Treatment
20
Increased school involvement
Nine community-based
studies (5 RCTs and 4
non-RCTs) of which 1
was conducted only in the
community setting, 3 were
conducted in the community
and school setting, and
5 were conducted in the
community setting in
combination with at least
1 other setting, such as the
home
ere was moderate strength of
evidence that a combined diet and
physical activity intervention in the
community with a school component
is effective at preventing obesity or
overweight
–
A systematic review of 16
studies involving school
prevention programs with
community involvement
School programs with more
community involvement were more
successful than those with less
community involvement
–
Meta-analysis of 37 studies
of 27,946 children generally
between 6 and 12 y of age
ere were beneficial effects of
pediatric obesity prevention programs
on BMI with school curriculum that
includes healthy eating ; physical
activity and body image; increased
sessions for physical activity and
the development of fundamental
movement skills throughout the
school week; improvements in
nutritional quality of the food supply
in schools; environments and cultural
practices that support children eating
healthier foods and being active
throughout each day; support for
teachers and other staff to implement
health promotion strategies and
activities, as well as parent support
and home activities that encourage
children to be more active, eat more
nutritious foods, and spend less time
in screen-based activities; however,
weaknesses in studies and potential
bias point to the necessity for
improved studies in the future
–
Table 4. Factors Associated With Prevention of Pediatric
Obesity (cont'd)
Study Format Relationship
Relationship to
the Development
of Obesity
or Metabolic
Improvement
