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Multicomponent School-initiated Obesity Intervention in a High-risk, Hispanic Elementary School

Klish, William J.*; Karavias, Kellie E.; White, Katie S.; Balch, Angela J.; Fraley, J. Kennard*; Mikhail, Carmen*; Abrams, Stephanie H.*; Terrazas, Norma L.; Smith, E. O’Brian*; Wong, William W.*

Journal of Pediatric Gastroenterology and Nutrition: January 2012 - Volume 54 - Issue 1 - p 113–116
doi: 10.1097/MPG.0b013e3182318b39
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ABSTRACT The aim of the study was to determine the effectiveness of a school-initiated cognitive and behavioral program to reduce childhood obesity. Height, weight, body mass index (BMI), and BMI z scores were obtained at the beginning and end of the school year at an intervention school (n = 1022) and at a control school (n = 692). The prevalence of overweight and obesity was 18.9% and 30.4% versus 19% and 30.2%, respectively, in the intervention and control schools. The incidence of overweight increased in the control school, but the incidence of obesity, weight, and BMI z scores increased significantly in the intervention school, suggesting that implementation of any school-based obesity intervention programs requires careful planning to achieve goals.

*Department of Pediatrics, Baylor College of Medicine

Texas Children's Hospital

Sylvan Rodriguez Elementary School, Houston, TX.

Address correspondence and reprint requests to William W. Wong, PhD, USDA/ARS Children's Nutrition Research Center, 1100 Bates St, Houston, TX 77030 (e-mail:

Received 15 June, 2011

Accepted 5 August, 2011

The project was entirely supported by the Houston Independent School District.

The authors report no conflicts of interest.

Copyright 2012 by ESPGHAN and NASPGHAN