School Food Environment, Food Consumption, and Indicators of Adiposity Among Students 7-14 Years in Bogotá, Colombia

J Sch Health. 2019 Mar;89(3):200-209. doi: 10.1111/josh.12729. Epub 2019 Jan 13.


Background: In Colombia, the prevalence of overweight/obesity in children has increased by 26% in the past 5 years. School food environment may be an important contributor and offers opportunities for effective intervention.

Methods: We conducted a cross-sectional study among 7- to 14-year-old schoolchildren from 10 schools in Bogotá, Colombia. We examined the school food environment and the relationship of individual-level consumption, and physical activity with overweight/obesity, measured by body mass index and percentage body fat.

Results: Schools with a restaurant/store were characterized as having excessive unhealthy foods. In the sample of 714 schoolchildren, 17.5% were overweight and 10.5% were obese. In multivariate models, boys had significantly increased odds of being overweight/obese (odds ratio [OR]: 1.53; p = .01) as compared to girls. Schoolchildren who consumed a greater number of energy drinks (OR = 1.82; p = .04), and those who spent more than 3 hours per schoolday watching TV (OR = 1.53; p < .01) had increased odds of being overweight/obese.

Conclusions: Approximately 1 in 4 schoolchildren were overweight/obese, with boys, energy drink consumers, and those with low physical activity having increased risk. School-based interventions focused on improving food options and providing health behavior education may be effective to reduce overweight among children in Bogotá and similar settings.

Keywords: child and adolescent health; international health; nutrition and diet; school food services.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adiposity*
  • Adolescent
  • Body Mass Index
  • Child
  • Colombia
  • Cross-Sectional Studies
  • Eating*
  • Energy Drinks / adverse effects
  • Energy Drinks / statistics & numerical data
  • Exercise
  • Female
  • Food Supply
  • Humans
  • Male
  • Pediatric Obesity / epidemiology
  • Pediatric Obesity / etiology*
  • Risk Factors
  • School Health Services*
  • Sex Factors
  • Students / psychology
  • Students / statistics & numerical data*