Abstract
Citation
Sahota P, Rudolf MC, Dixey R, Hill AJ, Barth JH, Cade J. Randomised controlled trial of primary school based intervention to reduce risk factors for obesity. BMJ 2001 Nov 3;323(7320):1029-32.
Abstract
OBJECTIVE: To assess if a school based intervention was effective in reducing risk factors for obesity. DESIGN: Group randomised controlled trial. SETTING: 10 primary schools in Leeds. PARTICIPANTS: 634 children aged 7-11 years. INTERVENTION: Teacher training, modification of school meals, and the development of school action plans targeting the curriculum, physical education, tuck shops, and playground activities. MAIN OUTCOME MEASURES: Body mass index, diet, physical activity, and psychological state. RESULTS: Vegetable consumption by 24 hour recall was higher in children in the intervention group than the control group (weighted mean difference 0.3 portions/day, 95% confidence interval 0.2 to 0.4), representing a difference equivalent to 50% of baseline consumption. Fruit consumption was lower in obese children in the intervention group (-1.0, -1.8 to -0.2) than those in the control group. The three day diary showed higher consumption of high sugar foods (0.8, 0.1 to 1.6)) among overweight children in the intervention group than the control group. Sedentary behaviour was higher in overweight children in the intervention group (0.3, 0.0 to 0.7). Global self worth was higher in obese children in the intervention group (0.3, 0.3 to 0.6). There was no difference in body mass index, other psychological measures, or dieting behaviour between the groups. Focus groups indicated higher levels of self reported behaviour change, understanding, and knowledge among children who had received the intervention. CONCLUSION: Although it was successful in producing changes at school level, the programme had little effect on children's behaviour other than a modest increase in consumption of vegetables.
Full Text
The full text is available at https://dx.doi.org/10.1136/bmj.323.7320.1029
At A Glance
Individual Dietary Behavior Variables
| Intake |
|---|
| Macronutrients, including Saturated Fat |
| Sweetened Beverages |
| Fruits/Vegetables |
Domain(s)
Individual Dietary Behavior
Measure Type
24-hour dietary recall
Measure Availability
Not available
Number of Items
Not applicable
Study location
Metro/Urban
Leeds, England
Languages
English
Information about Development of Measure
Nothing to add
Study Design
Study Participants
Age
6 - 11 Years
Sex
Female
Male
Race/Ethnicity
Multiethnic/racial population (no further detail)
Predominantly Low-income/Low-SES
No
Sample Size
636
Study Design
Design Type
Impact/Effectiveness
Health Outcomes Assessed
Obesity
Obesity Measures
BMI for age
BMI for age (Mean)
BMI for age (Proportion with BMI for age at or above 85th percentile)
BMI for age (Proportion with BMI for age at or above 95th percentile)
BMI Z-score
BMI Measured or Self-reported
Measured height
Measured weight
Covariates
Psychological factors (e.g., self-efficacy, beliefs, preferences)
Data Reported on Race/Ethnicity
Quantitative data on study sample
Quantitative data for community or area
Data Reported on SES
Quantitative data on study sample
Qualitative description
SES-related Variables
Program Participation (e.g., WIC, Free/Reduced School Meals)
How To Use
Administration
Who Administered
Self-administered
How Administered
Not reported
Time Required
1 day
Training Required
Yes, time not reported
Instructions on Use
Not reported
Data Analysis
Data Collection/Analysis Costs
Not available
Data Collection/Protocol
Not available
Instructions on Data Analysis
Instructions on analysis included in article
Validity (0)
There are no validity tests reported for this measure.
Reliability (0)
There are no reliability tests reported for this measure.