Adherence
A multi-component school-based intervention targeting diet and physical activity produces sustained improvements in dietary fat intake and vigorous physical activity for at least three years after the intervention ends.
Implementing a comprehensive, multi-component health program in schools (covering diet, activity, and family engagement) can lead to sustained improvements in children's eating habits and physical activity levels for years after the program ends. However, these behavioral improvements may not immediately translate into significant changes in physiological markers like BMI or blood pressure in healthy children. The key is establishing long-term behavioral habits through environmental and educational support.
This 3-year follow-up without further intervention suggests that the behavioral changes initiated during the elementary school years persisted to early adolescence for self-reported dietary and physical activity behaviors.
Why this rating
Large-scale, multi-center, randomized controlled trial with high follow-up rates (73%) and long-term tracking.
Source
Three-Year Maintenance of Improved Diet and Physical Activity
Philip R. Nader et al. · Archives of Pediatrics and Adolescent Medicine · 1999
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