A controlled trial of health promotion programs in 11-year-olds using physical activity “enrichment” for higher risk children

Burke, Valerie; Milligan, R.; Thompson, Craig; Taggart, Andrew; Dunbar, D.; Spencer, M.; Medland, A.; Gracey, M.P.; Vandongen, R.; Beilin, Lawrence J.

doi:10.1016/s0022-3476(98)70315-4

Cited by 59 publications

(74 citation statements)

References 36 publications

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“…Burke, et al, (1998) 720 boys and girls at high risk for CVD Interactive interventions (high risk, high + low risk) that involved mandated increases in physical activity and a psychoeducational component to promote healthy diet. Main outcomes were BMI, blood pressure, cholesterol, diet, fitness, physical activity, and media use.…”

Section: Discussionmentioning

confidence: 99%

A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work.

Stice¹,

Shaw²,

Marti³

2006

Psychological Bulletin

573

571

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This meta-analytic review summarizes obesity prevention programs and their effects and investigates participant, intervention, delivery, and design features associated with larger effects. A literature search identified 64 prevention programs seeking to produce weight gain prevention effects, of which 21% produced significant prevention effects that were typically pre to post effects. Larger effects emerged for programs targeting children and adolescents (versus preadolescents) and females, programs that were relatively brief, programs solely targeting weight control versus other health behaviors (e.g., smoking), programs evaluated in pilot trials, and programs wherein participants must self-select into the intervention. Other factors, including mandated improvements in diet and exercise, sedentary behavior reduction, delivery by trained interventionists, and parental involvement, were not associated with significantly larger effects. A Meta-Analytic Review of Obesity Prevention Programs for Children and Adolescents: The Skinny on Interventions that WorkObesity in adulthood results in an increased risk for future death from all causes, coronary heart disease, atherosclerotic cerebrovascular disease, and colorectal cancer, as well as serious medical problems, including hyperlipidemia, hypertension, gallbladder disease, and diabetes mellitus (Calle, Thun, Petrelli, Rodriguez, & Heath, 1999). Obesity in childhood and adolescence is also associated with serious medical problems, including high blood pressure, adverse lipoprotein profiles, diabetes mellitus, atherosclerotic cerebrovascular disease, coronary heart disease, colorectal cancer, and death from all causes, as well as lower educational attainment and poverty (Dietz, 1998). The prevalence of obesity has increased sharply over the last three decades; currently 65% of adults are classified as overweight or obese (Hedley et al., 2004). The prevalence of obesity has risen even more sharply among adolescents and young adults (Hedley et al., 2004), which is alarming because obesity persists into adulthood for 70% of obese adolescents (Magarey, Daniels, Boulton, & Cockington, 2003). Obesity also carries a high fiscal cost; roughly $100 billion per year is spent on obesityrelated health care (Wolf, 1998).Unfortunately, successful treatments for obesity have been elusive. For adults, the current treatment of choice only results in about a 10% reduction in body weight and virtually all patients regain this weight within a few years of treatment . Obesity treatments for children and adolescents have yielded similar effects, though behavioral familybased interventions have produced more persistent weight loss effects (Epstein, Valoski, Wing, Correspondence should be addressed to Eric Stice, who is currently at Oregon Research Institute, 1715 Franklin Blvd., Eugene, Oregon, 97403. Email: estice@ori.org. Eric Stice, Heather Shaw, Department of Psychology, University of Texas at Austin. C. Nathan Marti, Department of Educational Administration, University of Tex...

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Section: Discussionmentioning

confidence: 99%

A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work.

Stice¹,

Shaw²,

Marti³

2006

Psychological Bulletin

573

571

View full text Add to dashboard Cite

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“…50 Programs appear to have been enhanced when physical activity was not merely encouraged, but made a routine part of the school day. 45,51,53 Very few studies focusing on TV reduction were available at the time this review was conducted 52,55 and only one was amenable to computation of effect size. 55 This strategy remains appealing despite the relative paucity of data and deserves further attention.…”

Section: Discussionmentioning

confidence: 99%

“…Common strategies included: parent or family member participation; [37][38][39][40][41][42][43][44][45] changing the physical environment; 43,44,[46][47][48] [37][38][39] and student training in behavioral techniques such as self-monitoring. 38,39,52,53 Detailed descriptions of each study can be found in Table 1.…”

Section: Study Identificationmentioning

confidence: 99%

Strategies for the prevention and control of obesity in the school setting: systematic review and meta-analysis

et al. 2008

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Objective: To determine the effectiveness of school-based strategies for obesity prevention and control using methods of systematic review and meta-analysis. Methods: Peer-reviewed studies published between 1966 and October 2004 were considered for review. Studies meeting eligibility criteria were published in English, targeted children aged 3-18 in a school setting, reported weight-related outcomes, included a control measurement and had at least a 6-month follow-up period. Studies employed interventions related to nutrition, physical activity, reduction in television viewing or combinations thereof. Weight related data were analyzed using RevMan software. Results: Sixty-four studies were considered for inclusion. Fourteen did not meet inclusion criteria; 29 were excluded due to poor methodological quality. Twenty-one papers describing 19 studies were included in the systematic review and 8 of these were included in the meta-analysis. Nutrition and physical activity interventions resulted in significant reductions in body weight compared with control ((standardized mean difference, SMD ¼ À0.29, 95% confidence interval (CI) ¼ À0.45 to À0.14), random effects model). Parental or family involvement of nutrition and physical activity interventions also induced weight reduction ((SMD ¼ À0.20, 95%CI ¼ À0.41 to 0.00), random effects model). Conclusion: Combination nutrition and physical activity interventions are effective at achieving weight reduction in school settings. Several promising strategies for addressing obesity in the school setting are suggested, and warrant replication and further testing.

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“…Results of several trials performed in this field [42][43][44][45][46] are encouraging, but they suggest that the effect of PA alone on preventing adiposity gain is limited. Rather than a global promotion of PA, a relevant approach for such programs would be to focus on determinants of PA decrease during puberty.…”

Section: Discussionmentioning

confidence: 99%

Changes in physical activity explain paradoxical relationship between baseline physical activity and adiposity changes in adolescent girls: the FLVS II study

et al. 2005

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OBJECTIVE:To investigate in adolescents relationships between habitual physical activity (PA) and changes in several indicators of adiposity. DESIGN: Longitudinal population-based study. The Fleurbaix-Laventie Ville Santé II (FLVS II) study in Northern France. SUBJECTS: A total of 222 boys and 214 girls aged 8-18 y, not obese at inclusion. MEASUREMENTS: PA (Modifiable Activity Questionnaire) and adiposity (body mass index (kg/m 2 ), percent body fat by bioimpedance analysis, sum of four skinfolds, waist circumference) were assessed in 1999 and 2001. Adiposity indicators adjusted for age and pubertal stage were compared between groups of baseline PA and between groups of PA changes, separately by sex. RESULTS: At baseline, PA was not associated with adiposity indicators in both sexes. In girls only, being in the group with the highest age-relative level of moderate PA at baseline predicted the highest adiposity gain from baseline to follow-up, for all indicators. After adjustment for baseline values, all adiposity indicators were higher at follow-up in girls who had decreased their relative level of moderate PA during follow-up. In boys, changes in adiposity during follow-up were not significantly different across groups of PA changes. However, the sum of skinfolds at follow-up, adjusted for baseline value, tended to be higher in those who decreased their vigorous PA level and lower in those who increased it. CONCLUSION: In adolescent girls, a decrease in PA rather than inactivity per se may result in increased adiposity over time.

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A controlled trial of health promotion programs in 11-year-olds using physical activity “enrichment” for higher risk children

Cited by 59 publications

References 36 publications

A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work.

A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work.

Strategies for the prevention and control of obesity in the school setting: systematic review and meta-analysis

Changes in physical activity explain paradoxical relationship between baseline physical activity and adiposity changes in adolescent girls: the FLVS II study

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