BMJ, doi: 10.1136/bmj.38077.458438.EE, (Published 23 April 2004)

PRIMARY CARE

Preventing childhood obesity by reducing consumption of carbonated drinks: cluster randomised controlled trial

Janet James 1, Peter Thomas 2, David Cavan 1, David Kerr 1

1 Bournemouth Diabetes and Endocrine Centre, Royal Bournemouth Hospital, Dorset BH7 7DW
2 Institute of Health and Community Studies, Bournemouth University and Dorset Research and Development Unit, Poole Hospital

Objective To determine if a school based educational programme (the Christchurch obesity prevention project in schools; CHOPPS) aimed at reducing consumption of carbonated drinks can prevent excessive weight gain in children.

Design Cluster randomised controlled trial.

Setting Six primary schools in Christchurch, Dorset, England.

Participants 644 children aged 7-11 years.

Intervention Focused educational programme on nutrition over one school year.

Main outcome measures Drink consumption and number of overweight and obese children.

Results Consumption of carbonated drinks over three days decreased by 0.6 glasses (average glass size 250 ml) a day in the intervention group but increased by 0.2 glasses in the control group (mean difference 0.7, 95% confidence interval 0.1 to 1.3). At 12 months the percentage of overweight and obese children increased in the control group by 7.5%, compared with a decrease in the intervention group of 0.2% (mean difference 7.7%, 2.2% to 13.1%).

Conclusion A targeted school based education programme produced a modest reduction in the number of carbonated drinks consumed, which was associated with a reduction in the number of overweight and obese children.

(Accepted 9 March 2004)
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Rapid Responses:

Read all Rapid Responses

Diet not that important in obesity!
Des Spence
bmj.com, 22 May 2004 [Full text]
Water our babies
Tom Hughes-Davies
bmj.com, 23 May 2004 [Full text]
Congratulations
Charles Fox
bmj.com, 23 May 2004 [Full text]
Play out to reduce childhood obesity!
Alan Sutton
bmj.com, 26 May 2004 [Full text]
Commercial interests
Trisha Greenhalgh
bmj.com, 26 May 2004 [Full text]
Obesity,alcohol and substance misuse are the major problems in the new millennium.
AK Al-Sheikhli
bmj.com, 27 May 2004 [Full text]
Re: Commercial interests
MC Feliciello
bmj.com, 27 May 2004 [Full text]
Let outdoors be their second home
Amit K Kapoor, et al.
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All school children are not obese: why?
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bmj.com, 29 May 2004 [Full text]
Are we the best examples for our children?
sheena surindran
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Childhood obesity and consumption of fizzy drinks. Both diet and exercise play an important role in obesity
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bmj.com, 19 Jul 2004 [Full text]
Explanation of result for non caloric carbonated drinks?
Kenneth B. Peterson MD
bmj.com, 12 Aug 2004 [Full text]
Amended email address
Janet L James
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My take on the studies limitations.
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