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A public health vs a risk-based intervention to improve cardiovascular health in elementary school children

The Cardiovascular Health in Children Study

Bibliographic Data

ID11036655
AuthorsJoanne S Harrell (University of North Carolina at Chapel Hill), Robert G Mcmurray (0000-0002-1162-4471), Stuart A Gansky (0000-0003-3147-0884, University of California, San Francisco), Shrikant I Bangdiwala (0000-0002-3111-0689), C B Bradley, Chyrise Bradley (0000-0001-5264-4340)
Year1999
Volume89
Issue10
Pages1529-1535
Publication date1999-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.89.10.1529
PMID10511835
OpenAlexW2157177242
LanguageEN
Citations received10
References cited31

OBJECTIVES: This study sought to determine the population effects of both classroom-based and risk-based interventions designed to reduce cardiovascular disease risk factors in children. METHODS: Elementary school children (n = 2109; age range: 7-12 years) were randomized by school to a classroom-based intervention for all third and fourth graders, a risk-based intervention only for those with 1 or more cardiovascular disease risk factors, or a control group. The 8-week interventions involved both knowledge--attitude and physical activity components. RESULTS: School-level analyses showed that physical activity in the risk-based group and posttest knowledge in the classroom-based group were significantly higher than in the control group. With regard to trends shown by individual-level analyses, cholesterol dropped more in the classroom-based than in the control group, and skinfold thickness decreased 2.9% in the classroom-based group and 3.2% in the risk-based group (as compared with a 1.1% increase in the control group). CONCLUSIONS: Both classroom-based and risk-based interventions had positive effects on physical activity and knowledge, with trends toward reduced body fat and cholesterol. However, the classroom-based approach was easier to implement and evidenced stronger results than the risk-based intervention

Disease · Environmental health · Intervention (counseling) · Physical therapy · Population · Psychological intervention · Public health · Risk factor · Health Promotion and Cardiovascular Prevention · Internal Medicine · Medicine · Nursing · Obesity, Physical Activity, Diet · School Health and Nursing Education · Gerontology

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Unique citing works10
Citations per year0,4
Citation span2001 - 2023 (23)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 9

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