School Wide Activity – Environmental Change

HEROES (Healthy, Energetic, Ready, Outstanding, Enthusiastic Schools)

Initiative Description: a multicomponent school-based obesity prevention intervention based on the Centers for Disease Control and Prevention’s coordinated school health approach. Tthe HEROES Initiative focuses on health education, nutrition services, physical education, health promotion for staff, and family and community involvement. The HEROES Initiative has innovative and unique facets differentiating from the other school-based interventions. First, it delivers extensive infrastructure that includes local oversight, substantial financial and technical supports, and specific implementation strategies that are designed to fit schools’ individual needs and identities.

Study Results: A significant downward trend was observed in systolic BP (p = .0006) and diastolic BP (p < .0001) among the students who were exposed to the HEROES initiative. The prevalence of hypertension decreased from 17.1% at baseline to 12.8% at 6 months (p < .0001), 12.0% at 12 months (p < .0001), and 15.0% (p = .0024) at 18 months.

Reference: Kim, N., Seo, D., King, M. H., Lederer, A. M., & Sovinski, D. (2014). Long-term predictors of blood pressure among adolescents during an 18-month school-based obesity prevention intervention. Journal Of Adolescent Health, 55(4), 521-527.

Level of Evidence: 2 out of 5 stars Good