Volume 44 Issue 11
Nov.  2023
Turn off MathJax
Article Contents
SHEN Fangjing, ZHANG Pingping, WANG Hui, ZHOU Ye, LI Li. A review of the impact of school-based interventions on cardiovascular metabolic risk in children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1747-1751. doi: 10.16835/j.cnki.1000-9817.2023.11.034
Citation: SHEN Fangjing, ZHANG Pingping, WANG Hui, ZHOU Ye, LI Li. A review of the impact of school-based interventions on cardiovascular metabolic risk in children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1747-1751. doi: 10.16835/j.cnki.1000-9817.2023.11.034

A review of the impact of school-based interventions on cardiovascular metabolic risk in children

doi: 10.16835/j.cnki.1000-9817.2023.11.034
  • Received Date: 2023-05-23
  • Rev Recd Date: 2023-08-28
  • Available Online: 2023-11-27
  • Publish Date: 2023-11-25
  • School-based lifestyle interventions have many advantages, which can effectively reduce the prevalence of overweight and obesity, improve children and their families' knowledge of overweight and obesity, and enhance their cognition of behaviors related to energy balance. Moreover, it can improve the level of cardiometabolic risk (CMR). By searching PubMed, CNKI and Wanfang databases, the article review the effects of school-based physical activity and dietary interventions on children's blood pressure, blood lipids, blood glucose, and other CMR indicators, and analyze the differences among different groups of people, such as gender, age, and race, in order to provide the evidence for future school-based intervention studies on overweight and obesity in children.
  • loading
  • [1]
    APOVIAN C M. Obesity: definition, comorbidities, causes, and burden[J]. Am J Manag Care, 2016, 22(Suppl 7): S176-S185.
    [2]
    JEBEILE H, KELLY A S, O'MALLEY G, et al. Obesity in children and adolescents: epidemiology, causes, assessment, and management[J]. Lancet Diabetes Endocrinol, 2022, 10(5): 351-365. doi: 10.1016/S2213-8587(22)00047-X
    [3]
    DROZDZ D, ALVAREZ-PITTI J, WÓJCIK M, et al. Obesity and cardiometabolic risk factors: from childhood to adulthood[J]. Nutrients, 2021, 13(11): 4176. doi: 10.3390/nu13114176
    [4]
    SINGHAL J, HERD C, ADAB P, et al. Effectiveness of school-based interventions to prevent obesity among children aged 4 to 12 years old in middle-income countries: a systematic review and Meta-analysis[J]. Obes Rev, 2021, 22(1): e13105. doi: 10.1111/obr.13105
    [5]
    FALKNER B, LURBE E, SCHAEFER F. High blood pressure in children: clinical and health policy implications[J]. J Clin Hypertens (Greenwich), 2010, 12(4): 261-276. doi: 10.1111/j.1751-7176.2009.00245.x
    [6]
    YANG G P, WANG Y R, ZUO S Y, et al. Meta-analysis of intervention effects on obesity in Chinese pupils[J]. Chin J Prev Med, 2011, 45(10): 944-948.
    [7]
    KRIEMLER S, ZAHNER L, SCHINDLER C, et al. Effect of school based physical activity programme (KISS) on fitness and adiposity in primary schoolchildren: cluster randomised controlled trial[J]. BMJ, 2010, 340: c785. doi: 10.1136/bmj.c785
    [8]
    STAVNSBO M, AADLAND E, ANDERSSEN S A, et al. Effects of the active smarter kids (ASK) physical activity intervention on cardiometabolic risk factors in children: a cluster-randomized controlled trial[J]. Prev Med, 2020, 130: 105868. doi: 10.1016/j.ypmed.2019.105868
    [9]
    LIU Z, GAO P, GAO A Y, et al. Effectiveness of a multifaceted intervention for prevention of obesity in primary school children in China: a cluster randomized clinical trial[J]. JAMA Pediatr, 2022, 176(1): e214375. doi: 10.1001/jamapediatrics.2021.4375
    [10]
    SIMON C, SCHWEITZER B, OUJAA M, et al. Successful overweight prevention in adolescents by increasing physical activity: a 4-year randomized controlled intervention[J]. Int J Obes (Lond), 2008, 32(10): 1489-1498. doi: 10.1038/ijo.2008.99
    [11]
    RESALAND G K, ANDERSSEN S A, HOLME I M, et al. Effects of a 2-year school-based daily physical activity intervention on cardiovascular disease risk factors: the Sogndal school-intervention study[J]. Scand J Med Sci Sports, 2011, 21(6): e122-131.
    [12]
    KETELHUT S, KETELHUT S R, KETELHUT K. School-based exercise intervention improves blood pressure and parameters of arterial stiffness in children: a randomized controlled trial[J]. Pediatr Exerc Sci, 2020, 33(1): 1-7.
    [13]
    LARSEN M N, MADSEN M, NIELSEN C M, et al. Cardiovascular adaptations after 10 months of daily 12-min bouts of intense school-based physical training for 8-10-year-old children[J]. Prog Cardiovasc Dis, 2020, 63(6): 813-817. doi: 10.1016/j.pcad.2020.05.011
    [14]
    SEABRA A, BRITO J, FIGUEIREDO P, et al. School-based soccer practice is an effective strategy to improve cardiovascular and metabolic risk factors in overweight children[J]. Prog Cardiovasc Dis, 2020, 63(6): 807-812. doi: 10.1016/j.pcad.2020.07.007
    [15]
    MENG C, YUCHENG T, SHU L, et al. Effects of school-based high-intensity interval training on body composition, cardiorespiratory fitness and cardiometabolic markers in adolescent boys with obesity: a randomized controlled trial[J]. BMC Pediatr, 2022, 22(1): 112. doi: 10.1186/s12887-021-03079-z
    [16]
    HRAFNKELSSON H, MAGNUSSON K T, THORSDOTTIR I, et al. Result of school-based intervention on cardiovascular risk factors[J]. Scand J Prim Health Care, 2014, 32(4): 149-155. doi: 10.3109/02813432.2014.982363
    [17]
    PEÑA S, CARRANZA M, CUADRADO C, et al. Effectiveness of a gamification strategy to prevent childhood obesity in schools: a cluster controlled trial[J]. Obesity (Silver Spring), 2021, 29(11): 1825-1834. doi: 10.1002/oby.23165
    [18]
    MAHAJAN A, NEGI P C, GANDHI S, et al. Impact of school-based health behavioral intervention on awareness, practice pattern of healthy lifestyle, and cardiometabolic risk factors among school children of shimla: a cluster-randomized, intervention study[J]. Indian J Pediatr, 2022, 89(4): 343-350. doi: 10.1007/s12098-021-03786-6
    [19]
    PABLOS A, NEBOT V, VAÑÓ-VICENT V, et al. Effectiveness of a school-based program focusing on diet and health habits taught through physical exercise[J]. Appl Physiol Nutr Metab, 2018, 43(4): 331-337. doi: 10.1139/apnm-2017-0348
    [20]
    EAGLE T F, GURM R, SMITH C A, et al. A middle school intervention to improve health behaviors and reduce cardiac risk factors[J]. Am J Med, 2013, 126(10): 903-908. doi: 10.1016/j.amjmed.2013.04.019
    [21]
    ELIZONDO-MONTEMAYOR L, GUTIERREZ N G, MORENO D M, et al. School-based individualised lifestyle intervention decreases obesity and the metabolic syndrome in Mexican children[J]. J Hum Nutr Diet, 2013, 26(Suppl 1): 82-89.
    [22]
    YU H J, LI F, HU Y F, et al. Improving the metabolic and mental health of children with obesity: a school-based nutrition education and physical activity intervention in Wuhan, China[J]. Nutrients, 2020, 12(1): 194. doi: 10.3390/nu12010194
    [23]
    DONG Y, ZOU Z, WANG H, et al. National school-based health lifestyles intervention in Chinese children and adolescents on obesity and hypertension[J]. Front Pediatr, 2021, 9: 615283. doi: 10.3389/fped.2021.615283
    [24]
    XU H, LI Y, SHANG X, et al. Effect of Comprehensive interventions including nutrition education and physical activity on high blood pressure among children: evidence from school-based cluster randomized control trial in China[J]. Int J Environ Res Public Health, 2020, 17(23): 8944. doi: 10.3390/ijerph17238944
    [25]
    ARNAIZ P, SEELIG H, GERBER M, et al. Intervention effects and long-term changes in physical activity and cardiometabolic outcomes among children at risk of noncommunicable diseases in South Africa: a cluster-randomized controlled trial and follow-up analysis[J]. Front Public Health, 2023, 11: 1199381. doi: 10.3389/fpubh.2023.1199381
    [26]
    MARTÍNEZ-VIZCAÍNO V, SÁNCHEZ-LÓPEZ M, NOTARIO-PACHECO B, et al. Gender differences on effectiveness of a school-based physical activity intervention for reducing cardiometabolic risk: a cluster randomized trial[J]. Int J Behav Nutr Phys Act, 2014, 11: 154. doi: 10.1186/s12966-014-0154-4
    [27]
    MARTÍNEZ-VIZCAÍNO V, POZUELO-CARRASCOSA D P, GARC ÍA-PRIETO J C, et al. Effectiveness of a school-based physical activity intervention on adiposity, fitness and blood pressure: MOVI-KIDS study[J]. Br J Sports Med, 2020, 54(5): 279-285. doi: 10.1136/bjsports-2018-099655
    [28]
    RUSH E, REED P, MCLENNAN S, et al. A school-based obesity control programme: project energize. Two-year outcomes[J]. Br J Nutr, 2012, 107(4): 581-587. doi: 10.1017/S0007114511003151
    [29]
    HOLLAR D, LOMBARDO M, LOPEZ-MITNIK G, et al. Effective multi-level, multi-sector, school-based obesity prevention programming improves weight, blood pressure, and academic performance, especially among low-income, minority children[J]. J Health Care Poor Underserved, 2010, 21(2 Suppl): 93-108.
    [30]
    HOLLAR D, MESSIAH S E, LOPEZ-MITNIK G, et al. Healthier options for public schoolchildren program improves weight and blood pressure in 6-to 13-year-old[J]. J Am Diet Assoc, 2010, 110(2): 261-267. doi: 10.1016/j.jada.2009.10.029
    [31]
    PLACHTA-DANIELZIK S, LANDSBERG B, LANGE D, et al. Eight-year follow-up of school-based intervention on childhood overweight: the kiel obesity prevention study[J]. Obes Facts, 2011, 4(1): 35-43. doi: 10.1159/000324552
    [32]
    MERROTSY A, MCCARTHY A L, FLACK J, et al. Project Spraoi: a two-year longitudinal study on the effectiveness of a school-based nutrition and physical activity intervention on dietary intake, nutritional knowledge and markers of health of Irish schoolchildren[J]. Public Health Nutr, 2019, 22(13): 2489-2499. doi: 10.1017/S1368980019001368
    [33]
    WILLI S M, HIRST K, JAGO R, et al. Cardiovascular risk factors in multi-ethnic middle school students: the HEALTHY primary prevention trial[J]. Pediatr Obes, 2012, 7(3): 230-239. doi: 10.1111/j.2047-6310.2011.00042.x
    [34]
    JAMERSON T, SYLVESTER R, JIANG Q, et al. Differences in cardiovascular disease risk factors and health behaviors between black and non-black students participating in a school-based health promotion program[J]. Am J Health Promot, 2017, 31(4): 318-324. doi: 10.1177/0890117116674666
    [35]
    GOMEZ-DELGADO F, KATSIKI N, LOPEZ-MIRANDA J, et al. Dietary habits, lipoprotein metabolism and cardiovascular disease: from individual foods to dietary patterns[J]. Crit Rev Food Sci Nutr, 2021, 61(10): 1651-1669. doi: 10.1080/10408398.2020.1764487
    [36]
    KOVÁCS V A, FAJCSÁK Z, GÁBOR A, et al. School-based exercise program improves fitness, body composition and cardiovascular risk profile in overweight/obese children[J]. Acta Physiol Hung, 2009, 96(3): 337-347. doi: 10.1556/APhysiol.96.2009.3.7
    [37]
    NASCIMENTO H, ALVES A I, MEDEIROS A F, et al. Impact of a school-based intervention protocol-acorda project on adipokines in an overweight and obese pediatric population[J]. Pediatr Exerc Sci, 2016, 28(3): 407-416. doi: 10.1123/pes.2015-0261
    [38]
    IRAJI H, MINASIAN V, KELISHADI R. Changes in liver enzymes and metabolic profile in adolescents with fatty liver following exercise interventions[J]. Pediatr Gastroenterol Hepatol Nutr, 2021, 24(1): 54-64. doi: 10.5223/pghn.2021.24.1.54
    [39]
    AIRES L, SILVA G, MARTINS C, et al. Exercise intervention and cardiovascular risk factors in obese children. Comparison between obese youngsters taking part in a physical activity school-based programme with and without individualised diet counselling: the ACORDA project[J]. Ann Hum Biol, 2016, 43(3): 183-190. doi: 10.3109/03014460.2015.1059889
    [40]
    SINGHAL N, MISRA A, SHAH P, et al. Effects of controlled school-based multi-component model of nutrition and lifestyle interventions on behavior modification, anthropometry and metabolic risk profile of urban Asian Indian adolescents in North India[J]. Eur J Clin Nutr, 2010, 64(4): 364-373. doi: 10.1038/ejcn.2009.150
    [41]
    CHAWLA N, PANZA A, SIRIKULCHAYANONTA C, et al. Effectiveness of a school-based multicomponent intervention on nutritional status among primary school children in Bangkok, Thailand[J]. J Ayub Med Coll Abbottabad, 2017, 29(1): 13-20.
    [42]
    GUO H, ZENG X, ZHUANG Q, et al. Intervention of childhood and adolescents obesity in Shantou City[J]. Obes Res Clin Pract, 2015, 9(4): 357-364. doi: 10.1016/j.orcp.2014.11.006
    [43]
    余宏杰. 生活方式综合干预对肥胖儿童代谢、心理健康影响的研究[D]. 武汉: 武汉大学, 2019.

    YU H J. Effect of a comprehensive lifestyle intervention on metabolism and mental health among obese schoolchildren[D]. Wuhan: Wuhan University, 2019. (in Chinese)
    [44]
    SALCEDO AGUILAR F, MARTÍNEZ-VIZCAÍNO V, SÁNCHEZLÓP EZ M, et al. Impact of an after-school physical activity program on obesity in children[J]. J Pediatr, 2010, 156(1): 36-42.
    [45]
    XU H, LI Y, ZHANG Q, et al. Comprehensive school-based intervention to control overweight and obesity in China: a cluster randomized controlled trial[J]. Asia Pac J Clin Nutr, 2017, 26(6): 1139-1151.
    [46]
    COSTA-URRUTIA P, ÁLVAREZ-FARIÑA R, ABUD C, et al. Effect of multi-component school-based program on body mass index, cardiovascular and diabetes risks in a multi-ethnic study[J]. BMC Pediatr, 2019, 19(1): 401. doi: 10.1186/s12887-019-1787-x
    [47]
    CRUZ M L, GORAN M I. The metabolic syndrome in children and adolescents[J]. Curr Diab Rep, 2004, 4(1): 53-62. doi: 10.1007/s11892-004-0012-x
    [48]
    VASUDEVAN A R, BALLANTYNE C M. Cardiometabolic risk assessment: an approach to the prevention of cardiovascular disease and diabetes mellitus[J]. Clin Cornerstone, 2005, 7(2-3): 7-16. doi: 10.1016/S1098-3597(05)80063-8
    [49]
    BIRD S R, HAWLEY J A. Update on the effects of physical activity on insulin sensitivity in humans[J]. BMJ Open Sport Exerc Med, 2016, 2(1): e000143.
    [50]
    CARREL A L, MCVEAN J J, CLARK R R, et al. School-based exercise improves fitness, body composition, insulin sensitivity, and markers of inflammation in non-obese children[J]. J Pediatr Endocrinol Metab, 2009, 22(5): 409-415.
    [51]
    LIMA R A, ANDERSEN L B, SOARES F C, et al. The causal pathway effects of a physical activity intervention on adiposity in children: the KISS study cluster randomized clinical trial[J]. Scand J Med Sci Sports, 2020, 30(9): 1685-1691. doi: 10.1111/sms.13741
    [52]
    YU C C, MCMANUS A M, SO H K, et al. Effects of resistance training on cardiovascular health in non-obese active adolescents[J]. World J Clin Pediatr, 2016, 5(3): 293-300. doi: 10.5409/wjcp.v5.i3.293
    [53]
    FOSTER G D, LINDER B, BARANOWSKI T, et al. A school-based intervention for diabetes risk reduction[J]. N Engl J Med, 2010, 363(5): 443-453. doi: 10.1056/NEJMoa1001933
    [54]
    韩琰, 彭璐婷, 李晓南. 肥胖儿童心血管代谢风险相关的预警指标研究进展[J]. 中国儿童保健杂志, 2021, 29(11): 1208-1212. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202111015.htm

    HAN Y, PENG L T, LI X N. Research progress on the indicators of cardiometabolic risk in obese children[J]. Chin J Child Health Care, 2021, 29(11): 1208-1212. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202111015.htm
    [55]
    TOGASHI K, MASUDA H, IGUCHI K. Effect of diet and exercise treatment for obese Japanese children on abdominal fat distribution[J]. Res Sports Med, 2010, 18(1): 62-70. doi: 10.1080/15438620903423924
    [56]
    AL-DAGHRI N M, AMER O E, KHATTAK M N K, et al. Effects of different vitamin D supplementation strategies in reversing metabolic syndrome and its component risk factors in adolescents[J]. J Steroid Biochem Mol Biol, 2019, 191: 105378. doi: 10.1016/j.jsbmb.2019.105378
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (268) PDF downloads(59) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return