Obesity prevention opinions of school stakeholders: a qualitative study.
BACKGROUND
In general, schools are an important setting to implement current recommendations for obesity prevention in children because the vast majority of children attend school. This study investigated the opinions of different school stakeholders on the feasibility and acceptability of current obesity prevention strategies that could be implemented in Swiss schools.


METHODS
Research methods were comprised of a qualitative study which included school directors, physical education teachers, catering staff, school nurses and health educators, parents of young adolescents, and young adolescents interviewed (N = 40) categorized into 6 focus groups. Open-ended questions were used to determine the participants' opinion regarding current obesity prevention recommendations, and healthy eating and physical activity promotion strategies.


RESULTS
All participants approved the implementation of nutritional standards for food and drinks sold in schools, but thought that increasing the attractiveness of healthy options was the best strategy to improve eating habits. Enjoying participation in physical activity classes or after-school activities was stressed. Participants suggested offering classes for all students with poor physical condition, independent of weight status. Stakeholders called for governmental support and global coordination of interventions balanced with providing schools with enough autonomy to adapt programs relevant to their individual circumstances. They recommended integrating all school stakeholders in obesity prevention initiatives, with special attention to students and local authorities.


CONCLUSIONS
Participants agreed that schools are a crucial setting to implement childhood obesity prevention strategies. They called on school stakeholders to join efforts aiming to encourage healthy behaviors and to support and reinforce parents' efforts by spreading consistent and coherent health messages.
Bucher Della Torre
Sophie
S
Research Group on Adolescent Health, Institute of Social and Preventive Medicine, University of Lausanne, 17, Rue du Bugnon, CH 1005 Lausanne, Switzerland. sophie.bucher@hesge.ch
Akré
Christina
C
Suris
Joan-Carles
JC
D000293:Adolescent; D001294:Attitude to Health; D002648:Child; D015444:Exercise; D005247:Feeding Behavior; D005260:Female; D017144:Focus Groups; D006293:Health Promotion / Q000592:standards; D006801:Humans; D008297:Male; D009765:Obesity / Q000517:prevention & control*; D010290:Parents; D012572:School Health Services / Q000592:standards; D012574:Schools; D013334:Students; D013557:Switzerland; D000078329:Workforce