Table 4.
Actions taken by the schools to prevent overweight
| Outcome variable1 |
Baseline |
Follow up |
P-value2 |
|---|---|---|---|
|
(2006/2007) |
(2010/2011) |
||
| % (n) | % (n) | ||
|
Actions taken to stimulate healthy eating behavior: |
72 (127) |
80 (140) |
0.08 |
| Healthy products are made less expensive than unhealthy products |
26 (46) |
30 (52) |
|
| Introduction of water coolers |
15 (27) |
26 (45) |
|
| Participation in national project “Healthy School Canteen Programme” |
11 (19) |
20 (35) |
|
| Canteen offers wide variety of healthy foods |
28 (49) |
30 (52) |
|
| Vending machines offers wide variety of healthy foods |
17 (29) |
19 (34) |
|
| Attempt to offer a good balance in food and beverages |
34 (60) |
46 (80) |
|
| After-school meetings organized on healthy diet |
7 (13) |
12 (22) |
|
| Other |
16 (27) |
20 (35) |
|
|
Actions taken to discourage unhealthy eating behavior: |
89 (155) |
93 (161) |
0.23 |
| It is forbidden to sell certain unhealthy foods in the canteen |
38 (65) |
56 (98) |
|
| Parents are tackled about the eating behavior of their child |
9 (16) |
18 (32) |
|
| It is forbidden to eat in the classroom |
79 (137) |
87 (151) |
|
| Adding healthy products to vending machines |
43 (75) |
44 (76) |
|
| Regulation of media that stimulate less healthy eating behavior |
4 (7) |
1 (1) |
|
| Other |
26 (45) |
35 (60) |
|
|
Actions taken to stimulate physical activity: |
76 (135) |
80 (142) |
0.21 |
| School stimulates the students to be physically active during breaks |
20 (36) |
17 (31) |
|
| Collaboration with sport associations |
32 (57) |
26 (46) |
|
| School often organizes activities for the students to be physical active after school hours. |
62 (110) |
57 (102) |
|
| School policy on physical activity active after school hours. |
17 (31) |
12 (21) |
|
| Other |
8 (14) |
26 (47)3 |
|
|
Actions taken to prevent overweight: |
34 (49) |
52 (74) |
0.0009 |
| After-school meetings organized on overweight |
5 (7) |
5 (7) |
|
| There are guidelines to identify ant to help students with overweight |
15 (21) |
14 (20) |
|
| Students who are overweight get more attention during physical activity classes |
10 (14) |
12 (17) |
|
| Other |
13 (19) |
49 (70)4 |
|
|
Regarding overweight in the future, school expects to pay |
|
|
0.03 |
| More attention |
56 (98) |
43 (76) |
|
| Equal attention |
44 (77) |
57 (100) |
|
| Less attention | 1 (1) | 0 (0) |
1% yes (n) or otherwise indicated.
2 P for change. Changes in dichotomous outcome variables are tested using conditional logistic regression. Changes in ordinal outcome variables are analyzed by linear regression analysis. All models are adjusted for (changes in) school level and school size. To reduce the number of tests performed and the chance of false positive findings, it was a priori decided to only evaluate, but not test changes in specific actions undertaken by schools. P-values below 0.05 are considered to be statistically significant.
3 Includes 36 schools (20%) that indicated to have discussion with the local government about facilities to be physical active. This action is only queried at follow-up and not at baseline.
4 Includes 61 schools (43%) that indicated that they bring students with overweight and their parents in contact with (health) professionals. This action is only queried at follow-up and not at baseline.