Get Fit Kids: A Feasibility Study of a Pedometer-Based Walking Program

Williams, Anne Dearth; Warrington, Verlyn O

doi:10.1089/bar.2011.9957

Cited by 9 publications

(16 citation statements)

References 3 publications

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“…Three interventions were delivered during the school day . Effects on body measures, presented in Table , ranged from −0.06 to −1.48 for BMI, −0.09 to −0.22 for BMIz, and −0.02 and −0.32 for BMI percentile.…”

Section: Resultsmentioning

confidence: 99%

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Are School Nurses an Overlooked Resource in Reducing Childhood Obesity? A Systematic Review and Meta‐Analysis

Schroeder

Travers

Smaldone

2016

Journal of School Health

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BACKGROUND Schools are a key setting for childhood obesity interventions yet nurses are not often included in delivering these interventions. The objective of this systematic review and meta-analysis was to examine school-based interventions involving nurses in a role beyond anthropometric measurement for effect on change in body measures. METHODS We performed a systematic review and meta-analysis of these papers. RESULTS The literature search produced 2412 articles. Eleven met inclusion criteria for the systematic review (4 RCT, 7 quasi-experimental) and 8 for the meta-analysis. None have been included in prior meta-analyses. Four studies restricted eligibility to overweight and/or obese children; 7 included all children regardless of body weight. Random effects meta-analytic models represent data from 6050 (BMI), 5863 (BMIz), and 416 (BMI percentile) children respectively. Pooled analyses demonstrated statistically significant decreases in BMI (6 studies: −0.48 [95% CI −0.84, −0.12]; I2=91.2%, Q=68.1), BMIz (5 studies: −0.10 [95% CI: −0.15, −0.05]; I2=0, Q=2.3), and BMI percentile (3 studies: −0.41 [95% CI: −0.60, −0.21]; I2=0, Q=2.0). CONCLUSIONS These findings are similar to those of other meta-analyses of school-based interventions and suggest that school nurses can play a key role in implementing sustainable, effective school-based obesity interventions.

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Section: Resultsmentioning

confidence: 99%

“…Regarding confounding, although each quasi-experimental study provided a partial list of confounders to be considered in group comparisons, statistical adjustment for confounders was incomplete. 19,26,27,29,[31][32][33] No study reported their method of allocation concealment. Only 3 studies 28,31,32 reported a priori power analyses.…”

Section: Risk Of Biasmentioning

confidence: 99%

Are School Nurses an Overlooked Resource in Reducing Childhood Obesity? A Systematic Review and Meta‐Analysis

Schroeder

Travers

Smaldone

2016

Journal of School Health

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“…5/6 studies reported null effects of PA intervention on adiposity outcomes (Rowland et al 1996;Pangrazi et al 2003;Williams and Warrington 2011;Huang et al 2012;Duncan et al 2012) VERY LOW j 1/6 studies reported lower odds of overweight/obesity half way through (1 y) a school/afterschool-based total PA intervention program, at post-test (2 y) and at 2-y follow-up (Sigmundova and Sigmund 2012) 11 629 (14) Longitudinal k Risk of bias l No serious inconsistency…”

Section: No Serious Imprecisionmentioning

confidence: 99%

“…The remaining 5/6 studies reported no effect of a PA intervention on adiposity (Rowland et al 1996;Pangrazi et al 2003;Williams and Warrington 2011;Duncan et al 2012;Huang et al 2012).…”

Section: S203 Published By Nrc Research Pressmentioning

confidence: 99%

Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth

Poitras

Gray

Borghese

et al. 2016

Appl. Physiol. Nutr. Metab.

1,519

1,229

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Moderate-to-vigorous physical activity (MVPA) is essential for disease prevention and health promotion. Emerging evidence suggests other intensities of physical activity (PA), including light-intensity activity (LPA), may also be important, but there has been no rigorous evaluation of the evidence. The purpose of this systematic review was to examine the relationships between objectively measured PA (total and all intensities) and health indicators in school-aged children and youth. Online databases were searched for peer-reviewed studies that met the a priori inclusion criteria: population (apparently healthy, aged 5-17 years), intervention/exposure/comparator (volumes, durations, frequencies, intensities, and patterns of objectively measured PA), and outcome (body composition, cardiometabolic biomarkers, physical fitness, behavioural conduct/pro-social behaviour, cognition/academic achievement, quality of life/well-being, harms, bone health, motor skill development, psychological distress, self-esteem). Heterogeneity among studies precluded meta-analyses; narrative synthesis was conducted. A total of 162 studies were included (204 171 participants from 31 countries). Overall, total PA was favourably associated with physical, psychological/social, and cognitive health indicators. Relationships were more consistent and robust for higher (e.g., MVPA) versus lower (e.g., LPA) intensity PA. All patterns of activity (sporadic, bouts, continuous) provided benefit. LPA was favourably associated with cardiometabolic biomarkers; data were scarce for other outcomes. These findings continue to support the importance of at least 60 min/day of MVPA for disease prevention and health promotion in children and youth, but also highlight the potential benefits of LPA and total PA. All intensities of PA should be considered in future work aimed at better elucidating the health benefits of PA in children and youth.Key words: physical activity, body composition, cardiometabolic biomarkers, fitness, behavioural conduct, bone health, academic achievement, quality of life, well-being, children.Résumé : L'activité physique d'intensité moyenne à vigoureuse (« MVPA ») est essentielle à la prévention des maladies et à la promotion de la santé. D'après de récentes données, l'activité physique (« PA ») pratiquée à d'autres intensités telles que légères (« LPA ») s'avère aussi importante, mais il n'y a pas d'évaluation rigoureuse de ces faits. Cette analyse documentaire systématique a pour objectif d'examiner la relation entre l'activité physique mesurée objectivement (totale et à chacune des intensités) et des indicateurs de la santé chez des enfants et des jeunes d'âge scolaire. On a cherché dans des bases de données en ligne pour identifier des études révisées par des pairs et présentant a priori les critères d'inclusion suivants : population (apparemment en santé, sujets âgés de 5 à 17 ans), intervention/exposition/comparateur (volume, durée, fréquence, intensité et types de mesure objective de PA) et le résultat (composition c...

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“…A recent systematic review and meta-analysis found only 11 published school-based obesity interventions that involve nurses; the interventions were efficacious and led to small but statistically significant decrease in body measures for those enrolled (Schroeder et al, 2016). While intervention characteristics varied, many included counseling and health behavior education (Robbins, Pfeiffer, Maier, Lo, & Wesolek, 2012; Speroni, Earley, & Atherton, 2007; Tucker & Lanningham-Foster, 2015) (similar to HOP); in contrast to HOP, some also included formal parental involvement (Johnston et al, 2013; Melin & Lenner, 2009; Speroni et al, 2007; Wong & Cheng, 2013; Wright, Giger, Norris, & Suro, 2013), an interactive physical activity component (Hawthorne, Shaibi, Gance-Cleveland, & McFall, 2011; Robbins et al, 2012; Speroni et al, 2007; Williams & Warrington, 2011; Wright et al, 2013), or involvement of other school partners (i.e., teachers) (Johnston et al, 2013; Wright et al, 2013). None focused on severe obesity (Schroeder et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Implementation of a School Nurse-led Intervention for Children With Severe Obesity in New York City Schools

Schroeder

Jia

Wang

et al. 2017

Journal of Pediatric Nursing

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Purpose The Healthy Options and Physical Activity Program (HOP) is a school nurse-led intervention for children with severe obesity. HOP was developed by experts at the New York City Department of Health and Mental Hygiene and implemented in New York City schools beginning in 2012. The purpose of this study was to evaluate HOP implementation with the goal of informing HOP refinement and potential future HOP dissemination. Design and Methods This study entailed a retrospective analysis of secondary data. Analytic methods included descriptive statistics, Wilcoxon rank sum and Chi square tests, and multivariate logistic regression. Results During the 2012–2013 school year, 20,518 children were eligible for HOP. Of these, 1054 (5.1%) were enrolled in the program. On average, enrolled children attended one HOP session during the school year. Parent participation was low (3.2% of HOP sessions). Low nurse workload, low school poverty, higher grade level, higher BMI percentile, and chronic illness diagnosis were associated with student enrollment in HOP. Conclusions As currently delivered, HOP is not likely to be efficacious. Lessons learned from this evaluation are applicable to future nurse-led obesity interventions. Practice Implications Prior to implementing a school nurse-led obesity intervention, nursing workload and available support must be carefully considered. Interventions should be designed to facilitate (and possibly require) parent involvement. Nurses who deliver obesity interventions may require additional training in obesity treatment. With attention to these lessons learned, evidence-based school nurse-led obesity interventions can be developed.

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Get Fit Kids: A Feasibility Study of a Pedometer-Based Walking Program

Cited by 9 publications

References 3 publications

Are School Nurses an Overlooked Resource in Reducing Childhood Obesity? A Systematic Review and Meta‐Analysis

Are School Nurses an Overlooked Resource in Reducing Childhood Obesity? A Systematic Review and Meta‐Analysis

Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth

Implementation of a School Nurse-led Intervention for Children With Severe Obesity in New York City Schools

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