Nurse-Led School-Based Child Obesity Prevention

Abstract

School-based childhood obesity prevention programs have grown in response to reductions in child physical activity (PA), increased sedentariness, poor diet, and soaring child obesity rates. Multiple systematic reviews indicate school-based obesity prevention/treatment interventions are effective, yet few studies have examined the school nurse role in obesity interventions. Building on a previous study, this study examines a refined health messaging (Let’s Go 5-2-1-0) program delivered to fourth and fifth graders (n = 72) by a school nurse with reinforcement on-site health coaching by senior nursing students. Two nursing schools and two elementary schools participated. Measures of PA, body mass index percentile, and self-reported health habits were collected at baseline (School A, September 2009 and School B, January 2010) and end of year (April 2010 for both schools). Findings included statistically significant increases in PA levels and improvements in child-reported health habits. School nurses can influence obesity prevention. Further research on adoption of school nurse–led obesity interventions is warranted.

Keywords

child obesity prevention school nurse intervention service learning

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References

Alaimo

Olson

C. M.

Frongillo

E. A.

Jr (2001). Food insufficiency and American school-aged children’s cognitive, academic, and psychosocial development. Pediatrics, 108, 44–53.

Bonde

A. H.

Bentsen

Hindhede

A. L.

(2014). School nurses’ experiences with motivational interviewing for preventing childhood obesity. Journal of School Nursing, 30, 448–455. doi:10.1177/1059840514521240

Brown

Summerbell

(2009). Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity: An update to the obesity guidance produced by the National Institute for Health and Clinical Excellence. Obesity Reviews, 10, 110–141. doi:10.1111/j.1467-789X.2008.00515.x

Bunting

(2011). Are school nurses effective in the fight against childhood obesity? Texas Medical Center Dissertations (via ProQuest): Paper AAI1506923. Retrieved from http://digitalcommons.library.tmc.edu/dissertations/AAI1506923

Burkhalter

T. M.

Hillman

C. H.

(2011). A narrative review of physical activity, nutrition, and obesity to cognition and scholastic performance across the human lifespan. Advances in Nutrition, 2, 201S–206S. doi:10.3945/an.111.000331

Camacho-Minano

M. J.

LaVoi

N. M.

Barr-Anderson

D. J.

(2011). Interventions to promote physical activity among young and adolescent girls: A systematic review. Health Education Research, 26, 1025–1049. doi:10.1093/her/cyr040

Centers for Disease Control and Prevention. (2009). Clinical growth charts. Retrieved December 5, 2014, from http://www.cdc.gov/growthcharts/clinical_charts.htm

Charlebois

Gowrinathan

Waddell

(2012). A review of the evidence: School-based interventions to address obesity prevention in children 6-12 years of age. Toronto, Canada: Toronto Public Health.

Cowell

J. M.

(2011). Childhood obesity research: Directions for school health researchers and school nurses. Journal School of Nursing, 27, 7–12. doi:10.1177/1059840510394983

10.

De Bourdeaudhuij

Van Cauwenberghe

Spittaels

Oppert

J. M.

Rostami

Brug

… Maes

(2011). School-based interventions promoting both physical activity and healthy eating in Europe: A systematic review within the HOPE project. Obesity Reviews, 12, 205–216. doi:10.1111/j.1467-789X.2009.00711.x

11.

Demetriou

Höner

(2012). Physical activity interventions in the school setting: A systematic review. Psychology of Sport and Exercise, 13, 186–196. doi:10.1016/j.psychsport.2011.11.006

12.

Dobbins

De Corby

Robeson

Husson

Tirilis

(2009). School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6-18. Cochrane Database of Systematic Reviews CD007651. doi:10.1002/14651858.CD007651

13.

Erickson

S. J.

Gerstle

Feldstein

S. W.

(2005). Brief interventions and motivational interviewing with children, adolescents, and their parents in pediatric health care settings: A review. Archives of Pediatrics & Adolescent Medicine, 159, 1173–1180. doi:10.1001/archpedi.159.12.1173

14.

Foster

R. C.

Lanningham-Foster

L. M.

Manohar

McCrady

S. K.

Nysse

L. J.

Kaufman

K. R.

… Levine

J. A.

(2005). Precision and accuracy of an ankle-worn accelerometer-based pedometer in step counting and energy expenditure. Preventive Medicine, 41, 778–783. doi:10.1016/j.ypmed.2005.07.006

15.

Gonzalez-Suarez

Worley

Grimmer-Somers

Dones

(2009). School-based interventions on childhood obesity: A meta-analysis. American Journal of Preventive Medicine, 37, 418–427. doi:10.1016/j.amepre.2009.07.012

16.

Ickes

M. J.

Erwin

Beighle

(2013). Systematic review of recess interventions to increase physical activity. Journal of Physical Activity & Health, 10, 910–926.

17.

Khambalia

A. Z.

Dickinson

Hardy

L. L.

Gill

Baur

L. A.

(2012). A synthesis of existing systematic reviews and meta-analyses of school-based behavioural interventions for controlling and preventing obesity. Obesity Reviews, 13, 214–233. doi:10.1111/j.1467-789X.2011.00947.x

18.

Kjölhede

E. A.

Gustafsson

P. E.

Gustafsson

P. A.

Nelson

(2014). Overweight and obese children have lower cortisol levels than normal weight children. Acta Paediatrica, 103, 295–299. doi:10.1111/apa.12499

19.

Kriemler

Meyer

Martin

van Sluijs

E. M.

Andersen

L. B.

Martin

B. W.

(2011). Effect of school-based interventions on physical activity and fitness in children and adolescents: A review of reviews and systematic update. British Journal of Sports Medicine, 45, 923–930. doi:10.1136/bjsports-2011-090186

20.

Krishnaswami

Martinson

Wakimoto

Anglemeyer

(2012). Community-engaged interventions on diet, activity, and weight outcomes in U.S. schools: A systematic review. American Journal of Preventive Medicine, 43, 81–91. doi:10.1016/j.amepre.2012.02.031

21.

Kubik

M. Y.

Story

Davey

(2007). Obesity prevention in schools: Current role and future practice of school nurses. Preventive Medicine, 44, 504–507. doi:10.1016/j.ypmed.2007.02.013

22.

Lavelle

H. V.

Mackay

D. F.

Pell

J. P.

(2012). Systematic review and meta-analysis of school-based interventions to reduce body mass index. Journal of Public Health, 34, 360–369. doi:10.1093/pubmed/fdr116

23.

Lawyers.com. (2015). School nurses are rare. Retrieved from http://education-law.lawyers.com/school-law/school-nurses-are-rare.html

24.

Lees

Hopkins

(2013). Effect of aerobic exercise on cognition, academic achievement, and psychosocial function in children: A systematic review of randomized control trials. Preventing Chronic Disease, 10, E174. doi:10.5888/pcd10.130010

25.

Let’s Go 5-2-1-0. (2014). 5210 let’s go. Retrieved from http://www.letsgo.org/

26.

Lonsdale

Rosenkranz

R. R.

Peralta

L. R.

Bennie

Fahey

Lubans

D. R.

(2013). A systematic review and meta-analysis of interventions designed to increase moderate-to-vigorous physical activity in school physical education lessons. Preventive Medicine, 56, 152–161. doi:10.1016/j.ypmed.2012.12.004

27.

Loprinzi

P. D.

Cardinal

B. J.

(2011). Measuring children’s physical activity and sedentary behaviors. Journal of Exercise Science & Fitness, 9, 15–23. doi:10.1016/S1728-869X(11)60002-6

28.

National Association of School Nurses. (2014). Overweight and obesity in youth in schools—The role of the school nurse. Retrieved October 1, 2014, from http://www.nasn.org/PolicyAdvocacy/PositionPapersandReports/NASNPositionStatementsFullView/tabid/462/smid/824/ArticleID/39/Default.aspx

29.

National Center for Education Statistics. (2015). Schools and staffing survey (SASS). Retrieved from http://nces.ed.gov/surveys/sass/tables/sass0708_002_s1n.asp

30.

Nauta

Byrne

Wesley

(2009). School nurses and childhood obesity: An investigation of knowledge and practice among school nurses as they relate to childhood obesity. Issues in Comprehensive Pediatric Nursing, 32, 16–30. doi:10.1080/01460860802610186

31.

Ogden

C. L.

Carroll

M. D.

Kit

B. K.

Flegal

K. M.

(2014). Prevalence of childhood and adult obesity in the United States, 2011–2012. Journal of the American Medical Association, 311, 806–814. doi:10.1001/jama.2014.732

32.

Parrish

A. M.

Okely

A. D.

Stanley

R. M.

Ridgers

N. D.

(2013). The effect of school recess interventions on physical activity: A systematic review. Sports Medicine, 43, 287–299. doi:10.1007/s40279-013-0024-2

33.

Polacsek

Orr

Letourneau

Rogers

Holmberg

O’Rourke

… Gortmaker

S. L.

(2009). Impact of a primary care intervention on physician practice and patient and family behavior: Keep ME healthy---the Maine Youth Overweight Collaborative. Pediatrics, 123, S258–S266. doi:10.1542/peds.2008-2780C

34.

Quelly

S. B.

(2013). Influence of perceptions on school nurse practices to prevent childhood obesity. Journal of School Nursing, 30, 292–302. doi:10.1177/1059840513508434

35.

Ridgers

N. D.

Salmon

Parrish

A. M.

Stanley

R. M.

Okely

A. D.

(2012). Physical activity during school recess: A systematic review. American Journal of Preventive Medicine, 43, 320–328. doi:10.1016/j.amepre.2012.05.019

36.

Rogers

V. W.

Hart

P. H.

Motyka

Rines

E. N.

Vine

Deatrick

D. A.

(2013). Impact of let’s go! 5-2-1-0: A community-based, multisetting childhood obesity prevention program. Journal of Pediatric Psychology, 38, 1010–1020. doi:10.1093/jpepsy/jst057

37.

Safron

Cislak

Gaspar

Luszczynska

(2011). Effects of school-based interventions targeting obesity-related behaviors and body weight change: A systematic umbrella review. Behavioral Medicine, 37, 15–25. doi:10.1080/08964289.2010.543194

38.

Sbruzzi

Eibel

Barbiero

S. M.

Petkowicz

R. O.

Ribeiro

R. A.

Cesa

C. C.

… Pellanda

L. C.

(2013). Educational interventions in childhood obesity: A systematic review with meta-analysis of randomized clinical trials. Preventive Medicine, 56, 254–264. doi:10.1016/j.ypmed.2013.02.024

39.

Silveira

J. A. C. D.

Taddei

J. A. d. A. C.

Guerra

P. H.

Nobre

M. R. C.

(2013). The effect of participation in school-based nutrition education interventions on body mass index: A meta-analysis of randomized controlled community trials. Preventive Medicine, 56, 237–243. doi:10.1016/j.ypmed.2013.01.011

40.

Sobol-Goldberg

Rabinowitz

Gross

(2013). School-based obesity prevention programs: A meta-analysis of randomized controlled trials. Obesity, 21, 2422–2428. doi:10.1002/oby.20515

41.

Soderlund

L. L.

Nordqvist

Angbratt

Nilsen

(2009). Applying motivational interviewing to counselling overweight and obese children. Health Education Research, 24, 442–449. doi:10.1093/her/cyn039

42.

Sun

Pezic

Tikellis

Ponsonby

A. L.

Wake

Carlin

J. B.

… Dwyer

(2013). Effects of school-based interventions for direct delivery of physical activity on fitness and cardiometabolic markers in children and adolescents: A systematic review of randomized controlled trials. Obesity Reviews, 14, 818–838. doi:10.1111/obr.12047

43.

Taveras

E. M.

Rifas-Shiman

S. L.

Sherry

Oken

Haines

Kleinman

… Gillman

M. W.

(2011). Crossing growth percentiles in infancy and risk of obesity in childhood. Archives of Pediatrics & Adolescent Medicine, 165, 993–998. doi:10.1001/archpediatrics.2011.167

44.

Tucker

Lanningham-Foster

Murphy

Olsen

Orth

Voss

… Lohse

(2011). A school based community partnership for promoting healthy habits for life. Journal of Community Health, 36, 414–422. doi:10.1007/s10900-010-9323-9

45.

Van Cauwenberghe

Maes

Spittaels

van Lenthe

F. J.

Brug

Oppert

J. M.

De Bourdeaudhuij

(2010). Effectiveness of school-based interventions in Europe to promote healthy nutrition in children and adolescents: Systematic review of published and ‘grey’ literature. British Journal of Nutrition, 103, 781–797. doi:10.1017/S0007114509993370

46.

Van Lippevelde

Verloigne

De Bourdeaudhuij

Brug

Bjelland

Lien

Maes

(2012). Does parental involvement make a difference in school-based nutrition and physical activity interventions? A systematic review of randomized controlled trials. International Journal of Public Health, 57, 673–678. doi:10.1007/s00038-012-0335-3

47.

Verstraeten

Roberfroid

Lachat

Leroy

J. L.

Holdsworth

Maes

Kolsteren

P. W.

(2012). Effectiveness of preventive school-based obesity interventions in low- and middle-income countries: A systematic review. American Journal of Clinical Nutrition, 96, 415–438. doi:10.3945/ajcn.112.035378

48.

Wang

Wilson

R. F.

Bleich

Cheskin

Weston

,… Segal

(2013). Childhood obesity prevention programs: Comparative effectiveness review and meta analysis. Comparative Effectiveness Review No. 115. AHRQ Publication No. 13-EHC081-EF. Rockville, MD: Agency for Healthcare Research and Quality.

49.

YoussefAgha

A. H.

Lohrmann

D. K.

Jayawardene

W. P.

(2013). Use of data mining to reveal body mass index (BMI): Patterns among Pennsylvania schoolchildren, pre-k to grade 12. Journal of School Health, 83, 85–92. doi:10.1111/josh.12002

50.

Zenzen

Kridli

(2009). Integrative review of school-based childhood obesity prevention programs. Journal of Pediatric Health Care, 23, 242–258. doi:10.1016/j.pedhc.2008.04.008

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