Rahel Mesfin Ketema, Atsuko Araki, Yu Ait Bamai, Takeshi Saito, Reiko Kishi
Lifestyle behaviors and home and school environment in association with sick building syndrome among elementary school children: a cross-sectional study
Environmental health and preventive medicine
evaluate impact schoolbased health behavior intervention known planet health obesity among boys girls grades 6 8randomized controlled field trial 5 intervention 5 control schools outcomes assessed using preintervention fall 1995 followup measures spring 1997 including prevalence incidence remission obesitya group 1295 ethnically diverse grade 6 7 students public schools 4 massachusetts communitiesstudents participated schoolbased interdisciplinary intervention 2 school years planet health sessions included within existing curricula using classroom teachers 4 major subjects physical education sessions focused decreasing television viewing decreasing consumption highfat foods increasing fruit vegetable intake increasing moderate vigorous physical activityobesity defined composite indicator based body mass index triceps skinfold value greater equal age sexspecific 85th percentiles schools randomized rather students generalized estimating equation method used adjust individuallevel covariates cluster randomizationthe prevalence obesity among girls intervention schools reduced compared controls controlling baseline obesity odds ratio 047 95 confidence interval 024093 p 03 differences found among boys greater remission obesity among intervention girls vs control girls odds ratio 216 95 confidence interval 107435 p 04 intervention reduced television hours among girls boys increased fruit vegetable consumption resulted smaller increment total energy intake among girls reductions television viewing predicted obesity change mediated intervention effect among girls hour reduction television viewing predicted reduced obesity prevalence odds ratio 085 95 confidence interval 075097 p 02planet health decreased obesity among female students indicating promising schoolbased approach reducing obesity among youth