Evaluating school wellness policy in curbing childhood obesity in Anchorage, Alaska

J Sch Nurs. 2014 Oct;30(5):324-31. doi: 10.1177/1059840513513155. Epub 2013 Dec 6.

Abstract

In 2006, the Anchorage School District implemented a school wellness policy to address the problem of obesity among its elementary-aged students. We assessed whether the addition of this policy is effective in protecting or preventing students from becoming overweight/obese over time. The methods involved following two cohorts of students for 5 years, a cohort not exposed and a cohort exposed to the policy. The results show that exposure to the policy does not significantly protect or prevent students from becoming overweight/obese. However, we found that regardless of being exposed to the policy, boys (odds ratio [OR] = 1.12), ethnic minorities, (OR = 1.18), and students from low socioeconomic backgrounds (OR = 1.44) were more likely to remain or become overweight/obese. Our findings suggest that factors outside the school may be impacting students' overweight/obese status. Efforts to curb the problem of childhood obesity should extend to the children's communities and homes.

Keywords: children; exercise; nutrition; obesity; policy evaluation.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Alaska
  • Child
  • Cohort Studies
  • Female
  • Health Policy*
  • Health Promotion / standards*
  • Health Promotion / statistics & numerical data
  • Humans
  • Male
  • Pediatric Obesity / nursing*
  • Pediatric Obesity / prevention & control*
  • School Nursing / standards*
  • School Nursing / statistics & numerical data
  • Sex Factors
  • Socioeconomic Factors