Do Schools That Screen for Body Mass Index Have Recommended Safeguards in Place?

The Journal of School Nursing : the Official Publication of the National Association of School Nurses
Sarah A SliwaSarah M Lee

Abstract

The Centers for Disease Control and Prevention recommends that schools adopt 10 safeguards before launching a body mass index (BMI) screening program; however, little is known about schools' safeguard adoption. Authors identified questions from the 2014 School Health Policies and Practices Study that aligned with 4 of the 10 safeguards to estimate safeguard prevalence among schools that screened students for BMI (40.7%, N = 223). Among these schools, 3.1% had all four safeguards and 56.5% had none or one. The most prevalent safeguard was having reliable and accurate equipment (54.1%, 95% confidence interval [CI] = [46.1, 62.1]). Providing staff with appropriate expertise and training was the least prevalent; respondents in 26.4% (95% CI [17.1, 35.6]) of schools received recent training on weight status assessment, weight management, and eating disorder identification. School-based BMI screening is common, but adopting multiple recommended safeguards is not. Absent these safeguards, BMI screening programs may fall short of intended outcomes and potentially incur unintended consequences.

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Citations

Aug 17, 2019·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Janet ReillyM Brigid Flood
Jul 21, 2020·Public Health Nursing·Jennifer S LaurentElisabeth Fontaine
Mar 4, 2021·The Journal of School Health·Kristina L TatumPaula M Brochu
Nov 20, 2021·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Ellen M McCabeShiela M Strauss

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