Promoting healthy weight in primary school children through physical activity and nutrition education: a pragmatic evaluation of the CHANGE! randomised intervention study
Autor: | Stuart J. Fairclough, Kelly A. Mackintosh, Allan Hackett, R. Gobbi, Lynne M. Boddy, G. L. Warburton, Esther M. F. van Sluijs, Ian G Davies, Gareth Stratton |
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Rok vydání: | 2013 |
Předmět: |
Male
medicine.medical_specialty Health Knowledge Attitudes Practice Waist Urban Population Nutrition Education Child Nutrition Sciences Health Promotion Overweight Body Mass Index RA0421 Intervention (counseling) Accelerometry Outcome Assessment Health Care medicine Humans Obesity Child Exercise School Health Services business.industry Public Health Environmental and Occupational Health Feeding Behavior Body size medicine.disease Light physical activity Light intensity England Socioeconomic Factors Physical therapy Female Multilevel modelling sports medicine.symptom business Energy Intake Body mass index Research Article |
Zdroj: | BMC Public Health |
ISSN: | 1471-2458 |
Popis: | Background This pragmatic evaluation investigated the effectiveness of the Children’s Health, Activity and Nutrition: Get Educated! (CHANGE!) Project, a cluster randomised intervention to promote healthy weight using an educational focus on physical activity and healthy eating. Methods Participants (n = 318, aged 10–11 years) from 6 Intervention and 6 Comparison schools took part in the 20 weeks intervention between November 2010 and March/April 2011. This consisted of a teacher-led curriculum, learning resources, and homework tasks. Primary outcome measures were waist circumference, body mass index (BMI), and BMI z-scores. Secondary outcomes were objectively-assessed physical activity and sedentary time, and food intake. Outcomes were assessed at baseline, at post-intervention (20 weeks), and at follow-up (30 weeks). Data were analysed using 2-level multi-level modelling (levels: school, student) and adjusted for baseline values of the outcomes and potential confounders. Differences in intervention effect by subgroup (sex, weight status, socio-economic status) were explored using statistical interaction. Results Significant between-group effects were observed for waist circumference at post-intervention (β for intervention effect =−1.63 (95% CI = −2.20, -1.07) cm, p |
Databáze: | OpenAIRE |
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