Participation in a School-Based Wellness Initiative Associated with Improved K-12 Student Body Mass Index Trends

Autor/inn/en	Head, Kathleen C.; Morella, Kristen; Lugo, Michael P.; Key, Janice D.
Titel	Participation in a School-Based Wellness Initiative Associated with Improved K-12 Student Body Mass Index Trends
Quelle	In: Journal of School Health, 93 (2023) 7, S.547-556 (10 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Head, Kathleen C.) ORCID (Lugo, Michael P.) ORCID (Key, Janice D.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.13292
Schlagwörter	Kindergarten; Young Children; Elementary School Students; Middle School Students; High School Students; School Personnel; Wellness; School Activities; Intervention; Student Participation; Body Composition; Program Effectiveness; Control Groups; Stress Management; Physical Activity Level; Employee Attitudes; Work Attitudes; Obesity; Diversity; South Carolina + Suchen Sie Ihr Suchwort? Frühe Kindheit; Middle school; Middle schools; Student; Students; Mittelschule; Mittelstufenschule; Schüler; Schülerin; High school; High schools; Oberschule; Studentin; Schulpersonal; Well being; Well-being; Wohlbefinden; Schülermitarbeit; Schülermitwirkung; Studentische Mitbestimmung; Stressmanagement; Stressbewältigung; Arbeitnehmerinteresse; Work attitude; Arbeitshaltung; Adipositas
Abstract	Background: Associations between school participation in an academic medical center-supported school-based wellness initiative and programmatic components implemented with change in average student body mass index (BMI) over time were examined. Methods: This was an observational study of 103 K-12 South Carolina schools over school years 2014-2018, classified as participating (n = 87 schools, 27,855 students) or non-participating (n = 16 schools; 3608 students). Associations between students' BMI z-score (BMIz) and school participation were evaluated by linear multilevel mixed-effects modeling using data from FitnessGram and the School Wellness Checklist© (SWC), respectively. Results: One-third of the students had a BMI percentile [greater than or equal to]85. Average student BMIz decreased in participating schools (p = 0.026) and increased in non-participating schools (p = 0.004) over time. For schools that participated two or more years, there was an inverse relationship between SWC score and student BMIz (p = 0.002) that did not differ by school type, rural/urban location, Title 1 status, or student sex. Physical activity and stress management interventions for students, as well as employee wellness and establishing a wellness committee at the school level were significantly associated with decreased average student BMIz (all p < 0.05). Conclusion: Implementation of similar comprehensive school-based wellness programs focused on improving physical activity, stress management, and employee engagement may help prevent and reduce pediatric obesity in diverse communities. (As Provided).
Anmerkungen	Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01