You are on page 1of 10

Table 2. Detailed characteristics of the included studies.

Reference
Location/ Outcomes number
Study Study design/ Interventions
Organization and Tools (Primary and Implication
(Author, Year, Title, Journal) Participants (Component, involvement, target, period)
Funding Agent Secondary)

1. Eilat-Adar et al. (2010) Israel Experimental 1.Self- COMPONENT: nutrition education Significant increase in Eating breakfast is 19
including cross- administered healthy eating for important and may
School-based intervention to joint project (the sectional and case questionnaires INVOLVEMENT: parents, teachers breakfast. contribute to significant
promote eating daily and healthy Ministry of control; (nutrition) changes in dietary habits.
breakfast: A survey and a case- Health, Israel TARGET : children (aged 6-13 years)
control study/European Journal of Primary school
Association of
Clinical Nutrition children (n=273) PERIOD: 3 years
Family
physicians, Israel
Pediatrics, etc.)
approved by the
Ministry of
Education

Funded by
Unilever Israel

2. Harrabi et al. (2010) Tunisia Quasi- 1. Self- COMPONENT: nutrition education & No significant change School is a suitable setting 20
experimental; administered PA, and effects of tobacco use. in BMI. for promotion of healthy
School-based Intervention to unspecified funding questionnaires lifestyle in children.
Promote Healthy Lifestyles in agent Secondary school (nutrition and TARGET: children (aged 12-16 years) Significant increase in
Sousse, Tunisia/Indian Journal of children PA). children walking (PA).
Community Medicine (n=2,338) 2. Anthropometric PERIOD: 1 year
measurements:
weight, height,
BMI

3. Hollar et al. (2010) Florida, USA Quasi- 1. Self- COMPONENT: combine (nutrition and Significant Holistic school-based 21
experimental; administered healthy lifestyle education , dietary improvement in BMI, interventions can improve
Effective Multi-level, Multi-sector, W.K. Kellogg questionnaire intervention , PA, food-environment, and BP, academic scores. health outcomes and
School-based Obesity Prevention Foundation Primary school (FCAT for gardening) academic performance.
Programming Improves Weight, children academic
Blood Pressure, and Academic (n=3,769) performance). INVOLVEMENT: parents, teachers, and
Performance, Especially among 2. Anthropometric staffs
Low-Income, Minority Children / measurements:
Journal of Health Care for the Poor weight, height, TARGET: children (aged 4-13 years)
and Underserved BMI percentile
3. Clinical PERIOD: 2 years
assessment: BP
Reference
Location/ Outcomes number
Study Study design/ Interventions
Organization and Tools (Primary and Implication
(Author, Year, Title, Journal) Participants (Component, involvement, target, period)
Funding Agent Secondary)

4. Shah et al. (2010) India Experimental; 1. Self- COMPONENTS: nutrition education Younger children Comprehensive educative 22
administered (aged 811 years) had intervention could be
Improvement in nutritionrelated World Diabetes Primary and questionnaires INVOLVEMENT: parents, teachers significantly higher incorporated in future
knowledge and behavior of urban Foundation, secondary school (nutrition and knowledge and school-based health and
Asian Indian school children: Denmark children PA). TARGET: children (aged 8-18 years) behavior scores than nutritional education
findings from the Medical (n=40,196) those aged 1218 programs.
education for children / adolescents PERIOD: 6-months years.
for realistic prevention of obesity an
diabetes and for healthy ageing
(MARG) intervention study/British
Journal of Nutrition

5. Kriemler et al. (2010) Switzerland Experimental 1. Self- COMPONENTS: combined (physical Significant decrease in A school based multi- 23
cluster RCT; administered education and activity) adiposity and increase component physical
Effect of school based physical Swiss Federal Office questionnaires in total physical activity intervention
activity programme (KISS) on of Sports, National 28 elementary (quality of life). INVOLVEMENT: teachers activity among the including compulsory
fitness and adiposity in primary Science Foundation, (primary) classes 2. Anthropometric intervention group as elements improved
school children: cluster randomized Diabetes Foundation from 15 schools, measurements: TARGET: children (aged 6-10 years) compared to the physical activity and
controlled trial/British Medical of Region of Basel (n=540) weight, height, control. fitness and reduced
Journal BMI, WC, skin PERIOD: 9 months adiposity in children .
fold thickness
3. Clinical
assessment:
aerobic fitness,
BP
4. Bio-chemical
assessment: FBS,
lipid
Location/ Outcomes Reference
Study Study design/ Interventions number
Organization and Tools (Primary and Implication
(Author, Year, Title, Journal) Participants (Component, involvement, target, period)
Funding Agent Secondary)

6. Doyle-Baker et al. (2011) Canada Experimental 1. Self-administered COMPONENTS: combined (nutrition Significant High-intensity exercise, 24
prospective questionnaire education and PA) decreased in percent within a comprehensive
Impact of a combined diet and Canadian Institutes randomized (nutrition) fat mass and TG in health programme that
progressive exercise intervention of Health Research, crossover design; 2. Anthropometric INVOLVEMENT: parents, teachers the intervention includes nutrition
for overweight and obese children: Institute of Gender measurements: group. education, improved the
the B.E. H.I.P. study/Applied and Health Primary school weight, height, WC, TARGET: children (aged 5-10 years) lipid and physiological
Physiology, Nutrition, and children (n=27) BMI percentile health profiles of obese
Metabolism 3. Clinical PERIOD: 10 weeks children.
assessment: HR,
body composition
(% fat mass), energy
expenditure
4. Bio-chemical
assessment: lipid

7. Greening et al. (2011) USA Quasi- 1. Self-administered COMPONENT: combine (nutrition, Significant A population-based 25
experimental; questionnaire physical and health education, PA improvement in PA, approach is
Efficacy of a School-Based University of (nutrition and PA) sessions, and environment) fitness test, dietary recommended over a
Childhood Obesity Intervention California, San Primary school habits, body fat, but targeted approach to
Program in a Rural Southern Francisco children (n=450) 2. Anthropometric INVOLVEMENT: parents, teachers, no significant cultivate a healthy
Community: TEAM Mississippi National Center of measurements: institution changes in BMI, lifestyle behaviors when
Project/Pediatric Obesity Excellence in weight, height, WC, body. children are developing
Womens Health BMI percentile TARGET: children (aged 6-10 years) their health-care habits.
and Johnson &
Johnson Company 3. Clinical PERIOD: 1 year
assessment: % body
fat, fitness test

8. Jansen et al. (2011) Netherlands Experimental 1. Anthropometric COMPONENT: combined (nutrition and Decrease in Evidence for 26
Cluster RCT; measurements: physical education, PA sessions, parental percentage of effectiveness of the
Effectiveness of a primary school- weight, height, BMI outreach) overweight children, multicomponent
based intervention to reduce Primary and better fitness intervention in schools
overweight/International Journal of secondary school 2. Clinical INVOLVEMENT: parents, teachers among group of grade 3-
Pediatric Obesity. children assessment: Fitness 5 (6-9 yrs).
(n=2,622) test using 20 min TARGET: children (aged 6-12 years) and No significant effects for
shuttle run. parents grade 6-8 (9-12 yrs).

PERIOD: 1 year
Location/ Outcomes Reference
Study Study design/ Interventions number
Organization and Tools (Primary and Implication
(Author, Year, Title, Journal) Participants (Component, involvement, target, period)
Funding Agent Secondary)

9. Elinder at al. (2012) Sweden Quasi- 1. Self-administered COMPONENTS: combined (nutrition Significant increases Schools can be effective 27
experimental; questionnaire (diet, education, workshops and PA). in school health settings for improving
A participatory and capacity- Stockholm Country PA, school health practices and eating habits and
building approach to healthy eating Public Health Primary and promotion, mental INVOLVEMENT: parents, teachers environmental physical activity by
and physical activity SCIP- secondary health) factors. school staff with
school: a 2-year controlled children aged 6-16 TARGET: children (aged 6-16 years) facilitation of external
trial/International Journal of years (n=1359) 2. Anthropometric No significant agents but challenging to
Behavioral Nutrition and Physical measurements: PERIOD: 2 years changes in health sustain over time. Better
Activity weight, height, BMI outcomes. outcome may be
achieved by more
focused and evidence-
based approach with
stepwise implementation
of action plans.

10. Bacardi-Gascon et al. (2012) Mexico Quasi- 1. Self-administered COMPONENTS: combined (nutrition Significant decrease A comprehensive 28
experimental questionnaire (diet education, PA and school policy) in abdominal intervention makes
A six month randomized school Universidad cluster RCT; and PA). obesity, increase in improvement in
intervention and an 18-month Autonoma de Baja INVOLVEMENT: parents, teachers vegetable intake and lifestyles and abdominal
follow-up intervention to prevent California Primary school 2. Anthropometric PA obesity.
childhood obesity in Mexican children (n=532) measurements: TARGET: children (aged 7-10 years),
elementary schools/Nutricion weight, height, WC,
Hospitalaria BMI PERIOD: 2 years

11. Herman et al. (2012) USA Quasi- 1. Self-administered COMPONENTS: education in nutrition Significant Empowered staff 29
experimental, one questionnaire and PA reduction in BMI leads to empowered
Eat Healthy, Stay Active!: A Johnson & Johnson group, pre-test (knowledge and and obesity rate in parents who in turn can
Coordinated Intervention to Foundation, and post-test behavior in diet and INVOLVEMENT: parents, teachers, adults and children promote early healthy
Improve Nutrition and Physical Robert Wood design PA.). school staffs lifestyles for their
Activity Among Head Start Parents, Johnson Foundation children.
Staff, and Children/ American and Clinical Primary school 2. Anthropometric TARGET: children (aged 5 years), school
Journal of Health Promotion Scholars Program children (n=112) measurements: staffs, and parents
and Centers for weight, height, BMI
Disease Control. PERIOD: 6 months
Location/ Outcomes Reference
Study Study design/ Interventions number
Organization and Tools (Primary and Implication
(Author, Year, Title, Journal) Participants (Component, involvement, target, period)
Funding Agent Secondary)

12. Rosario et al. (2012) Portugal Experimental 1. Self-administered COMPONENTS: education/training in Significantly lower Dedicated classroom 30
RCT; questionnaire health and nutrition for teachers the increase in BMI teachers have significant
The Impact of an Intervention Portuguese Data (dietary intake and in the intervention effects on overweight
Taught by Trained Teachers on Protection Authority Primary school PA). INVOLVEMENT: teachers group. prevention.
Childhood Overweight children (n=294)
/ International Journal 2. Anthropometric TARGET: Children (aged 6-12 years),
Environmental Research and Public measurements
Health weight, height, BMI PERIOD: 6 months

13. Llargues et al. (2012) Spain Experimental 1. Self-administered COMPONENTS: : combined (nutrition Both control and School-based 31
cluster RCT questionnaire education and PA ) intervention groups interventions may help
Medium-term evaluation of an Department of (dietary habits) showed increase in contain the current
educational intervention on dietary Education and Primary and INVOLVEMENT: teachers rates of overweight increase in childhood
and physical exercise habits in Health of the secondary school 2. Anthropometric and obesity but obesity.
schoolchildren: The Avall 2 study/ Catalonian children (n=556) measurements TARGET: children (aged 5-6 years) lesser degree was
Endocrinologia y Nutricion Government found in the
PERIOD: 2 years intervention group
during the two-year
intervention period.

14. McFarlin et al. (2012) USA Experimental; 1. Anthropometric COMPONENTS: : combined (nutrition Significant School-based 32
measurements: education and PA ) reduction in BMI-z intervention not only
A one-year school-based Unspecified weight, height, BMI scores and improve zBMI but also
diet/exercise intervention improves educational level INVOLVEMENT: parents, teachers alterations in reduce disease risk.
non-traditional disease biomarkers school children 2. Bio-chemical biologically relevant
in Mexican American (n=221) assessment: Blood TARGET: children (aged 12-14 years) disease biomarkers.
Children/Maternal and Child samples, and plasma
Nutrition sample using PERIOD: 1 year
multiplex, flow
cytometry-based
application.

15. Levy et al. (2012) Mexico Experimental; 1. Self-administered COMPONENTS: combined (nutrition The estimated Short-intervention may 33
questionnaire education, PA sessions, food probability of be effective in
Effectiveness of a diet and physical Primary school (nutrition and PA) environment, school policy) obesity for the maintaining BMI of
activity promotion strategy on the children (n=1020) intervention group school children.
prevention of obesity/BMC Public 2. Anthropometric INVOLVEMENT: parents, teachers decreased 1% but
Health measurements: increased 0.9% in
weight, height, BMI TARGET: children (aged 10-12 years) the control.

PERIOD: 6 months
Location/ Outcomes Reference
Study Study design/ Interventions number
Organization and Tools (Primary and Implication
(Author, Year, Title, Journal) Participants (Component, involvement, target, period)
Funding Agent Secondary)

16. Rush et al. (2012) New Zealand Experimental; 1. Anthropometric COMPONENTS: combined (nutrition Significant Schools are important arena 34
measurements: education, PA workshops through an decrease in for implementing health
A school-based obesity control The Waikato Primary school weight, height, BMI agent) body fat and promotion strategies to
programme: Project Energize. District children (n=1352) blood pressure. prevent overweight and
Two-year outcomes/British Journal Health Board 2. Clinical INVOLVEMENT: teachers, obesity.
of Nutrition assessment: Blood administrators
pressure and % of
body fat TARGET: children (aged 5-10 years),

PERIOD: 2 years

17. Silva et al. (2013) Brazil Quasi- 1. Anthropometric COMPONENTS: combined (nutrition Significant The intervention program : 35
experimental; measurements: education and PA ) reduction in nutrition education and PA
The effectiveness of a physical Healthy Life Styles weight, height, BMI BMI, increased was effective in preventing
activity and nutrition education Task Force - Primary school INVOLVEMENT: teachers, in PA, and and reducing overweight and
program in the prevention of International Life children (n=238) 2. Clinical administrators improvement in obesity in the studied
overweight in school children in Sciences Institute of assessment: 4 all fitness tests population.
Criciuma, Brazil/European Journal Brazil (Brazil ILSI) physical fitness TARGET: children (aged 6-11 years) among
of Clinical Nutrition and the Scientific tests, aerobic intervention
Initiation Program at cardiovascular PERIOD: 28-week (7 months) group.
the Universidade do endurance run,
Extremo Sul push-up test, curl-up
Catarinense test, back-saver sit
(UNESC).

18. Fairclough et al. (2013) England, UK Experimental 1. Self-administered COMPONENTS: combined (nutrition Significant School based curriculum 36
RCT; questionnaire education and PA) decreases in intervention can be more
Promoting healthy weight in Funding agent not (nutrition). waist effective with the
primary school children through specified Primary school INVOLVEMENT: parents, teachers circumference, participation of parents in
physical activity and nutrition children(n=318) 2. Anthropometric BMI z-score terms of focusing on the
education: a pragmatic evaluation measurements: TARGET: children (aged 10-11 years) even in light positive aspects of PA and
of CHANGE! Randomized weight, height, WC. intensity healthy eating. Further work
intervention study/BMC Public BMI PERIOD: 20-week (5 months) physical activity is required to test
Health were found intervention fidelity and the
3. Clinical between sustained effectiveness in the
assessment: physical intervention and medium and long term.
fitness test. control groups.
Location/ Outcomes Reference
Study Study design/ Interventions
Organization and Tools (Primary and Implication number
(Author, Year, Title, Journal) Participants (Component, involvement, target, period)
Funding Agent Secondary)

19. Grydeland et al. (2013) Norway Experimental 1. Self-administered COMPONENTS: combined (nutrition Significant Feasible and comprehensive 37
RCT; questionnaire education, PA, school environment and increase in PA multicomponent intervention
Intervention effects on physical Norwegian Research (nutrition) policy) for both boys increases overall physical
activity: the HEIA study a cluster Council Primary school and girls, with a activity.
randomized controlled children years 2. Anthropometric INVOLVEMENT: school principals, decrease in
trial/International Journal of (n=700) measurements: teachers, and parent committee sedentary
Behavioral Nutrition and Physical weight, height, BMI behaviors
Activity TARGET: children (aged 11-12 years), among girls
2. Clinical between the
assessment: PA PERIOD: 2 years intervention and
using accelerometer control groups.

20. Foster et al. (2013) USA Experimental 1. Self-administered COMPONENTS: combined (school self- Significant Multicomponent school- 38
cluster RCT; questionnaire (diet, assessment, nutrition education, school reduction in based intervention can be
A policy-based school intervention Centers for Disease PA, and sedentary nutrition policy, social marketing, staff incidence and effective in prevention the
to prevent overweight and Control and Primary school behavior) and CDC training, parental outreach) prevalence of development of overweight
obesity/Pediatrics Prevention (CDC) children School Index overweight, in children.
and the US (n=1,349) questionnaire. INVOLVEMENT: teachers, parents intervention
Department of group compared
Agriculture/Food 2. Anthropometric TARGET: children (aged 10-12 years), to control.
and Nutrition measurements parents, teachers, staffs
Service
PERIOD: 2 years
Location/ Outcomes Reference
Study Study design/ Interventions
Organization and Tools (Primary and Implication number
(Author, Year, Title, Journal) Participants (Component, involvement, target, period)
Funding Agent Secondary)

21. Meng et al. (2013) China Experimental 1. Anthropometric COMPONENTS: combined (nutrition BMI and BAZ Combined education 39
RCT; measurements. education and PA sessions). increment was (nutrition and physical)
The cost and cost-effectiveness of a Ministry of Science weight, height, BMI significantly lower and PA intervention was
school-based comprehensive and Technology of Primary school INVOLVEMENT: teachers, parents in the combined recommended for
intervention study on childhood the People's children intervention group prevention of overweight
obesity in China/Plos One Republic of China (n=9750) TARGET: children (aged 6-13 years) than the control and obesity.
group .
PERIOD: 1 year No significant
difference was
found neither in
BMI nor in BAZ
change between the
PA or nutrition
intervention and its
control.
However, single
intervention had
relatively lower
costs compared with
combined
intervention.

22. Harder-Lauridsen et al. (2014) Denmark Experimental; 1. Anthropometric COMPONENTS: combined The intervention The multicomponent 40
measurements: (education/training in nutrition and PA) group showed intervention had significant
A randomized controlled trial on a Danish National Primary school weight, height, BMI significantly favorable effects on
multicomponent intervention for Research children aged INVOLVEMENT: teachers, health decrease in BMI, physical and metabolic
overweight school-aged children Foundation, Centre 7-10yrs (n=38) 2. Clinical workers, parents, siblings total body mass, fat aspects.
Copenhagen, Denmark/BMC for Physical Activity assessment: BP, mass, waist, hip,
Pediatrics Research, Rockwool muscle and fat mass TARGET: children (aged 6-10 years), WHtR, and increase
Foundation, Danish Fitness tests parents, teachers, staffs in peripheral insulin
Ministry of Science, sensitivity.
Technology, and 3.Bio-chemical PERIOD: 6-months
Innovation. assessment: fasting
blood glucose, oral
glucose tolerance
test, lipid profile,
liver function tests,
thyroid function test,
resistin, leptin, etc.
Reference
Location/ Outcomes number
Study Study design/ Interventions
Organization and Tools (Primary and Implication
(Author, Year, Title, Journal) Participants (Component, involvement, target, period)
Funding Agent Secondary)

23. Kain et al. (2014) Chile Experimental 1. Self-administered COMPONENTS: combined (nutrition and BMI z score did not This study showed that 12- 41
RCT; questionnaire physical education and PA). change significantly month multi-component
School-based obesity prevention Corporacion (nutrition) between pre and intervention for 6-8 years
intervention in Chilean children: Municipal de Primary school INVOLVEMENT: teacher, parents post interventions. old was effective for
Effective in controlling, but not Educacion y Salud children 2. Anthropometric controlling but not
reducing obesity/Journal of Obesity (n=1,474) measurements : TARGET: children (aged 6-8 years), One out of 5 preventing obesity.
weight, height, intervention schools
BMIz score PERIOD: 1 year showed significantly
decrease BMI.
3. Clinical
assessment: PA
using pedometers

24. Mora et al. (2015) Spain Experimental 1. Self-administered COMPONENTS: combined (education in The effect of the School-based education 42
cluster RCT; questionnaire nutrition and PA). intervention was a programs are cost-effective
Does health education affect BMI? Observatori de la (nutrition, PA) reduction in the interventions.
Evidence from a school-based Salut Dr. Primary school INVOLVEMENT: school administrators, school-childrens
randomized-control trial/Economics CarlesVallbona, children 2. Anthropometric community health educators, parents, BMI at the end of Long-term effects of
and Human Biology Public Health (n=509) measurements: teachers the programme, but school-based intervention
Department of weight, height, BMI the average BMI regarding nutrition and
Health of the TARGET: children (aged 6 years) had risen two years physical education remain
Government of following the largely relevant.
Generalitat of PERIOD: 2 years completion of the
Catalonia, Public intervention.
Health of the City The most notable
Council of finding to concern
Granollers, Catalan was of
Institute of Health heterogeneous
(ICSSAP treatment effects
Granollers) based on parental
education levels,
school-childrens
BMI levels at the
outset of the trial
period and
immigrant status.
Reference
Location/ Interventions Outcomes number
Study Study design/
Organization and Tools (Component, involvement, target, (Primary and Implication
(Author, Year, Title, Journal) Participants
Funding Agent period) Secondary)

25. Viggiano et al. (2015) Italy Experimental 1. Self-administered COMPONENTS: combined (education Kaledo board game Kaledo board game may be 43
cluster RCT; questionnaire in nutrition and PA, and board game) significantly used as an effective tool in
Kaledo, a board game for nutrition Second University (nutrition and PA) improved nutrition childhood and adolescence
education of children and of Naples, Primary and and Adolescents INVOLVEMENT: principal, teachers, knowledge and obesity prevention
adolescents at school: cluster AssociazioneCultura secondary school Food Habits parents dietary behavior programs.
randomized controlled trial leKaledo, Regione children Checklist (AFHC) over 6 months and
of healthy lifestyle Campania, Provincia (n=3,110) TARGET: children (aged 9-19years) had a sustained
promotion/European Journal of di Napoli, Provincia 2. Anthropometric effect on the BMI
Pediatrics. di Salerno, measurements: PERIOD: 20-weeks z-score.
Assessoratoallo weight, height, BMI
Sport, Comune di z-scores.
Cercola, and
Fondazione per I
Assistenza all
Infanzia.

You might also like