Year 2020, Volume 6 , Issue 1, Pages 7 - 18 2020-01-04

A review of effective interventions for reducing and controlling obesity in primary school children

Sepideh DOLATİ [1] , Khoosheh NAMİRANİAN [2] , Zahra ABDOLLAHİ [3] , Morteza ABDOLLAHİ [4]


Objectives: The prevalence of obesity has been doubled among children over the past 10 years, which will result in an obese population and its complications in near future. This situation can impose great costs on the health system and community for treating those obese people. The purpose of this review is to examine the effective strategies for reducing and controlling obesity in primary school students.

Methods: This review was conducted in August and September 2017. Our goal was to review the related articles in the authorized databases, including Scientific Information Center (SIC), Scholar Google, Scopus, and PubMed, from 2000 onward, by two researchers, considering language constraint (only English articles with full text were accepted). Out of 104,658 articles, 15 articles were excluded due to the lack of full text, and finally 25 articles were selected.

Results: The results of the existing studies showed that through involving parents, schools officials and continuous supporting measures like prohibition of long-term food advertising in television programs, all three educational, nutritional and physical activity interventions can help in controlling and reducing obesity.

Conclusions: To succeed in reducing and controlling obesity among students, especially primary school ones, the approaches and interventions should be implemented in three levels: home, school, and community.

obesity, overweight, community-based program
  • 1. Pangani IN, Kiplamai FK, Kamau JW, Onywera VO. Prevalence of overweight and obesity among primary school children aged 8-13 years in Dar es Salaam City, Tanzania. Adv Prev Med 2016;2016:1345017.
  • 2. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014;384:766-81.
  • 3. Katzmarzyk PT, Janssen I. The economic costs associated with physical inactivity and obesity in Canada: an update. Can J Appl Physiol 2004;29:90-115.
  • 4. WHO. Obesity and Overweight 2017. Available from: http://www.who.int/mediacentre/factsheets/fs311/en/.
  • 5. Kumar S, Mahabalaraju DK, Anuroopa MS. Prevalence of obesity and its influencing factor among affluent school children of Davangere city. Indian J Community Med 2007;32:15-17.
  • 6. Doak CM, Visscher TL, Renders CM, Seidell JC. The prevention of overweight and obesity in children and adolescents: a review of interventions and programmes. Obes Rev 2006;7:111-36.
  • 7. Crawford D. Population strategies to prevent obesity. BMJ (Clinical research ed) 2002;325:728-9.
  • 8. Taheri F, Kazemi T, Sadeghi H. Prevalence of overweight and obesity among primary school children in Iran from 2001-2013: a systematic review. Mod Care J 2015;12:139-45.
  • 9. Siassi F, Mohammad K, Djazayery A, Djalali M, Abdollahi Z, Dorosty A, et al. National Integrated Micronutrient Survey 2012 (NIMS II) 2015.
  • 10. Motlagh ME, Ziaoddini H, Yamani T, Taheri M, Kelishadi R, Heshmat R, et al. Childhood and adolescences surveillance and prevention of adult non-communicable disease (CASPIAN 5). Isfahan: 2016.
  • 11. Dietz WHJ. Implications and treatment of adolescent obesity AGRIS 1985.
  • 12. Muller MJ, Asbeck I, Mast M, Langnase K, Grund A. Prevention of obesity--more than an intention. Concept and first results of the Kiel Obesity Prevention Study (KOPS). Int J Obes Relat Metab Disord 2001;25 Suppl 1:S66-74.
  • 13. Foster GD, Sherman S, Borradaile KE, Grundy KM, Vander Veur SS, Nachmani J, et al. A policy-based school intervention to prevent overweight and obesity. Pediatrics 2008;121:e794-802.
  • 14. Harris KC, Kuramoto LK, Schulzer M, Retallack JE. Effect of school-based physical activity interventions on body mass index in children: a meta-analysis. CMAJ 2009;180:719-26.
  • 15. Brown EC, Buchan DS, Baker JS, Wyatt FB, Bocalini DS, Kilgore L. A systematised review of primary school whole class child obesity interventions: effectiveness, characteristics, and strategies. Biomed Res Int 2016;2016:4902714.
  • 16. Seo NS, Kim YH, Kang HY. [Effects of an obesity control program based on behavior modification and self-efficacy in obese elementary school children]. Taehan Kanho Hakhoe Chi 2005;35:611-20. [Article in Korean]
  • 17. Donnelly JE, Greene JL, Gibson CA, Smith BK, Washburn RA, Sullivan DK, et al. Physical Activity Across the Curriculum (PAAC): a randomized controlled trial to promote physical activity and diminish overweight and obesity in elementary school children. Prev Med 2009;49:336-41.
  • 18. Elizondo-Montemayor L, Gutierrez NG, Moreno DM, Martinez U, Tamargo D, Trevino M. School-based individualised lifestyle intervention decreases obesity and the metabolic syndrome in Mexican children. J Hum Nutr Diet 2013;26 Suppl 1:82-9.
  • 19. Yin Z, Moore JB, Johnson MH, Vernon MM, Gutin B. The impact of a 3-year after-school obesity prevention program in elementary school children. Child Obes 2012;8:60-70.
  • 20. Kriemler S, Zahner L, Schindler C, Meyer U, Hartmann T, Hebestreit H, et al. Effect of school based physical activity programme (KISS) on fitness and adiposity in primary schoolchildren: cluster randomised controlled trial. BMJ (Clinical research ed) 2010;340:c785.
  • 21. Cawley J, Frisvold D, Meyerhoefer C. The impact of physical education on obesity among elementary school children. J Health Econ 2013;32:743-55.
  • 22. Lynch BA, Gentile N, Maxson J, Quigg S, Swenson L, Kaufman T. Elementary school-based obesity intervention using an educational curriculum. J Prim Care Community Health. 2016;7:265-71.
  • 23. Toruner EK, Savaser S. A controlled evaluation of a school-based obesity prevention in Turkish school children. J Sch Nurs 2010;26:473-82.
  • 24. Fairclough SJ, Hackett AF, Davies IG, Gobbi R, Mackintosh KA, Warburton GL, et al. Promoting healthy weight in primary school children through physical activity and nutrition education: a pragmatic evaluation of the CHANGE! randomised intervention study. BMC Public Health 2013;13:626.
  • 25. Xu F, Ware RS, Leslie E, Tse LA, Wang Z, Li J, et al. Effectiveness of a randomized controlled lifestyle intervention to prevent obesity among Chinese primary school students: CLICK-obesity study. PLoS One 2015;10:e0141421.
  • 26. Fernandes PS, Bernardo Cde O, Campos RM, Vasconcelos FA. Evaluating the effect of nutritional education on the prevalence of overweight/obesity and on foods eaten at primary schools. J Pediatr (Rio J) 2009;85:315-21.
  • 27. Stock S, Miranda C, Evans S, Plessis S, Ridley J, Yeh S, et al. Healthy Buddies: a novel, peer-led health promotion program for the prevention of obesity and eating disorders in children in elementary school. Pediatrics 2007;120:e1059-68.
  • 28. Hollar D, Messiah SE, Lopez-Mitnik G, Hollar TL, Almon M, Agatston AS. Effect of a two-year obesity prevention intervention on percentile changes in body mass index and academic performance in low-income elementary school children. Am J Public Health 2010;100:646-53.
  • 29. Kain J, Uauy R, Albala, Vio F, Cerda R, Leyton B. School-based obesity prevention in Chilean primary school children: methodology and evaluation of a controlled study. Int J Obes Relat Metab Disord 2004;28:483-93.
  • 30. Going S, Thompson J, Cano S, Stewart D, Stone E, Harnack L, et al. The effects of the pathways obesity prevention program on physical activity in American Indian children. Prev Med 2003;37(6 Pt 2):S62-9.
  • 31. Sahota P, Rudolf MCJ, Dixey R, Hill AJ, Barth JH, Cade J. Randomised controlled trial of primary school based intervention to reduce risk factors for obesity. BMJ (Clinical research ed) 2001;323:1029.
  • 32. Bustos N, Olivares S, Leyton B, Cano M, Albala C. Impact of a school-based intervention on nutritional education and physical activity in primary public schools in Chile (KIND) programme study protocol: cluster randomised controlled trial. BMC Public Health 2016;16.
  • 33. Taylor RW, McAuley KA, Barbezat W, Strong A, Williams SM, Mann JI. APPLE Project: 2-y findings of a community-based obesity prevention program in primary school age children. Am J Clin Nutr 2007;86:735-42.
  • 34. Tarro L, Llauradó E, Albaladejo R, Moriña D, Arija V, Solà R, et al. A primary-school-based study to reduce the prevalence of childhood obesity – the EdAl (Educació en Alimentació) study: a randomized controlled trial. Trials 2014;15:58.
  • 35. Kocken PL, Scholten AM, Westhoff E, De Kok BPH, Taal EM, Goldbohm RA. Effects of a theory-based education program to prevent overweightness in primary school children. Nutrients 2016;8(1). pii:E12.
  • 36. Perman JA, Young TL, Stines E, Hamon J, Turner LM, Rowe MG. A community-driven obesity prevention and intervention in an elementary school. J Ky Med Assoc 2008;106:104-8.
  • 37. Jansen W, Borsboom G, Meima A, Zwanenburg EJ, Mackenbach JP, Raat H, et al. Effectiveness of a primary school-based intervention to reduce overweight. Int J Pediatr Obes 2011;6:e70-7.
  • 38. Rito AI, Carvalho MA, Ramos C, Breda J. Program Obesity Zero (POZ) – a community-based intervention to address overweight primary-school children from five Portuguese municipalities. Public Health Nutr 2013;16:1043-51.
  • 39. Li Y, Hu X, Zhang Q, Liu A, Fang H, Hao L, et al. The nutrition-based comprehensive intervention study on childhood obesity in China (NISCOC): a randomised cluster controlled trial. BMC Public Health 2010;10:229.
  • 40. Bacardi-Gascon M, Perez-Morales ME, Jimenez-Cruz A. A six month randomized school intervention and an 18-month follow-up intervention to prevent childhood obesity in Mexican elementary schools. Nutr Hosp 2012;27:755-62.
  • 41. Klish WJ, Karavias KE, White KS, Balch AJ, Fraley JK, Mikhail C, et al. Multicomponent school-initiated obesity intervention in a high-risk, Hispanic elementary school. J Pediatr Gastroenterol Nutr 2012;54:113-6.
  • 42. Safdie M, Levesque L, Gonzalez-Casanova I, Salvo D, Islas A, Hernandez-Cordero S, et al. Promoting healthful diet and physical activity in the Mexican school system for the prevention of obesity in children. Salud Publica Mex 2013;55 Suppl 3:357-73.
Primary Language en
Subjects Endocrinology and Metabolism, Health Care Sciences and Services, Primary Health Care
Journal Section Original Articles
Authors

Orcid: 0000-0003-0449-9956
Author: Sepideh DOLATİ (Primary Author)
Institution: Department of Nutrition, Ministry of Health & Medical Education, Tehran, Iran
Country: Iran


Orcid: 0000-0002-3935-4557
Author: Khoosheh NAMİRANİAN
Institution: Sport Physiologist,Undersecretary of Health; Tehran University of Medical Sciences, Tehran, Iran
Country: Iran


Orcid: 0000-0002-4711-4510
Author: Zahra ABDOLLAHİ
Institution: Department of Nutrition, Ministry of Health, Tehran, Iran
Country: Iran


Orcid: 0000-0003-0310-2021
Author: Morteza ABDOLLAHİ
Institution: Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Country: Iran


Dates

Publication Date : January 4, 2020

EndNote %0 The European Research Journal A review of effective interventions for reducing and controlling obesity in primary school children %A Sepideh DOLATİ , Khoosheh NAMİRANİAN , Zahra ABDOLLAHİ , Morteza ABDOLLAHİ %T A review of effective interventions for reducing and controlling obesity in primary school children %D 2020 %J The European Research Journal %P -2149-3189 %V 6 %N 1 %R doi: 10.18621/eurj.451617 %U 10.18621/eurj.451617