Implementing organizational changes to promote healthful diet and physical activity at school

Simons-Morton, Bruce G.; Parcel, Guy S.; O'Hara, Nancy M.

doi:10.1177/109019818801500110

Cited by 64School Health and Nursing EducationObesity, Physical Activity, DietNutrition, Health and Food Behavior

Implementing organizational changes to promote healthful diet and physical activity at school

Simons-Morton, Bruce G., Parcel, Guy S., O'Hara, Nancy M.·1988·Health Education Quarterly

DOI 10.1177/109019818801500110

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Abstract

Diet and physical activity patterns appear to be learned at early ages, suggesting the need for school-based intervention. The potential of schools to improve children's diet and physical activity has been offset by countervailing school environments. In the first year of the "Go For Health" health promotion project, organizational change innovations were implemented to facilitate changes in school lunch, physical education, and classroom health education in support of healthful student diet and physical activity. At first follow-up after one year of intervention, the amount of sodium in selected foods served in school lunch was reduced from baseline (1985) to year one (1986) in the experimental schools by 29 and 33%, respectively, and fat was reduced by 28 and 42%, respectively. At first follow-up, students in the experimental schools participated in fitness activities 44.1 and 38.0% of the time, compared with 19.5 and 22.7% in the control schools.

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Of the seven nonrandomized studies, three were considered as high risk of confounding.
“Of the seven nonrandomized studies, three were considered as high risk of confounding [26, 52, 59], while it was unclear in the remaining five studies whether confounders had been sufficiently adjusted for [39, 43, 57, 61, 67].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [59]
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 [59]
Several studies within the review found significant reductions in total energy provided by lunch meals, in magnitudes exceeding 200 kJ.
“and total energy [59] provided by lunch meals, in magnitudes exceeding 200 kJ”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [59]

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Changes in School Health Program Improve Middle School Students' Behaviors
de Visser, R. S., Sylvester, R., Rogers, R., Kline-Rogers, E. M., DuRussel‐Weston, J., Eagle, K. A., & Jackson, E. A. (2016) · American Journal of Health Behavior · doi:10.5993/ajhb.40.5.3 · Cited by 8 · see citing works

Authors: Simons-Morton, B. G., Parcel, G. S., & O'Hara, N. M.
Affiliations: University of Texas Medical Branch
The University of Texas Medical Branch at Galveston (US)
Venue: Health Education Quarterly
Publisher: SAGE Publications
Published: 1988-03
Volume: 15
Issue: 1
Pages: 115-130
ISSN: 0195-8402 (ISSN-L)
DOI: 10.1177/109019818801500110
OpenAlex: W1990273182
Cited by: 63
References: 21
Citations by year: 2024: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 2 · 2017: 2 · 2012: 3
FWCI: 22.73
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Health Education Quarterly (publishedVersion)
PubMed (publishedVersion)
Funders: National Heart, Lung, and Blood Institute (HL 33376)
Topics: Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords: organizational change, school health promotion, school meals, sodium reduction, dietary fat reduction, physical education, physical activity, children's diet, school environment
MeSH terms: Child, Diet, Physical Exertion, Food Services, Health Education, Health Promotion, Humans, Physical Education and Training, Schools, Texas

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Implementing organizational changes to promote healthful diet and physical activity at school

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