naa a22 4500 510779255 CHVBK 20180411083241.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s11892-012-0333-0 doi (NATIONALLICENCE)springer-10.1007/s11892-012-0333-0 Lessons Learned From the HEALTHY Primary Prevention Trial of Risk Factors for Type 2 Diabetes in Middle School Youth [Elektronische Daten] [Marsha Marcus, Kathryn Hirst, Francine Kaufman, Gary Foster, Tom Baranowski] The HEALTHY trial was designed to take a primary prevention approach to risk factors for type 2 diabetes in youth, primarily obesity. The study involved over 6,000 students at 42 middle schools across the U.S. Half received an integrated intervention program of components addressing the school food environment, physical education, lifestyle behaviors, and promotional messaging. The intervention was designed to be more comprehensive than previous efforts, and the research was amply funded. Although the primary objective of reducing the percentage of overweight and obesity in schools that received the intervention program, as compared with control schools, was not obtained, key secondary outcomes indicated an intervention effect. In retrospect, senior investigators involved in the study's design, conduct, and analysis discuss weaknesses and strengths and offer recommendations for future research efforts that address prevention of childhood obesity from a public health perspective. Springer Science+Business Media New York, 2012 Obesity nationallicence Metabolic risk nationallicence Cardiovascular risk nationallicence Prevention nationallicence School-based health promotion nationallicence Preadolescence nationallicence Cluster design trial nationallicence Diabetes nationallicence HEALTHY nationallicence Marcus Marsha University of Pittsburgh School of Medicine, 3811 O'Hara Street, 15213, Pittsburgh, PA, USA aut Hirst Kathryn George Washington University Biostatistics Center, 6110 Executive Boulevard, Suite 750, 20852, Rockville, MD, USA aut Kaufman Francine Children's Hospital Los Angeles, 4650 Sunset Boulevard, MS 61, 90027, Los Angeles, CA, USA aut Foster Gary Temple University Center for Obesity Research and Education, 3223 North Broad Street, 19140, Philadelphia, PA, USA aut Baranowski Tom Baylor College of Medicine Children's Nutrition Research Center, 1100 Bates Street, 77030, Houston, TX, USA aut Current Diabetes Reports Current Science Inc. 13/1(2013-02-01), 63-71 1534-4827 13:1<63 2013 13 11892 https://doi.org/10.1007/s11892-012-0333-0 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11892-012-0333-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Marcus Marsha University of Pittsburgh School of Medicine, 3811 O'Hara Street, 15213, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Hirst Kathryn George Washington University Biostatistics Center, 6110 Executive Boulevard, Suite 750, 20852, Rockville, MD, USA aut NATIONALLICENCE 700 1- Kaufman Francine Children's Hospital Los Angeles, 4650 Sunset Boulevard, MS 61, 90027, Los Angeles, CA, USA aut NATIONALLICENCE 700 1- Foster Gary Temple University Center for Obesity Research and Education, 3223 North Broad Street, 19140, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Baranowski Tom Baylor College of Medicine Children's Nutrition Research Center, 1100 Bates Street, 77030, Houston, TX, USA aut NATIONALLICENCE 773 0- Current Diabetes Reports Current Science Inc 13/1(2013-02-01), 63-71 1534-4827 13:1<63 2013 13 11892 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer