The MATCH Program: Long-Term Obesity Prevention Through a Middle School Based Intervention

Childhood Obesity
Suzanne LazorickYancey Crawford

Abstract

Motivating Adolescents with Technology to CHOOSE Health™ (MATCH) has been provided for eight years in North Carolina middle schools with high obesity prevalence. Seventh grade teachers in two schools delivered MATCH lessons in 2009, with one control school. In 2013 students were remeasured and completed a health behavior survey. Outcomes include BMI, BMI z-score (zBMI), weight category, and self-reported behaviors. Comparisons used t tests (continuous measures), Fisher's exact test (categorical measures), and linear mixed models (trend between groups). Of original participants, 104/189 (55%) of MATCH and 117/173 (68%) of control were remeasured. In the control group, retained participants had lower baseline BMI and were higher percent white. Among all participants, zBMI decreased in MATCH (mean change -0.15 with SD = 0.60) and increased in control (mean change 0.04 with SD = 0.52); between groups p = 0.02. In mixed models for the all overweight subgroup, MATCH had a downward trend in zBMI over time that was significantly different from control (slope MATCH -0.0036 versus control 0.0009; p = 0.01). For shifts in weight category: incidence of obesity was lower in MATCH (13%) versus control (39%); remission of overweight to health...Continue Reading

References

Apr 14, 1999·Archives of Pediatrics & Adolescent Medicine·S L GortmakerN Laird
Mar 9, 2005·Archives of Pediatrics & Adolescent Medicine·Karen J ColemanDavid A Dzewaltowski
Mar 4, 2008·American Journal of Preventive Medicine·Larry S WebberUNKNOWN TAAG Collaborative Research Group
Aug 25, 2009·Journal of the American Dietetic Association·Marian L NeuhouserDonna B Johnson
Jun 29, 2010·The New England Journal of Medicine·UNKNOWN HEALTHY Study GroupKathryn Hirst
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Dec 14, 2011·The Cochrane Database of Systematic Reviews·Elizabeth WatersCarolyn D Summerbell
Feb 27, 2014·JAMA : the Journal of the American Medical Association·Cynthia L OgdenKatherine M Flegal
Sep 4, 2015·The Journal of School Health·Suzanne LazorickYancey Crawford

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Citations

Jan 28, 2017·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Cynthia Miller Lovell
Feb 18, 2017·International Journal of Environmental Research and Public Health·Hye Jung YangEunju Sung
Aug 3, 2017·Games for Health Journal·Eva E AlblasJonathan P van 't Riet
Apr 14, 2020·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·K MayS Lazorick
Oct 26, 2018·International Journal of Epidemiology·Zhijuan CaoShumei Wang
Jul 9, 2020·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Ravinder SandhuLaura N Anderson

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Software Mentioned

CATCH
MATCH
SAS

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