Research Group on Adolescent Health, Institute of Social and Preventive Medicine, University of Lausanne, 17, Rue du Bugnon, CH 1005 Lausanne, Switzerland.
J Sch Health. 2010 May;80(5):233-9. doi: 10.1111/j.1746-1561.2010.00495.x.
In general, schools are an important setting to implement current recommendations for obesity prevention in children because the vast majority of children attend school. This study investigated the opinions of different school stakeholders on the feasibility and acceptability of current obesity prevention strategies that could be implemented in Swiss schools.
Research methods were comprised of a qualitative study which included school directors, physical education teachers, catering staff, school nurses and health educators, parents of young adolescents, and young adolescents interviewed (N = 40) categorized into 6 focus groups. Open-ended questions were used to determine the participants' opinion regarding current obesity prevention recommendations, and healthy eating and physical activity promotion strategies.
All participants approved the implementation of nutritional standards for food and drinks sold in schools, but thought that increasing the attractiveness of healthy options was the best strategy to improve eating habits. Enjoying participation in physical activity classes or after-school activities was stressed. Participants suggested offering classes for all students with poor physical condition, independent of weight status. Stakeholders called for governmental support and global coordination of interventions balanced with providing schools with enough autonomy to adapt programs relevant to their individual circumstances. They recommended integrating all school stakeholders in obesity prevention initiatives, with special attention to students and local authorities.
Participants agreed that schools are a crucial setting to implement childhood obesity prevention strategies. They called on school stakeholders to join efforts aiming to encourage healthy behaviors and to support and reinforce parents' efforts by spreading consistent and coherent health messages.
一般来说，学校是实施当前儿童肥胖预防建议的重要场所，因为绝大多数儿童都上学。本研究调查了不同学校利益相关者对可在瑞士学校实施的当前肥胖预防策略的可行性和可接受性的意见。
研究方法包括定性研究，其中包括学校校长、体育教师、餐饮人员、学校护士和健康教育者、青少年家长以及接受采访的青少年（N=40）分为 6 个焦点小组。采用开放式问题来确定参与者对当前肥胖预防建议以及健康饮食和体育活动促进策略的看法。
所有参与者都赞成在学校销售的食品和饮料实施营养标准，但认为提高健康选择的吸引力是改善饮食习惯的最佳策略。强调了享受参加体育课或课外活动的乐趣。参与者建议为所有身体状况不佳的学生（无论体重状况如何）提供课程。利益相关者呼吁政府支持和干预措施的全球协调，同时为学校提供足够的自主权，以适应与各自情况相关的计划。他们建议将所有学校利益相关者纳入肥胖预防计划，特别关注学生和地方当局。
参与者一致认为学校是实施儿童肥胖预防策略的重要场所。他们呼吁学校利益相关者共同努力，鼓励健康行为，并通过传播一致和连贯的健康信息来支持和加强家长的努力。
