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School-Based Interventions for Health Promotion and Weight Control: Not Just Waiting on the World to Change
Abstract
Controversy persists regarding the utility of school-based interventions for obesity prevention and control and for related health promotion. This article reviews the pertinent evidence, based partly on a recent systematic review and meta-analysis by the author and colleagues. Of 64 relevant papers, 21 papers representing 19 distinct studies met quality criteria; half of these were published since 2000. Despite marked variation in measures, methods, and populations that handicap interpretation of this literature, evidence clearly demonstrated that school-based interventions had significant effects on weight. Thus available research evidence does present a case for school-based interventions. Despite the fact that such evidence is limited to date, the urgency of the obesity and diabetes epidemics cries out for action. Intervention is warranted on the basis of both extant evidence and common sense, with methodologically robust evaluation concomitantly to test our assumptions and verify our intuition.
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“children are increasingly exhibiting risk factors for CVD, such as obesity (Hill 1998;Katz 2009;Moran 1999;Troiano 1995;Warden 1997), elevated blood lipids (Lee 1986), and hypertension (Fernandes 2000;Katz 2009)”
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 Katz 2009
In the citing paper
“Another meta-analysis of school-based obesity prevention interventions found a positive effect on weight, and clearly argued the need for ongoing school-based intervention (Katz 2009).”
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 Katz 2009
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Metadata
- Authors
- Katz, D. L.
- Affiliations
- Yale University (US)
- Corresponding author
- Katz, D.L.
- ORCID
- Katz, D.L.
- Venue
- Annual Review of Public Health
- Publisher
- Annual Reviews
- Published
- 2009-04-01
- Volume
- 30
- Issue
- 1
- Pages
- 253-272
- ISSN
- 0163-7525 (ISSN-L)
- 1545-2093
- OpenAlex
- W2116638403
- Cited by
- 169
- References
- 120
- Citations by year
- 2025: 1 · 2023: 6 · 2022: 6 · 2021: 10 · 2020: 11 · 2019: 11 · 2018: 7 · 2017: 6 · 2016: 11 · 2015: 9 · 2014: 17 · 2013: 16 · 2012: 18
- FWCI
- 2.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annual Review of Public Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention (U48/CCU115802)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Keywords
- school-based intervention, obesity prevention, weight management, health promotion, childhood obesity, diabetes prevention, intervention effectiveness
- MeSH terms
- Adolescent, Adolescent Behavior, Child, Child Behavior, Child, Preschool, Female, Health Education, Health Promotion, Humans, Male, Schools, Television, United States, Weight Gain, Weight Loss, Health Behavior, Exercise, Randomized Controlled Trials as Topic, Sex Distribution, Overweight
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