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Participation in a School-Based Wellness Initiative Associated with Improved K-12 Student Body Mass Index Trends
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- Author(s): Head, Kathleen C. (ORCID
Head, Kathleen C. (ORCID 0000-0003-1130-6243 ); Morella, Kristen; Lugo, Michael P. (ORCIDLugo, Michael P. (ORCID 0000-0002-3769-4793 ); Key, Janice D. (ORCIDKey, Janice D. (ORCID 0000-0001-9131-6489 )- Language:
English- Source:
Journal of School Health. Jul 2023 93(7):547-556.- Publication Date:
2023- Document Type:
Journal Articles
Reports - Research - Language:
- Additional Information
- Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: [email protected]; Web site: https://www.wiley.com/en-us
- Peer Reviewed: Y
- Source: 10
- Education Level: Early Childhood Education
Elementary Education
Kindergarten
Primary Education
Junior High Schools
Middle Schools
Secondary Education
High Schools - Subject Terms: Kindergarten; Young Children; Elementary School Students; Middle School Students; High School Students; School Personnel; Wellness; School Activities; Intervention; Student Participation; Body Composition; Program Effectiveness; Control Groups; Stress Management; Physical Activity Level; Employee Attitudes; Work Attitudes; Obesity; Diversity
- Subject Terms:
- Accession Number: 10.1111/josh.13292
- ISSN: 0022-4391
1746-1561 - Abstract: Background: Associations between school participation in an academic medical center-supported school-based wellness initiative and programmatic components implemented with change in average student body mass index (BMI) over time were examined. Methods: This was an observational study of 103 K-12 South Carolina schools over school years 2014-2018, classified as participating (n = 87 schools, 27,855 students) or non-participating (n = 16 schools; 3608 students). Associations between students' BMI z-score (BMIz) and school participation were evaluated by linear multilevel mixed-effects modeling using data from FitnessGram and the School Wellness Checklist© (SWC), respectively. Results: One-third of the students had a BMI percentile [greater than or equal to]85. Average student BMIz decreased in participating schools (p = 0.026) and increased in non-participating schools (p = 0.004) over time. For schools that participated two or more years, there was an inverse relationship between SWC score and student BMIz (p = 0.002) that did not differ by school type, rural/urban location, Title 1 status, or student sex. Physical activity and stress management interventions for students, as well as employee wellness and establishing a wellness committee at the school level were significantly associated with decreased average student BMIz (all p < 0.05). Conclusion: Implementation of similar comprehensive school-based wellness programs focused on improving physical activity, stress management, and employee engagement may help prevent and reduce pediatric obesity in diverse communities.
- Abstract: As Provided
- Publication Date: 2023
- Accession Number: EJ1379836
- Availability:
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