Response to school‐based interventions for overweight and obesity: A systematic scoping review

Arlinghaus, Katherine R.; Cepni, Aliye B.; Helbing, Rachel; Goodman, Lenora P.; Ledoux, Tracey; Johnston, Craig A.

doi:10.1111/cob.12557

Cited by 3 publications

(1 citation statement)

References 66 publications

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“…Additionally, a paucity of information exists on United Kingdom school staff 's perspectives on adolescents' school-based food choices and their recommendations for improvement, limiting the ability for comparisons between key stakeholder groups to be examined. Furthermore, to aid in successful intervention design, consulting with school staff may provide researchers with a better understanding of any existing implementation practicalities to consider, such as schools' academic priorities, available resources and the need to avoid overburdening staff (36).…”

Section: Introductionmentioning

confidence: 99%

Factors that influence food choices in secondary school canteens: a qualitative study of pupil and staff perspectives

Devine

Gallagher

Briggs

et al. 2023

Front. Public Health

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BackgroundAdolescence is recognised as a period of nutritional vulnerability, with evidence indicating that United Kingdom adolescents have suboptimal dietary intakes with many failing to meet dietary recommendations. Additionally, adolescence is a time of transition when they become more independent in their dietary choices and begin to develop their own sense of autonomy and are less reliant on their parent’s guidance, which is reported to lead to less favourable dietary behaviours. Reducing the prevalence of poor dietary intakes and the associated negative health consequences among this population is a public health priority and schools represent an important setting to promote positive dietary behaviours. The aim of this school-based study was to explore the factors and barriers which influence food choices within the school canteen and to identify feasible strategies to promote positive dietary behaviours within this setting.MethodsThirteen focus groups with 86 pupils in Year 8 (n = 37; aged 11–12 years) and Year 9 (n = 49; aged 12–13 years) in six secondary schools across Northern Ireland, United Kingdom were conducted. Additionally, one-to-one virtual interviews were conducted with 29 school staff [principals/vice-principals (n = 4); teachers (n = 17); and caterers (n = 7)] across 17 secondary schools and an Education Authority (EA) senior staff member (n = 1). Focus groups and interviews were audio-recorded, transcribed, and analysed following an inductive thematic approach.ResultsUsing the ecological framework, multiple factors were identified which influenced pupils’ selection of food in the school canteen at the individual (e.g., time/convenience), social (e.g., peer influence), physical (e.g., food/beverage placement), and macro environment (e.g., food provision) level. Suggestions for improvement of food choices were also identified at each ecological level: individual (e.g., rewards), social (e.g., pupil-led initiatives), physical (e.g., labelling), and macro environment (e.g., whole-school approaches).ConclusionLow-cost and non-labour intensive practical strategies could be employed, including menu and labelling strategies, placement of foods, reviewing pricing policies and whole-school initiatives in developing future dietary interventions to positively enhance adolescents’ food choices in secondary schools.

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Section: Introductionmentioning

confidence: 99%

Factors that influence food choices in secondary school canteens: a qualitative study of pupil and staff perspectives

Devine

Gallagher

Briggs

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

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Response to school‐based interventions for overweight and obesity: A systematic scoping review

et al. 2022

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Heterogeneity of response to paediatric obesity interventions is one of the greatest challenges to obesity care. While evaluating school-based interventions by mean changes compared to control is important, it does not provide an understanding of the individual variability in response to intervention. The objective of this study was to comprehensively review school-based interventions that reported study results in terms of response and identify definitions of response used. A scoping review was conducted using a systematic search of five scientific databases from 2009 to 2021. Inclusion criteria included randomized controlled trial design, school-based setting, weight-based outcomes (e.g., BMI, BMI z-score), weight-based outcomes analysed among youth with overweight/obesity, a study conducted in a developed country and publication in English. A total of 26 reports representing 25 unique studies were included. Overall, 19% (5/26) of articles reported response. Response was defined in three ways: maintenance/decrease in BMI z-score, decrease in BMI z-score ≥0.10, and decrease in BMI z-score ≥0.20. Few school-based interventions identified an a priori intervention goal or identified the proportion of participants who responded to the intervention. Without such evaluation participants who do not benefit are likely to be overlooked.

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Ten-year postintervention follow-up of adolescents participating in the management of overweight and social inequalities (PRALIMAP-INÈS intervention): the PRALIMAP-CINeCO survey protocol

Legrand,

Manneville,

Langlois

et al. 2024

BMJ Open

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IntroductionThe short-term effectiveness of the PRomotion de l’ALIMentation et de l’Activité Physique–INÈgalités de Santé’ (PRALIMAP-INÈS) intervention to reduce social inequalities in overweight and obesity management among adolescents between 2012 and 2015 was demonstrated. This longitudinal mixed-methods study is a 10-year postintervention follow-up of the PRALIMAP-INÈS intervention with the aim of investigating social, economic, educational and health (especially weight) trajectories from adolescence to young adulthood.Methods and analysisAmong adolescents enrolled in PRALIMAP-INÈS (n=1419), we estimate the number of participants to be 852. Adolescents who were included in the PRALIMAP-INÈS intervention will be contacted 10 years later and invited to participate in a follow-up visit. Participants will self-report their sociodemographic characteristics, body image perceptions, overweight/obesity care pathway, lifestyle and dietary behaviours and attitudes, psychological health and experience of the PRALIMAP-INÈS intervention. A check-up visit will be scheduled by a clinical research nurse to record waist circumference and weight and height for body mass index calculation and to construct the healthcare pathway from adolescence to young adulthood. 40 participants will be invited to participate in a semistructured interview conducted by a sociologist to deepen the understanding of trajectories regarding social aspects that are likely to influence health behaviours in participants.Ethics and disseminationThe PRALIMAP-CINeCO trial was approved by French Persons Protection Committee (no. 2021-A00949-32) and a conformity declaration was made with French National Commission for Data Protection and Liberties. Results will be presented at conferences and published in international peer-reviewed journals.Trial registration numberNCT05386017; Pre-results

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Response to school‐based interventions for overweight and obesity: A systematic scoping review

Cited by 3 publications

References 66 publications

Factors that influence food choices in secondary school canteens: a qualitative study of pupil and staff perspectives

Factors that influence food choices in secondary school canteens: a qualitative study of pupil and staff perspectives

Response to school‐based interventions for overweight and obesity: A systematic scoping review

Ten-year postintervention follow-up of adolescents participating in the management of overweight and social inequalities (PRALIMAP-INÈS intervention): the PRALIMAP-CINeCO survey protocol

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