Next Article in Journal
Merkel Cell Carcinoma of the Mandible: A Case of Spontaneous Acceleration of the Growth
Previous Article in Journal
Intra-Aortic Balloon Pump for Patients with Cardiac Conditions: An Update on Available Techniques and Clinical Applications
Open AccessArticle

A Community Bundle to Lower School-Aged Obesity Rates in a Small Midwestern City

1
The Heart Institute, Cincinnati Children’s Hospital, Cincinnati, OH 45229, USA
2
Center for School-Based Mental Health Programs, Miami University, Oxford, OH 45056, USA
3
Norwood City School District, Norwood, OH 45212, USA
4
College of Medicine, University of Cincinnati, Cincinnati, OH 45212, USA
*
Author to whom correspondence should be addressed.
Reports 2019, 2(3), 20; https://doi.org/10.3390/reports2030020
Received: 3 July 2019 / Revised: 4 August 2019 / Accepted: 8 August 2019 / Published: 10 August 2019
Background: Multi-component interventions in large communities such as Philadelphia can effectively lower childhood obesity rates. It is less clear whether this type of intervention can be successful in smaller communities with more limited resources. Norwood, Ohio is a small Midwestern city with a population of 19,207. In 2010, Ohio passed a school health law requiring Body Mass Index (BMI) screening of students in kindergarten and grades 3, 5 and 9 along with restrictions on competitive foods and vending machine products and a physical education requirement of 30 min per day. In 2014, Norwood implemented a multi-component childhood obesity prevention and treatment bundle of interventions. Our objective was to describe the effects if this bundle on childhood overweight/obesity (OW/OB) rates. We hypothesized that implementation of the bundle would lower the prevalence of OW/OB in Norwood school children. Methods: In 2012, the Healthy Kids Ohio Act was fully implemented in the Norwood City School District (NCSD). In 2014 a comprehensive bundle was implemented that included: 1. A student gardening program; 2. Supplementation of fresh produce to a local food pantry and a family shelter; 3. A farmers market; 4. A health newsletter; 5. Incentives in the school cafeterias to promote healthy food selection; 6. A 100-mile walking club; 7. “Cook for America” (a “cooked from scratch” intervention for school cafeterias); 8. A school-based obesity treatment clinic; Results: The OW/OB rate in the NCSD was 43% at the time of the Bundle implementation in 2014 and 37% in 2016 (p = 0.029). Conclusions: A childhood OW/OB prevention bundle can be implemented in a small city and is associated with a favorable change in BMI. View Full-Text
Keywords: children; obesity; community; bundle children; obesity; community; bundle
Show Figures

Figure 1

MDPI and ACS Style

Barnes, A.; Hudgens, M.E.; Robison, D.; Kipp, R.; Strasser, K.; Siegel, R.M. A Community Bundle to Lower School-Aged Obesity Rates in a Small Midwestern City. Reports 2019, 2, 20.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop