Physical activity and nutrition education at the school environment aimed at preventing childhood obesity: evidence from systematic reviews

Guerra, Paulo Henrique; Silveira, Jonas Augusto Cardoso da; Salvador, Emanuel Péricles

doi:10.1016/j.jped.2015.06.005

Cited by 49 publications

(49 citation statements)

References 35 publications

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“…El rápido incremento de la obesidad infantil se explica en parte por los cambios en los patrones de actividad física. Estudios evidencian que la población infantil no cumple con la recomendación de una hora diaria de actividad física, de manera que las intervenciones enfocadas en fomentarla dentro de la escuela, con recreos activos y clases de educación física, por ejemplo, son una buena estrategia para reducir la prevalencia de exceso de peso (Cooper y Page, 2005;Suh y Kim, 2012;Guerra, da Silveira y Péricles, 2016).…”

Section: Ambiente De Actividad Físicaunclassified

Factores obesogénicos en el entorno escolar público costarricense durante 2015-2016

Molina

Rojas

Castro

et al. 2019

PSM

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http://ccp.ucr.ac.cr/revista/ Población y Salud en Mesoamérica Doi: https://doi.org/10.15517/psm.v17i1.37858 Volumen 17, número 1, Art. Cient. Julio-diciembre 2019 Calvo Molina et al. Factores obesogénicos en el entorno escolar público costarricense durante 2015-2016Obesogenic factors in costarican public school environment between 2015-2016 RESUMEN: Objetivo: esta investigación descriptiva hace un análisis de distintos factores del entorno escolar asociados al estado nutricional, específicamente al sobrepeso y obesidad, de estudiantes matriculados en diez escuelas públicas de La Unión de Cartago, Costa Rica, durante el 2015-2016. Metodología: se determinó el estado nutricional y características del estilo de vida de 1268 estudiantes, se evaluaron las meriendas, la alimentación del comedor estudiantil y las ventas de alimentos dentro de los centros educativos. Además, se utilizó un Sistema de Información Geográfica (SIG) para ubicar puntos de venta de alimentos y de recreación en un radio de 400 m alrededor de las escuelas. Resultados: el 35% de la muestra tenía exceso de peso. Los alimentos de las meriendas y aquellos vendidos dentro y fuera de las escuelas eran altamente energéticos y de bajo valor nutricional. En los comedores estudiantiles los tamaños de porción no eran adecuados y se servía en exceso alimentos fuente de carbohidratos. El 47% de estudiantes utilizaba juegos electrónicos más de tres veces por semana, el 65% no participaba en actividades deportivas y había desaprovechamiento de las clases de educación física. Solo tres escuelas tenían áreas de recreación disponibles y sus alrededores en buenas condiciones. Conclusión: diversos factores del entorno escolar pertenecientes al microsistema promueven la sobrealimentación y el sedentarismo, por lo que podrían estar contribuyendo con el exceso de peso en la población infantil.Palabras Claves: Ambiente alimentario, alimentación escolar, ambiente de actividad física, estado nutricional, obesidad infantil, preescolares, sistemas de información geográfica.ABSTRACT: Objective: this descriptive investigation makes an analysis of different school environment factors associated with nutritional status, specifically overweight and obesity, of students enrolled in ten public schools in La Union de Cartago, Costa Rica, during 2015-2016. Methodology: The study determinates the nutritional status and characteristics of the lifestyle of 1268 children. Also snacks taken by students, school meals and food sales within schools were evaluated. In addition, a Geographic Information System (GIS) was used to locate food points of sale and recreation areas within a radius of 400 m around the schools. Results: 35% of the children were overweight. Foods from snacks and those sold inside and outside of schools provide high amounts of energy and low nutritional value. Regarding meals provided in the school's cafeteria, the portion sizes were not adequate, and an excess of foods containing carbohydrate was served. 47% of the children played electronic games more than three time...

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Section: Ambiente De Actividad Físicaunclassified

Factores obesogénicos en el entorno escolar público costarricense durante 2015-2016

Molina

Rojas

Castro

et al. 2019

PSM

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“…33 Recent studies from Mexico and Europe support school-and preschoolbased interventions for obesity prevention through introduction of nutritious diets for school breakfast and lunch and making physical activity an integral part of the school curriculum. [34][35][36][37] Other obesityprevention strategies include laws and regulation and taxes and subsidies to restrict marketing of unhealthy foods and beverages to adolescents. 38 Prevention and management of prediabetes and management in pregnancy.…”

Section: Micronutrient Supplementation or Fortification In At-risk Pomentioning

confidence: 99%

Delivering an action agenda for nutrition interventions addressing adolescent girls and young women: priorities for implementation and research

Bhutta

Lassi

Bergeron

et al. 2017

Annals of the New York Academy of Sciences

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Adolescent nutritional behaviors are assuming considerable importance in nutrition interventions given their important relationships with medium-and long-term outcomes. This is the period when young people undergo major anatomical and physiological maturational changes in preparation for adulthood. Nutritional requirements during puberty are higher during adolescence than during the prepubertal stage and during adulthood. A significant proportion of adolescents also become parents, and hence the importance of their health and nutritional status before as well as during pregnancy has its impact on their own health, fetal well-being, and newborn health. In this paper, we describe the evidence-based nutrition recommendations and the current global guidance for nutrition actions for adolescents. Despite the limitations of available information, we believe that a range of interventions are feasible to address outcomes in this age group, although some would need to start earlier in childhood. We propose packages of preventive care and management comprising nutrition-specific and nutrition-sensitive interventions to address adolescent undernutrition, overnutrition, and micronutrient deficiencies. We discuss potential delivery platforms and strategies relevant to low-and middle-income countries. Beyond the evidence synthesis, there is a clear need to translate evidence into policy and for implementation of key recommendations and addressing knowledge gaps through prioritized research.

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“…The school setting has been recognized as an important intervention venue for obesity prevention because children and adolescents spend a significant amount of time in schools and share the surrounding environment that might influence their energy balance‐related behaviours, including diet and physical activity . Overall, school‐based obesity prevention programmes have been found to be most effective when they are theory‐based, behaviourally focused, long‐term (1‐4 years), include multicomponents such as parent involvement, and when the school environment and policy modifications are incorporated within the intervention programmes …”

Section: Introductionmentioning

confidence: 99%

School‐level factors associated with obesity: A systematic review of longitudinal studies

et al. 2019

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Although school has been an important intervention venue for obesity prevention, the role of school-level factors in obesity development or prevention has not been well-documented. This study aimed to systematically examine the current evidence on school-level factors associated with obesity outcomes in longitudinal studies. The literature search was performed in PubMed, EMBASE, CINHAL, and PsycINFO. Peer-reviewed articles using longitudinal study designs and published in English from 1991 to 2018 were eligible. Twelve articles met eligibility criteria for final systematic review. Nine studies reported significant long-term associations between school-level factors and obesity outcomes. Higher parental education, longer minutes of recess, meeting recommended recess and physical education time, higher socio-economic status, suburban compared with rural area, higher parental involvement in school, and healthful school food environment were significantly associated with lower rates of obesity or obesity trajectory. However, due to the small number of studies and heterogeneity of measures and variables used in their analytic models, the overall level of evidence from this review suggests the importance of further, systematic study. Empirically rigorous research is needed to identify additional aspects of the school context and environment that may contribute to the risk of obesity throughout the life course. KEYWORDS childhood obesity, longitudinal study, schools, systematic review 1 | INTRODUCTIONThe school setting has been recognized as an important intervention venue for obesity prevention because children and adolescents spend a significant amount of time in schools and share the surrounding environment that might influence their energy balance-related behaviours, including diet and physical activity. 1-4 Overall, schoolbased obesity prevention programmes have been found to be most effective when they are theory-based, behaviourally focused, longterm (1-4 years), include multicomponents such as parent involvement, 3-6 and when the school environment and policy modifications are incorporated within the intervention programmes. 3,4,7,8 Systematic reviews and meta-analyses of school-based obesity prevention programmes have indicated promising results on dietary and/or physical activity behaviour changes, yet limited success on adiposity reduction has been reported, with pooled effect sizes ranging from 0.072 to 0.17. 1,3,5,9 Possible reasons for the limited success rates

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Physical activity and nutrition education at the school environment aimed at preventing childhood obesity: evidence from systematic reviews

Cited by 49 publications

References 35 publications

Factores obesogénicos en el entorno escolar público costarricense durante 2015-2016

Factores obesogénicos en el entorno escolar público costarricense durante 2015-2016

Delivering an action agenda for nutrition interventions addressing adolescent girls and young women: priorities for implementation and research

School‐level factors associated with obesity: A systematic review of longitudinal studies

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