Healthy lifestyle interventions within the curriculum in school-age children: systematic review and meta-analysis
Abstract Childhood obesity is a major public health challenge. Previous research has identified the impact of school-based interventions for preventing and treating obesity; we hypothesized that when curricular changes are integrated, results could be exponentiated. This study aimed to systematicall...
Gespeichert in:
Veröffentlicht in: | Health promotion international 2024-04, Vol.39 (2) |
---|---|
Hauptverfasser: | , , , , , |
Format: | Artikel |
Sprache: | eng |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | |
---|---|
container_issue | 2 |
container_start_page | |
container_title | Health promotion international |
container_volume | 39 |
creator | Balderas-Arteaga, Nydia Mendez, Kenia Gonzalez-Rocha, Alejandra Pacheco-Miranda, Selene Bonvecchio, Anabelle Denova-Gutiérrez, Edgar |
description | Abstract
Childhood obesity is a major public health challenge. Previous research has identified the impact of school-based interventions for preventing and treating obesity; we hypothesized that when curricular changes are integrated, results could be exponentiated. This study aimed to systematically review and conduct a meta-analysis of the published literature analyzing information about school-based interventions inserted in the curriculum. The Cochrane Handbook methodology was followed. An electronic search was conducted in five databases, with a specific design strategy per database. Randomized controlled trials or quasi-experimental studies of children with nutrition and physical activity (PA) interventions inserted into the school curricula were included. The risk of bias was assessed with the Risk of Bias tool. The mean differences were pooled using a fixed-effects model for the meta-analysis. The certainty of the evidence was evaluated according to the guidelines of the Grading of the Recommendations, Assessment, Development, and Evaluations working group (Protocol ID: CRD42021270557). After the screening and selection process, 12 studies were included. The interventions identified, based on the school curricula, include classroom activities and homework, among others. A meta-analysis with five intervention groups presented an overall mean difference of −0.14 body mass index (BMI) Z-score (95% CI: −0.25, −0.03) after this intervention with high certainty of the evidence. This systematic review and meta-analysis suggest that nutrition and PA lessons inserted into the curricula and supported with additional activities (i.e. homework, workshops, etc.) could increase nutrition knowledge and improve attitudes toward fruit, vegetables, and water consumption, and BMI Z-score reduction.
Graphical Abstract
Graphical Abstract |
doi_str_mv | 10.1093/heapro/daae020 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2956158928</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/heapro/daae020</oup_id><sourcerecordid>2956158928</sourcerecordid><originalsourceid>FETCH-LOGICAL-c329t-60a971e83cf573e381a4c54c3c6a2d3893e0f1ffb6868d7b06b67613d81448943</originalsourceid><addsrcrecordid>eNqFkD1PwzAURS0EoqWwMiKPMKS1Y8dx2FDFl1SJBebIcV6IkZO0ttMq_56gFFamN7xzr3QPQteULCnJ2KoGtXXdqlQKSExO0JxyQaI45skpmpMsSSMuYz5DF95_EUI55-IczZjkKaGSz9HuBZQN9YCtqcCHwQI2bQC3hzaYrvX4YEJtWhxqwLp3zuje9s3IYK_rrrOR-hwftbGlg_Ye-8EHaFQwGjvYGzhg1Za4gaAi1So7eOMv0VmlrIer412gj6fH9_VLtHl7fl0_bCLN4ixEgqgspSCZrpKUAZNUcZ1wzbRQcclkxoBUtKoKIYUs04KIQqSCslKOI2XG2QLdTr2jn10_bssb4zVYq1roep_HWSJoIrNYjuhyQrXrvHdQ5VtnGuWGnJL8R3M-ac6PmsfAzbG7Lxoo__BfryNwNwFdv_2v7BtI_YsZ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2956158928</pqid></control><display><type>article</type><title>Healthy lifestyle interventions within the curriculum in school-age children: systematic review and meta-analysis</title><source>Oxford University Press Journals All Titles (1996-Current)</source><creator>Balderas-Arteaga, Nydia ; Mendez, Kenia ; Gonzalez-Rocha, Alejandra ; Pacheco-Miranda, Selene ; Bonvecchio, Anabelle ; Denova-Gutiérrez, Edgar</creator><creatorcontrib>Balderas-Arteaga, Nydia ; Mendez, Kenia ; Gonzalez-Rocha, Alejandra ; Pacheco-Miranda, Selene ; Bonvecchio, Anabelle ; Denova-Gutiérrez, Edgar</creatorcontrib><description>Abstract
Childhood obesity is a major public health challenge. Previous research has identified the impact of school-based interventions for preventing and treating obesity; we hypothesized that when curricular changes are integrated, results could be exponentiated. This study aimed to systematically review and conduct a meta-analysis of the published literature analyzing information about school-based interventions inserted in the curriculum. The Cochrane Handbook methodology was followed. An electronic search was conducted in five databases, with a specific design strategy per database. Randomized controlled trials or quasi-experimental studies of children with nutrition and physical activity (PA) interventions inserted into the school curricula were included. The risk of bias was assessed with the Risk of Bias tool. The mean differences were pooled using a fixed-effects model for the meta-analysis. The certainty of the evidence was evaluated according to the guidelines of the Grading of the Recommendations, Assessment, Development, and Evaluations working group (Protocol ID: CRD42021270557). After the screening and selection process, 12 studies were included. The interventions identified, based on the school curricula, include classroom activities and homework, among others. A meta-analysis with five intervention groups presented an overall mean difference of −0.14 body mass index (BMI) Z-score (95% CI: −0.25, −0.03) after this intervention with high certainty of the evidence. This systematic review and meta-analysis suggest that nutrition and PA lessons inserted into the curricula and supported with additional activities (i.e. homework, workshops, etc.) could increase nutrition knowledge and improve attitudes toward fruit, vegetables, and water consumption, and BMI Z-score reduction.
Graphical Abstract
Graphical Abstract</description><identifier>ISSN: 0957-4824</identifier><identifier>ISSN: 1460-2245</identifier><identifier>EISSN: 1460-2245</identifier><identifier>DOI: 10.1093/heapro/daae020</identifier><identifier>PMID: 38470184</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><ispartof>Health promotion international, 2024-04, Vol.39 (2)</ispartof><rights>The Author(s) 2024. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com 2024</rights><rights>The Author(s) 2024. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c329t-60a971e83cf573e381a4c54c3c6a2d3893e0f1ffb6868d7b06b67613d81448943</citedby><cites>FETCH-LOGICAL-c329t-60a971e83cf573e381a4c54c3c6a2d3893e0f1ffb6868d7b06b67613d81448943</cites><orcidid>0000-0002-6238-5132 ; 0000-0001-9671-9682</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38470184$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Balderas-Arteaga, Nydia</creatorcontrib><creatorcontrib>Mendez, Kenia</creatorcontrib><creatorcontrib>Gonzalez-Rocha, Alejandra</creatorcontrib><creatorcontrib>Pacheco-Miranda, Selene</creatorcontrib><creatorcontrib>Bonvecchio, Anabelle</creatorcontrib><creatorcontrib>Denova-Gutiérrez, Edgar</creatorcontrib><title>Healthy lifestyle interventions within the curriculum in school-age children: systematic review and meta-analysis</title><title>Health promotion international</title><addtitle>Health Promot Int</addtitle><description>Abstract
Childhood obesity is a major public health challenge. Previous research has identified the impact of school-based interventions for preventing and treating obesity; we hypothesized that when curricular changes are integrated, results could be exponentiated. This study aimed to systematically review and conduct a meta-analysis of the published literature analyzing information about school-based interventions inserted in the curriculum. The Cochrane Handbook methodology was followed. An electronic search was conducted in five databases, with a specific design strategy per database. Randomized controlled trials or quasi-experimental studies of children with nutrition and physical activity (PA) interventions inserted into the school curricula were included. The risk of bias was assessed with the Risk of Bias tool. The mean differences were pooled using a fixed-effects model for the meta-analysis. The certainty of the evidence was evaluated according to the guidelines of the Grading of the Recommendations, Assessment, Development, and Evaluations working group (Protocol ID: CRD42021270557). After the screening and selection process, 12 studies were included. The interventions identified, based on the school curricula, include classroom activities and homework, among others. A meta-analysis with five intervention groups presented an overall mean difference of −0.14 body mass index (BMI) Z-score (95% CI: −0.25, −0.03) after this intervention with high certainty of the evidence. This systematic review and meta-analysis suggest that nutrition and PA lessons inserted into the curricula and supported with additional activities (i.e. homework, workshops, etc.) could increase nutrition knowledge and improve attitudes toward fruit, vegetables, and water consumption, and BMI Z-score reduction.
Graphical Abstract
Graphical Abstract</description><issn>0957-4824</issn><issn>1460-2245</issn><issn>1460-2245</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNqFkD1PwzAURS0EoqWwMiKPMKS1Y8dx2FDFl1SJBebIcV6IkZO0ttMq_56gFFamN7xzr3QPQteULCnJ2KoGtXXdqlQKSExO0JxyQaI45skpmpMsSSMuYz5DF95_EUI55-IczZjkKaGSz9HuBZQN9YCtqcCHwQI2bQC3hzaYrvX4YEJtWhxqwLp3zuje9s3IYK_rrrOR-hwftbGlg_Ye-8EHaFQwGjvYGzhg1Za4gaAi1So7eOMv0VmlrIer412gj6fH9_VLtHl7fl0_bCLN4ixEgqgspSCZrpKUAZNUcZ1wzbRQcclkxoBUtKoKIYUs04KIQqSCslKOI2XG2QLdTr2jn10_bssb4zVYq1roep_HWSJoIrNYjuhyQrXrvHdQ5VtnGuWGnJL8R3M-ac6PmsfAzbG7Lxoo__BfryNwNwFdv_2v7BtI_YsZ</recordid><startdate>20240401</startdate><enddate>20240401</enddate><creator>Balderas-Arteaga, Nydia</creator><creator>Mendez, Kenia</creator><creator>Gonzalez-Rocha, Alejandra</creator><creator>Pacheco-Miranda, Selene</creator><creator>Bonvecchio, Anabelle</creator><creator>Denova-Gutiérrez, Edgar</creator><general>Oxford University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6238-5132</orcidid><orcidid>https://orcid.org/0000-0001-9671-9682</orcidid></search><sort><creationdate>20240401</creationdate><title>Healthy lifestyle interventions within the curriculum in school-age children: systematic review and meta-analysis</title><author>Balderas-Arteaga, Nydia ; Mendez, Kenia ; Gonzalez-Rocha, Alejandra ; Pacheco-Miranda, Selene ; Bonvecchio, Anabelle ; Denova-Gutiérrez, Edgar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-60a971e83cf573e381a4c54c3c6a2d3893e0f1ffb6868d7b06b67613d81448943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Balderas-Arteaga, Nydia</creatorcontrib><creatorcontrib>Mendez, Kenia</creatorcontrib><creatorcontrib>Gonzalez-Rocha, Alejandra</creatorcontrib><creatorcontrib>Pacheco-Miranda, Selene</creatorcontrib><creatorcontrib>Bonvecchio, Anabelle</creatorcontrib><creatorcontrib>Denova-Gutiérrez, Edgar</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Health promotion international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Balderas-Arteaga, Nydia</au><au>Mendez, Kenia</au><au>Gonzalez-Rocha, Alejandra</au><au>Pacheco-Miranda, Selene</au><au>Bonvecchio, Anabelle</au><au>Denova-Gutiérrez, Edgar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Healthy lifestyle interventions within the curriculum in school-age children: systematic review and meta-analysis</atitle><jtitle>Health promotion international</jtitle><addtitle>Health Promot Int</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>39</volume><issue>2</issue><issn>0957-4824</issn><issn>1460-2245</issn><eissn>1460-2245</eissn><abstract>Abstract
Childhood obesity is a major public health challenge. Previous research has identified the impact of school-based interventions for preventing and treating obesity; we hypothesized that when curricular changes are integrated, results could be exponentiated. This study aimed to systematically review and conduct a meta-analysis of the published literature analyzing information about school-based interventions inserted in the curriculum. The Cochrane Handbook methodology was followed. An electronic search was conducted in five databases, with a specific design strategy per database. Randomized controlled trials or quasi-experimental studies of children with nutrition and physical activity (PA) interventions inserted into the school curricula were included. The risk of bias was assessed with the Risk of Bias tool. The mean differences were pooled using a fixed-effects model for the meta-analysis. The certainty of the evidence was evaluated according to the guidelines of the Grading of the Recommendations, Assessment, Development, and Evaluations working group (Protocol ID: CRD42021270557). After the screening and selection process, 12 studies were included. The interventions identified, based on the school curricula, include classroom activities and homework, among others. A meta-analysis with five intervention groups presented an overall mean difference of −0.14 body mass index (BMI) Z-score (95% CI: −0.25, −0.03) after this intervention with high certainty of the evidence. This systematic review and meta-analysis suggest that nutrition and PA lessons inserted into the curricula and supported with additional activities (i.e. homework, workshops, etc.) could increase nutrition knowledge and improve attitudes toward fruit, vegetables, and water consumption, and BMI Z-score reduction.
Graphical Abstract
Graphical Abstract</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>38470184</pmid><doi>10.1093/heapro/daae020</doi><orcidid>https://orcid.org/0000-0002-6238-5132</orcidid><orcidid>https://orcid.org/0000-0001-9671-9682</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0957-4824 |
ispartof | Health promotion international, 2024-04, Vol.39 (2) |
issn | 0957-4824 1460-2245 1460-2245 |
language | eng |
recordid | cdi_proquest_miscellaneous_2956158928 |
source | Oxford University Press Journals All Titles (1996-Current) |
title | Healthy lifestyle interventions within the curriculum in school-age children: systematic review and meta-analysis |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T09%3A56%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Healthy%20lifestyle%20interventions%20within%20the%20curriculum%20in%20school-age%20children:%20systematic%20review%20and%20meta-analysis&rft.jtitle=Health%20promotion%20international&rft.au=Balderas-Arteaga,%20Nydia&rft.date=2024-04-01&rft.volume=39&rft.issue=2&rft.issn=0957-4824&rft.eissn=1460-2245&rft_id=info:doi/10.1093/heapro/daae020&rft_dat=%3Cproquest_cross%3E2956158928%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2956158928&rft_id=info:pmid/38470184&rft_oup_id=10.1093/heapro/daae020&rfr_iscdi=true |