Table 3.
Summary details of the societal level study included in the review
Study | Design & quality appraisal 1 | Setting & participants | Study aim | Intervention 2 | Inequality 3 | Summary results 4 ↑ = increase ↓ = decrease ↔ = no change | Impact on inequalities in obesity 5 | |
---|---|---|---|---|---|---|---|---|
Bürgi et al 2012 [53] and Puder et al 2011 [54] | Cluster RCT; 9.5 month follow-up; Final sample = 625; Quality = Strong | 40 schools, Switzerland; 5.2 years; 50% girls | Reduce obesity and improve fitness levels in children from socially disadvantaged backgrounds | Nutrition and physical activity intervention; Prevention: Built environment adapted to promote physical activity (fixed and mobile equipment) plus exercise sessions; nutrition education; information and discussion evenings for parents | Universal: trend for greater intervention effectiveness in higher SES children but not statistically significant | BMI | ↔ | 0 |
Body fat% (↑SES) | ↓ | |||||||
Body fat (↓SES) | ↔ | |||||||
Skinfold thickness | ↓ | |||||||
Waist circumference | ↓ | |||||||
Overweight prevalence | ↔ | |||||||
Fitness (↑SES) | ↑ | |||||||
Fitness (↓SES) | ↔ |
1Global Quality appraisal from EPHPP (16); 2Prevention or treatment intervention; 3Targeted/Universal approach to inequality; 4p < 0.05.This is the relative mean differences between intervention and control at follow-up; 5+ positive intervention effect so it reduces obesity-related outcomes in low SES groups or reduces the SES gradient in obesity-related outcomes, 0 no intervention effect or no effect on SES gradient in obesity-related outcomes; SES = Socioeconomic status; BMI = Body mass index.