A School-Based Program for Overweight and Obese Adolescents: A Randomized Controlled Trial

Autor/inn/en	Pbert, Lori; Druker, Susan; Barton, Bruce; Schneider, Kristin L.; Olendzki, Barbara; Gapinski, Mary A.; Kurtz, Stephen; Osganian, Stavroula
Titel	A School-Based Program for Overweight and Obese Adolescents: A Randomized Controlled Trial
Quelle	In: Journal of School Health, 86 (2016) 10, S.699-708 (10 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12428
Schlagwörter	School Health Services; Obesity; Adolescents; High School Students; Randomized Controlled Trials; Nurses; Teaching Methods; Intervention; Exercise; Pretests Posttests; Eating Habits; Physical Activity Level; Body Composition; Body Weight; Regression (Statistics); Comparative Analysis; School Counseling; Program Effectiveness; Health Behavior + Suchen Sie Ihr Suchwort? Schuleingangsuntersuchung; Adipositas; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; High school; High schools; Student; Students; Oberschule; Schüler; Schülerin; Studentin; Teaching method; Lehrmethode; Unterrichtsmethode; Übung; Ernährungsgewohnheit; Essgewohnheit; Körpergewicht; Regression; Regressionsanalyse; School counselling; Pädagogische Beratung; Health behaviour; Gesundheitsverhalten
Abstract	Background: Given the dramatic increase in adolescent overweight and obesity, models are needed for implementing weight management treatment through readily accessible venues. We evaluated the acceptability and efficacy of a school-based intervention consisting of school nurse-delivered counseling and an afterschool exercise program in improving diet, activity, and body mass index (BMI) among overweight and obese adolescents. Methods: A pair-matched cluster-randomized controlled school-based trial was conducted in which 8 public high schools were randomized to either a 12-session school nurse-delivered cognitive-behavioral counseling intervention plus school-based after school exercise program, or 12-session nurse contact with weight management information (control). Overweight or obese adolescents (N = 126) completed anthropometric and behavioral assessments at baseline and 8-month follow-up. Main outcome measures included diet, activity, and BMI. Mixed effects regression models were conducted to examine differences at follow-up. Result: At follow-up, students in intervention compared with control schools were not different in BMI, percent body fat, and waist circumference. Students reported eating breakfast (adjusted mean difference 0.81 days; 95% confidence interval [CI] 0.11-1.52) on more days/week; there were no differences in other behaviors targeted by the intervention. Conclusions: While a school-based intervention including counseling and access to an after-school exercise program is theoretically promising with public health potential, it was not effective in reducing BMI or key obesogenic behaviors. Our findings are important in highlighting that interventions targeted at the individual level are not likely to be sufficient in addressing the adolescent obesity epidemic without changes in social norms and the environment. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01