Teachers as Partners in the Prevention of Childhood Obesity

Bruss, Mozhdeh B.; Dannison, Linda L.; Morris, Joseph R.; Quitugua, Jackie; Palacios, Rosa T.; McGowan, Judy; Michael, Timothy

doi:10.22230/ijepl.2010v5n2a66

Cited by 8 publications

(11 citation statements)

References 29 publications

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“…First, the positive effects found in the reviewed studies were consistent across a variety of settings. Second, and most importantly, the largest effects were found in the studies with the highest quality score (47,63,64,68).…”

Section: Discussionmentioning

confidence: 95%

“…Most (n = 9) of the combined interventions used diet and PA education as their key strategy (45,46,62,(65)(66)(67)(68)(69)(70)(71)(72), which was accompanied by environmental or organizational changes in the schools in 5 of them (46,62,65,66,(69)(70)(71). The remaining 2 interventions provided lectures and group counseling on cardiovascular disease prevention (44) and trained primary caregivers of children in healthy nutrition and activity (63,64).…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…Five of 6 combined interventions reported a beneficial effect on BMI or BMI z score for the overall sample (44,63,64,68,70,71) or for boys only (69). The largest ES was for the 2 best-rated studies in terms of quality, which were both conducted in children (mean age: ,12 y), were both combined diet and PA interventions, and found significant positive effects on BMI or BMI z score (63,64,68). In both studies, the key intervention strategies were an integrated curriculum delivered by…”

Section: Bmimentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of preventive school-based obesity interventions in low- and middle-income countries: a systematic review

Verstraeten

Roberfroid²,

Lachat³

et al. 2012

The American Journal of Clinical Nutrition

142

143

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Background: The prevalence of childhood obesity is increasing rapidly in low-and middle-income countries, and informed policies to tackle the problem must be defined. Objective: We systematically reviewed the evidence on the effectiveness of school-based interventions targeting dietary behavior and/or physical activity for the primary prevention of obesity in children and adolescents aged 6-18 y in low-and middle-income countries. Design: We searched the MEDLINE, EMBASE, Web of Science, CENTRAL, ERIC, Cochrane Library, and Centre for Reviews and Dissemination databases for peer-reviewed controlled studies published in English, Spanish, French, German, or Dutch between January 1990 and July 2011. The quality of the included studies was appraised independently by 2 authors who used the Effective Public Health Practice Project tool. Results: From a total of 7218 unique references, we retained 22 studies. Most of the interventions (82%) had a positive effect on dietary behavior and physical activity behavior (effect size ranged from 20.48 to 1.61). BMI decreased in 8 studies (effect size ranged from 20.7 to 0.0). Effective interventions targeted both diet and physical activity, involved multiple stakeholders, and integrated educational activities into the school curriculum. Conclusions: School-based interventions have the potential to improve dietary and physical activity behavior and to prevent unhealthy body weights in low-and middle-income countries. To reach their full potential, interventions should conduct process evaluations to document program implementation. The effect and the pathways through which interventions have this effect need to be better documented through rigorous evaluation studies.Am J Clin Nutr 2012;96:415-38.

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Section: Discussionmentioning

confidence: 95%

Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Bmimentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of preventive school-based obesity interventions in low- and middle-income countries: a systematic review

Verstraeten

Roberfroid²,

Lachat³

et al. 2012

The American Journal of Clinical Nutrition

142

143

View full text Add to dashboard Cite

show abstract

“…35,36 Incorporating input from the people being studied can provide an important aspect of food parenting measurement not normally advocated by those developing new measures. This could provide a key approach for elucidating parental understanding and views regarding food parenting practices and perspectives on food parenting and weight that may vary across communities and ethnicities.…”

Section: Translational/community Involvementmentioning

confidence: 99%

Food Parenting Measurement Issues: Working Group Consensus Report

et al. 2013

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Childhood obesity is a growing problem. As more researchers become involved in the study of parenting influences on childhood obesity, there appears to be a lack of agreement regarding the most important parenting constructs of interest, definitions of those constructs, and measurement of those constructs in a consistent manner across studies. This article aims to summarize findings from a working group that convened specifically to discuss measurement issues related to parental influences on childhood obesity. Six subgroups were formed to address key measurement issues. The conceptualization subgroup proposed to define and distinguish constructs of general parenting styles, feeding styles, and food parenting practices with the goal of understanding interrelating levels of parental influence on child eating behaviors. The observational subgroup identified the need to map constructs for use in coding direct observations and create observational measures that can capture the bidirectional effects of parent-child interactions. The selfregulation subgroup proposed an operational definition of child self-regulation of energy intake and suggested future measures of self-regulation across different stages of development. The translational/community involvement subgroup proposed the involvement of community in the development of surveys so that measures adequately reflect cultural understanding and practices of the community. The qualitative methods subgroup proposed qualitative methods as a way to better understand the breadth of food parenting practices and motivations for the use of such practices. The longitudinal subgroup stressed the importance of food parenting measures sensitive to change for use in longitudinal studies. In the creation of new measures, it is important to consider cultural sensitivity and context-specific food parenting domains. Moderating variables such as child temperament and child food preferences should be considered in models.

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“…It forms academic–community partnerships to design, implement, and study interventions in a manner sensitive to the cultural diversity of its participants (9,10). To address the growing concern of childhood obesity, the CNMI Public School System, in partnership with public and private agencies and a multidisciplinary team of academic partners, designed and implemented a culturally relevant cognitive behavioral lifestyle intervention targeting primary caregivers (caregivers) of 3rd grade children (11).…”

Section: Introductionmentioning

confidence: 99%

Childhood Obesity Prevention: An Intervention Targeting Primary Caregivers of School Children

Bruss

Michael

Morris

et al. 2010

Obesity

Self Cite

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Community-based participatory research (CBPR) was used to design and evaluate the effectiveness of a culturally relevant, science-based intervention for the prevention of childhood obesity in the Commonwealth of the Northern Mariana Islands (CNMI), a US Commonwealth in the western Pacific. This cognitive behavioral lifestyle intervention, Project Familia Giya Marianas (PFGM), was offered during the 2005-2007 school years in all CNMI public elementary schools over eight sessions to primary caregivers of 3rd grade children (N = 407). A crossover design was utilized with half of the schools offering the intervention in the Fall term, while the other half delivered the sessions in the Spring term. The primary outcome measure was change in BMI z-score. There was an intervention-dependent effect on BMI z-score, with program impact being a function of baseline BMI and the number of lessons attended. This effect was most apparent in students whose baseline BMI z-score was in healthy range (>/=5 to <85 percentile). In both Asian and Pacific Island groups, children whose caregivers completed 5-8 lessons experienced a significant change in BMI z-score as compared to those with 0 lessons (P < 0.05). Research that integrates multidisciplinary and multimethod approaches is effective in identifying and/or devising solutions to address a complex condition such as childhood obesity. PFGM demonstrated that community participation can be successfully utilized in the development and implementation of childhood obesity prevention programs.

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Teachers as Partners in the Prevention of Childhood Obesity

Cited by 8 publications

References 29 publications

Effectiveness of preventive school-based obesity interventions in low- and middle-income countries: a systematic review

Effectiveness of preventive school-based obesity interventions in low- and middle-income countries: a systematic review

Food Parenting Measurement Issues: Working Group Consensus Report

Childhood Obesity Prevention: An Intervention Targeting Primary Caregivers of School Children

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