scholarly journals School-Based Intervention Programs for Preventing Obesity and Promoting Physical Activity and Fitness: A Systematic Review

Author(s):  
Hidayet Suha Yuksel ◽  
Fatma Neşe Şahin ◽  
Nebojsa Maksimovic ◽  
Patrik Drid ◽  
Antonino Bianco

With the significant decrease in physical activity rates, the importance of intervention programs in the schools, where children spend a significant part of the day, has become indisputable. The purpose of this review is to systematically examine the possibility of school-based interventions on promoting physical activity and physical fitness as well as preventing obesity. A systematic approach adopting PRISMA statement was implemented in this study. Three different databases (2010–2019) were screened and primary and secondary school-based intervention programs measuring at least one variable of obesity, physical activity, or physical fitness were included. The risk of bias was assessed using the validated quality assessment tool for quantitative studies. Among 395 potentially related studies, 19 studies were found to meet the eligibility criteria. A general look at the studies examined reveals that among the outcomes, of which most (18/19) were examined, a significant improvement was provided in at least one of them. When the program details are examined, it can be said that the success rate of the physical activity-oriented programs is higher in all variables. School-based interventions can have important potential for obesity prevention and promotion of physical activity and fitness if they focus more on the content, quality, duration and priority of the physical activity.

2015 ◽  
Vol 101 (1) ◽  
pp. 33-41 ◽  
Author(s):  
Sheila Bhave ◽  
Anand Pandit ◽  
Rajiv Yeravdekar ◽  
Vaishali Madkaikar ◽  
Trushna Chinchwade ◽  
...  

DesignNon-randomised non-blinded school-based intervention study.SettingTwo schools in the cities of Pune and Nasik, India.ParticipantsThe intervention group comprised children attending a Pune school from 7–10 years until 12–15 years of age. Two control groups comprised children of the same age attending a similar school in Nasik, and children in the Pune intervention school but aged 12–15 years at the start of the study.InterventionA 5-year multi-intervention programme, covering three domains: physical activity, diet and general health, and including increased extracurricular and intracurricular physical activity sessions; daily yoga-based breathing exercises; making physical activity a ‘scoring’ subject; nutrition education; healthier school meals; removal of fast-food hawkers from the school environs; and health and nutrition education for teachers, pupils and families.Main outcome measuresBody mass index (BMI), waist circumference, physical fitness according to simple tests of strength, flexibility and endurance; diet; and lifestyle indicators (time watching TV, studying and actively playing).ResultsAfter 5 years the intervention children were fitter than controls in running, long jump, sit-up and push-up tests (p<0.05 for all). They reported spending less time sedentary (watching TV and studying), more time actively playing and eating fruit more often (p<0.05). The intervention did not reduce BMI or the prevalence of overweight/obesity, but waist circumference was lower than in the Pune controls (p=0.004).ConclusionsIt was possible to achieve multiple health-promoting changes in an academically competitive Indian school. These changes resulted in improved physical fitness, but had no impact on the children's BMI or on the prevalence of overweight/obesity.


Author(s):  
Annegret Schlund ◽  
Anne K. Reimers ◽  
Jens Bucksch ◽  
Stephanie Linder ◽  
Yolanda Demetriou

AbstractPhysical inactivity is an increasing problem worldwide, but especially among girls. This difference by gender increases with age. Schools serve virtually all young people in most parts of the world and can thus play an important role in promoting physical activity. In this systematic review, we qualitatively and comprehensively assessed the treatment of sex/gender considerations (from study design to discussion of results) in 56 school-based intervention studies aiming to promote physical activity in children and adolescents. In all 56 studies, the factor of sex/gender was only rudimentarily considered, regardless of the effectiveness of the intervention. The meta-analysis revealed that the interventions had significant but relatively small effects with both girls and boys, along with high heterogeneity. To obtain better information about effective strategies that promote physical activity for both girls and boys equally, researchers conducting future intervention studies should pay attention to sex/gender differences and report on how they take this factor into account.


Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 396
Author(s):  
Purificación Cerrato-Carretero ◽  
Raúl Roncero-Martín ◽  
Juan D. Pedrera-Zamorano ◽  
Fidel López-Espuela ◽  
Luis M. Puerto-Parejo ◽  
...  

Preventive actions and potential obesity interventions for children are mainly researched throughout the school period, either as part of the school curricula or after regular school hours, via interventions mostly lasting less than 12 months. We aimed to perform a meta-analysis on randomized controlled clinical trials to evaluate the evidence of the efficacy of long-term school-based interventions in the management of childhood obesity in terms of BMI from a dietary and physical activity-based approach. Eleven randomized controlled clinical trials were examined using the random effects model, and the results showed that there were no significant effects associated with physical activity + nutrition intervention in school children aged 6–12 years, with a pooled standardized mean difference (SMD) (95% CI) of −0.00 (−0.05, 0.04). No effects were observed after subgroup analysis based on the intervention length. The findings from our study indicate that long-term school-based interventions on physical activity and dietary habits received by children aged 6–12 years seem to have no effect on BMI. However, the promotion of such interventions should not be discouraged, as they promote additional positive health outcomes for other domains of children’s health.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Abigail Gilman ◽  
Michael Bruneau ◽  
Tanja Kral ◽  
Brandy-Joe Milliron ◽  
Patricia Shewokis ◽  
...  

Abstract Objectives We examined the effect of a three year, multi-component, school-based intervention on health behaviors of elementary school students. Methods The multi-component, obesity intervention was provided by community partners to 13 schools over three years. Schools were assigned into three varying Levels of Intervention: “Core” Schools (n = 4) received weekly interventions, “Level 1” Schools (n = 5) received monthly interventions, and Control Schools (n = 5) received no intervention. Participants completed self-reported questionnaires assessing several health behaviors, including fruit and vegetable consumption, and physical activity levels. Questionnaires were administered in the Fall and Spring of each year of the intervention. For this study, responses were analyzed from Year 3 and were compared to national recommendations. Descriptive statistics and chi-square tests of independence examined Level of Intervention and questionnaire responses. Results No significant chi-square tests of independence were identified for the Level of Intervention and quantity of fruit or vegetable consumption. A significant (P = 0.003) chi-square test of independence assessing physical activity was identified in the Fall of Year 3. Descriptive analyses indicated that higher proportions of students in the Core and Level 1 Schools met national fruit, vegetable, and physical activity recommendations compared to students in Control Schools. Conclusions The higher frequency of intervention provided to students in the Core Schools did not influence the dietary behaviors of participants. However, receiving any intervention appeared to affect health behaviors of children receiving the intervention compared to the Control Schools. Funding Sources The Independence Blue Cross Foundation.


2016 ◽  
Vol 8 (9) ◽  
pp. 271 ◽  
Author(s):  
Baratali Rezapour ◽  
Firoozeh Mostafavi ◽  
Hamid Reza Khalkhali

<p><strong>OBJECTIVES:</strong> Students attend sedentary life style and less like vigorous physical activity. This study investigated the effects of School-based intervention<strong> </strong>on increasing physical activity for decreasing obesity among high-school obese and overweight boys, based on the components of PRECEDE PROCEED Model, to participate in median - vigorous physical activity among the first Period of high school boys in the city of Urmia, Iran</p><p><strong>METHODS:</strong> This study was an experimental intervention that conducted at 4 high schools that were divided into 2 groups of intervention (40) and the control (40) male students, schools in junior high schools in Urmia.</p><p><strong>RESULTS:</strong> Three and six months after the intervention, significant differences were found between the experimental and control groups of schools, in the amount of students’ participation in vigorous physical activity (p&lt;0.01).</p><p><strong>CONCLUSIONS:</strong> According to the results, the school-based intervention and components of PRECEDE PROCEED Model had a positive impact on the improvement of physical activity and decrease in physical inactivity among the students.</p>


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