[2][4] Children which exceeded the 160% of the ideal BMI were referred to the Health Promotion Board for follow-up action.
A carrot-and-stick approach was adopted in putting pressure on schools to meet the targets of fitness and obesity set by the ministry.
Cash incentives were awarded by the ministry to schools that exceeded fitness targets and created new strategies to maintain students' obesity levels.
Several TAF participants reported experiences of stigmatization, teasing, physiological stress and lower self-esteem as they found themselves being singled out for being obese.
The findings correlated to a Singapore General Hospital study released a week earlier which found that instances of anorexia nervosa and bulimia increased six-fold from 1994 to 2002.
[9] Two years later, in 2007, the Ministry of Education decided to replace TAF with the Holistic Health Framework (HHF).