scholarly journals Efficacy of a county-wide schools weight management intervention

2021 ◽  
pp. 175791392110067
Author(s):  
GJ Sanders ◽  
WL Marwa ◽  
B Wade ◽  
P Gately
Keyword(s):  
Body Mass Index ◽  
Weight Management ◽  
Body Mass ◽  
Healthy Lifestyles ◽  
Weight Category ◽  
Management Intervention ◽  
School Based ◽  
Management Interventions ◽  
Significant Difference ◽  
Weight Management Intervention

Aims: This study aimed to evaluate the effectiveness of the Local Authority commissioned large-scale public health service that provided a 6-week school-based weight management intervention for children aged 4–19 years. Methods: A quantitative retrospective cohort study identified participants from 130 schools consisting of 8550 potential children aged 4−19 years across a mixture of Lower Super Output Area (LSOA) deprivation groups. Participants were invited to take part in a 5- to 12-week Healthy Lifestyles intervention with a focus on weight management delivered by OneLife Suffolk between 1 January 2017 and 1 January 2020. This resulted in a final sample of 5163 participants. The following information for each child was collected anonymously: (1) age, (2) gender, (3) preprogramme body mass index (BMI), (4) postprogramme BMI, (5) weight category and (6) LSOA category. Results: Following the 6-week school-based intervention, there was a significant decrease in mean ΔBMI SDS (standardised body mass index) of −0.07 (−14.89%) among participants. Wilcoxon signed-rank test showed a significant change in weight status post 6-week weight management programme (WMP): BMI ( Z = −15.87, p < .001), BMI SDS ( Z = −21.54, p < .001), centile ( Z = −20.12, p < .01) and weight category ( Z = −7.89, p < .001), whereas Mann−Whitney U test showed no statistically significant difference in mean BMI SDS change between gender groups ( p = .24) and Kruskal−Wallis test revealed no statistically significant differences in mean BMI SDS change between child LSOA groups (c2(4) = 1.67, p = .796), school LSOA groups (c2(4) = 4.72, p = .317), ethnic groups (c2(4) = 2.53, p = .640) and weight category at the start of the intervention (c2(3) = 6.20, p = .102). Conclusions: This study contributes to the growing body of evidence demonstrating the efficacy of multicomponent school-based weight management interventions and demonstrates that such interventions can be successfully implemented as part of a wider healthy lifestyles service, without widening health inequalities.

scholarly journals An Adaptive CBPR Approach to Create Weight Management Materials for a School-Based Health Center Intervention

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Andrew L. Sussman ◽  
Carolyn Montoya ◽  
Olaf Werder ◽  
Sally Davis ◽  
Nina Wallerstein ◽  
...  
Keyword(s):  
Physical Activity ◽  
Formative Assessment ◽  
Health Center ◽  
Weight Management ◽  
Community Based Participatory Research ◽  
Clinical Work ◽  
Advisory Council ◽  
Management Intervention ◽  
School Based ◽  
Weight Management Intervention

Purpose. From our previous clinical work with overweight/obese youth, we identified the need for research to create an effective weight management intervention to address the growing prevalence of adolescent metabolic syndrome. Formative assessment through an adaptive community-based participatory research (CBPR) approach was conducted toward the development of a nutritional and physical activity (DVD) and clinician toolkit for a school-based health center (SBHC) weight management intervention.Methods. We first conducted parent and adolescent interviews on views and experiences about obesity while convening a community advisory council (CAC) recruited from two participating urban New Mexico high schools. Thematic findings from the interviews were analyzed with the CAC to develop culturally and developmentally appropriate intervention materials.Results. Themes from the parent and adolescent interviews included general barriers/challenges, factors influencing motivation, and change facilitators. The CAC and university-based research team reached consensus on the final content of nutrition and physical activity topics to produce a DVD and clinician toolkit through six monthly sessions. These materials used in the SBHC intervention resulted in a greater reduction of body mass index when compared to adolescents receiving standard care.Conclusions. Formative assessment using an adaptive CBPR approach resulted in the creation of culturally and age appropriate weight reduction materials that were acceptable to study participants. This trial is registered with ClinicalTrials.govNCT00841334.

Child and family predictors of relative weight change in a low-income, school-based weight management intervention.

2021 ◽  
Author(s):  
Jacqueline F. Hayes ◽  
Lauren A. Fowler ◽  
Katherine N. Balantekin ◽  
Sophia A. Rotman ◽  
Myra Altman ◽  
...  
Keyword(s):  
Weight Management ◽  
Low Income ◽  
Weight Change ◽  
Relative Weight ◽  
Management Intervention ◽  
School Based ◽  
Weight Management Intervention

scholarly journals A Natural Experiment Comparing the Effectiveness of the “Healthy Eagles” Child Weight Management Intervention in School Versus Community Settings

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3912
Author(s):  
Melissa Little ◽  
Shirley Serber-Souza ◽  
Maryam Kebbe ◽  
Tanisha Spratt ◽  
Paul N. Aveyard ◽  
...  
Keyword(s):  
Weight Management ◽  
Natural Experiment ◽  
School Setting ◽  
Community Setting ◽  
Healthy Weight ◽  
Z Score ◽  
Community Settings ◽  
Management Intervention ◽  
Management Interventions ◽  
Weight Management Intervention

Behavioural weight management interventions are recommended for the treatment of obesity in children. However, the evidence for these is limited and often generated under trial conditions with White, middle-class populations. Healthy Eagles is a behavioural weight management intervention designed to treat excess weight in children. It ran in the London Borough of Croydon from 2017 to 2020 and was delivered in both school and community settings, providing a natural experiment to compare outcomes. A total of 1560 participants started the Healthy Eagles programme; 347 were in the community setting and 703 in the school setting. Data were analysed for those who completed 70% of the programme. In the school setting, there was a small but significant reduction in BMI z-score (M = −0.04, 95% CI = −0.08, −0.01) for participants above a healthy weight, especially in those with severe obesity (M = −0.09, 95% CI = −0.15, −0.03); there was no significant change in any subgroup in the community setting. Linear regression analysis showed the school setting was associated with a 0.26 (95% CI = 0.13, 0.49) greater reduction in BMI z-score than the community setting after adjusting for ethnicity, deprivation, age and gender. Across both programmes, the effect was somewhat greater in participants from a Black (African/Caribbean/Other) ethnic background (M = −0.06, 95% CI = −0.09, −0.02) and from the two most deprived quintiles (M = −0.06, 95% CI = −0.11, −0.01). Data were limited, but minimal changes were measured in nutrition and physical activity behaviours regardless of setting. This evaluation provides indirect evidence of a small but significant benefit to running weight management interventions in a school versus community setting.

Relationship Between Attitudes and Indicators of Obesity for Midlife Women

2009 ◽  
Vol 36 (6) ◽  
pp. 1082-1094 ◽  
Author(s):  
Noriko Sudo ◽  
Dennis Degeneffe ◽  
Houa Vue ◽  
Emily Merkle ◽  
Jean Kinsey ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Waist Circumference ◽  
Weight Management ◽  
Energy Intake ◽  
Body Fat ◽  
Midlife Women ◽  
Highly Educated ◽  
Management Intervention ◽  
Percentage Of Body Fat ◽  
Weight Management Intervention

This study uses segmentation analyses to identify five distinct subgroups of U.S. midlife women ( n = 200) based on their prevailing attitudes toward food and its preparation and consumption. Mean age of the women is 46 years and they are mostly White (86%), highly educated, and employed. Attitude segments (clusters of women sharing similar attitudes) are a significant predictor of obesity indicators. Mean body mass index and percentage of body fat are lower for the “concerned about nutrition” attitude segment compared with the “guiltridden dieter” and “impulsive eater” attitude segments. Mean waist circumference is highest in “impulsive eater” compared with the “concerned about nutrition” segment. Those in the “busy cooking avoider” segment have a significantly higher energy intake compared with women in other attitude segments. Tailoring a weight management intervention according to attitude segments of midlife women may enhance effectiveness.

scholarly journals Unmet Social Needs and Adherence to Pediatric Weight Management Interventions: Massachusetts, 2017–2019

2020 ◽  
Vol 110 (S2) ◽  
pp. S251-S257 ◽  
Author(s):  
Micaela Atkins ◽  
Ines Castro ◽  
Mona Sharifi ◽  
Meghan Perkins ◽  
Giselle O’Connor ◽  
...  
Keyword(s):  
Weight Management ◽  
Parental Stress ◽  
Social Needs ◽  
Management Intervention ◽  
Management Interventions ◽  
Contact Hours ◽  
Intervention Adherence ◽  
Pediatric Weight Management ◽  
Weight Management Intervention ◽  
Child Age

Objectives. To examine effects of unmet social needs on adherence to pediatric weight management intervention (PWMI). Methods. We examined individual associations of positive screens for parental stress, parental depression, food insecurity, and housing insecurity with intervention adherence, and associations of 0, 1 or 2, and 3 or 4 unmet social needs with adherence, among children enrolled in a 2017–2019 comparative effectiveness trial for 2 high-intensity PWMIs in Massachusetts. Models were adjusted for child age, body mass index (BMI), parent BMI, and intervention arm. Results. Families with versus without housing insecurity received a mean of 5.3 (SD = 8.0) versus 8.3 (SD = 10.9) contact hours (P < .01). There were no statistically significant differences in adherence for families reporting other unmet social needs. Children with 3 to 4 unmet social needs versus without received a mean of 5.2 (SD = 8.1) versus 9.2 (SD = 11.8) contact hours (P < .01). In fully adjusted models, those with housing insecurity attended a mean difference of −3.14 (95% confidence interval [CI] = −5.41, −0.88) hours versus those without. Those with 3 or 4 unmet social needs attended −3.74 (95% CI = –6.64, −0.84) hours less than those with none. Conclusions. Adherence to PWMIs was lower among children with housing insecurity and in families with 3 or 4 unmet social needs. Addressing social needs should be a priority of PWMIs to improve intervention adherence and reduce disparities in childhood obesity. Trial Registration: ClinicalTrials.gov identifier: NCT03012126.

scholarly journals Correlation between body mass index and waist circumference in Nigerian adults: implication as indicators of health status

2013 ◽  
Vol 2 (2) ◽  
pp. 16 ◽  
Author(s):  
Shalom Nwodo Chinedu ◽  
Olubanke O. Ogunlana ◽  
Dominic E. Azuh ◽  
Emeka E.J. Iweala ◽  
Israel S. Afolabi ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Weight ◽  
Health Status ◽  
Waist Circumference ◽  
Body Mass ◽  
Overweight And Obesity ◽  
World Health ◽  
Abdominal Circumference ◽  
Weight Category ◽  
Significant Difference

<em>Background</em>. Anthropometric measures have been widely used for body weight classification in humans. Waist circumference has been advanced as a useful parameter for measuring adiposity. This study evaluated the correlation between body mass index (BMI) and waist circumference and examined their significance as indicators of health status in adults.<br /><em>Design and Methods.</em> The subject included 489 healthy adults from Ota, Nigeria, aged between 20 and 75 years, grouped into early adulthood (20-39 years), middle adulthood (40-59 years) and advanced adulthood (60 years and above). Weight, height and abdominal circumference were measured. BMI was calculated as weight kg/height2 (m2) and World Health Organization cut-offs were used to categorize them into normal, underweight, overweight and obese.<em></em><br /><em>Results</em>. Abnormal weight categories accounted for 60 % of the subjects (underweight 11 %, overweight 31%, and obese 18%). The waist circumference of overweight and obese categories were significantly (P&lt;0.05) higher than the normal weight category. There was no significant difference between waist circumference of underweight and normal subjects. The correlation coefficient values of BMI with waist circumference (r=0.63), body weight (r=0.76) and height (r=-0.31) were significant (P&lt;0.01) for the total subjects.<br /><em>Conclusions</em>. The study indicates that waist circumference can serve as a positive indicator of overweight and obesity in the selected communities; however, it may not be used to determine underweight in adults. Regular BMI and waist circumference screening is recommended as an easy and effective means of assessing body weight and in the prevention of weight related diseases in adults.<br />

scholarly journals ‘I Think It Will Be like This Forever’: How Family Narratives Affect Participation in a Childhood Weight Management Intervention

2021 ◽  
Vol 10 (5) ◽  
pp. 175
Author(s):  
Dan Grabowski ◽  
Anne Martine Aaberg Mortil ◽  
Didde Hoeeg ◽  
Maj-Britt Lundsgaard Hansen ◽  
Birgitte Højgaard Roikjer ◽  
...  
Keyword(s):  
Weight Management ◽  
Management Intervention ◽  
Management Interventions ◽  
Childhood Weight ◽  
Family Narratives ◽  
The Family ◽  
Individual Family ◽  
Family Based ◽  
The Individual ◽  
Weight Management Intervention

The family represents the cause of as well as the solution to childhood overweight in many family-based childhood weight management interventions. Involving the family also entails involving the individual family members’ experiences with, attitudes towards, and understandings of obesity. This study explores how families with life-long experiences of overweight manage and experience a family-based childhood weight management intervention in Northern Zealand in Denmark. The analysis is focused on family narratives and their temporal character. The families’ narratives about overweight and past weight management interventions are crucial to how they understand and manage the present intervention. Additionally, the families expect the focus on weight management to continue to be a constant part of their everyday life. The paper concludes that the understanding of weight management in interventions should take its point of departure in the life-world, which the individual family creates through members’ narratives about overweight.

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