Effective multi-level, multi-sector, school-based obesity prevention programming improves weight, blood pressure, and academic performance, especially among low-income, minority children.

Effective multi-level, multi-sector, school-based obesity prevention programming improves weight, blood pressure, and academic performance, especially among low-income, minority children.
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DOI:
10.1353/hpu.0.0304
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发表时间:
2010-05-01
影响因子:
1.4
通讯作者:
Messiah, Sarah E
Messiah, Sarah E
中科院分区:
医学4区
文献类型:
--
作者:
Hollar, Danielle;Lombardo, Michelle;Messiah, Sarah E

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成功解决儿童期发病肥胖问题需要多层面(个人、社区和政府)、多机构的合作。方法:公立学龄儿童健康选择(HOPS)/OrganWise Guys (OWG)准实验对照先导研究(4所干预学校,1所对照学校,总N=3,769; 50.2%为西班牙裔)是一项以小学为基础的肥胖预防干预,旨在使儿童保持正常、健康的体重,改善健康状况和学业成绩。HOPS/OWG包括以下可复制的整体组成部分:(1)修改膳食供应;(2)营养/生活方式教育课程;(3)体力活动成分;(4)健康项目。在为期两年的研究期间(2004-6)收集了人口统计学、人体测量学(体重指数[BMI])、血压和学术数据。结果:与对照组相比,干预组在BMI、血压和学业成绩方面有统计学上的显著改善,尤其是在低收入西班牙裔和白人儿童中。结论:以学校为基础的全面预防肥胖干预措施可以改善健康结果和学习成绩,特别是在高危人群中。
INTRODUCTION: Successfully addressing childhood onset obesity requires multilevel (individual, community, and governmental), multi-agency collaboration.METHODS: The Healthier Options for Public Schoolchildren (HOPS)/OrganWise Guys (OWG) quasi-experimental controlled pilot study (four intervention schools, one control school, total N=3,769; 50.2% Hispanic) was an elementary school-based obesity prevention intervention designed to keep children at a normal, healthy weight, and improve health status and academic achievement. The HOPS/OWG included the following replicable, holistic components: (1) modified dietary offerings, (2) nutrition/lifestyle educational curricula; (3) physical activity component; and (4) wellness projects. Demographic, anthropometric (body mass index [BMI]), blood pressure, and academic data were collected during the two-year study period (2004-6).RESULTS: Statistically significant improvements in BMI, blood pressure, and academic scores, among low-income Hispanic and White children in particular, were seen in the intervention versus controls.CONCLUSION: Holistic school-based obesity prevention interventions can improve health outcomes and academic performance, in particular among high-risk populations.