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Schools have the potential to make valuable contributions to both the prevention and treatment of childhood obesity.
This article reviews the research on school-based interventions to prevent and treat obesity. A literature search from
1965 to the present on school-based treatment of obesity, identi®ed 11 controlled experimental studies. The results
show positive, though modest short-term results. Relatively few primary prevention research studies, targeted
speci®cally to preventing obesity, have been conducted. Therefore, ef®cacy has not been established. Both primary
and secondary obesity interventions have a role in schools. A comprehensive, integrated model for school-based
obesity prevention is presented. This model, building upon the comprehensive school health program model, consists
of eight interacting components: health instruction; health services; school environment; food service; school-site
health promotion for faculty and staff; social support services; physical education classes; and integrated and linked
family and community health promotion efforts. While multi-faceted community-wide efforts are needed to address
the growing problem of obesity, schools are in a unique position to play a pivotal role in promoting healthy lifestyles
and helping to prevent obesity
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