• P Sahota, M C Rudolf, R Dixey, A J Hill, J H Barth, and J Cade.
• School of Health Sciences, Leeds Metropolitan University.
• BMJ. 2001 Nov 3; 323 (7320): 1029-32.

ObjectiveTo assess if a school based intervention was effective in reducing risk factors for obesity.DesignGroup randomised controlled trial.Setting10 primary schools in Leeds.Participants634 children aged 7-11 years.InterventionTeacher training, modification of school meals, and the development of school action plans targeting the curriculum, physical education, tuck shops, and playground activities.Main Outcome MeasuresBody mass index, diet, physical activity, and psychological state.ResultsVegetable consumption by 24 hour recall was higher in children in the intervention group than the control group (weighted mean difference 0.3 portions/day, 95% confidence interval 0.2 to 0.4), representing a difference equivalent to 50% of baseline consumption. Fruit consumption was lower in obese children in the intervention group (-1.0, -1.8 to -0.2) than those in the control group. The three day diary showed higher consumption of high sugar foods (0.8, 0.1 to 1.6)) among overweight children in the intervention group than the control group. Sedentary behaviour was higher in overweight children in the intervention group (0.3, 0.0 to 0.7). Global self worth was higher in obese children in the intervention group (0.3, 0.3 to 0.6). There was no difference in body mass index, other psychological measures, or dieting behaviour between the groups. Focus groups indicated higher levels of self reported behaviour change, understanding, and knowledge among children who had received the intervention.ConclusionAlthough it was successful in producing changes at school level, the programme had little effect on children's behaviour other than a modest increase in consumption of vegetables.

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