Hollar Danielle, Lombardo Michelle, Lopez-Mitnik Gabriella, Hollar Theodore L, Almon Marie, Agatston Arthur S, Messiah Sarah E
University of Miami Miller School of Medicine, Miami, FL 33138, USA.
J Health Care Poor Underserved. 2010 May;21(2 Suppl):93-108. doi: 10.1353/hpu.0.0304.
Successfully addressing childhood onset obesity requires multilevel (individual, community, and governmental), multi-agency collaboration.
The Healthier Options for Public Schoolchildren (HOPS)/OrganWise Guys (OWG) quasi-experimental controlled pilot study (four intervention schools, one control school, total N=3,769; 50.2% Hispanic) was an elementary school-based obesity prevention intervention designed to keep children at a normal, healthy weight, and improve health status and academic achievement. The HOPS/OWG included the following replicable, holistic components: (1) modified dietary offerings, (2) nutrition/lifestyle educational curricula; (3) physical activity component; and (4) wellness projects. Demographic, anthropometric (body mass index [BMI]), blood pressure, and academic data were collected during the two-year study period (2004-6).
Statistically significant improvements in BMI, blood pressure, and academic scores, among low-income Hispanic and White children in particular, were seen in the intervention versus controls.
Holistic school-based obesity prevention interventions can improve health outcomes and academic performance, in particular among high-risk populations.
成功解决儿童期肥胖问题需要多层次（个人、社区和政府）、多机构合作。
“公立学校儿童更健康选择”（HOPS）/“健康小精灵”（OWG）准实验对照试点研究（四所干预学校，一所对照学校，共N = 3769名；50.2%为西班牙裔）是一项以小学为基础的肥胖预防干预措施，旨在使儿童保持正常、健康的体重，并改善健康状况和学业成绩。HOPS/OWG包括以下可复制的整体组成部分：（1）改良饮食供应；（2）营养/生活方式教育课程；（3）体育活动部分；（4）健康项目。在为期两年的研究期间（2004 - 2006年）收集了人口统计学、人体测量学（体重指数[BMI]）、血压和学业数据。
与对照组相比，干预组中低收入西班牙裔和白人儿童的BMI、血压和学业成绩有统计学意义的显著改善。
以学校为基础的整体肥胖预防干预措施可以改善健康结果和学业表现，特别是在高危人群中。
