In 2006, the Anchorage School District implemented a school wellness policy to address the problem of obesity among its elementary-aged students. We assessed whether the addition of this policy is effective in protecting or preventing students from becoming overweight/obese over time. The methods involved following two cohorts of students for 5 years, a cohort not exposed and a cohort exposed to the policy. The results show that exposure to the policy does not significantly protect or prevent students from becoming overweight/obese. However, we found that regardless of being exposed to the policy, boys (odds ratio [OR] = 1.12), ethnic minorities, (OR = 1.18), and students from low socioeconomic backgrounds (OR = 1.44) were more likely to remain or become overweight/obese. Our findings suggest that factors outside the school may be impacting students’ overweight/obese status. Efforts to curb the problem of childhood obesity should extend to the children’s communities and homes.
AndersonL. M.AycockK. E.MihalicC. A.KozlowskiD. J.DetschnerA. M. (2013). Geographic differences in physical education and adolescent BMI: Have legal mandates made a difference?The Journal of School Nursing, 29, 52–60.
2.
Bailey-DavisL.HorstM.HillemeierM. M.LauterA. (2012). Obesity disparities among elementary-aged children: Data from school-based BMI surveillance. Pediatrics, 130, 1102–1109.
3.
ChriquiJ. F.ResnickE. A.SchneiderL.SchermbeckR.AdcockT.CarrionV.ChaloupkaF. J. (2013). School district wellness policies: Evaluating progress and potential for improving children’s health five years after the federal mandate. School years 2006-07 through 2010-11 (Vol. 3). Bridging the Gap Program, Health Policy Center, Institute for Health Research and Policy, University of Illinois at Chicago. Retrieved fromwww.bridgingthegapresearch.org
FenaughtyA.FinkK.PeckD.WellsR.UtermohleC.PetersonE. (2009). The burden of overweight and obesity in Alaska: Summary report. Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion, Anchorage, Alaska.
6.
FernandezJ. R.ReddenD. T.PietrobelliA.AllisonD. B. (2004). Waist circumference percentiles in nationally representative samples of African-American, European-American, and Mexican-American children and adolescents. The Journal of Pediatrics, 145, 439–444.
7.
FranziniL.ElliottM. N.CuccaroP.SchusterM.GillilandJ.GrundbaumJ. A.TortoleroS. R. (2009). Influences of physical and social neighborhood environments on children’s physical activity and obesity. American Journal of Public Health, 99, 271–278.
8.
GreenJ.WatersE.HaikerwalA.O’NeillC.RamanS.BoothM. L.Gibbons. (2003). Social, cultural, and environmental influences on child activity and eating in Australian migrant communities. Child: Care, Health & Development, 29, 441–448.
9.
Hoxie-SetterstromG.HoglundB. (2011). School wellness policies: Opportunities for change. Journal of School Nursing, 27, 330–339.
10.
JainA.LangwithC. (2013). Collaborative school-based obesity interventions: Lessons learned from 6 southern districts. Journal of School Health, 83, 213–222.
11.
JiangJ.XiaX.GreinerT.WuG.LianG.RosenqvistU. (2007). The effects of a 3-year obesity intervention in schoolchildren in Beijing. Child: Care, Health, and Development, 33, 641–646.
12.
JohnsonD. B.BruemmerB.LundA. E.EvensC. C.MarC. M. (2009). Impact of school district sugar-sweetened beverage policies on student beverage exposure and consumption in middle schools, Journal of Adolescent Health, 45, S30–S37.
13.
JohnsonT. (2012). School-based interventions for overweight and obesity in minority school children. Journal of School Nursing, 28, 116–123.
14.
JustusM. B.RyanK. W.RockenbachJ.KatterapalliC.Card-HigginsonP. (2007). Lessons learned while implementing a legislated school policy: Body mass index assessments among Arkansas’s public school students. Journal of School Health, 77, 706–713.
15.
KrishnaswamiJ.MartinsonM.WakimotoP.AnglemeyerA. (2012). Community-engaged interventions on diet, activity, and weight outcomes in U. S. schools: A systematic review. American Journal of Preventative Medicine, 43, 81–91.
16.
KubikM.LytleL.StoryM. (2005). Schoolwide food practices are associated with body mass index in middle school students. Archives of Pediatrics & Adolescent Medicine, 159, 1111–1114.
17.
LongleyC. H.SneedJ. (2009). Effects of federal legislation on wellness policy formation in school districts in the United States. Journal of the American Dietetic Association, 109, 95–101.
18.
LudwigD. S. (2007). Childhood obesity: The shape of things to come. New England Journal of Medicine, 357, 2325–2327.
19.
MasonM.Meleedy-ReyP.ChristoffelM. L.GarciaM. P.AshlawC. (2006). Prevalence of overweight and risk of overweight among 3- to 5-year old Chicago children, 2002-2003. Journal of School Health, 76, 104–110.
20.
MaurielloL. M.DriskellM. M. H.ShermanK. J.JohnsonS. SProchaskaJ. M.ProchaskaJ. O. (2006). Acceptability of a school-based intervention for the prevention of adolescent of obesity. Journal of School Nursing, 22, 269–277.
21.
McCaffreyT. A.RennieK. L.WallaceJ. M. W.LivingstoneM. B. E. (2007). Dietary determinants of childhood obesity: The role of the family. Current Medical Literature: Pediatrics, 20, 889–894.
22.
McCarthyH. D.JarrettK. V.EmmettP. M.RogersI., & the ALSPAC Study Team. (2005). Trends in waist circumferences in young British children: A comparative study. International Journal of Obesity, 29, 157–162.
23.
MurphyM. O.WebberK.MullinsJ. (2010). Do wellness policies create a healthier school environment? A Kentucky Policy Analysis. Journal of the American Dietetic Association, 110, A–94.
24.
NanneyM. S.DaveyC. (2008). Evaluating the distribution of school wellness policies and practices: A framework to capture equity among schools serving the most weight-vulnerable children. Journal of the American Dietetic Association, 108, 1436–1439.
25.
NowickaP. (2007). Physical activity—key issues in treatment of childhood obesity. Acta Pediatrica, 96, 39–45.
RuxtonC. (2004). Obesity in children. Nursing Standards, 18, 47–55.
30.
SchwartzM. B.HendricksonK. E.FalbeJ.NovakS. A.WhartonC. M.LongM. W.FioreS. S. (2012). Strength and comprehensiveness of school wellness policies predict policy implementation at the school level. The Journal of School Health, 82, 262–267.
31.
SharmaM. (2006). School-based interventions for childhood and adolescent obesity. Obesity Reviews, 7, 261–269.
32.
StoryM.KaphingstK. M.FrenchS. (2006). The role of schools in obesity prevention. Future Child, 16, 190–142.
TorunerE. K.SavaserS. (2010). A controlled evaluation of a school-based obesity prevention in Turkish school children. The Journal of School Nursing, 26, 473–482.
35.
TurnerL.ChriquiJ.ChaloupkaF. J. (2012). Food as a reward in the classroom: School district policies are associated with practices in U.S. Public Elementary Schools. Journal of the Academy of Nutrition and Dietetics, 112, 1436–1442.
36.
U. S. Government, 108th Congress, 2nd Session. (2004). Child Nutrition and WIC Reauthorization Act of 2004 (P.L. 108-265). Washington, DC. Retrieved from http://agriculture.senate.gov/nutri/WEI04551_LC.pdf
37.
WattsK.BellL. M.ByrneS. M.JonesT. W.DavisE. A. (2008). Waist circumference predicts cardiovascular risk in young Australian children. Journal of Paediatrics and Child Health, 44, 709–715.
38.
WechslerH.McKennaM. L.LeeS. M.DietzW. H. (2004). The role of schools in preventing childhood obesity. The State Education Standard, 5, 4–12.
39.
YapS.YangZ.WangJ.BaconS. L.CampbellT. S. (2006). Waist circumference, not body mass index, is associated with blood pressure in a sample of young Chinese adults. Journal of Human Hypertension, 20, 904–906.
40.
ZahnerL.PuderJ. J.RothR.SchmidM.GuldimannR.PuhseU.KriemlerS. (2006). A school-based physical activity program to improve health and fitness in children aged 6-13 years (“Kinder-Sportstudie KISS”): Study design of a randomized controlled trial [ISRCTN15360785]. BMC Public Health, 6, 1–12.
