Evidence map›Paper›PMID 30133773›Full record

ArticleThe Journal of school health2018

School Wellness Committees Are Associated With Lower Body Mass Index Z-Scores and Improved Dietary Intakes in US Children: The Healthy Communities Study.

Lauren E Au, Patricia B Crawford, Gail Woodward-Lopez, Klara Gurzo, Janice Kao, Karen L Webb, Lorrene D Ritchie

Abstract read
In one paragraph

Article in The Journal of school health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Teachers' and Principals' Familiarity with School Wellness Policy: A Health Promoting Schools Assessment.International journal of environmental research and public health · 2024
    Article
  2. Article
  3. Article
  4. Article
  5. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lauren E AuNutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, 2115 Milvia Street, Suite 301, Berkeley, CA 94704.ORCID 0000-0002-2512-0063
Patricia B CrawfordNutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, 2115 Milvia Street, Suite 301, Berkeley, CA 94704.
Gail Woodward-LopezNutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, 2115 Milvia Street, Suite 301, Berkeley, CA 94704.
Klara GurzoNutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, 2115 Milvia Street, Suite 301, Berkeley, CA 94704.
Janice KaoNutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, 2115 Milvia Street, Suite 301, Berkeley, CA 94704.
Karen L WebbNutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, 2115 Milvia Street, Suite 301, Berkeley, CA 94704.
Lorrene D RitchieNutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, 2115 Milvia Street, Suite 301, Berkeley, CA 94704.

Funding

Disparities in the Relationship Between the School Nutrition Environment and Childhood ObesityK01HL131630 · NHLBI · UNIV OF CALIF/DIV/AGRICULTURE/NAT/RESOUR · PI AU, LAUREN E · 2016 to 2020
$841k
NHLBI NIH HHS K01 HL131630
6 · The paper itself

Abstract

backgroundOur objective was to examine the association between school wellness committees and implementation of nutrition wellness policies and children's weight status and obesity-related dietary outcomes.

methodsA cross-sectional study was conducted of 4790 children aged 4-15 years recruited from 130 communities in the Healthy Communities Study. Multilevel statistical models assessed associations between school wellness policies and anthropometric (body mass index z-score [BMIz]) and nutrition measures, adjusting for child and community-level covariates.

resultsChildren had lower BMI z-scores (-0.11, 95% confidence interval [CI]: -0.19, -0.03) and ate breakfast more frequently (0.14 days/week, 95% CI: 0.02-0.25) if attending a school with a wellness committee that met once or more in the past year compared to attending a school with a wellness committee that did not meet/did not exist. Children had lower added sugar (p < .0001), lower energy-dense foods (p = .0004), lower sugar intake from sugar-sweetened beverages (p = .0002), and lower dairy consumption (p = .001) if attending a school with similar or stronger implementation of the nutrition components of the school wellness policies compared to other schools in the district.

conclusionsA more active wellness committee was associated with lower BMI z-scores in US schoolchildren. Active school engagement in wellness policy implementation appears to play a positive role in efforts to reduce childhood obesity.

Indexed as

BreakfastAdolescentBody Mass IndexChildChild Nutritional Physiological PhenomenaChild, PreschoolCross-Sectional StudiesDiet, HealthyFemaleFood ServicesHealth PromotionHumansMaleNutritional StatusNutrition PolicySchool Health Servicesbody mass indexchildren's diethealth outcomesschool healthwellness policies

Identifiers

PMID30133773
PMCPMC6108443

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.