{"id":43914,"date":"2008-04-01T00:00:00","date_gmt":"2018-12-04T02:14:26","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/a-policy-based-school-intervention-to-prevent-overweight\/"},"modified":"2018-12-04T03:14:26","modified_gmt":"2018-12-04T02:14:26","slug":"a-policy-based-school-intervention-to-prevent-overweight","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/a-policy-based-school-intervention-to-prevent-overweight\/","title":{"rendered":"A policy-based school intervention to prevent overweight and obesity."},"content":{"rendered":"<p style=\"text-align: justify\"><strong>BACKGROUND:<\/strong><br \/>\nThe prevalence and seriousness of childhood obesity has prompted calls for broad public health solutions that reach beyond clinic settings. Schools are ideal settings for population-based interventions to address obesity.<\/p>\n<p style=\"text-align: justify\"><strong>OBJECTIVE: <\/strong><br \/>\nThe purpose of this work was to examine the effects of a multicomponent, School Nutrition Policy Initiative on the prevention of overweight (85.0th to 94.9th percentile) and obesity (&gt; 95.0th percentile) among children in grades 4 through 6 over a 2-year period.<\/p>\n<p style=\"text-align: justify\"><strong>METHODS:<\/strong><br \/>\nParticipants were 1349 students in grades 4 through 6 from 10 schools in a US city in the Mid-Atlantic region with &gt; or = 50% of students eligible for free or reduced-price meals. Schools were matched on school size and type of food service and randomly assigned to intervention or control. Students were assessed at baseline and again after 2 years. The School Nutrition Policy Initiative included the following components: school self-assessment, nutrition education, nutrition policy, social marketing, and parent outreach.<\/p>\n<p style=\"text-align: justify\"><strong>RESULTS: <\/strong><br \/>\nThe incidences of overweight and obesity after 2 years were primary outcomes. The prevalence and remission of overweight and obesity, BMI z score, total energy and fat intake, fruit and vegetable consumption, body dissatisfaction, and hours of activity and inactivity were secondary outcomes. The intervention resulted in a 50% reduction in the incidence of overweight. Significantly fewer children in the intervention schools (7.5%) than in the control schools (14.9%) became overweight after 2 years. The prevalence of overweight was lower in the intervention schools. No differences were observed in the incidence or prevalence of obesity or in the remission of overweight or obesity at 2 years.<\/p>\n<p style=\"text-align: justify\"><strong>CONCLUSION: <\/strong><br \/>\nA multicomponent school-based intervention can be effective in preventing the development of overweight among children in grades 4 through 6 in urban public schools with a high proportion of children eligible for free and reduced-priced school meals.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-43914","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Center for Obesity Research and Education, Temple University, 3223 N Broad St, Suite 175, Philadelphia, PA 19140, USA. gfoster@temple.edu","annee":"2008","mois":"4","numero":"121:4","page":"e794-802","auteurs":[{"ID":20154,"post_author":"0","post_date":"2018-12-03 20:31:20","post_date_gmt":"2018-12-03 19:31:20","post_content":"","post_title":"Shelley 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Karpyn","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"allison-karpyn","to_ping":"","pinged":"","post_modified":"2018-12-03 20:05:38","post_modified_gmt":"2018-12-03 19:05:38","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/allison-karpyn\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":42146,"post_author":"0","post_date":"2018-12-04 02:44:30","post_date_gmt":"2018-12-04 01:44:30","post_content":"","post_title":"Borradaile","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"borradaile","to_ping":"","pinged":"","post_modified":"2018-12-04 02:44:30","post_modified_gmt":"2018-12-04 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Veur","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"vander-veur","to_ping":"","pinged":"","post_modified":"2018-12-04 03:14:24","post_modified_gmt":"2018-12-04 02:14:24","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/vander-veur\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":43912,"post_author":"0","post_date":"2018-12-04 03:14:24","post_date_gmt":"2018-12-04 02:14:24","post_content":"","post_title":"Nachmani","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"nachmani","to_ping":"","pinged":"","post_modified":"2018-12-04 03:14:24","post_modified_gmt":"2018-12-04 02:14:24","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/nachmani\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":43913,"post_author":"0","post_date":"2018-12-04 03:14:25","post_date_gmt":"2018-12-04 02:14:25","post_content":"","post_title":"Shults","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"shults","to_ping":"","pinged":"","post_modified":"2018-12-04 03:14:25","post_modified_gmt":"2018-12-04 02:14:25","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/shults\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":1215,"post_author":"0","post_date":"2018-12-03 15:57:23","post_date_gmt":"2018-12-03 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