User

School Based Intervention on Overweight in Children: A Meta Analysis

Riftiani Nikmatul Nurlaili, Yulia Lanti Retno Dewi, Rita Benya Adriyani

Abstract

Background: Overweight is a serious nutritio­nal problem in children. Currently, overweight is a nutritional problem in all countries, both developed and developing countries. One of the efforts to stop increasing overweight in children is to provide school-based interventions. This study aims to estimate the magnitude of the effect of school-based interventions on over­weight in children based on a number of previous primary studies.

Subjects and Method: Meta-analysis was performed by systematically reviewing articles from Google Scholar, PubMed, BMJ, Science­Direct, BMC, and Sage. The articles used in this research are articles that have been published from 2007-2018. Keywords for searching arti­cles are as follows: (preschool OR school) AND (intervention OR program prevention) AND ("children obesity" OR "children overweight") AND "randomized control trials" and "pre­school based" OR "school based" AND inter­vention OR prevention OR program AND "childhood obesity" OR "childhood overweight" OR "children obesity" OR "children over­weight". The inclusion criteria used were full paper, used English, randomized controlled trials study design and the results reported Risk Ratio (RR). Articles are collected using PRISMA diagrams and analyzed using the Review Manager 5.3 application.

Results: A total of 10 articles were reviewed in this study. Between experimental groups were homogeneous (I2= 0%; p= 0.570), therefore this study was conducted using a fixed effect model. Studies show that school-based inter­ventions have the effect of reducing the BMI of overweight children (RR = 0.89; 95% CI = 0.82 to 0.97; p = 0.007) in China, the United States, Mexico, Germany, Portugal, France, and the UK.

Conclusion: School-based interventions have the effect of reducing the risk of overweight in children in China, the United States, Mexico, Germany, Portugal, France, and the UK.

Keywords: School-based intervention, over­weight children

Correspondence: Riftiani Nikmatul Nurlaili. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: riftiani.nurlaili@gmail.com. Mobile: 08­5746737137.

Journal of Maternal and Child Health (2020), 05(06): 683-392
https://doi.org/10.26911/thejmch.2020.05.06.08.

Full Text:

PDF

References

Bleich SN, Vercammen, KA, Zatz, LY, Fre-lier, JM, Ebbeling, CB, Peeters A (2017). Review Interventions to pre-vent global childhood overweight and obesity: a systematic review. Lancet Diabetes Endocrinol. 8587(4): 1–15. https://doi.org/10.1016/s2213-8587-(17)30358-3.


Cao ZJ, Wang SM, Chen Y (2015). A rando-mized trial of multiple interventions for childhood obesity in china. Am J Prev Med. 48(5): 552–560. https://-doi.org/10.1016/j.amepre.2014.12.014


Foster GD, Sherman S, Borradaile KE, Grundy KM, Vander VSS, Nachmani J, Shults J (2008). A policy-based school intervention to prevent over-weight and obesity. Pediatrics, 121(4): 794-802. https://doi.org/10.1542/pe-ds.2007-1365.


Grandjean H, Tauber M, Jouret B, Ahlu-walia N, Dupuy M, Cristini C, Ne L (2009). Prevention of overweight in preschool children: results of kindergartenbased interventions. Int J Obes. 33(2009): 1075–1083. https://-doi.org/10.1038/ijo.2009.166.


Henrique P, Augusto J, Péricles E (2016). Physical activity and nutrition educa-tion at the school environment aimed at preventing childhood obesity: evidence from systematic reviews. J Pediatr (Rio J). 92(1): 15–23. https://doi.org/10.1038/ijo.2009.166.


James J, Thomas P, Kerr D (2007). Preven-ting childhood obesity: two year fol-low-up results from the christchurch obesity prevention programme in schools (chopps). BMJ. 335(7623): 762–764. https://doi.org/10.1136/bmj.39342.571806.55.


Kries V, Strauss A, Mitschek C, Toschke AM, Bayer O (2009). Short and mid-term effects of a setting based prevention program to reduce obesity risk factors in children: a cluster-randomized trial. Am J Clin Nutr. 28(2): 122–128. https://doi.org/10.1016/j.-clnu.2009.01.001.


Lavelle HV, Mackay DF (2012). Systematic review and meta-analysis of school-based interventions to reduce body mass index. J Public Health (Oxf). 34(3): 360–369. https://doi.org/10.1093/pubmed/fdr116.


Levy ST, Morales RC, Amaya CC, Salazar CA, Jiménez AA, Méndez G, Humarán I (2012). Effectiveness of a diet and physical activity promotion strategy on the prevention of obesity in Mexican school children. BMC Public Health. 12(152): 1-13. https://doi.org/10.1186/1471-2458-12-152.


Osuji CC (2018). Africa the Way Forward. UK: XlibrisUK.


Rosário R, Oliveira B, Araújo A, Lopes O, Padrão P, Moreira A, Moreira P (2012). The impact of an intervention taught by trained teachers on child-hood overweight. Int J Environ Res Public Health. 9(4): 1355–1367. https-://doi.org/10.3390/ijerph9041355.


Schwartz MW, Seeley RJ, Zeltser LM, Drewnowski A, Ravussin E, Redman LM, Leibel RL (2017). Obesity patho-genesis: An endocrine society scientific statement. Endocr Rev. 38(4): 1-30. https://doi.org/10.1210/er.2017-00111.


Shiman SL, Taveras EM, Gortmaker SL, Hohman KH, Horan CM, Kleinman KP, Gillman MW (2018). Two year follow-up of a primary care-based intervention to prevent and manage childhood obesity: the high five for kids study. Pediatr obes. 12(3): 1–6. https://doi.org/10.1111/ijpo.12141.


Simmonds M, Llewellyn A, Owen CG, Woo-lacott N (2016). Predicting adult obesity from childhood obesity: a systematic review and meta-analysis. Obes Rev. 17: 95–107. https://doi.org/10.1111/obr.12334.


Singhal, N Misra A (2010). A school-based intervention for diabetes risk reduction. N Engl J Med. 363(18): 1769–1770. https://doi.org/10.1056/nejmc-1009969.


Suarez CG, Worley A, Grimmer-Somers K, Dones V (2009). School-based interventions on childhood obesity. Am J Prev Med. 37(5): 418–427. https://doi.org/10.1016/j.amepre.2009.07.012.


UNICEF, WHO, World bank (2020). Levels And Trends In Child Malnutrition. ISBN: 978-92-4-000357-6.


UNICEF (2016). Regional report on nutrition security in Asean vol 2. Jakarta: The ASEAN Secretariat.


Wang Y, Cai L, Wu Y, Wilson RF, Weston C, Fawole O, Cheskin LJ (2015). What childhood obesity prevention programmes work? A systematic review and meta-analysis. Obes Rev. 16(7): 547-65. https://doi.org/10.1111/obr.12277.


Wang Z, Xu F, Ye Q, Tse LA, Xue H, Tan Z, Wang Y (2018). Childhood obesity prevention through a community-based cluster randomized controlled physical activity intervention among schools in china: the health legacy project of the 2nd world summer youth olympic games (yogobesity study). Int J Obes (Lond). 42(4): 625–633. https://doi.org/10.1038/ijo.2017.243.


WHO (2014). Comprehensive implementation plan for maternal, infant, and young child nutrition. Switzerland: WHO.


Xu H, Li Y, Zhang Q, Hu X, Liu A, Du S, Ma G (2017). Comprehensive school-based intervention to control overweight and obesity in china: a cluster randomized controlled trial. Asia Pac J Clin Nutr. 26(6): 1139–1151. https://doi.org/10.6133/apjcn.112016.05.


Yavuz HM, Ijzendoorn MHV, Mesman J, Veek S, Van D (2015). Interventions aimed at reducing obesity in early childhood: a meta-analysis of programs that involve parents. J Child Psychol Psychiatry. 56(6): 677–692. https://doi.org/10.1111/jcpp.12330.


Yin L, Wang N, Vermund SH, Shepherd BE, Ruan Y, Shao Y, Qian HZ (2014). Sexual risk reduction for hiv-infected persons: a meta-analytic review of “positive prevention" randomized clinical trials. PLoS ONE. 9(9): 1-15. https://doi.org/10.1371/journal.pone.0107652.

Refbacks

  • There are currently no refbacks.