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AAP Grand Rounds 7:20 (2002) Limited Utility of School-Based Interventions to Reduce Risk Factors for ObesitySources: (1) Sahota P, Rudolf MC, Dixey R, et al. Evaluation of implementation and effect of primary school based intervention to reduce risk factors for obesity. BMJ. 2001;323:10271029.
The first of these 2 British studies describes the implementation of a school-based health promotion program aimed at reducing risk factors for obesity, evaluation of the implementation process, content of school meals, childrens knowledge of healthy living, and self-reported behavior. The second paper describes the outcome of a randomized trial of this program on students body mass index (BMI), diet, physical activity, and psychological state. Ten primary schools participated in a group-randomized controlled crossover trial in Leeds, England that included 634 children (350 boys and 284 girls) aged 711 years. The program, developed by individual schools on the basis of their perceived needs, targeted parents, teachers, catering staff, and the school environment. The 1-year intervention included teacher training, modification of school meals, and changes in
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