School environments and obesity: a systematic review of interventions and policies among school-age students in Latin America and the Caribbean
Authors' conclusion
Data suggest that school environmental interventions, complementing nutritional and physical education can contribute to reduce incremental childhood obesity trends. However, evidence of the extent to which food and built environment components factor into obesogenic environments, within and around school grounds is inconclusive. Insufficient data hindered any urban/rural comparisons. Further school environmental intervention studies to inform policies for preventing/reducing childhood obesity in LAC are needed.
Study context
- Population
- School-age students in Latin America and the Caribbean; prospective studies in English, Spanish and Portuguese, 1 January 2000 to September 20219 studies
- Comparison
- School food and built environment interventions vs control
- Outcome
- BMI/obesity
Methodological detailsPRISMA 2020, risk of bias assessed with RoB 2 and ROBINS-I, two independent reviewers, 1342 papers screened; studies from Mexico (4), Argentina, Brazil, Chile, Colombia and Ecuador (1 each)
- PRISMA 2020
- Risk of bias assessed with RoB 2 and ROBINS-I
- Two independent reviewers
- 1342 papers screened; studies from Mexico (4), Argentina, Brazil, Chile, Colombia and Ecuador (1 each)
Pooled result
As reported in the abstract
- Studies reporting intervention significantly associated with lower increase over time in BMI/obesity vs control
- 2
Further pooled results
Included studies by intervention type
- Food provision
- 4
- Built environment
- 4
- Both food and built environment components
- 1
Original publication
School environments and obesity: a systematic review of interventions and policies among school-age students in Latin America and the Caribbean. Int J Obes (Lond). Published 10 October 2022. doi:10. 1038/ s41366-022-01226-9
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