Such a programme – called Healthy Buddies – was tested in Manitoba elementary schools. It helped heavy kids lose an average of half an inch off their waist and increased their knowledge of diet and exercise, the researchers said.
"Engaging older youth in delivering health messages to younger peers is an effective method for preventing weight gain, improving knowledge of healthy living and increasing self-esteem," said lead researcher Jonathan McGavock, an assistant professor at the University of Manitoba.
Effective for overweight kids
"The effects of this peer mentoring model of healthy living promotion is particularly effective for overweight children," McGavock said.
This approach – detailed online in the journal JAMA Paediatrics – could help curb the obesity epidemic among young children in North America, he said. The percentage of US children aged 6 to 11 considered obese increased from 7% in 1980 to nearly 18% in 2010, according to the US Centres for Disease Control and Prevention.
McGavock said younger children see older children as role models, which is why their advice is taken more seriously than when the same message is delivered by adults.
"Younger children likely pay more attention to messages or cues from older peers," he said. "Therefore, proper role modelling of healthy behaviours should be a key objective of elementary schools."
Findings not surprising
Dr David Katz, director of the Yale University Prevention Research Centre in New Haven, Connecticut, said he wasn't surprised by the findings. "In my many interactions with parents regarding the importance of good nutrition in childhood, one of the more frequent protests over the years has been peer pressure," Katz said. "Parents, it seems, often feel powerless to overcome the negative influence of peers eating badly."
But Katz, a father of five, said he has seen the upside of peer pressure. "My wife and I have shared our devotion to healthy living with our children, and they have made it their own," he said. "They, in turn, have helped pay it forward, influencing their peers favourably."
This paper illustrates the opportunity to convert negative peer pressure into a positive peer influence, Katz said.
"We can teach healthy living skills to older kids and they, of course, benefit," he said. "They can then help pass these skills along to younger kids, and both groups benefit some more. This paper highlights an important opportunity we have only begun to leverage – peer pressure, for good."
Healthy Buddies has lessons that focus on physical activity, healthy eating, self-esteem and body image. The instruction is given by 9- to 12-year-olds to 6- to 8-year-olds.
In this study, 19 schools were randomly assigned to use the Healthy Buddies curriculum or their regular instruction during the 2009-'10 school year.
Over the course of the school year, the researchers looked at changes in waist size and body-mass index (BMI), as well as physical activity, heart fitness, self-image and knowledge about healthy living and diet.
Waist size dropped
They found that the waist size of children in the Healthy Buddies programme dropped an average of half an inch compared with children in the regular curriculum. There was no difference in BMI – a measurement of fat based on height and weight – between the groups.
Based on responses to questionnaires, knowledge about healthy living, self-image and diet increased among kids in the Healthy Buddies programme, compared with other children, the researchers said. No differences, however, were seen between the groups in terms of physical activity (steps taken per day) or heart and lung fitness, the researchers said.
This suggests that the reduction in waist size seen among the Healthy Buddies participants is attributable to dietary changes, the researchers said.