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Metadata","name":"citation","fields":[{"typeName":"title","multiple":false,"typeClass":"primitive","value":"Battling the obesity epidemic with a school-based intervention: Long-term effects of a quasi-experimental study"},{"typeName":"author","multiple":true,"typeClass":"compound","value":[{"authorName":{"typeName":"authorName","multiple":false,"typeClass":"primitive","value":"Willeboordse, M."},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Maastricht University"},"authorIdentifierScheme":{"typeName":"authorIdentifierScheme","multiple":false,"typeClass":"controlledVocabulary","value":"ORCID"},"authorIdentifier":{"typeName":"authorIdentifier","multiple":false,"typeClass":"primitive","value":"https://orcid.org/ 0000-0002-9695-9755"}},{"authorName":{"typeName":"authorName","multiple":false,"typeClass":"primitive","value":"Bartelink, N.H.M"},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Maastricht University"},"authorIdentifierScheme":{"typeName":"authorIdentifierScheme","multiple":false,"typeClass":"controlledVocabulary","value":"ORCID"},"authorIdentifier":{"typeName":"authorIdentifier","multiple":false,"typeClass":"primitive","value":"https://orcid.org/ 0000-0002-8098-5289"}},{"authorName":{"typeName":"authorName","multiple":false,"typeClass":"primitive","value":"Van Assema, P."},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Maastricht University"}},{"authorName":{"typeName":"authorName","multiple":false,"typeClass":"primitive","value":"Kremers, S.P.J."},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Maastricht University"}},{"authorName":{"typeName":"authorName","multiple":false,"typeClass":"primitive","value":"Savelberg, H.H.C.M."},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Maastricht University"},"authorIdentifierScheme":{"typeName":"authorIdentifierScheme","multiple":false,"typeClass":"controlledVocabulary","value":"ORCID"},"authorIdentifier":{"typeName":"authorIdentifier","multiple":false,"typeClass":"primitive","value":"https://orcid.org/ 0000-0002-8864-2109"}},{"authorName":{"typeName":"authorName","multiple":false,"typeClass":"primitive","value":"Hahnraths, M.T.H."},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Maastricht University"},"authorIdentifierScheme":{"typeName":"authorIdentifierScheme","multiple":false,"typeClass":"controlledVocabulary","value":"ORCID"},"authorIdentifier":{"typeName":"authorIdentifier","multiple":false,"typeClass":"primitive","value":"https://orcid.org/ 0000-0002-8049-448X"}},{"authorName":{"typeName":"authorName","multiple":false,"typeClass":"primitive","value":"Vonk, L."},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Maastricht University"}},{"authorName":{"typeName":"authorName","multiple":false,"typeClass":"primitive","value":"Oosterhoff, M."},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Maastricht University"}},{"authorName":{"typeName":"authorName","multiple":false,"typeClass":"primitive","value":"Van Schayck, C.P."},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Maastricht University"}},{"authorName":{"typeName":"authorName","multiple":false,"typeClass":"primitive","value":"Winkens, B."},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Maastricht University"},"authorIdentifierScheme":{"typeName":"authorIdentifierScheme","multiple":false,"typeClass":"controlledVocabulary","value":"ORCID"},"authorIdentifier":{"typeName":"authorIdentifier","multiple":false,"typeClass":"primitive","value":"https://orcid.org/ 0000-0002-6747-6228"}},{"authorName":{"typeName":"authorName","multiple":false,"typeClass":"primitive","value":"Jansen, M."},"authorAffiliation":{"typeName":"authorAffiliation","multiple":false,"typeClass":"primitive","value":"Maastricht University"}}]},{"typeName":"datasetContact","multiple":true,"typeClass":"compound","value":[{"datasetContactName":{"typeName":"datasetContactName","multiple":false,"typeClass":"primitive","value":"Twellaar, M."},"datasetContactAffiliation":{"typeName":"datasetContactAffiliation","multiple":false,"typeClass":"primitive","value":"Maastricht University"}}]},{"typeName":"dsDescription","multiple":true,"typeClass":"compound","value":[{"dsDescriptionValue":{"typeName":"dsDescriptionValue","multiple":false,"typeClass":"primitive","value":"School-based health-promoting interventions are increasingly seen as an\neffective population strategy to improve health and prevent obesity. Evidence on the\nlong-term effectiveness of school-based interventions is scarce. This study investigates\nthe four-year effectiveness of the school-based Healthy Primary School of the Future\n(HPSF) intervention on children’s body mass index z-score (BMIz), and on the\nsecondary outcomes waist circumference (WC), dietary and physical activity (PA)\nbehaviours.\nThis study has a quasi-experimental design with four intervention schools, i.e., two full HPSFs (focus: diet and PA), two partial HPSFs (focus: PA), and four control schools. Primary school children (aged 4-12 years) attending the eight participating schools were invited to enrol in the study between 2015 and 2019. Annual measurements consisted of children’s anthropometry (weight, height and waist circumference), dietary behaviours (child- and parent-reported questionnaires) and PA levels (accelerometers). Between 2015 and 2019, 2236 children enrolled. The average exposure to the school condition was 2·66 (SD 1·33) years, and 900 participants were exposed for the full four years (40·3%). After four years of intervention, both full (estimated intervention effect (B)=-0·17 (95%CI -0·27 to - 0·08) p=0·000) and partial HPSF (B=-0·16 (95%CI-0·25 to -0·06) p=0·001) resulted in significant changes in children’s BMIz compared to control schools. Likewise, WC changed in favour of both full and partial HPSFs. In full HPSFs, almost all dietary behaviours changed significantly in the short term. In the long term, only consumption of water and dairy remained significant compared to control schools. In both partial and full HPSFs, changes in PA behaviours were mostly absent.\nThis school-based health-promoting intervention is effective in bringing unfavourable changes in body composition to a halt in both the short and long term. It provides policy makers with robust evidence to sustainably implement these interventions in school-based routine."}}]},{"typeName":"subject","multiple":true,"typeClass":"controlledVocabulary","value":["Medicine, Health and Life Sciences"]},{"typeName":"keyword","multiple":true,"typeClass":"compound","value":[{"keywordValue":{"typeName":"keywordValue","multiple":false,"typeClass":"primitive","value":"Primary School"}},{"keywordValue":{"typeName":"keywordValue","multiple":false,"typeClass":"primitive","value":"Health promoting school"}},{"keywordValue":{"typeName":"keywordValue","multiple":false,"typeClass":"primitive","value":"Student"}},{"keywordValue":{"typeName":"keywordValue","multiple":false,"typeClass":"primitive","value":"Waist circumference"}},{"keywordValue":{"typeName":"keywordValue","multiple":false,"typeClass":"primitive","value":"BMI"}}]},{"typeName":"language","multiple":true,"typeClass":"controlledVocabulary","value":["English"]},{"typeName":"producer","multiple":true,"typeClass":"compound","value":[{"producerName":{"typeName":"producerName","multiple":false,"typeClass":"primitive","value":"Willeboordse, M."},"producerAffiliation":{"typeName":"producerAffiliation","multiple":false,"typeClass":"primitive","value":"Maastricht University"}}]},{"typeName":"productionDate","multiple":false,"typeClass":"primitive","value":"2015"},{"typeName":"productionPlace","multiple":true,"typeClass":"primitive","value":["The Netherlands"]},{"typeName":"grantNumber","multiple":true,"typeClass":"compound","value":[{"grantNumberAgency":{"typeName":"grantNumberAgency","multiple":false,"typeClass":"primitive","value":"Limburg provincial authorities"},"grantNumberValue":{"typeName":"grantNumberValue","multiple":false,"typeClass":"primitive","value":"200130003"}},{"grantNumberAgency":{"typeName":"grantNumberAgency","multiple":false,"typeClass":"primitive","value":"Maastricht University"},"grantNumberValue":{"typeName":"grantNumberValue","multiple":false,"typeClass":"primitive","value":"200130003"}},{"grantNumberAgency":{"typeName":"grantNumberAgency","multiple":false,"typeClass":"primitive","value":"FrieslandCampina"},"grantNumberValue":{"typeName":"grantNumberValue","multiple":false,"typeClass":"primitive","value":"LLMV00"}}]},{"typeName":"depositor","multiple":false,"typeClass":"primitive","value":"Maastricht University"},{"typeName":"dateOfDeposit","multiple":false,"typeClass":"primitive","value":"2022-06-30"},{"typeName":"timePeriodCovered","multiple":true,"typeClass":"compound","value":[{"timePeriodCoveredStart":{"typeName":"timePeriodCoveredStart","multiple":false,"typeClass":"primitive","value":"2015"},"timePeriodCoveredEnd":{"typeName":"timePeriodCoveredEnd","multiple":false,"typeClass":"primitive","value":"2019"}}]},{"typeName":"dateOfCollection","multiple":true,"typeClass":"compound","value":[{"dateOfCollectionStart":{"typeName":"dateOfCollectionStart","multiple":false,"typeClass":"primitive","value":"2015"},"dateOfCollectionEnd":{"typeName":"dateOfCollectionEnd","multiple":false,"typeClass":"primitive","value":"2019"}}]},{"typeName":"kindOfData","multiple":true,"typeClass":"primitive","value":["Survey data","Administrative records","Anthropometric data"]},{"typeName":"software","multiple":true,"typeClass":"compound","value":[{"softwareName":{"typeName":"softwareName","multiple":false,"typeClass":"primitive","value":"IBM SPSS Statistics for Windows"},"softwareVersion":{"typeName":"softwareVersion","multiple":false,"typeClass":"primitive","value":"25.0"}}]},{"typeName":"otherReferences","multiple":true,"typeClass":"primitive","value":["Willeboordse, M.; Jansen, M.W.; Heijkant, S.N.V.D.; Simons, A.; Winkens, B.; De Groot, R.; Bartelink, N.; Kremers, S.P.; Van Assema, P.; Savelberg, H.H.; et al. The Healthy Primary School of the Future: Study protocol of a quasi-experimental study. BMC Public Health 2016, 16, 1–13.","Bartelink, N.H.M.; Van Assema, P.; Jansen, M.W.J.; Savelberg, H.H.C.M.; Willeboordse, M.; Kremers, S.P.J. The Healthy Primary School of the Future: A Contextual Action-Oriented Research Approach. Int. J. Environ. Res. Public Health 2018, 15, 2243.","Bartelink, N.H.M.; Van Assema, P.; Jansen, M.W.J.; Savelberg, H.H.C.M.; Moore, G.F.; Hawkins, J.; Kremers, S.P.J. Process evaluation of the Healthy Primary School of the Future: The key learning points. BMC Public Health 2019, 19, 1–15.","Boudewijns, E.; Pepels, J.; Van Kann, D.; Konings, K.; Van Schayck, C.; Willeboordse, M. Non-response and external validity in a school-based quasi-experimental study ’The Healthy Primary School of the Future’: A cross-sectional assessment. Prev. Med. Rep. 2019, 14, 100874.","Bartelink, N.H.M.; van Assema, P.; Kremers, S.P.J.; Savelberg, H.H.C.M.; Oosterhoff, M.; Willeboordse, M.; van Schayck, O.C.P.; Winkens, B.; Jansen, M.W.J. Can the Healthy Primary School of the Future offer perspective in the ongoing obesity epidemic in young children? A Dutch quasi-experimental study. BMJ Open 2019, 9, e030676.","Bartelink, N.H.M.; Van Assema, P.; Kremers, S.P.J.; Savelberg, H.H.C.M.; Oosterhoff, M.; Willeboordse, M.; Van Schayck, O.C.P.; Winkens, B.; Jansen, M.W.J. One- and Two-Year Effects of the Healthy Primary School of the Future on Children’s Dietary and Physical Activity Behaviours: A Quasi-Experimental Study. Nutrients 2019, 11, 689.","Bartelink, N.; Van Assema, P.; Kremers, S.; Savelberg, H.; Gevers, D.; Jansen, M. Unravelling the Effects of the Healthy Primary School of the Future: For Whom and Where Is It Effective? Nutrients 2019, 11, 2119.","Bartelink, N.; Van Assema, P.; Jansen, M.; Savelberg, H.; Kremers, S. The Moderating Role of the School Context on the Effects of the Healthy Primary School of the Future. Int. J. Environ. Res. Public Health 2019, 16, 2432.","Hahnraths, M.T.H.; Willeboordse, M.; Jungbauer, A.D.H.M.; de Gier, C.; Schouten, C.; van Schayck, C.P. “Mummy, Can I Join a Sports Club?” A Qualitative Study on the Impact of Health-Promoting Schools on Health Behaviours in the Home Setting. Int. J. Environ. Res. Public Health 2021, 18, 12219. https://doi.org/10.3390/ijerph182212219.","Hahnraths, M.T.H.; Willeboordse, M.; van Assema, P.; Winkens, B.; van Schayck, C.P. The Effects of the Healthy Primary School of the Future on Children’s Fruit and Vegetable Preferences, Familiarity and Intake. Nutrients 2021, 13, 3241. https://doi.org/10.3390/nu13093241","Vermeiren AP, Willeboordse M, Oosterhoff M, Bartelink N, Muris P, Bosma H. Socioeconomic multi-domain health inequalities in Dutch primary school children. Eur J Public Health 2018; 28(4): 610-6.","Oosterhoff M, Bosma H, van Schayck OCP, Joore MA. A Cost Analysis of School-Based Lifestyle Interventions. Prev Sci 2018 19(6):716","Oosterhoff M, Joore, MA, Bartelink NHM, Winkens, B, Schayck OCP, Bosma H. Longitudinal analysis of health disparities in childhood. Arch Dis Child 2019 104(8):781 Term Value of the “Healthy Primary School of the Future” Initiative: A Social Return on Investment Analysis."]}]},"dansDataVaultMetadata":{"displayName":"Data Vault Metadata","name":"dansDataVaultMetadata","fields":[{"typeName":"dansDataversePid","multiple":false,"typeClass":"primitive","value":"doi:10.34894/ZLB24E"},{"typeName":"dansDataversePidVersion","multiple":false,"typeClass":"primitive","value":"1.0"},{"typeName":"dansBagId","multiple":false,"typeClass":"primitive","value":"urn:uuid:93a82804-893d-432a-9fa4-e4f4cf027221"},{"typeName":"dansNbn","multiple":false,"typeClass":"primitive","value":"urn:nbn:nl:ui:13-2a70639b-7be1-4a93-bd39-493a7ac71ffa"}]}},"files":[{"label":"HPSF_four-year effectiveness","restricted":false,"version":1,"datasetVersionId":22075,"dataFile":{"id":304312,"persistentId":"","filename":"HPSF_four-year effectiveness","contentType":"application/x-spss-sav","friendlyType":"SPSS Binary","filesize":58931192,"storageIdentifier":"surf://store:18249d3f944-74f487448235","rootDataFileId":-1,"checksum":{"type":"SHA-1","value":"ed7cf088152e3e4a110413c107b4571afac7e3c9"},"tabularData":false,"creationDate":"2022-07-29","publicationDate":"2022-07-30","lastUpdateTime":"2022-07-30T08:55:33Z","fileAccessRequest":false}}]}}}