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Multidisciplinary Approach to Obesity Management: A Case Report

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School-Based Obesity Intervention Associated with Three Year Decrease in Student Weight Status in a Low-Income School

Renee B Cadzow¹, Meghan K Chambers, Angela M D Sandell

¹Department of Family Medicine, Primary Care Research Institute, State University of New York at Buffalo, Buffalo, NY, USA, cadzowr@dyc.edu.

Journal of Community Health

|January 14, 2015

Summary

A school-based obesity intervention improved student weight status. The program involved physical activity and nutrition changes, leading to a significant decrease in mean Body Mass Index (BMI) percentile among students.

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Area of Science:

Public Health
Pediatrics
Nutrition Science

Background:

Childhood obesity rates are increasing, necessitating effective interventions.
School-based programs offer a viable strategy to address this public health concern.
A low-income school district in Western New York implemented a multi-faceted obesity intervention.

Purpose of the Study:

To evaluate the impact of a three-year school-based obesity intervention on student weight status.
To analyze changes in Body Mass Index (BMI) percentile and weight categories among participating students.

Main Methods:

Longitudinal analysis of de-identified height and weight data from 2,259 students (grades 3-12).
Statistical analyses included paired-samples t-tests and Chi-square tests on BMI percentiles.
Intervention components included enhanced physical education, health education, and nutritional changes.

Main Results:

The mean BMI percentile significantly decreased from 70.4% to 65.7% (p < 0.001).
A significant reduction was observed in the proportion of students classified as overweight or obese (p < 0.001).
The observed changes exceeded national trends in BMI percentile.

Conclusions:

A three-year, multilevel school-based intervention correlated with improved weight status in children.
Findings suggest the effectiveness of integrated physical activity and nutritional strategies in schools.
Limitations include the absence of a control group, warranting further research.