Exploring the Potential of a School Impact on Pupil Weight Status: Exploratory Factor Analysis and Repeat Cross-Sectional Study of the National Child Measurement Programme
Schools are common sites for obesity prevention interventions. Although many theories suggest that the school context influences weight status, there has been little empirical research. The objective of this study was to explore whether features of the school context were consistently and meaningful...
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| description | Schools are common sites for obesity prevention interventions. Although many theories suggest that the school context influences weight status, there has been little empirical research. The objective of this study was to explore whether features of the school context were consistently and meaningfully associated with pupil weight status (overweight or obese). Exploratory factor analysis of routinely collected data on 319 primary schools in Devon, England, was used to identify possible school-based contextual factors. Repeated cross-sectional multilevel analysis of five years (2006/07-2010/11) of data from the National Child Measurement Programme was then used to test for consistent and meaningful associations. Four school-based contextual factors were derived which ranked schools according to deprivation, location, resource and prioritisation of physical activity. None of which were meaningfully and consistently associated with pupil weight status, across the five years. The lack of consistent associations between the factors and pupil weight status suggests that the school context is not inherently obesogenic. In contrast, incorporating findings from education research indicates that schools may be equalising weight status, and obesity prevention research, policy and practice might need to address what is happening outside schools and particularly during the school holidays. |
| doi_str_mv | 10.1371/journal.pone.0145128 |
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Although many theories suggest that the school context influences weight status, there has been little empirical research. The objective of this study was to explore whether features of the school context were consistently and meaningfully associated with pupil weight status (overweight or obese). Exploratory factor analysis of routinely collected data on 319 primary schools in Devon, England, was used to identify possible school-based contextual factors. Repeated cross-sectional multilevel analysis of five years (2006/07-2010/11) of data from the National Child Measurement Programme was then used to test for consistent and meaningful associations. Four school-based contextual factors were derived which ranked schools according to deprivation, location, resource and prioritisation of physical activity. None of which were meaningfully and consistently associated with pupil weight status, across the five years. The lack of consistent associations between the factors and pupil weight status suggests that the school context is not inherently obesogenic. In contrast, incorporating findings from education research indicates that schools may be equalising weight status, and obesity prevention research, policy and practice might need to address what is happening outside schools and particularly during the school holidays.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0145128</identifier><identifier>PMID: 26700027</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Body mass index ; Body Weight ; Body weights and measures ; Child ; Child, Preschool ; Cross-Sectional Studies ; Deprivation ; Educational aspects ; Elementary schools ; Empirical analysis ; England ; Exercise ; Factor analysis ; Female ; Health aspects ; Health Promotion ; Humans ; Male ; Methods ; Obesity ; Obesity - epidemiology ; Obesity - prevention & control ; Overweight ; Physical activity ; Prevention ; Preventive medicine ; School Health Services ; Schools ; Student health services ; Students</subject><ispartof>PloS one, 2015-12, Vol.10 (12), p.e0145128</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Williams et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Williams et al 2015 Williams et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-e89ba4fd77b853da8fcb558b7081dcca9e96cb8c59f023ca8cc96b1fc78002313</citedby><cites>FETCH-LOGICAL-c692t-e89ba4fd77b853da8fcb558b7081dcca9e96cb8c59f023ca8cc96b1fc78002313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4699206/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4699206/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26700027$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Williams, Andrew James</creatorcontrib><creatorcontrib>Wyatt, Katrina M</creatorcontrib><creatorcontrib>Williams, Craig A</creatorcontrib><creatorcontrib>Logan, Stuart</creatorcontrib><creatorcontrib>Henley, William E</creatorcontrib><title>Exploring the Potential of a School Impact on Pupil Weight Status: Exploratory Factor Analysis and Repeat Cross-Sectional Study of the National Child Measurement Programme</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Schools are common sites for obesity prevention interventions. Although many theories suggest that the school context influences weight status, there has been little empirical research. The objective of this study was to explore whether features of the school context were consistently and meaningfully associated with pupil weight status (overweight or obese). Exploratory factor analysis of routinely collected data on 319 primary schools in Devon, England, was used to identify possible school-based contextual factors. Repeated cross-sectional multilevel analysis of five years (2006/07-2010/11) of data from the National Child Measurement Programme was then used to test for consistent and meaningful associations. Four school-based contextual factors were derived which ranked schools according to deprivation, location, resource and prioritisation of physical activity. None of which were meaningfully and consistently associated with pupil weight status, across the five years. The lack of consistent associations between the factors and pupil weight status suggests that the school context is not inherently obesogenic. In contrast, incorporating findings from education research indicates that schools may be equalising weight status, and obesity prevention research, policy and practice might need to address what is happening outside schools and particularly during the school holidays.</description><subject>Body mass index</subject><subject>Body Weight</subject><subject>Body weights and measures</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Deprivation</subject><subject>Educational aspects</subject><subject>Elementary schools</subject><subject>Empirical analysis</subject><subject>England</subject><subject>Exercise</subject><subject>Factor analysis</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health Promotion</subject><subject>Humans</subject><subject>Male</subject><subject>Methods</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Obesity - prevention & 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Analysis and Repeat Cross-Sectional Study of the National Child Measurement Programme</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-12-23</date><risdate>2015</risdate><volume>10</volume><issue>12</issue><spage>e0145128</spage><pages>e0145128-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Schools are common sites for obesity prevention interventions. Although many theories suggest that the school context influences weight status, there has been little empirical research. The objective of this study was to explore whether features of the school context were consistently and meaningfully associated with pupil weight status (overweight or obese). Exploratory factor analysis of routinely collected data on 319 primary schools in Devon, England, was used to identify possible school-based contextual factors. Repeated cross-sectional multilevel analysis of five years (2006/07-2010/11) of data from the National Child Measurement Programme was then used to test for consistent and meaningful associations. Four school-based contextual factors were derived which ranked schools according to deprivation, location, resource and prioritisation of physical activity. None of which were meaningfully and consistently associated with pupil weight status, across the five years. The lack of consistent associations between the factors and pupil weight status suggests that the school context is not inherently obesogenic. In contrast, incorporating findings from education research indicates that schools may be equalising weight status, and obesity prevention research, policy and practice might need to address what is happening outside schools and particularly during the school holidays.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26700027</pmid><doi>10.1371/journal.pone.0145128</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Body mass index Body Weight Body weights and measures Child Child, Preschool Cross-Sectional Studies Deprivation Educational aspects Elementary schools Empirical analysis England Exercise Factor analysis Female Health aspects Health Promotion Humans Male Methods Obesity Obesity - epidemiology Obesity - prevention & control Overweight Physical activity Prevention Preventive medicine School Health Services Schools Student health services Students |
| title | Exploring the Potential of a School Impact on Pupil Weight Status: Exploratory Factor Analysis and Repeat Cross-Sectional Study of the National Child Measurement Programme |
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