · 2016: 5 · 2015: 5 · 2014: 6 · 2013: 11 · 2012: 7
FWCI: 4.64
Type: journal article
Language: en
Open access: closed
Locations: Archives of Disease in Childhood (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute for Health and Care Research
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: school-based obesity prevention, screen viewing, television viewing, body mass index, childhood obesity, healthy eating education, physical activity, intervention adaptation, elementary school students, teacher perceptions
MeSH terms: Child, Child Nutritional Physiological Phenomena, England, Female, Health Promotion, Humans, Male, Obesity, Pilot Projects, Schools, United States, Program Evaluation, Health Behavior, Body Mass Index, Risk Reduction Behavior

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Randomised controlled trial adapting US school obesity prevention to England

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