A Community-Based Intervention Increases Physical Activity and Reduces Obesity in School-Age Children in North Carolina
| Autor: | Kelly R. Evenson, Sara E. Benjamin Neelon, Brian Neelon, Gary G. Bennett, Annie Martinie, Truls Østbye, Rebecca J. Namenek Brouwer |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
Gerontology Health Knowledge Attitudes Practice Pediatric Obesity Endocrinology Diabetes and Metabolism Health Behavior Psychological intervention Physical activity Health Promotion Body Mass Index Weight loss Active living Intervention (counseling) Weight Loss North Carolina medicine Humans Community Health Services Child Exercise Nutrition and Dietetics business.industry Original Articles medicine.disease Obesity Health promotion Pediatrics Perinatology and Child Health Female medicine.symptom business Body mass index Follow-Up Studies |
| Zdroj: | Childhood Obesity. 11:297-303 |
| ISSN: | 2153-2176 2153-2168 |
| DOI: | 10.1089/chi.2014.0130 |
| Popis: | Community-based interventions are promising approaches to obesity prevention, but few studies have prospectively evaluated them. The aim of this study was to evaluate a natural experiment—a community intervention designed to promote active living and decrease obesity within a small southern town.In 2011, community leaders implemented the Mebane on the Move intervention—a community-wide effort to promote physical activity (PA) and decrease obesity among residents of Mebane, North Carolina. We measured child PA and BMI before and after the intervention, using a nearby town not implementing an intervention as the comparison. In total, we assessed 64 children from Mebane and 40 from the comparison community 6 months before, as well as 34 and 18 children 6 months after the intervention. We assessed PA with accelerometers worn for 7 days and calculated BMI z-scores using children's height and weight. We conducted multivariable linear regressions examining pre- to postintervention change in minutes of PA and BMI z-score, adjusting for confounders.At follow-up, children in Mebane modestly increased their moderate-to-vigorous PA (1.3 minutes per hour; 95% confidence interval (CI): 0.2, 2.3; p=0.03) and vigorous activity (0.8 minutes per hour; 95% CI: 0.1, 1.5; p=0.04) more than comparison children. In intervention children, BMI z-scores decreased 0.5 units (kg/m(2); 95% CI: -0.9, -0.02; p=0.045), compared to children in the comparison community.We observed positive effects on PA level and weight status of children in Mebane, despite high rates of attrition, suggesting that the community-based intervention may have been successful. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|