The impact of Curtin University's activity, food and attitudes program on physical activity, sedentary time and fruit, vegetable and junk food consumption among overweight and obese adolescents: a waitlist controlled trial

Autor: Ashley A Fenner, Leon Straker, Deborah A. Kerr, Erin K. Howie, Anne Smith, Kyla Smith, Tim Olds, Rebecca Abbott
Přispěvatelé: Straker, Leon M, Howie, Erin K, Smith, Kyla L, Fenner, Ashley A, Kerr, Deborah A, Olds, Timothy S, Abbott, Rebecca A, Smith, Anne J
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Male
Health Behavior
lcsh:Medicine
Overweight
Rate ratio
Pediatrics
law.invention
0302 clinical medicine
Randomized controlled trial
law
energy expenditure
Medicine and Health Sciences
Medicine
Public and Occupational Health
030212 general & internal medicine
lcsh:Science
intervention
2. Zero hunger
adiposity
Multidisciplinary
healthy weight
Child Health
Female
medicine.symptom
Behavioral and Social Aspects of Health
Research Article
medicine.medical_specialty
Adolescent
Universities
Waiting Lists
Physical activity
030209 endocrinology & metabolism
Health Promotion
Motor Activity
Interviews as Topic
03 medical and health sciences
Intervention (counseling)
Humans
Obesity
Sports and Exercise Medicine
School Health Services
Consumption (economics)
Text Messaging
business.industry
lcsh:R
Australia
Feeding Behavior
medicine.disease
Clinical trial
weight management
randomized controlled trial
Physical therapy
lcsh:Q
business
Zdroj: PLoS ONE, Vol 9, Iss 11, p e111954 (2014)
PLoS ONE
ISSN: 1932-6203
Popis: Background To determine the effects of participation in Curtin University's Activity, Food and Attitudes Program (CAFAP), a community-based, family-centered behavioural intervention, on the physical activity, sedentary time, and healthy eating behaviours of overweight and obese adolescents. Methods In this waitlist controlled clinical trial in Western Australia, adolescents (n = 69, 71% female, mean age 14.1 (SD 1.6) years) and parents completed an 8-week intervention followed by 12 months of telephone and text message support. Assessments were completed at baseline, before beginning the intervention, immediately following the intervention, and at 3-, 6-, and 12- months follow-up. The primary outcomes were physical activity and sedentary time assessed by accelerometers and servings of fruit, vegetables and junk food assessed by 3-day food records. Results During the intensive 8-week intervention sedentary time decreased by −5.1 min/day/month (95% CI: −11.0, 0.8) which was significantly greater than the rate of change during the waitlist period (p = .014). Moderate physical activity increased by 1.8 min/day/month (95% CI: −0.04, 3.6) during the intervention period, which was significantly greater than the rate of change during the waitlist period (p = .041). Fruit consumption increased during the intervention period (monthly incidence rate ratio (IRR) 1.3, 95% CI: 1.10, 1.56) and junk food consumption decreased (monthly IRR 0.8, 95% CI: 0.74, 0.94) and these changes were different to those seen during the waitlist period (p = .004 and p = .020 respectively). Conclusions Participating in CAFAP appeared to have a positive influence on the physical activity, sedentary and healthy eating behaviours of overweight and obese adolescents and many of these changes were maintained for one year following the intensive intervention. Trial Registration Australia and New Zealand Clinical Trials Registry ACTRN12611001187932
Databáze: OpenAIRE
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