Effectiveness of school-based health promotion interventions prioritized by stakeholders from health and education sectors: A systematic review and meta-analysis
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...
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doaj-38d39f192c3047999632101cf270ec772020-11-25T03:56:51ZengElsevierPreventive Medicine Reports2211-33552020-09-0119101138Effectiveness of school-based health promotion interventions prioritized by stakeholders from health and education sectors: A systematic review and meta-analysisJulia Dabravolskaj0Genevieve Montemurro1John Paul Ekwaru2Xiu Yun Wu3Kate Storey4Sandra Campbell5Paul J. Veugelers6Arto Ohinmaa7School of Public Health, University of Alberta, Edmonton, Canada; Corresponding author at: 3-50E University Terrace, 8303 112 Street NW, Edmonton, Alberta T6G 1K4, Canada.School of Public Health, University of Alberta, Edmonton, CanadaSchool of Public Health, University of Alberta, Edmonton, CanadaSchool of Public Health, University of Alberta, Edmonton, CanadaSchool of Public Health, University of Alberta, Edmonton, CanadaJohn W. Scott Health Sciences Library, University of Alberta, Edmonton, CanadaSchool of Public Health, University of Alberta, Edmonton, CanadaSchool of Public Health, University of Alberta, Edmonton, CanadaChildhood 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.http://www.sciencedirect.com/science/article/pii/S221133552030098XHealth promotionChildhood obesity preventionSchool-based interventionsSystematic reviewMeta-analysis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Julia Dabravolskaj Genevieve Montemurro John Paul Ekwaru Xiu Yun Wu Kate Storey Sandra Campbell Paul J. Veugelers Arto Ohinmaa |
spellingShingle |
Julia Dabravolskaj Genevieve Montemurro John Paul Ekwaru Xiu Yun Wu Kate Storey Sandra Campbell Paul J. Veugelers Arto Ohinmaa Effectiveness of school-based health promotion interventions prioritized by stakeholders from health and education sectors: A systematic review and meta-analysis Preventive Medicine Reports Health promotion Childhood obesity prevention School-based interventions Systematic review Meta-analysis |
author_facet |
Julia Dabravolskaj Genevieve Montemurro John Paul Ekwaru Xiu Yun Wu Kate Storey Sandra Campbell Paul J. Veugelers Arto Ohinmaa |
author_sort |
Julia Dabravolskaj |
title |
Effectiveness of school-based health promotion interventions prioritized by stakeholders from health and education sectors: A systematic review and meta-analysis |
title_short |
Effectiveness of school-based health promotion interventions prioritized by stakeholders from health and education sectors: A systematic review and meta-analysis |
title_full |
Effectiveness of school-based health promotion interventions prioritized by stakeholders from health and education sectors: A systematic review and meta-analysis |
title_fullStr |
Effectiveness of school-based health promotion interventions prioritized by stakeholders from health and education sectors: A systematic review and meta-analysis |
title_full_unstemmed |
Effectiveness of school-based health promotion interventions prioritized by stakeholders from health and education sectors: A systematic review and meta-analysis |
title_sort |
effectiveness of school-based health promotion interventions prioritized by stakeholders from health and education sectors: a systematic review and meta-analysis |
publisher |
Elsevier |
series |
Preventive Medicine Reports |
issn |
2211-3355 |
publishDate |
2020-09-01 |
description |
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. |
topic |
Health promotion Childhood obesity prevention School-based interventions Systematic review Meta-analysis |
url |
http://www.sciencedirect.com/science/article/pii/S221133552030098X |
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