Abstract
OBJECTIVE:To assess the impact of a 6 months nutrition education and physical activity intervention on primary school children through changes in adiposity and physical fitness.
DESIGN: Longitudinal school-based controlled evaluation study.
SUBJECTS: Children from 1st to 8th grade, 2141 in intervention and 945 in control schools.
INTERVENTION: Nutrition education for children and parents, ‘healthier’ kiosks, 90 min of additional physical activity (PA) weekly, behavioral PA program and active recess.
MEASUREMENTS: Adiposity indices (BMI, BMI Z-score, triceps skinfold thickness (TSF), waist circumference and physical fitness (20 m shuttle run test and lower back flexibility).
RESULTS: Positive effect on adiposity indices (except TSF) was observed in boys (P<0.001 for BMI Z), while both physical fitness parameters increased significantly in both boys (P<0.001 for each test) and girls (P<0.0001 for each test). A differential effect in BMI Z was observed according to baseline nutritional status.
CONCLUSIONS: This intervention showed a robust effect on physical fitness in both genders and decreased adiposity only in boys.
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References
Albala C, Vio F, Kain J, Uauy R . Nutrition transition in Latin America: the case of Chile. Nutr Rev 2001; 59: 170–176.
Popkin B . An overview on the nutritional transition and its health implications: the Bellagio meeting. Public Health Nutr 2002; 5: 93–103.
Albala C, Vio F, Kain J, Uauy, R . Nutrition transition in Chile: determinants and consequences. Public Health Nutr 2002; 5: 123–128.
Salinas J, Vio F . Health promotion in Chile. Rev Chil Nutr 2002; 50: 164–173.
Campbell K, Waters E, O' Meara S, Kelly S, Summerbell C . Interventions for preventing obesity in children (Cochrane Review). In Cochrane Library, issue 1. Update Software: Oxford; 2003.
Olivares S, Morón C, Zacharías I, Andrade M, Vio F . Nutrition education in Chilean primary schools. Food, Nutr Agric 2003; 33: 64–69.
CALC Program. CALC Web Page (http://www.cahperd.ca/calc/index.html).
CDC/NCHS. CDC Growth charts: United States, Posted May 30, 2000 on Internet 2000.
Chilean Ministry of Health. Normas de evaluación nutricional del niño de 6 a 18 años 2003.
Leger LA, Lambert J . A maximal multistage 20 m shuttle run test to predict VO2max . Eur J Appl Physiol 1982; 49: 1–5.
Leger LA, Mercier D, Gadoury C, Lambert J . The multistage 20 metre shuttle run test for aerobic fitness. J Sports Sci 1988; 6: 93–101.
Mercier D, Léger L, Lambert J . Relative efficiency and predicted VO2 max in children. Med Sci Sports Exe 1983; 15: 143–147.
Committee of Experts on Sports Research. EUROFIT. Edigraf, Editoriale Grafica: Rome 1988.
WHO. Health Behaviour in School-Aged Children. Research Protocol for the 1997–98 Survey. Department of Community Health Sciences, The University of Edinburgh, Edinburgh, Scotland; 2000.
CDC. US Youth Risk Behavior Surveillance System, Information on the Web Page (www.cdc.gov/yrbss).
Robinson T . Reducing children's television viewing to prevent obesity: a randomized controlled trial. JAMA 1999; 282: 1561–1567.
Olivares S, Kain J, Pizarro F, Vio F . Nutritional status, food consumption and physical activity in Chilean school children: a descriptive study. submitted for publication.
Doak C, Adair L, Monteiro C, Popkin B . Overweight and underweight coexist within households in Brazil, China and Russia. J Nutr 2000; 230: 2965–2971.
Kain J, Uauy R, Vio F, Albala C . Trends in overweight and obesity in Chilean children: comparison of three definitions to determine prevalence. Eur J Clin Nutr 2002; 56: 200–204.
Kain J, Olivares S, Castillo M, Vio F . Validation and implementation of questionnaires to evaluate school-based obesity prevention educational interventions. Rev Chil Pediatr 2001; 72: 308–318.
Yánez R, Olivares S, Torres I, Guevara M, Díaz N . Food consumption in Chilean school children: relationship with food guides and pyramid. Rev Chil Nutr 2001; 28: 422–428.
Sarria A, Moreno L, Garcia Llop, Fleta J, Morellon MP, Bueno M . Body mass index, triceps skinfold and waist cicumference in screening for adiposity in male children and adolescents. Acta Pediatr 2001; 90: 387–392.
Dezenberg CV, Nagy TR, Gower BA, Johnson R, Goran MI . Predicting body composition from anthropometry in pre-adolescent children. Int J Obes Relat Metab Disorder 1999; 23: 253–259.
Geiss HC, Parhofer KG, Schwandt P . Parameters of childhood obesity and their relationship to cardiovascular risk factors in healthy prepubescent children. IJOB 2001; 25: 830–837.
Floodmark C, Sveger T, Nilsson-Ehle P . Waist measurement correlates to a potentially artherogenic lipoprotein profile in obese 10–12 year-old children. Acta Pediatr 1994; 83: 941–945.
Zannolli R, Morgese G . Waist percentiles: a simple test for atherogenic disease? Acta Pediatr 1996; 85: 1368–1369.
Kanbur N, Derman O, Kinik E . Prevalence of obesity in adolescents and the impact of sexual maturation on BMI in obese adolescents. Int J Adolesc Med Health 2002; 14: 61–65.
Freedson P, Cureton K, Heath G . Status of field-based fitness testing in children and youth. Prev Med 2000; 31: 577–585.
Manios Y, Kafatos A, Codrington C . Gender differences in physical activity and physical fitness in young children in Crete. J Sports Med Phys Fitness 1999; 39: 24–30.
Livingstone MB, Black AE . Markers of the validity of reported energy intake. J Nutr 2003; 133: 895S–920S.
Baranowski T, Thompson WO, DuRant R, Baranowski J, Puhl J . Observations on physical activity in physical locations: age, gender, ethnicity, and month effects. Res Q Exerc Sport 1993; 64: 127–133.
Mc Kenzie T, Sallis J, Elder J, Berry C, Hoy P, Nader P, Zive MH, Broyles SL . Physical activity levels and prompts in young children at recess: a two-year study of a bi-ethnic sample. Res Q Exerc Sport 1997; 68: 195–202.
Kraft R . Children at play: behavior of children at recess. JOPERD 1989; 60: 21–24.
Gattas V, Barrera G, Riumallo J, Uauy R . Physical activity in normal and low height for age school children. Rev Chil Pediatr 1996; 67: 212–218.
Mc Kenzie T, Sallis J, Faucette N, Roby J, Kolody B . Effects of a curriculum and inservice program on the quantity and quality of elementary physical education classes. Res Q Exer Sport 1993; 64: 178–187.
Pate RR, Freedson PS, Sallis J, Taylor WC, Sirand J, Frost SG, Dowda M . Compliance with physical activity guidelines: prevalence in population of children and youth. Ann Epidemiol 2002; 12: 303–308.
Garcia A, Norton-Broda M, Frenn M, Coviak C, Pender N, Ronis D . Gender and development differences in exercise beliefs among youth and prediction of their exercise behavior. J Sch Health 1995; 65: 213–219.
Olivares S, Albala C, Garcia F, Jofré I . Television advertising and food preferences of school age children of Santiago, Chile. Rev Med Chil 1999; 127: 791–799.
Wechsler H, Devereaux AB, Davis M, Collins J . Using the school environment to promote physical activity and healthy eating. Prev Med 2000; 31: S121–S137.
Habicht JP, Victora CG, Vaughan JP . Evaluation designs for adequacy, plausibility and probability of public health programme performance and impact. Int J Epidemiol 1999; 28: 10–18.
Resnicow K, Robinson TN . School-based cardiovascular disease prevention studies: review and synthesis. Ann Epidemiol 1997; S7: S14–S31.
Jacob A . School programs. In: Chen C, Dietz W (eds). Obesity in childhood and adolescence. Nutrition Workshop Series. Pediatric Program. Vol. 49. Lippincott: Philadelphia; 2002. 257–272.
Robinson TN . Obesity Prevention. In: Chen C, Dietz W (eds). Obesity in childhood and adolescence. Nutrition Workshop Series. Pediatric Program. Vol 49. Lippincott: Philadelphia; 2002. 245–256.
Flores R . Dance for health: improving fitness in African American and Hispanic adolescents. Public Health Rep 1995; 110: 189–193.
Mo-Suwan L, Pongprapai S, Junjana C, Peutpaiboon A . Effects of a controlled trial of a school-based exercise program on the obesity indices of preschool children. Am J Clin Nutr 1998; 68: 1006–1111.
Stolley MR, Fitzgibbon ML . Effects of an obesity prevention program on the eating behavior of African American mothers and daughters. Health Educ Behav 1997; 24: 152–164.
Sahota P, Rudolf M, Dixey R, Hill A, Barth JH, Cade J . Randomized controlled trial of primary school based intervention to reduce risk factors for obesity. BMJ 2001; 323: 1–5.
Acknowledgements
This study was supported by the Chilean Ministry of Education, Chile Deportes (Government Sports Promotion Agency) and an unrestricted grant from Córpora Tresmontes.
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Kain, J., Uauy, R., Albala et al. School-based obesity prevention in Chilean primary school children: methodology and evaluation of a controlled study. Int J Obes 28, 483–493 (2004). https://doi.org/10.1038/sj.ijo.0802611
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DOI: https://doi.org/10.1038/sj.ijo.0802611
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