Francis Lucine, Peterson Jennifer K, Peary Alexandra, Estrada-Ibarra Erika, Russell Nancy G, Schroeder Krista
Johns Hopkins University School of Nursing, Baltimore, Maryland, USA.
Johns Hopkins University Center for School Health, Baltimore, Maryland, USA.
J Sch Nurs. 2025 Feb;41(1):5-35. doi: 10.1177/10598405241288538. Epub 2024 Oct 14.
Overweight and obesity are common in school-age children. Policy, system, and environmental (PSE) approaches-which entail making upstream changes to a school's context-can be leveraged to reduce childhood obesity. Nurses can advance PSE approaches in schools to promote healthy living habits. This review examines the effect of nurse-involved PSE interventions globally to promote healthy nutrition and reduce obesity in schools. We conducted a literature search using multiple databases from 2010 to 2023 for nurse-involved studies that implemented interventions focused on PSE change related to promoting healthy nutrition or reducing obesity in school settings. Twenty interventions globally were included in the systematic review synthesis. Improvements in anthropometrics, health and nutrition knowledge, attitudes, and beliefs were observed. PSE interventions can be leveraged to promote healthy nutrition and reduce obesity in school settings. Nurses in varying roles are uniquely qualified to advocate for and implement school-based interventions focused on PSE change.
超重和肥胖在学龄儿童中很常见。政策、系统和环境（PSE）方法——即对学校环境进行上游层面的改变——可用于减少儿童肥胖。护士可以在学校推进PSE方法，以促进健康的生活习惯。本综述考察了全球范围内护士参与的PSE干预措施对促进学校健康营养和减少肥胖的效果。我们在2010年至2023年期间使用多个数据库进行文献检索，查找护士参与的研究，这些研究实施的干预措施聚焦于与促进学校健康营养或减少肥胖相关的PSE变革。系统综述综合纳入了全球20项干预措施。观察到人体测量学、健康和营养知识、态度及信念方面有所改善。PSE干预措施可用于促进学校健康营养并减少肥胖。不同角色的护士具备独特的资质，能够倡导并实施以PSE变革为重点的校本干预措施。
