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After-School Based Obesity Prevention Interventions: A Comprehensive Review of the Literature

Author

Listed:
  • Paul Branscum

    (Department of Health & Exercise Science, The University of Oklahoma, 1401 Asp Avenue, HHC 112, Norman, OK 73019, USA)

  • Manoj Sharma

    (Health Promotion and Education, The University of Cincinnati, P.O. Box 210068, Cincinnati, OH 45221, USA)

Abstract

The purpose of this article was to review primary prevention interventions targeting childhood obesity implemented in the after school environment from 2006 and 2011. A total of 20 interventions were found from 25 studies. Children in the interventions ranged from kindergarten to middle schoolers, however a majority was in the 4th and 5th grades. Most of the interventions targeted both physical activity and dietary behaviors. Among those that focused on only one dimension, physical activity was targeted more than diet. The duration of the interventions greatly varied, but many were short-term or brief. Many interventions were also based on some behavioral theory, with social cognitive theory as the most widely used. Most of the interventions focused on short-term changes, and rarely did any perform a follow-up evaluation. A major limitation among after school interventions was an inadequate use of process evaluations. Overall, interventions resulted in modest changes in behaviors and behavioral antecedents, and results were mixed and generally unfavorable with regards to indicators of obesity. Recommendations for enhancing the effectiveness of after school based childhood obesity interventions are presented.

Suggested Citation

  • Paul Branscum & Manoj Sharma, 2012. "After-School Based Obesity Prevention Interventions: A Comprehensive Review of the Literature," IJERPH, MDPI, vol. 9(4), pages 1-20, April.
    • Handle: RePEc:gam:jijerp:v:9:y:2012:i:4:p:1438-1457:d:17206
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    References listed on IDEAS

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    1. Varnell, S.P. & Murray, D.M. & Janega, J.B. & Blitstein, J.L., 2004. "Design and Analysis of Group-Randomized Trials: A Review of Recent Practices," American Journal of Public Health, American Public Health Association, vol. 94(3), pages 393-399.
    2. Glasgow, R.E. & Vogt, T.M. & Boles, S.M., 1999. "Evaluating the public health impact of health promotion interventions: The RE-AIM framework," American Journal of Public Health, American Public Health Association, vol. 89(9), pages 1322-1327.
    3. De Heer, H.D. & Koehly, L. & Pederson, R. & Morera, O., 2011. "Effectiveness and spillover of an after-school health promotion program for hispanic elementary school Children," American Journal of Public Health, American Public Health Association, vol. 101(10), pages 1907-1913.
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    Cited by:

    1. Jana Markert & Sabine Herget & David Petroff & Ruth Gausche & Andrea Grimm & Wieland Kiess & Susann Blüher, 2014. "Telephone-Based Adiposity Prevention for Families with Overweight Children (T.A.F.F.-Study): One Year Outcome of a Randomized, Controlled Trial," IJERPH, MDPI, vol. 11(10), pages 1-18, October.
    2. Xiao Chuan Lau & Yaw Loong Wong & Jyh Eiin Wong & Denise Koh & Razalee Sedek & Ahmad Taufik Jamil & Alvin Lai Oon Ng & Abu Saad Hazizi & Abd. Talib Ruzita & Bee Koon Poh, 2019. "Development and Validation of a Physical Activity Educational Module for Overweight and Obese Adolescents: CERGAS Programme," IJERPH, MDPI, vol. 16(9), pages 1-16, April.

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