Systematic review and meta-analysis of school-based obesity interventions in mainland China
Open accessAbstract
BACKGROUND: Numerous school-based interventions for childhood obesity have been emerging in mainland China in recent decades, but little is known about the effectiveness of such interventions. This study aims to assess the effectiveness of school-based interventions for childhood obesity conducted in mainland China. METHODS: A systematic search was undertaken in eight databases to identify both randomized and non-randomized controlled trials from January 1990 to December 2015 examining the effectiveness of school-based obesity interventions. A random effects meta-analysis was conducted assessing the impact of included interventions on (body mass index) BMI. The quality of each included studies were assessed using Effective Public Health Practice Project Quality Assessment Tool. A P value <0.05 (two-sided) was considered statistically significant. RESULT: Of the seventy-six included studies, we found physical activity and health education were the two most common components of interventions. More treatment studies were effective compared with prevention studies (85.0% vs. 58.3%). Comprehensive interventions involving physical activity and health education appeared more effective than the physical activity only interventions in both obesity treatment and prevention studies. The meta-analyses showed comprehensive interventions involving physical activity and health education had larger effect on the change of BMI than physical activity only interventions (treatment studies: -1.80 kg/m2 (95% CI: -2.15,-1.44) vs. -0.91 kg/m2 (95% CI: -1.15,-0.67); prevention studies: -0.19 kg/m2 (95% CI: -0.27, -0.11) vs. +0.05 kg/m2 (95% CI: -0.04, +0.15)). CONCLUSIONS: Comprehensive school-based interventions may assist in tackling the rising prevalence of childhood obesity in mainland China.
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Synthesised evidence on school-based interventions for preventing obesity among Chinese school-aged children suggests that comprehensive interventions involving physical activity and health education may be more effective than physical activity alone.
“In addition, synthesised evidence on school-based interventions for preventing obesity among Chinese school-aged children suggests that comprehensive interventions involving physical activity and health education may be more effective than physical activity alone.122”
From Physical activity and health in Chinese children and adolescents: expert consensus statement (2020) (2020) · cites this paper as [122]
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- Authors
- Feng, L., Wei, D.-M., Lin, S.-T., Maddison, R., Ni Mhurchu, C., Jiang, Y., Gao, Y., & Wang, H.-J.
- Affiliations
- Peking University (CN)
- Deakin University (AU)
- University of Auckland (NZ)
- Hong Kong Baptist University (HK)
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2017-09-14
- Volume
- 12
- Issue
- 9
- Pages
- e0184704
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC5598996
- OpenAlex
- W2754579317
- Cited by
- 67
- References
- 68
- Citations by year
- 2025: 7 · 2024: 9 · 2023: 7 · 2022: 6 · 2021: 14 · 2020: 9 · 2019: 12 · 2018: 3
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- Chinese Medical Board (project No.11-064)
- 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 › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- childhood obesity, school-based intervention, body mass index, physical activity, health education, obesity prevention, obesity treatment, intervention effectiveness, mainland China
- MeSH terms
- Adolescent, Child, China, Clinical Trials as Topic, Female, Health Education, Humans, Male, Schools, Program Evaluation, Exercise, Body Mass Index, Overweight, Pediatric Obesity
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