A Multicomponent, School-Based Intervention, the Shaping Healthy Choices Program, Improves Nutrition-Related Outcomes.
J Nutr Educ Behav
; 49(5): 368-379.e1, 2017 05.
Article
en En
| MEDLINE
| ID: mdl-28189500
OBJECTIVE: To evaluate the effectiveness of the Shaping Healthy Choices Program (SHCP). DESIGN: A clustered, randomized, controlled intervention lasting 1 school year. SETTING: Schools in northern and central California. PARTICIPANTS: Fourth-graders (aged 9-10 years) at 2 control schools (n = 179) and 2 intervention schools (n = 230). INTERVENTION: Garden-enhanced education, family, and community partnerships; increased regionally procured produce in the lunchroom; and school-site wellness committees. MAIN OUTCOME MEASURES: Changes in body mass index (BMI) percentiles/Z-scores; nutrition knowledge, science process skills, and vegetable identification and preferences; and reported fruit and vegetable intake. ANALYSIS: Student t test, chi-square, ANOVA of change, and multilevel regression mixed model to evaluate change in outcomes with school as a random effect to account for cluster design effects. Statistical significance was set at P < .05. RESULTS: There was a greater improvement in BMI percentile (-6.08; P < 0.01), BMI Z-score (-0.28; P < .001), and waist-to-height ratio (-0.02; P < .001) in the intervention compared with the control schools. CONCLUSIONS AND IMPLICATIONS: The SHCP resulted in improvements in nutrition knowledge, vegetable identification, and a significant decrease in BMI percentiles. This supports the concept that the SHCP can be used to improve the health of upper elementary school students.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Estudiantes
/
Conductas Relacionadas con la Salud
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Conducta de Elección
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Obesidad Infantil
/
Promoción de la Salud
Tipo de estudio:
Clinical_trials
/
Prognostic_studies
Límite:
Child
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Female
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Humans
/
Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Nutr Educ Behav
Asunto de la revista:
CIENCIAS DA NUTRICAO
/
CIENCIAS DO COMPORTAMENTO
/
EDUCACAO
Año:
2017
Tipo del documento:
Article
Pais de publicación:
Estados Unidos