Junji Takaya, Hirohiko Higashino, Hidenori Ogasawara, Kazutaka Konishi, Ryuzo Takaya, Jitsuo Tanoue, Takashi Higashide, Motoko Masuda, Masatoshi Nakao, Shigeto Shigematsu
Regional disparities in obesity/emaciation and income in schoolchildren in Osaka City
Pediatrics international : official journal of the Japan Pediatric Society
schools important settings promotion healthy diet sufficient physical activity prevent civilisation diseases related lifestyle describe school physical activity nutrition environment elementary schools poland asses differences school physical activity nutrition environments depending school location size data used world health organisation european childhood obesity surveillance initiative cosi conducted 2016 135 polish schools logistic regression used asses association location individual school environment indicator basis answers 20 questions school physical activity nutrition environment positive school environmental assessment index compiled large urban schools characterised significantly greater availability sweet snacks whereas flavoured milk added sugar often available small rural schools univariate logistics analysis parameters showed urbanrural location significant association availability indoor gym existence canteen shop analysing positive schools environmental assessment index statistically significant differences mean values due location statistically significant differences found depending school size highest level large schools lowest small schools factor adversely differentiates school environment terms healthy nutrition physical activity primarily school size school location systemic social solutions aim reducing small school exclusion syndrome rural urban areas also regard infrastructure availability conditions conducive healthy nutrition physical activity