Document Detail


School-Based Programs Aimed at the Prevention and Treatment of Obesity: Evidence-Based Interventions for Youth in Latin America.
MedLine Citation:
PMID:  23879787     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Rapidly rising childhood obesity rates constitute a public health priority in Latin America which makes it imperative to develop evidence-based strategies. Schools are a promising setting but to date it is unclear how many school-based obesity interventions have been documented in Latin America and what level of evidence can be gathered from such interventions.
METHODS: We performed a systematic review of papers published between 1965 and December 2010. Interventions were considered eligible if they had a school-based component, were done in Latin America, evaluated an obesity related outcome (body mass index [BMI], weight, %body fat, waist circumference, BMI z-score), and compared youth exposed vs not exposed.
RESULTS: Ten studies were identified as having a school-based component. Most interventions had a sample of normal and overweight children. The most successful interventions focused on prevention rather than treatment, had longer follow-ups, a multidisciplinary team, and fewer limitations in execution. Three prevention and 2 treatment interventions found sufficient improvements in obesity-related outcomes.
CONCLUSIONS: We found sufficient evidence to recommend school-based interventions to prevent obesity among youth in Latin America. Evidence-based interventions in the school setting should be promoted as an important component for integrated programs, policies, and monitoring frameworks designed to reverse the childhood obesity in the region.
Authors:
Felipe Lobelo; Isabel Garcia de Quevedo; Christina K Holub; Brian J Nagle; Elva M Arredondo; Simón Barquera; John P Elder
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of school health     Volume:  83     ISSN:  1746-1561     ISO Abbreviation:  J Sch Health     Publication Date:  2013 Sep 
Date Detail:
Created Date:  2013-07-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376370     Medline TA:  J Sch Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  668-77     Citation Subset:  IM; N    
Copyright Information:
Published 2013. This article is a U.S. Government work and is in the public domain in the USA.
Affiliation:
Lead Epidemiologist, (rlobelo@cdc.gov), Global Health Promotion Office, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, NE, MS K-40 Atlanta, GA 30341.
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