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A framework for understanding school based physical environmental influences on childhood obesity

机译：理解学校对儿童肥胖的身体环境影响的框架

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摘要

Schools are inviting settings for the promotion of healthy behaviours in children, and a number of interventions have been trialled to improve diet or increase physical activity levels with the ultimate aim of reducing the prevalence of obesity. However, these have seen mixed results and there is suggestion that consideration needs to be given to a broader definition of the school environment in order to encourage sustainable behaviour changes. This review considers evidence for associations between the physical school environment and diet, physical activity and adiposity. School environment covers the neighbourhood around the school as well as the school grounds, buildings and facilities. Reviewed evidence is used to construct a conceptual framework for understanding associations between the physical school environment and adiposity and related behaviours. The framework highlights how school environments may be modified to promote behaviour changes, and how they may limit or enhance the success of other school-based interventions. Consideration is also given to where future work may best be directed.
机译：学校正在邀请环境促进儿童的健康行为，并且已经尝试了许多干预措施来改善饮食或增加体育锻炼水平，最终目的是减少肥胖症的患病率。但是，这些结果喜忧参半，建议需要考虑对学校环境进行更广泛的定义，以鼓励可持续的行为改变。这项审查考虑体育学校环境与饮食，体育活动和肥胖之间的关联的证据。学校环境涵盖了学校周围的社区以及校园，建筑物和设施。审查的证据用于构建概念框架，以理解体育学校环境与肥胖和相关行为之间的关联。该框架强调了如何修改学校环境以促进行为改变，以及如何限制或增强其他基于学校的干预措施的成功。还考虑了将来最好的工作方向。

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