Tools
Tools
Garden, Elizabeth Mairenn and Pallan, Miranda and Clarke, Joanne and Griffin, Tania and Hurley, Kiya and Lancashire, Emma and Sitch, Alice J and Passmore, Sandra and Adab, Peymane (2020) Relationship between primary school healthy eating and physical activity promoting environments and children's dietary intake, physical activity and weight status: a longitudinal study in the West Midlands, UK. BMJ open, 10 (12). e040833. ISSN 2044-6055. Available through UHB Open Athens
Full text not available from this repository.Abstract
OBJECTIVE
We aimed to examine the association between food and physical activity environments in primary schools and child anthropometric, healthy eating and physical activity measures.
DESIGN
Observational longitudinal study using data from a childhood obesity prevention trial.
SETTING
State primary schools in the West Midlands region, UK.
PARTICIPANTS
1392 pupils who participated in the WAVES (West Midlands ActiVe lifestyle and healthy Eating in School children) childhood obesity prevention trial (2011-2015).
PRIMARY AND SECONDARY OUTCOME MEASURES
School environment (exposure) was categorised according to questionnaire responses indicating their support for healthy eating and/or physical activity. Child outcome measures, undertaken at three time points (ages 5-6, 7-8 and 8-9 years), included body mass index z-scores, dietary intake (using a 24-hour food ticklist) and physical activity (using an Actiheart monitor over 5 days). Associations between school food and physical activity environment categories and outcomes were explored through multilevel models.
RESULTS
Data were available for 1304 children (94% of the study sample). At age 8-9 years, children in 10 schools with healthy eating and physical activity-supportive environments had a higher physical activity energy expenditure than those in 22 schools with less supportive healthy eating/physical activity environments (mean difference=5.3 kJ/kg body weight/24 hours; p=0.05). Children in schools with supportive physical activity environments (n=8) had a lower body mass index z-score than those in schools with less supportive healthy eating/physical activity environments (n=22; mean difference=-0.17, p=0.02). School food and physical activity promoting environments were not significantly associated with dietary outcomes.
CONCLUSIONS
School environments that support healthy food and physical activity behaviours may positively influence physical activity and childhood obesity.
TRIAL REGISTRATION NUMBER
ISRCTN97000586.
| Item Type: | Article |
|---|---|
| Additional Information: | Available through UHB Open Athens |
| Subjects: | WD Diseases and disorders of systemic, metabolic or environmental origin > WD10 Diet and nutrition WS Paediatrics. Child health |
| Divisions: | Emergency Services > Therapies Womens and Childrens > Paediatrics |
| Related URLs: | |
| Depositing User: | Beth Connors |
| Date Deposited: | 08 Jan 2021 15:55 |
| Last Modified: | 08 Jan 2021 15:55 |
| URI: | http://www.repository.uhblibrary.co.uk/id/eprint/3826 |
Actions (login required)
 |
View Item |
