ERIC Number: EJ1187638
Record Type: Journal
Publication Date: 2018-Sep
Pages: 9
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0022-4391
EISSN: N/A
School Wellness Committees Are Associated with Lower Body Mass Index Z-Scores and Improved Dietary Intakes in US Children: The Healthy Communities Study
Au, Lauren E.; Crawford, Patricia B.; Woodward-Lopez, Gail; Gurzo, Klara; Kao, Janice; Webb, Karen L.; Ritchie, Lorrene D.
Journal of School Health, v88 n9 p627-635 Sep 2018
Background: Our objective was to examine the association between school wellness committees and implementation of nutrition wellness policies and children's weight status and obesity-related dietary outcomes. Methods: A cross-sectional study was conducted of 4790 children aged 4-15 years recruited from 130 communities in the Healthy Communities Study. Multilevel statistical models assessed associations between school wellness policies and anthropometric (body mass index z-score [BMIz]) and nutrition measures, adjusting for child and community-level covariates. Results: Children had lower BMI z-scores (-0.11, 95% confidence interval [CI]: -0.19, -0.03) and ate breakfast more frequently (0.14 days/week, 95% CI: 0.02-0.25) if attending a school with a wellness committee that met once or more in the past year compared to attending a school with a wellness committee that did not meet/did not exist. Children had lower added sugar (p < 0.0001), lower energy-dense foods (p = 0.0004), lower sugar intake from sugar-sweetened beverages (p = 0.0002), and lower dairy consumption (p = 0.001) if attending a school with similar or stronger implementation of the nutrition components of the school wellness policies compared to other schools in the district. Conclusions: A more active wellness committee was associated with lower BMI z-scores in US schoolchildren. Active school engagement in wellness policy implementation appears to play a positive role in efforts to reduce childhood obesity.
Descriptors: Wellness, Correlation, Committees, Nutrition, School Policy, Obesity, Child Health, Dietetics, Eating Habits, Children, Adolescents, Body Composition, Body Weight, Body Height, Program Effectiveness, Elementary School Students, Secondary School Students
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Publication Type: Journal Articles; Reports - Research
Education Level: Elementary Education
Audience: N/A
Language: English
Sponsor: National Heart, Lung, and Blood Institute (DHHS/NIH)
Authoring Institution: N/A
Grant or Contract Numbers: K01HL131630