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Contains fulltext : 293665.pdf (Publisher’s version ) (Open Access) Objective: Schools are considered an important setting for stimulating healthy weight. The current study is unique in examining effects of a multi-component school-based social network intervention on children’s body mass index z-scores (zBMI). Methods: Four schools were randomly allocated to one of four conditions: a social network intervention using influence agents focusing on water consumption, physical activity, a combination of the two, or a passive control condition. Participants included a total of 201 6- to-11-year-old children (53.7% girls; Mage = 8.51, SDage = 0.93). At baseline, 149 (76.0%) participants had a healthy weight, 29 (14.8%) had overweight and 18 (9.2%) had obesity. Results: Linear mixed effect models indicated that a multi-component school-based social network intervention targeting both water consumption and physical activity was most effective in decreasing children’s zBMI. Conclusion: This study suggests that schools can contribute to the intervention of childhood obesity - even without involving the parents - by targeting both children’s water consumption and physical activity through influential peers, but more research is needed to identify mechanisms of change. 19 februari 2023 18 p. |
