Impact of a School-Based Nutrition Intervention in Preventing Overweight and Obesity in Children in Thailand.
environmental health
nutrition
school health program evaluation
weight management
Journal
The Journal of school health
ISSN: 1746-1561
Titre abrégé: J Sch Health
Pays: United States
ID NLM: 0376370
Informations de publication
Date de publication:
02 2023
02 2023
Historique:
revised:
03
08
2022
received:
21
04
2022
accepted:
15
09
2022
pubmed:
12
10
2022
medline:
24
1
2023
entrez:
11
10
2022
Statut:
ppublish
Résumé
This study evaluated the impact of a school-based nutrition program on preventing overweight and obesity in children in Thailand from 2014 to 2019. We used difference-in-differences with matched comparison group to evaluate program impact. Treatment schools were categorized into those that participated in phase 1 only, and those that participated in phase 1 and 2. We matched 311 treatment schools in phase 1 only with 1504 comparison schools, and 75 treatment schools in both phases with 216 comparison schools. Administrative data from Thailand Office of Basic Education Commission were used from 2014 (baseline), 2016 (first follow-up), and 2019 (second follow-up). Program resulted in a 0.6-1.1 percentage point reduction in the students' probability of overweight by the end of phase 1, and 1.7 percentage points by the end of phase 2. Impact on obesity was found only for schools participating in both phases (0.4 and 0.9 percentage points by the end of phase 1 and 2, respectively). Program continuity and intensity are key to achieve a reduction in overweight and obesity in schoolchildren. The program was successful in reducing overweight and/or obesity given appropriate level of continuity and intensity.
Sections du résumé
BACKGROUND
This study evaluated the impact of a school-based nutrition program on preventing overweight and obesity in children in Thailand from 2014 to 2019.
METHODS
We used difference-in-differences with matched comparison group to evaluate program impact. Treatment schools were categorized into those that participated in phase 1 only, and those that participated in phase 1 and 2. We matched 311 treatment schools in phase 1 only with 1504 comparison schools, and 75 treatment schools in both phases with 216 comparison schools. Administrative data from Thailand Office of Basic Education Commission were used from 2014 (baseline), 2016 (first follow-up), and 2019 (second follow-up).
RESULTS
Program resulted in a 0.6-1.1 percentage point reduction in the students' probability of overweight by the end of phase 1, and 1.7 percentage points by the end of phase 2. Impact on obesity was found only for schools participating in both phases (0.4 and 0.9 percentage points by the end of phase 1 and 2, respectively).
IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY
Program continuity and intensity are key to achieve a reduction in overweight and obesity in schoolchildren.
CONCLUSIONS
The program was successful in reducing overweight and/or obesity given appropriate level of continuity and intensity.
Identifiants
pubmed: 36217922
doi: 10.1111/josh.13253
pmc: PMC10092697
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
140-147Subventions
Organisme : NICHD NIH HHS
ID : P2C HD050924
Pays : United States
Informations de copyright
© 2022 The Authors. Journal of School Health published by Wiley Periodicals LLC on behalf of American School Health Association.
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