A school nurse-delivered intervention for overweight and obese adolescents
Gapinski, Mary Ann
Gellar, Lauren A.
Magner, Robert P.
Reed, George W.
Schneider, Kristin L.
Osganian, Stavroula K.
UMass Chan AffiliationsDepartment of Medicine, Division of Preventive and Behavioral Medicine
Body Mass Index
Behavior and Behavior Mechanisms
Community Health and Preventive Medicine
Dietetics and Clinical Nutrition
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AbstractBACKGROUND: Models are needed for implementing weight management interventions for adolescents through readily accessible venues. This study evaluated the feasibility and efficacy of a school nurse-delivered intervention in improving diet and activity and reducing body mass index (BMI) among overweight and obese adolescents. METHODS: Six high schools were randomized to either a 6-session school nurse-delivered counseling intervention utilizing cognitive-behavioral techniques or nurse contact with provision of information. Eighty-four overweight or obese adolescents in grades 9 through 11 completed behavioral and physiological assessments at baseline and 2- and 6-month follow-ups. RESULTS: At 2 months, intervention participants ate breakfast on more days/week (difference = 1.01 days; 95% CI: 0.11, 1.92), and had a lower intake of total sugar (difference = -45.79 g; 95% CI: -88.34, -3.24) and added sugar (difference = -51.35 g; 95% CI: -92.45, -10.26) compared to control participants. At 6 months, they were more likely to drink soda ≤ one time/day (OR 4.10; 95% CI: 1.19, 16.93) and eat at fast food restaurants ≤ one time/week (OR 4.62; 95% CI: 1.10, 23.76) compared to control participants. There were no significant differences in BMI, activity, or caloric intake. CONCLUSION: A brief school nurse-delivered intervention was feasible, acceptable, and improved selected obesogenic behaviors, but not BMI. Copyright 2013, American School Health Association.
SourceJ Sch Health. 2013 Mar;83(3):182-93. doi: 10.1111/josh.12014. Link to article on publisher's site
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/29444
Related ResourcesLink to Article in PubMed