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Food, Health, & Choices: Curriculum and Wellness Interventions to Decrease Childhood Obesity in Fifth-Graders
| Content Provider | Scilit |
|---|---|
| Author | Koch, Pamela Ann Contento, Isobel R. Gray, Heewon L. Burgermaster, Marissa Bandelli, Lorraine Abrams, Emily Noia, Jennifer Di |
| Copyright Year | 2019 |
| Description | Journal: Journal of nutrition education and behavior To evaluate Food, Health, & Choices, two 10-month interventions. Cluster-randomized, controlled study with 4 groups: curriculum, wellness, curriculum plus wellness, and control. Twenty elementary schools (5/group) in New York City. Fifth-grade students (n = 1,159). At baseline, 44.6% were at the ≥85th body mass index (BMI) percentile for age and 86% qualified for free or reduced-price lunch. Curriculum was 23 science lessons based on social cognitive and self-determination theories, replacing 2 mandated units. Wellness was classroom food policy and physical activity bouts of Dance Breaks. For obesity, age- and sex-specific BMI percentiles were used (anthropometric measures). The researchers also employed 6 energy balance-related behaviors and 8 theory-based determinants of behavior change (by questionnaire). Pairwise adjusted odds in hierarchical logistic regression models were determined for >85th BMI percentile. Behaviors and theory-based determinants were examined in a 2-level hierarchical linear model with a 2 × 2 design for intervention effects and interactions. Obesity showed no change. For behaviors, there was a negative curriculum intervention change in physical activity (P = .04). The wellness intervention resulted in positive changes for sweetened beverages frequency (P = .05) and size (P = .006); processed packaged snacks size (P = .01); candy frequency (P = .04); baked good frequency (P = .05); and fast food frequency (P = .003), size (P = .01), and combo meals (P = .002). Theory-based determinants demonstrated no change. The findings of the lack of a decrease in obesity, behavior changes only for the wellness intervention, and no changes in theory-based determinants warrant further research. |
| Related Links | http://www.jneb.org/article/S1499404618308996/pdf |
| Ending Page | 455 |
| Page Count | 16 |
| Starting Page | 440 |
| ISSN | 14994046 |
| e-ISSN | 18782620 |
| DOI | 10.1016/j.jneb.2018.12.001 |
| Journal | Journal of nutrition education and behavior |
| Issue Number | 4 |
| Volume Number | 51 |
| Language | English |
| Publisher | Elsevier BV |
| Publisher Date | 2019-02-14 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of nutrition education and behavior Pediatrics and Child Health Elementary School Nutrition Education Curriculum Obesity Prevention |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nutrition and Dietetics Medicine |
