卓越實證概述 Best Evidence in Brief

Can schools help prevent childhood obesity?

A study published in The BMJ tests the effectiveness of a school and family based healthy lifestyle intervention (WAVES) in preventing childhood obesity in England.

Almost 1,500 pupils, aged five- and six-years-old, from 54 primary schools in the West Midlands took part in a randomised controlled trial of the WAVES programme. The twelve-month intervention encouraged healthy eating and physical activity, and included an additional 30 minutes of daily physical activity at school and a six-week programme with a local premiership football club.

Children’s measurements – including weight, height, percentage body fat, waist circumference, skinfold thickness and blood pressure – were taken when they started the trial. These measurements were taken again 15 months and 30 months later and were compared with children in a control group.

The results were:

  • At the first follow-up at 15 months, the mean body mass index (BMI) score was not significantly lower for the intervention group compared with the control group.
  • At 30 months, the mean difference was smaller and remained non-significant.

The results suggest that schools alone may not be effective in preventing childhood obesity.

 

Adab, P., Pallan, M. J., Lancashire, E. R., Hemming, K., Frew, E., Barrett, T., … Cheng, K. K. (2018). Effectiveness of a childhood obesity prevention programme delivered through schools, targeting 6 and 7 year olds: cluster randomised controlled trial (WAVES study). BMJ, 360, k211.

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