Nutrition Education and Body Mass Index in Grades K-12: A Systematic Review

J Sch Health. 2017 Sep;87(9):715-720. doi: 10.1111/josh.12544.

Abstract

Background: Overweight and obese body mass index (BMI) status affects an increasing number of children in the United States. The school setting has been identified as a focus area to implement obesity prevention programs.

Methods: A database search of PubMed, Education Search Complete, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) was conducted for peer-reviewed articles published between January 2005 and December 2015 pertaining to programs offered in the school setting to grades K-12 in the United States with a nutrition education component and measured BMI percentile or BMI z-score as an outcome.

Results: Seven studies focused on elementary (K-5) populations and 2 studies focused on grades 6-8. Among the 9 identified studies, those with long-term (greater than 1 year) implementation showed more pronounced results with positive impact on reducing overweight/obese BMI measures.

Conclusions: This set of studies suggests that long-term nutrition education delivered in the school setting can provide children with tools to attain a healthy weight status. Additional studies examining participants' BMI status years after the initial study, and studies examining programs in grades 9-12 are needed to determine the most effective delivery time and methods.

Keywords: body mass index (BMI); childhood obesity; nutrition education; overweight youth.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Adolescent
  • Body Mass Index
  • Child
  • Child Welfare / statistics & numerical data
  • Female
  • Food Preferences*
  • Health Education / organization & administration*
  • Health Promotion / organization & administration*
  • Humans
  • Male
  • Pediatric Obesity / epidemiology
  • Pediatric Obesity / prevention & control*
  • Risk Factors
  • School Health Services / organization & administration*
  • Schools / organization & administration
  • Socioeconomic Factors
  • United States