School Wellness Committees Are Associated with Lower Body Mass Index Z-Scores and Improved Dietary Intakes in US Children: The Healthy Communities Study

Autor/inn/en	Au, Lauren E.; Crawford, Patricia B.; Woodward-Lopez, Gail; Gurzo, Klara; Kao, Janice; Webb, Karen L.; Ritchie, Lorrene D.
Titel	School Wellness Committees Are Associated with Lower Body Mass Index Z-Scores and Improved Dietary Intakes in US Children: The Healthy Communities Study
Quelle	In: Journal of School Health, 88 (2018) 9, S.627-635 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Au, Lauren E.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12664
Schlagwörter	Wellness; Correlation; Committees; Nutrition; School Policy; Obesity; Child Health; Dietetics; Eating Habits; Children; Adolescents; Body Composition; Body Weight; Body Height; Program Effectiveness; Elementary School Students; Secondary School Students + Suchen Sie Ihr Suchwort? Well being; Well-being; Wohlbefinden; Korrelation; Committee; Ausschuss; Ernährung; Schulpolitik; Adipositas; Ernährungslehre; Ernährungsgewohnheit; Essgewohnheit; Child; Kind; Kinder; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Körpergewicht; Körpergröße; Sekundarschüler
Abstract	Background: Our objective was to examine the association between school wellness committees and implementation of nutrition wellness policies and children's weight status and obesity-related dietary outcomes. Methods: A cross-sectional study was conducted of 4790 children aged 4-15 years recruited from 130 communities in the Healthy Communities Study. Multilevel statistical models assessed associations between school wellness policies and anthropometric (body mass index z-score [BMIz]) and nutrition measures, adjusting for child and community-level covariates. Results: Children had lower BMI z-scores (-0.11, 95% confidence interval [CI]: -0.19, -0.03) and ate breakfast more frequently (0.14 days/week, 95% CI: 0.02-0.25) if attending a school with a wellness committee that met once or more in the past year compared to attending a school with a wellness committee that did not meet/did not exist. Children had lower added sugar (p < 0.0001), lower energy-dense foods (p = 0.0004), lower sugar intake from sugar-sweetened beverages (p = 0.0002), and lower dairy consumption (p = 0.001) if attending a school with similar or stronger implementation of the nutrition components of the school wellness policies compared to other schools in the district. Conclusions: A more active wellness committee was associated with lower BMI z-scores in US schoolchildren. Active school engagement in wellness policy implementation appears to play a positive role in efforts to reduce childhood obesity. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01