Department of Health Promotion, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616 6200 MD Maastricht, The Netherlands.
Department of Health Promotion, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
Nutrients. 2019 Sep 5;11(9):2119. doi: 10.3390/nu11092119.
The 'Healthy Primary School of the Future' (HPSF) aims to integrate health and well-being within the whole school system. This study examined the two-year effects of HPSF on children's dietary and physical activity (PA) behaviours at school and at home and investigated whether child characteristics or the home context moderated these effects. This study ( = 1676 children) has a quasi-experimental design with four intervention schools, i.e., two full HPSF (focus: nutrition and PA), two partial HPSF (focus: PA), and four control schools. Measurements consisted of accelerometry (Actigraph GT3X+) and questionnaires. Favourable effects on children's dietary and PA behaviours at school were found in the full HPSF; in the partial HPSF, only on PA behaviours. Children in the full HPSF did not compensate at home for the improved health behaviours at school, while in the partial HPSF, the children became less active at home. In both the full and partial HPSF, less favourable effects at school were found for younger children. At home, less favourable effects were found for children with a lower socioeconomic status. Overall, the effect of the full HPSF on children's dietary and PA behaviours was larger and more equally beneficial for all children than that of the partial HPSF.
“未来健康小学”（HPSF）旨在将健康和幸福感融入整个学校系统。本研究考察了 HPSF 对儿童在校和在家的饮食和体育活动（PA）行为的两年影响，并调查了儿童特征或家庭环境是否调节了这些影响。本研究（= 1676 名儿童）采用准实验设计，有四个干预学校，即两个完全的 HPSF（重点：营养和 PA），两个部分的 HPSF（重点：PA）和四个对照学校。测量包括加速度计（Actigraph GT3X+）和问卷调查。在完全的 HPSF 中发现了对儿童在校饮食和 PA 行为的有利影响；在部分 HPSF 中，仅对 PA 行为有影响。在完全的 HPSF 中，儿童没有在家中补偿学校中改善的健康行为，而在部分 HPSF 中，儿童在家中活动减少。在完全和部分 HPSF 中，年龄较小的儿童在校的效果较差。在家中，社会经济地位较低的儿童的效果较差。总体而言，完全 HPSF 对儿童饮食和 PA 行为的影响大于部分 HPSF，对所有儿童的影响更大且更均等。
