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Summary   Background  Multilevel approaches involving environmental strategies are considered to be good practice to help reduce the prevalence of childhood overweight.    Objectives  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  B elgium.    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  B elgium. 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.

pediatric obesity

Downward trends in the prevalence of childhood overweight in two pilot towns taking part in the  VIASANO  community‐based programme in  B elgium: data from a national school health monitoring system