The Shaping Healthy Choices Program: Design and Implementation Methodologies for a Multicomponent, School-Based Nutrition Education Intervention

Scherr, Rachel E.; Linnell, Jessica D.; Smith, Martin H.; Briggs, Marilyn; Bergman, Jacqueline J.; Brian, Kelley; Dharmar, Madan; Feenstra, Gail; Hillhouse, Carol; Keen, Carl L.; Nguyen, Lori; Nicholson, Yvonne; Ontai, Lenna; Schaefer, Sara; Spezzano, Theresa; Steinberg, Francene M.; Sutter, Carolyn; Wright, Janel E.; Young, Heather M.; Zidenberg‐Cherr, Sheri

doi:10.1016/j.jneb.2014.08.010

Cited by 39 publications

(41 citation statements)

References 14 publications

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“…In accordance with these recommendations, several recent interventions targeting youth dietary habits have included garden components [187][188][189][190][191][192][193] and cooking components [189,[191][192][193][194][195]. While the age range in most of these studies included ages prior to adolescence [187,188,191,193,194,196], methods utilized and findings from these studies may have application for adolescents.…”

Section: Intervention Opportunitiesmentioning

confidence: 99%

“…The curriculum, Teens CAN: Comprehensive Food Literacy in Cooking, Agriculture, and Nutrition (Teens CAN), includes experiential lessons within twelve modules that comprise opportunities to advance food literacy [208]. Teens CAN [208] will be incorporated into an existing multicomponent program, the Shaping Healthy Choices Program [189], to provide an intervention aimed at improving diet quality and the overall health status of children and adolescents. While this is one suggested approach, the ultimate goal is to mitigate the effects of childhood and adolescent obesity.…”

Section: Future Directionsmentioning

confidence: 99%

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Adolescent Obesity: Diet Quality, Psychosocial Health, and Cardiometabolic Risk Factors

et al. 2019

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Obesity is a multifaceted chronic condition with several contributing causes, including biological risk factors, socioeconomic status, health literacy, and numerous environmental influences. Of particular concern are the increasing rates of obesity in children and adolescents, as rates of obesity in youth in the United States have tripled within the last three decades. Youth from historically disadvantaged backgrounds tend to have higher rates of obesity compared to other groups. Adolescents often do not meet intake recommendations for certain food groups and nutrients, which may contribute to a heightened risk of obesity. With obesity disproportionately affecting adolescents (ages 12-19 years), negative effects of excess adiposity may be particularly salient during this critical period of development. The presentation of chronic cardiometabolic disease symptoms typically observed in adults, such as hypertension, hyperglycemia, dyslipidemia, and inflammation, are becoming increasingly common in adolescents with obesity. Additionally, there is dynamic interplay between obesity and psychosocial health, as adolescents with obesity may have increased levels of stress, depressive symptoms, and reduced resilience. To reduce and prevent adolescent obesity, the implementation of theory-driven multicomponent school-and community-based interventions have been suggested. These interventions promote knowledge and self-efficacy for healthful practices that have the potential to progress to sustained behavior change.

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Section: Intervention Opportunitiesmentioning

confidence: 99%

Section: Future Directionsmentioning

confidence: 99%

Adolescent Obesity: Diet Quality, Psychosocial Health, and Cardiometabolic Risk Factors

et al. 2019

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“…Research indicates that children with obesity show higher impulsivity and inattention and lower reward sensitivity, self-regulation and cognitive flexibility compared with their healthy-weight peers. These neurocognitive correlates were associated with uncontrolled food intake and physical activity behaviour, and thus are assumed to predict weight gain (Francis 2009; Hall 2014; Kulendran 2014; Levitan 2015; Nederkoorn 2006; Smith 2011) or reduction of weight status after an obesity treatment intervention (Naar-King 2016; Nederkoorn 2007). Lifestyle interventions for weight management might positively impact the neurocognitive factors required for control of food intake.…”

Section: Introductionmentioning

confidence: 99%

Physical activity, diet and other behavioural interventions for improving cognition and school achievement in children and adolescents with obesity or overweight

Martin

Booth

Laird

et al. 2018

Cochrane Database of Systematic Reviews

141

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Background The global prevalence of childhood and adolescent obesity is high. Lifestyle changes towards a healthy diet, increased physical activity and reduced sedentary activities are recommended to prevent and treat obesity. Evidence suggests that changing these health behaviours can benefit cognitive function and school achievement in children and adolescents in general. There are various theoretical mechanisms that suggest that children and adolescents with excessive body fat may benefit particularly from these interventions. Objectives To assess whether lifestyle interventions (in the areas of diet, physical activity, sedentary behaviour and behavioural therapy) improve school achievement, cognitive function (e.g. executive functions) and/or future success in children and adolescents with obesity or overweight, compared with standard care, waiting‐list control, no treatment, or an attention placebo control group. Search methods In February 2017, we searched CENTRAL, MEDLINE and 15 other databases. We also searched two trials registries, reference lists, and handsearched one journal from inception. We also contacted researchers in the field to obtain unpublished data. Selection criteria We included randomised and quasi‐randomised controlled trials (RCTs) of behavioural interventions for weight management in children and adolescents with obesity or overweight. We excluded studies in children and adolescents with medical conditions known to affect weight status, school achievement and cognitive function. We also excluded self‐ and parent‐reported outcomes. Data collection and analysis Four review authors independently selected studies for inclusion. Two review authors extracted data, assessed quality and risks of bias, and evaluated the quality of the evidence using the GRADE approach. We contacted study authors to obtain additional information. We used standard methodological procedures expected by Cochrane. Where the same outcome was assessed across different intervention types, we reported standardised effect sizes for findings from single‐study and multiple‐study analyses to allow comparison of intervention effects across intervention types. To ease interpretation of the effect size, we also reported the mean difference of effect sizes for single‐study outcomes. Main results We included 18 studies (59 records) of 2384 children and adolescents with obesity or overweight. Eight studies delivered physical activity interventions, seven studies combined physical activity programmes with healthy lifestyle education, and three studies delivered dietary interventions. We included five RCTs and 13 cluster‐RCTs. The studies took place in 10 different countries. Two were carried out in children attending preschool, 11 were conducted in primary/elementary school‐aged children, four studies were aimed at adolescents attending secondary/high s...

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“…The paper by Scherr et al, 1 which can be found in the online version of this issue at www. jneb.org, is a good example of the detail and format for JNEB's Methods papers.…”

Section: From Jneb Sharing Your Research Designmentioning

confidence: 99%

“…Nutrition education is delivered through multiple venues and involves activities at the individual, community, and policy levels. 1 Nutrition education is more than a transfer of knowledge or fact. Effective nutrition programs are comprehensive and theory-based and extend beyond the individual focus, as evidenced by some of the research shared in this issue.…”

mentioning

confidence: 99%

What is Effective Nutrition Education?

Kattelmann¹

2014

Journal of Nutrition Education and Behavior

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The Shaping Healthy Choices Program: Design and Implementation Methodologies for a Multicomponent, School-Based Nutrition Education Intervention

Cited by 39 publications

References 14 publications

Adolescent Obesity: Diet Quality, Psychosocial Health, and Cardiometabolic Risk Factors

Adolescent Obesity: Diet Quality, Psychosocial Health, and Cardiometabolic Risk Factors

Physical activity, diet and other behavioural interventions for improving cognition and school achievement in children and adolescents with obesity or overweight

What is Effective Nutrition Education?

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