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.

A Nurse-Led and Teacher-Assisted Adolescent Healthy Weight Program to Improve Health Behaviors in the School Setting

2017 ◽  
Vol 35 (3) ◽  
pp. 178-188 ◽  
Author(s):  
Gary Dupart ◽  
Diane C. Berry ◽  
Jennifer D’Auria ◽  
Leslie Sharpe ◽  
Linda McDonough ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Management ◽  
Repeated Measures ◽  
School Setting ◽  
Overweight And Obesity ◽  
Healthy Weight ◽  
Management Intervention ◽  
Repeated Measures Design ◽  
Nutrition And Physical Activity ◽  
Weight Management Intervention

Adolescents with overweight and obesity are at risk for future health problems. The purpose of this study was to examine the feasibility and initial efficacy of a weight management intervention to help adolescents develop healthy nutrition and physical activity behaviors and improve their anthropometrics. This study used a single-group repeated measures design in a small school in Durham, North Carolina (NC). The intervention consisted of a nurse-led and teacher-assisted nutrition and physical activity education and exercise classes that met twice each week for 45–60 minutes for 7 weeks. Data were collected at Time 1 (baseline), Time 2 (after intervention completion), and Time 3 (after 3 months on their own). Interview feedback, low cost, and successful completion of all planned activities indicated that all stakeholders found the project beneficial and suitable for their school. This study suggests that a weight management intervention for adolescents was feasible in the school setting.

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 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.

Design and Approach of the Healthy Weight Clinic Pediatric Weight Management Intervention Package and Implementation: Massachusetts-CORD 3.0

2021 ◽  
Vol 17 (S1) ◽  
pp. S-48-S-54
Author(s):  
Lauren Fiechtner ◽  
Ines Castro ◽  
Sujata G. Ayala ◽  
Desiree Sierra Velez ◽  
Jeanne Lindros ◽  
...  
Keyword(s):  
Weight Management ◽  
Healthy Weight ◽  
Intervention Package ◽  
Management Intervention ◽  
Pediatric Weight Management ◽  
Weight Management Intervention

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.

scholarly journals Healthy eating and lifestyle in pregnancy (HELP): a cluster randomised trial to evaluate the effectiveness of a weight management intervention for pregnant women with obesity on weight at 12 months postpartum

2021 ◽  
Author(s):  
Sharon A. Simpson ◽  
Elinor Coulman ◽  
Dunla Gallagher ◽  
Karen Jewell ◽  
David Cohen ◽  
...  
Keyword(s):  
Weight Management ◽  
Healthy Eating ◽  
Primary Outcome ◽  
Intervention Group ◽  
Control Group ◽  
Risky Drinking ◽  
Management Intervention ◽  
Cluster Randomised ◽  
Secondary Outcomes ◽  
Weight Management Intervention

Abstract Objective To assess whether a weight management intervention for pregnant women with obesity was effective in reducing body mass index (BMI) 12 months after giving birth. Methods Pragmatic, cluster randomised controlled trial (RCT) with embedded cost-effectiveness analysis. 598 women with a BMI of ≥30 kg/m2 (between 12 and 20 weeks gestation) were recruited from 20 secondary care maternity units in England and Wales. BMI at 12 months postpartum was the primary outcome. A range of clinical and behavioural secondary outcomes were examined. Interventions Women attending maternity units randomised to intervention were invited to a weekly weight management group, which combined expertise from a commercial weight loss programme with clinical advice from midwives. Both intervention and control participants received usual care and leaflets on diet and physical activity in pregnancy. Results Mean (SD) BMI at 12 months postpartum was 36.0 kg/m2 (5.2) in the control group, and 37.5 kg/m2 (6.7) in the intervention group. After adjustment for baseline BMI, the intervention effect was −0.02 (95% CI −0.04 to 0.01). The intervention group had an improved healthy eating score (3.08, 95% CI 0.16 to 6.00, p < 0.04), improved fibre score (3.22, 1.07 to 5.37, p < 0.01) and lower levels of risky drinking at 12 months postpartum compared to the control group (OR 0.45, 0.27 to 0.74, p < 0.002). The net incremental monetary benefit was not statistically significantly different between arms, although the probability of the intervention being cost-effective was above 60%, at policy-relevant thresholds. Conclusions There was no significant difference between groups on the primary outcome of BMI at 12 months. Analyses of secondary outcomes indicated improved healthy eating and lower levels of risky drinking. Trial registration: Current Controlled Trials ISRCTN25260464.

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