Can the Healthy Primary School of the Future offer perspective in the ongoing obesity epidemic in young children? A Dutch quasi-experimental study
Objectives Schools play an important role in promoting healthy behaviours in children and can offer perspective in the ongoing obesity epidemic. The ‘Healthy Primary School of the Future’ (HPSF) aims to improve children’s health and well-being by enhancing school health promotion. The current study...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2019-10-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/10/e030676.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846123110998212608 |
|---|---|
| author | Onno C P Van Schayck Marije Oosterhoff Bjorn Winkens Nina H M Bartelink Patricia van Assema Stef P J Kremers Hans H C M Savelberg Maartje Willeboordse Maria W J Jansen |
| author_facet | Onno C P Van Schayck Marije Oosterhoff Bjorn Winkens Nina H M Bartelink Patricia van Assema Stef P J Kremers Hans H C M Savelberg Maartje Willeboordse Maria W J Jansen |
| author_sort | Onno C P Van Schayck |
| collection | DOAJ |
| description | Objectives Schools play an important role in promoting healthy behaviours in children and can offer perspective in the ongoing obesity epidemic. The ‘Healthy Primary School of the Future’ (HPSF) aims to improve children’s health and well-being by enhancing school health promotion. The current study aims to assess the effect of HPSF on children’s body mass index (BMI) z-score after 1 and 2 years follow-up and to investigate whether HPSF has different effects within specific subgroups of children.Design A longitudinal quasi-experimental design.Setting Four intervention and four control schools participated; located in a low socioeconomic status region in the Netherlands.Participants 1676 children (aged 4–12 years).Interventions HPSF uses a contextual systems approach and includes health-promoting changes in the school. Central to HPSF is the provision of a daily healthy lunch and structured physical activity sessions each day. Two intervention schools implemented both changes (full HPSF), two intervention schools implemented only the physical activity change (partial HPSF).Main outcome measures BMI z-score, determined by measurements of children’s height and weight at baseline, after 1 and 2 years follow-up.Results The intervention effect was significant after 1-year follow-up in the partial HPSF (standardised effect size (ES)=−0.05), not significant in the full HPSF (ES=−0.04). After 2 years follow-up, BMI z-score had significantly decreased in children of both the full HPSF (ES=−0.08) and the partial HPSF (ES=−0.07) compared with children of the control schools, whose mean BMI z-score increased from baseline to 2 years. None of the potential effect modifiers (gender, baseline study year, socioeconomic status and baseline weight status) were significant.Conclusions HPSF was effective after 1 and 2 years follow-up in lowering children’s BMI z-scores. No specific subgroups of children could be identified who benefitted more from the intervention.Trial registration number NCT02800616. |
| format | Article |
| id | doaj-art-589e9f2ea0f742f387bf9c780c9b1523 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-589e9f2ea0f742f387bf9c780c9b15232024-12-14T07:45:07ZengBMJ Publishing GroupBMJ Open2044-60552019-10-0191010.1136/bmjopen-2019-030676Can the Healthy Primary School of the Future offer perspective in the ongoing obesity epidemic in young children? A Dutch quasi-experimental studyOnno C P Van Schayck0Marije Oosterhoff1Bjorn Winkens2Nina H M Bartelink3Patricia van Assema4Stef P J Kremers5Hans H C M Savelberg6Maartje Willeboordse7Maria W J Jansen8Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands1 Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre (MUMC+)/Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands4 Department of Methodology and Statistics, Maastricht University, Maastricht, The Netherlands2 Department of Health Promotion, Faculty of Health, Medicine, and Life Sciences, Maastricht University, Maastricht, The Netherlands1 Department of Health Promotion, Maastricht University, Maastricht, The Netherlands1 Department of Health Promotion, Maastricht University, Maastricht, The Netherlands2 Department of Nutrition and Movement Sciences, Maastricht University, Maastricht, The NetherlandsDepartment of Family Medicine, Maastricht University, School for Public Health and Primary Care, Maastricht, The Netherlands6 Academic Collaborative Centre for Public Health Limburg, Heerlen, The NetherlandsObjectives Schools play an important role in promoting healthy behaviours in children and can offer perspective in the ongoing obesity epidemic. The ‘Healthy Primary School of the Future’ (HPSF) aims to improve children’s health and well-being by enhancing school health promotion. The current study aims to assess the effect of HPSF on children’s body mass index (BMI) z-score after 1 and 2 years follow-up and to investigate whether HPSF has different effects within specific subgroups of children.Design A longitudinal quasi-experimental design.Setting Four intervention and four control schools participated; located in a low socioeconomic status region in the Netherlands.Participants 1676 children (aged 4–12 years).Interventions HPSF uses a contextual systems approach and includes health-promoting changes in the school. Central to HPSF is the provision of a daily healthy lunch and structured physical activity sessions each day. Two intervention schools implemented both changes (full HPSF), two intervention schools implemented only the physical activity change (partial HPSF).Main outcome measures BMI z-score, determined by measurements of children’s height and weight at baseline, after 1 and 2 years follow-up.Results The intervention effect was significant after 1-year follow-up in the partial HPSF (standardised effect size (ES)=−0.05), not significant in the full HPSF (ES=−0.04). After 2 years follow-up, BMI z-score had significantly decreased in children of both the full HPSF (ES=−0.08) and the partial HPSF (ES=−0.07) compared with children of the control schools, whose mean BMI z-score increased from baseline to 2 years. None of the potential effect modifiers (gender, baseline study year, socioeconomic status and baseline weight status) were significant.Conclusions HPSF was effective after 1 and 2 years follow-up in lowering children’s BMI z-scores. No specific subgroups of children could be identified who benefitted more from the intervention.Trial registration number NCT02800616.https://bmjopen.bmj.com/content/9/10/e030676.full |
| spellingShingle | Onno C P Van Schayck Marije Oosterhoff Bjorn Winkens Nina H M Bartelink Patricia van Assema Stef P J Kremers Hans H C M Savelberg Maartje Willeboordse Maria W J Jansen Can the Healthy Primary School of the Future offer perspective in the ongoing obesity epidemic in young children? A Dutch quasi-experimental study BMJ Open |
| title | Can the Healthy Primary School of the Future offer perspective in the ongoing obesity epidemic in young children? A Dutch quasi-experimental study |
| title_full | Can the Healthy Primary School of the Future offer perspective in the ongoing obesity epidemic in young children? A Dutch quasi-experimental study |
| title_fullStr | Can the Healthy Primary School of the Future offer perspective in the ongoing obesity epidemic in young children? A Dutch quasi-experimental study |
| title_full_unstemmed | Can the Healthy Primary School of the Future offer perspective in the ongoing obesity epidemic in young children? A Dutch quasi-experimental study |
| title_short | Can the Healthy Primary School of the Future offer perspective in the ongoing obesity epidemic in young children? A Dutch quasi-experimental study |
| title_sort | can the healthy primary school of the future offer perspective in the ongoing obesity epidemic in young children a dutch quasi experimental study |
| url | https://bmjopen.bmj.com/content/9/10/e030676.full |
| work_keys_str_mv | AT onnocpvanschayck canthehealthyprimaryschoolofthefutureofferperspectiveintheongoingobesityepidemicinyoungchildrenadutchquasiexperimentalstudy AT marijeoosterhoff canthehealthyprimaryschoolofthefutureofferperspectiveintheongoingobesityepidemicinyoungchildrenadutchquasiexperimentalstudy AT bjornwinkens canthehealthyprimaryschoolofthefutureofferperspectiveintheongoingobesityepidemicinyoungchildrenadutchquasiexperimentalstudy AT ninahmbartelink canthehealthyprimaryschoolofthefutureofferperspectiveintheongoingobesityepidemicinyoungchildrenadutchquasiexperimentalstudy AT patriciavanassema canthehealthyprimaryschoolofthefutureofferperspectiveintheongoingobesityepidemicinyoungchildrenadutchquasiexperimentalstudy AT stefpjkremers canthehealthyprimaryschoolofthefutureofferperspectiveintheongoingobesityepidemicinyoungchildrenadutchquasiexperimentalstudy AT hanshcmsavelberg canthehealthyprimaryschoolofthefutureofferperspectiveintheongoingobesityepidemicinyoungchildrenadutchquasiexperimentalstudy AT maartjewilleboordse canthehealthyprimaryschoolofthefutureofferperspectiveintheongoingobesityepidemicinyoungchildrenadutchquasiexperimentalstudy AT mariawjjansen canthehealthyprimaryschoolofthefutureofferperspectiveintheongoingobesityepidemicinyoungchildrenadutchquasiexperimentalstudy |