A School Nurse-Delivered Intervention for Overweight and Obese Adolescents

Autor/inn/en	Pbert, Lori; Druker, Susan; Gapinski, Mary A.; Gellar, Lauren; Magner, Robert; Reed, George; Schneider, Kristin; Osganian, Stavroula
Titel	A School Nurse-Delivered Intervention for Overweight and Obese Adolescents
Quelle	In: Journal of School Health, 83 (2013) 3, S.182-193 (12 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12014
Schlagwörter	School Nurses; Intervention; School Health Services; Obesity; Adolescents; Body Weight; Dietetics; Cognitive Restructuring; Behavior Modification; High School Students; Program Effectiveness; Eating Habits; Comparative Analysis; Body Composition; Physical Activity Level; Social Cognition; Life Style; Massachusetts + Suchen Sie Ihr Suchwort? Schuleingangsuntersuchung; Adipositas; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Körpergewicht; Ernährungslehre; Behaviour modification; Verhaltensänderung; High school; High schools; Student; Students; Oberschule; Schüler; Schülerin; Studentin; Ernährungsgewohnheit; Essgewohnheit; Soziale Kognition; Lebensstil; Master-Studiengang
Abstract	Background: Models are needed for implementing weight management interventions for adolescents through readily accessible venues. This study evaluated the feasibility and ef?cacy of a school nurse-delivered intervention in improving diet and activity and reducing body mass index (BMI) among overweight and obese adolescents. Methods: Six high schools were randomized to either a 6-session school nurse-delivered counseling intervention utilizing cognitive-behavioral techniques or nurse contact with provision of information. Eighty-four overweight or obese adolescents in grades 9 through 11 completed behavioral and physiological assessments at baseline and 2- and 6-month follow-ups. Results: At 2 months, intervention participants ate breakfast on more days/week (difference = 1.01 days; 95% CI: 0.11, 1.92), and had a lower intake of total sugar (difference = -45.79 g; 95% CI: -88.34, -3.24) and added sugar (difference= -51.35 g; 95% CI: -92.45, -10.26) compared to control participants. At 6 months, they were more likely to drink soda less than or equal to one time/day (OR 4.10; 95% CI: 1.19, 16.93) and eat at fast food restaurants less than or equal to one time/week (OR 4.62; 95% CI: 1.10, 23.76) compared to control participants. There were no signi?cant differences in BMI, activity, or caloric intake. Conclusion: A brief school nurse-delivered intervention was feasible, acceptable, and improved selected obesogenic behaviors, but not BMI. (Contains 4 tables and 2 figures.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10