Effectiveness of school-based health promotion interventions prioritized by stakeholders from health and education sectors: A systematic review and meta-analysis
| Autor: | Kate E. Storey, Xiuyun Wu, John Paul Ekwaru, Genevieve Montemurro, Arto Ohinmaa, Julia Dabravolskaj, Sandra Campbell, Paul J. Veugelers |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
BMI
body mass index School-based interventions PE physical education Psychological intervention lcsh:Medicine 030209 endocrinology & metabolism Health Informatics Review Article Childhood obesity Physical education 03 medical and health sciences Comprehensive school 0302 clinical medicine Environmental health Health care Childhood obesity prevention FV fruit and vegetable Medicine 030212 general & internal medicine RCT randomized controlled trial business.industry lcsh:R Public Health Environmental and Occupational Health SES socioeconomic status CSH Comprehensive School Health HSAT Healthy School Action Tools medicine.disease PA physical activity Obesity CI confidence interval Meta-analysis Health promotion UK United Kingdom Systematic review business PRISMA Preferred Reporting Items for Systematic Reviews and Meta-Analyses MVPA moderate to vigorous physical activity |
| Zdroj: | Preventive Medicine Reports, Vol 19, Iss, Pp 101138-(2020) Preventive Medicine Reports |
| ISSN: | 2211-3355 |
| Popis: | Childhood obesity and associated modifiable risk factors exert significant burden on the health care system. The goal of this systematic review and meta-analysis was to examine the effectiveness of school-based intervention types perceived by Canadian stakeholders in health and education as feasible, acceptable and sustainable in terms of improving physical activity (PA), fruit and vegetable intake, and body weight. We searched multiple databases for studies that evaluated school-based interventions to prevent obesity and associated risk factors (i.e., unhealthy diet, physical inactivity, sedentary behaviour) in children aged 4–18 years from January 1, 2012 to January 28, 2020. From 10,871 identified records, we included 83 and 80 studies in our systematic review and meta-analysis, respectively. Comprehensive School Health (CSH) and interventions which focused on modifications to school nutrition policies showed statistically significant positive effects on fruit intake of 0.13 (95% CI: 0.04, 0.23) and 0.30 (95% CI: 0.1, 0.51) servings per day, respectively. No intervention types showed statistically significant effect on vegetable intake. CSH, modifications to physical education (PE) curriculum, and multicomponent interventions showed statistically significant difference in BMI of −0.26 (95% CI: −0.40, −0.12), −0.16 (95% CI: −0.3, −0.02), and −0.18 (95% CI: −0.29, −0.07), respectively. CSH interventions showed positive effect on step-count per day, but no other types of interventions showed significant effect on any of PA outcome measures. Thus, the results of this systematic review and meta-analysis suggest that decision-makers should carefully consider CSH, multicomponent interventions, modifications to PE curricula and school nutrition policies to prevent childhood obesity. |
| Databáze: | OpenAIRE |
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