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Nutrients
Volume 13
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10.3390/nu13020453
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Article

Three-Year Follow-Up of the POIBA Intervention on Childhood Obesity: A Quasi-Experimental Study

by
Francesca Sánchez-Martínez
1,2,3,*,
Silvia Brugueras
1,
Gemma Serral
1,2,4,
Sara Valmayor
1,
Olga Juárez
1,
María José López
1,2,3,4,
Carles Ariza
1,2,4 and
on behalf of the POIBA Project Evaluation Group
†
1
Agència de Salut Pública de Barcelona (Public Health Agency of Barcelona, ASPB), Pl Lesseps 1, 08023 Barcelona, Spain
2
Institut d’Investigació Biomèdica Sant Pau (IIIB Sant Pau), Sant Antoni Maria Claret 167, 08025 Barcelona, Spain
3
Pompeu Fabra University (UPF), Health and Experimental Science Department, Doctor Aiguader 80, 08003 Barcelona, Spain
4
Ciber de Epidemiología y Salud Pública (CIBERESP), Monforte de Lemos 3-5, 28029 Madrid, Spain
*
Author to whom correspondence should be addressed.
†
Membership of the POIBA Project Evaluation Group is provided in the Acknowledgments.
Nutrients 2021, 13(2), 453; https://doi.org/10.3390/nu13020453
Submission received: 12 December 2020 / Revised: 25 January 2021 / Accepted: 26 January 2021 / Published: 29 January 2021
(This article belongs to the Special Issue Nutrition Status and Health)
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Abstract

Childhood obesity has increased worldwide over the past four decades. This quasi-experimental study aimed to assess the effectiveness of a multicomponent and multilevel school-based intervention (POIBA) at 3 years of follow-up. The nutrition intervention focused on food groups, food pyramid, nutrients, portions, and balanced menus. In total, 3624 children participated in the study. Anthropometric measurements and information on food frequency and behavior, physical activity, and daily screen use were collected in the intervention (IG) and comparison group (CG). Positive unadjusted changes toward adherence to recommendations were found for water, meat, sweets, and fried potato consumption, proper breakfast, not having dinner in front of the TV, out-of-school physical activity, and daily screen use. Three scores were used to calculate the proportion of children making more than one change to improve healthy habits regarding physical activity (global Activity score), nutrition (global Nutrition score), and both (global score). Students exposed to the intervention had a significantly better global Activity score (16.2% IG vs. 11.9% CG; p = 0.012) and Global score (63.9% IG vs. 58.5% CG; p = 0.025). Intervention effects on obesity incidence at 3-year follow-up lost significance but maintained the positive trend. In conclusion, school-based interventions including a family component could be useful to address the childhood obesity problem.
Keywords: childhood obesity; school-based program; effectiveness evaluation; adiposity; healthy eating; physical activity childhood obesity; school-based program; effectiveness evaluation; adiposity; healthy eating; physical activity

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MDPI and ACS Style

Sánchez-Martínez, F.; Brugueras, S.; Serral, G.; Valmayor, S.; Juárez, O.; López, M.J.; Ariza, C.; on behalf of the POIBA Project Evaluation Group. Three-Year Follow-Up of the POIBA Intervention on Childhood Obesity: A Quasi-Experimental Study. Nutrients 2021, 13, 453. https://doi.org/10.3390/nu13020453

AMA Style

Sánchez-Martínez F, Brugueras S, Serral G, Valmayor S, Juárez O, López MJ, Ariza C, on behalf of the POIBA Project Evaluation Group. Three-Year Follow-Up of the POIBA Intervention on Childhood Obesity: A Quasi-Experimental Study. Nutrients. 2021; 13(2):453. https://doi.org/10.3390/nu13020453

Chicago/Turabian Style

Sánchez-Martínez, Francesca, Silvia Brugueras, Gemma Serral, Sara Valmayor, Olga Juárez, María José López, Carles Ariza, and on behalf of the POIBA Project Evaluation Group. 2021. "Three-Year Follow-Up of the POIBA Intervention on Childhood Obesity: A Quasi-Experimental Study" Nutrients 13, no. 2: 453. https://doi.org/10.3390/nu13020453

APA Style

Sánchez-Martínez, F., Brugueras, S., Serral, G., Valmayor, S., Juárez, O., López, M. J., Ariza, C., & on behalf of the POIBA Project Evaluation Group. (2021). Three-Year Follow-Up of the POIBA Intervention on Childhood Obesity: A Quasi-Experimental Study. Nutrients, 13(2), 453. https://doi.org/10.3390/nu13020453

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