*5.4. Public Health Approaches*

One of the main risk factors for disordered eating is body dissatisfaction. However, most countries' public health approaches to confront overweight and obesity frequently use messages that may increase body dissatisfaction in children and adolescents [85]. Thus, it remains a challenge for policy makers to balance between sociocultural pressure for thinness and obesogenic environment. The role of the schools at the time to promote health and educational attainment has been highlighted by the World Health Organization's (WHO) Health Promoting Schools (HPS) framework. In a Cochrane review, the WHO HPS framework was found to be effective at improving aspects of student health including BMI z-score at the population level [86].
