A Natural Experiment Comparing the Effectiveness of the “Healthy Eagles” Child Weight Management Intervention in School Versus Community Settings

Behavioural weight management interventions are recommended for the treatment of obesity in children. However, the evidence for these is limited and often generated under trial conditions with White, middle-class populations. Healthy Eagles is a behavioural weight management intervention designed to...

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Autores principales:	Melissa Little, Shirley Serber-Souza, Maryam Kebbe, Paul N. Aveyard, Susan A. Jebb
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	childhood obesity weight management children behavioural weight management interventions Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/c6b6f50c839346c8a374efbc83284ecc
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spelling	oai:doaj.org-article:c6b6f50c839346c8a374efbc83284ecc2021-11-25T18:35:12ZA Natural Experiment Comparing the Effectiveness of the “Healthy Eagles” Child Weight Management Intervention in School Versus Community Settings10.3390/nu131139122072-6643https://doaj.org/article/c6b6f50c839346c8a374efbc83284ecc2021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3912https://doaj.org/toc/2072-6643Behavioural weight management interventions are recommended for the treatment of obesity in children. However, the evidence for these is limited and often generated under trial conditions with White, middle-class populations. Healthy Eagles is a behavioural weight management intervention designed to treat excess weight in children. It ran in the London Borough of Croydon from 2017 to 2020 and was delivered in both school and community settings, providing a natural experiment to compare outcomes. A total of 1560 participants started the Healthy Eagles programme; 347 were in the community setting and 703 in the school setting. Data were analysed for those who completed 70% of the programme. In the school setting, there was a small but significant reduction in BMI z-score (M = −0.04, 95% CI = −0.08, −0.01) for participants above a healthy weight, especially in those with severe obesity (M = −0.09, 95% CI = −0.15, −0.03); there was no significant change in any subgroup in the community setting. Linear regression analysis showed the school setting was associated with a 0.26 (95% CI = 0.13, 0.49) greater reduction in BMI z-score than the community setting after adjusting for ethnicity, deprivation, age and gender. Across both programmes, the effect was somewhat greater in participants from a Black (African/Caribbean/Other) ethnic background (M = −0.06, 95% CI = −0.09, −0.02) and from the two most deprived quintiles (M = −0.06, 95% CI = −0.11, −0.01). Data were limited, but minimal changes were measured in nutrition and physical activity behaviours regardless of setting. This evaluation provides indirect evidence of a small but significant benefit to running weight management interventions in a school versus community setting.Melissa LittleShirley Serber-SouzaMaryam KebbePaul N. AveyardSusan A. JebbMDPI AGarticlechildhood obesityweight managementchildrenbehavioural weight management interventionsNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3912, p 3912 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	childhood obesity weight management children behavioural weight management interventions Nutrition. Foods and food supply TX341-641
spellingShingle	childhood obesity weight management children behavioural weight management interventions Nutrition. Foods and food supply TX341-641 Melissa Little Shirley Serber-Souza Maryam Kebbe Paul N. Aveyard Susan A. Jebb A Natural Experiment Comparing the Effectiveness of the “Healthy Eagles” Child Weight Management Intervention in School Versus Community Settings
description	Behavioural weight management interventions are recommended for the treatment of obesity in children. However, the evidence for these is limited and often generated under trial conditions with White, middle-class populations. Healthy Eagles is a behavioural weight management intervention designed to treat excess weight in children. It ran in the London Borough of Croydon from 2017 to 2020 and was delivered in both school and community settings, providing a natural experiment to compare outcomes. A total of 1560 participants started the Healthy Eagles programme; 347 were in the community setting and 703 in the school setting. Data were analysed for those who completed 70% of the programme. In the school setting, there was a small but significant reduction in BMI z-score (M = −0.04, 95% CI = −0.08, −0.01) for participants above a healthy weight, especially in those with severe obesity (M = −0.09, 95% CI = −0.15, −0.03); there was no significant change in any subgroup in the community setting. Linear regression analysis showed the school setting was associated with a 0.26 (95% CI = 0.13, 0.49) greater reduction in BMI z-score than the community setting after adjusting for ethnicity, deprivation, age and gender. Across both programmes, the effect was somewhat greater in participants from a Black (African/Caribbean/Other) ethnic background (M = −0.06, 95% CI = −0.09, −0.02) and from the two most deprived quintiles (M = −0.06, 95% CI = −0.11, −0.01). Data were limited, but minimal changes were measured in nutrition and physical activity behaviours regardless of setting. This evaluation provides indirect evidence of a small but significant benefit to running weight management interventions in a school versus community setting.
format	article
author	Melissa Little Shirley Serber-Souza Maryam Kebbe Paul N. Aveyard Susan A. Jebb
author_facet	Melissa Little Shirley Serber-Souza Maryam Kebbe Paul N. Aveyard Susan A. Jebb
author_sort	Melissa Little
title	A Natural Experiment Comparing the Effectiveness of the “Healthy Eagles” Child Weight Management Intervention in School Versus Community Settings
title_short	A Natural Experiment Comparing the Effectiveness of the “Healthy Eagles” Child Weight Management Intervention in School Versus Community Settings
title_full	A Natural Experiment Comparing the Effectiveness of the “Healthy Eagles” Child Weight Management Intervention in School Versus Community Settings
title_fullStr	A Natural Experiment Comparing the Effectiveness of the “Healthy Eagles” Child Weight Management Intervention in School Versus Community Settings
title_full_unstemmed	A Natural Experiment Comparing the Effectiveness of the “Healthy Eagles” Child Weight Management Intervention in School Versus Community Settings
title_sort	natural experiment comparing the effectiveness of the “healthy eagles” child weight management intervention in school versus community settings
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/c6b6f50c839346c8a374efbc83284ecc
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A Natural Experiment Comparing the Effectiveness of the “Healthy Eagles” Child Weight Management Intervention in School Versus Community Settings

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