Document Detail


It's all about kids: preventing overweight in elementary school children in Tulsa, OK.
MedLine Citation:
PMID:  19328263     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In response to the increased incidence of child overweight, a school-based program, It's All About Kids, was designed by the Tulsa Health Department, Tulsa Public Schools, and community partners to improve food choices and increase physical activity of students in first through fifth grade. The nutrition component consisted of six weekly 30-minute experiential, age-appropriate classroom lessons, including healthful-eating food games, taste-testing foods, whole-grain bread baking, information on portion sizes, and food demonstrations. Documenting and evaluating school-based intervention programs is critical for setting evidence-based health policy, justifying funding, and achieving broader implementation of successful interventions. To evaluate the effectiveness of the It's All About Kids nutrition component in fourth-grade children, we conducted a controlled trial from 20 fourth-grade classes in five intervention and five comparison Title I public schools. Evaluation included 140 fourth-grade students, including 69 in the comparison group and 71 in the intervention group. Outcomes were measured by pre-, post-, and follow-up tests using a modified version of the Pathways Knowledge, Attitudes, and Behaviors questionnaire and the Child and Adolescent Trial of Cardiovascular Health (CATCH) Food Checklist. Data were analyzed using repeated measures analysis of variance over time controlling for sex, paired samples t tests, and independent samples t tests. Intervention students had significant improvements in knowledge of which food had more fat (P<0.043). Intervention students' behavioral intent scale scores for food choice intentions improved significantly (P<0.014). Self-reported consumption of saturated fat and sodium improved considerably in both intervention and comparison students. We conclude that results support a broader program implementation. More reinforcement over time may be needed to sustain the level of improvement.
Authors:
Norma DeVault; Tay Kennedy; Janice Hermann; Mwarumba Mwavita; Pam Rask; Amber Jaworsky
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of the American Dietetic Association     Volume:  109     ISSN:  1878-3570     ISO Abbreviation:  J Am Diet Assoc     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-30     Completed Date:  2009-04-10     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  7503061     Medline TA:  J Am Diet Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  680-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Nutritional Sciences, Oklahoma State University, Stillwater, OK 74078, USA. Norma.DeVault@okstate.edu
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Child
Child Nutrition Sciences / education*
Child Nutritional Physiological Phenomena / physiology*
Choice Behavior
Curriculum
Exercise / physiology*
Female
Food Preferences
Health Behavior
Health Education / methods*
Health Knowledge, Attitudes, Practice
Health Promotion
Humans
Male
Oklahoma
Outcome and Process Assessment (Health Care)*
Overweight / prevention & control*
Physical Education and Training
Primary Prevention
Questionnaires
Schools
Students / psychology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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