title: Sustained Benefit Over Four-Year Follow-Up of Michigan's Project Healthy Schools.
abstract: OBJECTIVE
  We determined the sustainability of effects of a school-based intervention to improve health behaviors and cardiovascular risk factors among middle school children.
  
  
  METHODS
  We administered a questionnaire and health screenings to 5 schools in Ann Arbor and 2 schools in Ypsilanti, Michigan. We assessed demographics, physiological factors, diet, physical activity, and sedentary behaviors from 1126 students who received a health curriculum (Project Healthy Schools) in the fall of sixth grade in 2005, 2006, and 2007. We administered the questionnaire and screening again in the spring and each subsequent spring through ninth grade to all available, consenting students.
  
  
  RESULTS
  In the 4 years following the school-based intervention, total cholesterol, low-density lipoprotein cholesterol, and triglycerides improved, and for most years systolic and diastolic blood pressure improved. Serum glucose and body mass index did not change. Physical activity increased and sedentary behaviors diminished.
  
  
  CONCLUSIONS
  Project Healthy Schools is associated with sustainable improvements in both cardiovascular parameters and healthy behaviors.
authors.affiliation: Nicole Corriveau, Taylor Eagle, Qingmei Jiang, Robert Rogers, Roopa Gurm, and Eva Kline-Rogers are with the Michigan Clinical Outcomes Research and Reporting Program, Ann Arbor. Susan Aaronson, Lindsey Mitchell, and Jean DuRussel-Weston are with M-Healthy, University of Michigan Health System, Ann Arbor. Kim A. Eagle and Elizabeth A. Jackson are with the Department of Internal Medicine, University of Michigan Health System.
authors.forename: Nicole
authors.initials: N
authors.lastname: Corriveau
authors.affiliation: Nicole Corriveau, Taylor Eagle, Qingmei Jiang, Robert Rogers, Roopa Gurm, and Eva Kline-Rogers are with the Michigan Clinical Outcomes Research and Reporting Program, Ann Arbor. Susan Aaronson, Lindsey Mitchell, and Jean DuRussel-Weston are with M-Healthy, University of Michigan Health System, Ann Arbor. Kim A. Eagle and Elizabeth A. Jackson are with the Department of Internal Medicine, University of Michigan Health System.
authors.forename: Taylor
authors.initials: T
authors.lastname: Eagle
authors.affiliation: Nicole Corriveau, Taylor Eagle, Qingmei Jiang, Robert Rogers, Roopa Gurm, and Eva Kline-Rogers are with the Michigan Clinical Outcomes Research and Reporting Program, Ann Arbor. Susan Aaronson, Lindsey Mitchell, and Jean DuRussel-Weston are with M-Healthy, University of Michigan Health System, Ann Arbor. Kim A. Eagle and Elizabeth A. Jackson are with the Department of Internal Medicine, University of Michigan Health System.
authors.forename: Qingmei
authors.initials: Q
authors.lastname: Jiang
authors.affiliation: Nicole Corriveau, Taylor Eagle, Qingmei Jiang, Robert Rogers, Roopa Gurm, and Eva Kline-Rogers are with the Michigan Clinical Outcomes Research and Reporting Program, Ann Arbor. Susan Aaronson, Lindsey Mitchell, and Jean DuRussel-Weston are with M-Healthy, University of Michigan Health System, Ann Arbor. Kim A. Eagle and Elizabeth A. Jackson are with the Department of Internal Medicine, University of Michigan Health System.
authors.forename: Robert
authors.initials: R
authors.lastname: Rogers
authors.affiliation: Nicole Corriveau, Taylor Eagle, Qingmei Jiang, Robert Rogers, Roopa Gurm, and Eva Kline-Rogers are with the Michigan Clinical Outcomes Research and Reporting Program, Ann Arbor. Susan Aaronson, Lindsey Mitchell, and Jean DuRussel-Weston are with M-Healthy, University of Michigan Health System, Ann Arbor. Kim A. Eagle and Elizabeth A. Jackson are with the Department of Internal Medicine, University of Michigan Health System.
authors.forename: Roopa
authors.initials: R
authors.lastname: Gurm
authors.affiliation: Nicole Corriveau, Taylor Eagle, Qingmei Jiang, Robert Rogers, Roopa Gurm, and Eva Kline-Rogers are with the Michigan Clinical Outcomes Research and Reporting Program, Ann Arbor. Susan Aaronson, Lindsey Mitchell, and Jean DuRussel-Weston are with M-Healthy, University of Michigan Health System, Ann Arbor. Kim A. Eagle and Elizabeth A. Jackson are with the Department of Internal Medicine, University of Michigan Health System.
authors.forename: Susan
authors.initials: S
authors.lastname: Aaronson
authors.affiliation: Nicole Corriveau, Taylor Eagle, Qingmei Jiang, Robert Rogers, Roopa Gurm, and Eva Kline-Rogers are with the Michigan Clinical Outcomes Research and Reporting Program, Ann Arbor. Susan Aaronson, Lindsey Mitchell, and Jean DuRussel-Weston are with M-Healthy, University of Michigan Health System, Ann Arbor. Kim A. Eagle and Elizabeth A. Jackson are with the Department of Internal Medicine, University of Michigan Health System.
authors.forename: Lindsey
authors.initials: L
authors.lastname: Mitchell
authors.affiliation: Nicole Corriveau, Taylor Eagle, Qingmei Jiang, Robert Rogers, Roopa Gurm, and Eva Kline-Rogers are with the Michigan Clinical Outcomes Research and Reporting Program, Ann Arbor. Susan Aaronson, Lindsey Mitchell, and Jean DuRussel-Weston are with M-Healthy, University of Michigan Health System, Ann Arbor. Kim A. Eagle and Elizabeth A. Jackson are with the Department of Internal Medicine, University of Michigan Health System.
authors.forename: Jean
authors.initials: J
authors.lastname: DuRussel-Weston
authors.affiliation: Nicole Corriveau, Taylor Eagle, Qingmei Jiang, Robert Rogers, Roopa Gurm, and Eva Kline-Rogers are with the Michigan Clinical Outcomes Research and Reporting Program, Ann Arbor. Susan Aaronson, Lindsey Mitchell, and Jean DuRussel-Weston are with M-Healthy, University of Michigan Health System, Ann Arbor. Kim A. Eagle and Elizabeth A. Jackson are with the Department of Internal Medicine, University of Michigan Health System.
authors.forename: Eva
authors.initials: E
authors.lastname: Kline-Rogers
authors.affiliation: Nicole Corriveau, Taylor Eagle, Qingmei Jiang, Robert Rogers, Roopa Gurm, and Eva Kline-Rogers are with the Michigan Clinical Outcomes Research and Reporting Program, Ann Arbor. Susan Aaronson, Lindsey Mitchell, and Jean DuRussel-Weston are with M-Healthy, University of Michigan Health System, Ann Arbor. Kim A. Eagle and Elizabeth A. Jackson are with the Department of Internal Medicine, University of Michigan Health System.
authors.forename: Kim A
authors.initials: KA
authors.lastname: Eagle
authors.affiliation: Nicole Corriveau, Taylor Eagle, Qingmei Jiang, Robert Rogers, Roopa Gurm, and Eva Kline-Rogers are with the Michigan Clinical Outcomes Research and Reporting Program, Ann Arbor. Susan Aaronson, Lindsey Mitchell, and Jean DuRussel-Weston are with M-Healthy, University of Michigan Health System, Ann Arbor. Kim A. Eagle and Elizabeth A. Jackson are with the Department of Internal Medicine, University of Michigan Health System.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Jackson
mesh_terms: D000293:Adolescent; D001786:Blood Glucose / Q000032:analysis; D001794:Blood Pressure; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000517:prevention & control; D002648:Child; D002784:Cholesterol / Q000097:blood; D008078:Cholesterol, LDL / Q000097:blood; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006801:Humans; D008297:Male; D008824:Michigan; D009043:Motor Activity; D015397:Program Evaluation; D012572:School Health Services; D011795:Surveys and Questionnaires; D014280:Triglycerides
chemical_list: D001786:Blood Glucose; D008078:Cholesterol, LDL; D014280:Triglycerides; D002784:Cholesterol