title: Downward trends in the prevalence of childhood overweight in two pilot towns taking part in the VIASANO community-based programme in Belgium: data from a national school health monitoring system.
abstract: BACKGROUND
  Multilevel approaches involving environmental strategies are considered to be good practice to help reduce the prevalence of childhood overweight.
  
  
  OBJECTIVE
  The objective of this study was to evaluate the effects of VIASANO, a community-based programme using the EPODE methodology, on the prevalence of overweight in two pilot towns in Belgium.
  
  
  METHODS
  We analysed data from a national school health monitoring system to compare changes in the prevalence of overweight and obesity over a 3-year period (2007-2010) in children aged 3-4 and 5-6 years in the pilot towns with those of children of the same ages from the whole French-speaking community of Belgium. Heights and weights of all participants were measured by trained school nurses using a standardized method.
  
  
  RESULTS
  The prevalence of overweight (-2.1%) and overweight + obesity (-2.4%) decreased in the pilot towns, but remained stable in the comparison population (+0.1% and +0.2%, respectively). After adjustment for lack of homogeneity between the study populations, there was a trend towards a decrease in overweight (P = 0.054) and overweight + obesity (P = 0.058) in the pilot towns compared with the general population.
  
  
  CONCLUSIONS
  These results suggest that a community-based programme, such as VIASANO, may be a promising strategy for reducing the prevalence of childhood overweight even over a short period of time.
authors.affiliation: Department of Human Sciences, Hasselt University, Hasselt, Belgium.
authors.forename: J
authors.initials: J
authors.lastname: Vinck
authors.affiliation: Cardiovascular Department, Saint-Luc University Hospital, Brussels, Belgium.
authors.forename: C
authors.initials: C
authors.lastname: Brohet
authors.affiliation: Viasano, Brussels, Belgium.
authors.forename: M
authors.initials: M
authors.lastname: Roillet
authors.affiliation: Department of Biostatistics, School of Public Health, Université Libre de Bruxelles, Brussels, Belgium.
authors.forename: M
authors.initials: M
authors.lastname: Dramaix
authors.affiliation: EPODE European Network, Paris, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Borys
authors.affiliation: Viasano, Brussels, Belgium.
authors.forename: J
authors.initials: J
authors.lastname: Beysens
authors.affiliation: Viasano, Brussels, Belgium.
authors.forename: N
authors.initials: N
authors.lastname: Jacobs
authors.affiliation: Nuffield Department of Primary Care Health Sciences Section of Metabolism and Nutrition, University of Oxford, Oxford, UK.
authors.forename: S
authors.initials: S
authors.lastname: Jebb
authors.affiliation: Department of Metabolism and Nutrition, Hôpital Universitaire des Enfants Reine Fabiola, Brussels, Belgium.
authors.forename: C
authors.initials: C
authors.lastname: De Laet
authors.affiliation: Department of Therapeutic Chemistry, Université Libre de Bruxelles, Brussels, Belgium.
authors.forename: J
authors.initials: J
authors.lastname: Nève
mesh_terms: D001530:Belgium / Q000453:epidemiology; D015992:Body Mass Index; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006266:Health Education / Q000458:organization & administration*; D006293:Health Promotion; D006801:Humans; D008297:Male; D050177:Overweight / Q000453:epidemiology* / Q000517:prevention & control*; D010865:Pilot Projects; D015995:Prevalence; D015397:Program Evaluation; D012572:School Health Services / Q000458:organization & administration*
keywords: Childhood overweight; EPODE; community-based intervention; obesity; prevention
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