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Overweight and Obesity among school going children is a serious catastrophe in the United States of America particularly in Texas State. The national statistics have shown a continued percentage increase in overweight children since the 1960s to date.  Different studies have established that obese children have a higher risk of transforming into obese adults; consequently, adolescent obesity increases morbidity and mortality. In Response to this, Texas has developed strong policies and programs to address the prevailing problem. Physical Education programs and healthier nutrition for school going children are emphasized by the State Board of Education as the key to alleviating the menace. School-based interventions are said to be the best strategies for reducing obesity in overweight children. The proponents of this program also affirm that it improves fitness, self-esteem of obese children, nutritional intake, and health-related knowledge. Although the controversy about School-based Interventions is complex, three main concerns are the effectiveness of school-based interventions, limited ability to determine the causality, and the difficulty in determining the power, robustness, and precision of the effects of school-based interventions.

It is hard to generalize the results or findings of school-based interventions. There are various outcomes that have propagated the use of school based interventions in improving the reduction of obesity among school children in Austin. However, it is hard to generalize the results or findings. Before resolving to use this strategy, the test interventions were applied only to a small group of children who in most cases were from the same ethnicity and thus do not represent the larger Austin population of all races. It is worthy noting that participation in test intervention is voluntary and therefore the reliability of such results might be questionable. Similarly, the interventions differed across different ethnic groups, age groups, gender and other demographic features of students. The effects of the interventions were also not apparent for all outcome measures. The following are two examples of school-based interventions with there results.

According to the American Journal of Clinical Nutrition, school-based interventions reduce the severity of obesity in obese children. The National School Lunch Program (NSLP) for instance, is one of the school-based interventions; children who participate in NSLP consume more of fruits and vegetables which have lower fat and sugar contents (Kalakanis & Moulton, 5). With regard to this, these children are likely to reduce their body mass.

Additionally, school-based interventions increase the activity level of obese children. The physical education programs designed for school children increases the activity levels of obese children. Studies conducted in this area found out that physical education programs are vital in increasing the activity levels of obese children. The involvement of obese children in vigorous physical activities is also another key way of reducing obese levels. Further, participation in the physical education and other vigorous reduce the time spend idling or watching TV. Participation in extracurricular sports improves the cardiovascular health in teenagers and hence reduces the obese levels.With regard to these two explanations, it hard for one to generalize the findings.

The results or findings of the school-based interventions have limited ability to determine causality. The school-based interventions have limited ability to determine the causality. In this regard the true and actual causes of the observed interventions effects are hard to determine. Prior to taking the school-based interventions as the best method or strategy to prevent obesity, the initial studies lacked appropriate control groups and the final observed effects are mainly because of the intervention which cannot be measured (Kalakanis & Moulton, 14). Consequently, there is no systematic examination of intervention components and hence it is almost impossible to determine which intervention measure is responsible for the observed effect. In the same line of argument, there is absolute uncertainty particularly about the causal mechanism with regard to knowledge, behavior, attitude, and physiology. In accordance with this, it is hard to determine whether changes in activity level or knowledge of nutrition will ultimately result into reduced obesity levels. To affirm this, the following are results of school-based interventions as observed by different studies.

According to, School-based interventions also affect the nutritional intake of obese children. The NSLP intervention improved the children’s nutritional intake; the program aligns children to consume reduced high sodium content foods while increasing the consumption of fruits and vegetables thus promoting the low-fat diet. 

The interventions also increase the children’s knowledge about health behaviors. The school based intervention help obese children to discover healthy foods and better eating habits. For instance, instead of consuming fatty and high cholesterol foods, they are advised to eat fruits and vegetables with other low-fat and low cholesterol diets. The school-based interventions improve health knowledge among all students who participate in the intervention program. Following these two explanations, one cannot determine the cause of the observed effect

It is difficult to determine the power, robustness and precision of the effects. The difficulty in determining the power, robustness, and precision of the effects hugely undermines the school-based interventions. There is no conclusive research on the long-term effects and hence we are not able to determine size of the effect, and also the real amount of weight lost may be minimal. With regard to this system, the results are mainly based on self-reported activity levels together with eating behaviors which in most cases are not accurate. Experts in this subject differ about the suitable outcome measure to employ when assessing changes in childhood obesity.

In a nutshell, the school-based interventions though come with promising methods for improving reduced levels of obesity among obese children it does not clearly explain what ought to be done to achieve excellent results. The NSLP aligns children to consume healthier diet comprising of fruits and vegetables; this program allows children to eat healthy and also increasing their health education. The physical education and children participation in extracurricular activities like sports help in improving the children’s fitness. However, the program does not explicitly provide generalized findings. Consequently, it has limited ability to determine the exact cause of the final outcomes. The power, the robustness, and the precision of the program cannot be relied upon.

Code: Sample20

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