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Are School Nurses an Overlooked Resource in Reducing Childhood Obesity? A Systematic Review and Meta-Analysis.
- Source :
- Journal of School Health; May2016, Vol. 86 Issue 5, p309-321, 13p, 1 Diagram, 5 Charts, 2 Graphs
- Publication Year :
- 2016
-
Abstract
- ABSTRACT BACKGROUND Schools are a key setting for childhood obesity interventions, yet nurses are not often included in delivering these interventions. The objective of this systematic review and meta-analysis was to examine school-based interventions involving nurses in a role beyond anthropometric measurement for effect on change in body measures. METHODS We performed a systematic review and meta-analysis of these papers. RESULTS The literature search produced 2412 articles. Eleven met inclusion criteria for the systematic review (4 randomized controlled trail [ RCT], 7 quasi-experimental) and 8 for the meta-analysis. None have been included in prior meta-analyses. Four studies restricted eligibility to overweight and/or obese children; 7 included all children regardless of body weight. Random effects meta-analytic models represent data from 6050 (body mass index [BMI]), 5863 (BMIz), and 416 (BMI percentile) children, respectively. Pooled analyses demonstrated statistically significant decreases in BMI (6 studies: −0.48 [95% CI −0.84, −0.12]; I<superscript>2</superscript>=91.2%, Q=68.1), BMIz (5 studies: −0.10 [95% CI: −0.15, −0.05]; I<superscript>2</superscript>=0, Q=2.3), and BMI percentile (3 studies: −0.41 [95% CI: −0.60, −0.21]; I<superscript>2</superscript>=0, Q=2.0). CONCLUSIONS These findings are similar to those of other meta-analyses of school-based interventions and suggest that school nurses can play a key role in implementing sustainable, effective school-based obesity interventions. [ABSTRACT FROM AUTHOR]
- Subjects :
- PREVENTION of childhood obesity
CINAHL database
CONFIDENCE intervals
ERIC (Information retrieval system)
HEALTH behavior
PSYCHOLOGY information storage & retrieval systems
MEDLINE
META-analysis
NURSES
NUTRITION counseling
PROBABILITY theory
RESEARCH evaluation
RESEARCH funding
RISK assessment
SCHOOL nursing
SCHOOLS
SYSTEMATIC reviews
OCCUPATIONAL roles
BODY mass index
MOTIVATIONAL interviewing
RESEARCH bias
RESEARCH methodology evaluation
DATA analysis software
DESCRIPTIVE statistics
CONFOUNDING variables
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 00224391
- Volume :
- 86
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of School Health
- Publication Type :
- Academic Journal
- Accession number :
- 114191249
- Full Text :
- https://doi.org/10.1111/josh.12386