Promotion of a healthy lifestyle among 5-year-old overweight children: health behavior outcomes of the 'Be active, eat right’ study

BMC Public Health

Hein Raat²  Remy A Hirasing¹  Caspar WN Looman²  Lydian Veldhuis²  Carry M Renders³  Amy van Grieken² 

[1] Department of Public and Occupational Health, VU University Medical Center, Amsterdam, The Netherlands;Department of Public Health, Erasmus MC University Medical Center Rotterdam, P.O. Box 2040, Rotterdam 3000 CA, the Netherlands;EMGO Institute for Health and Care Research, VU University Amsterdam, Amsterdam, The Netherlands

关键词: Youth health care;    RCT;    Children;    Preschool;    Elementary school;    Intervention;    Prevention;    Overweight;    Obesity;   

Others  :  1161323
DOI  :  10.1186/1471-2458-14-59

 received in 2013-03-15, accepted in 2014-01-16,  发布年份 2014

【 摘 要 】

Background

This study evaluates the effects of an intervention performed by youth health care professionals on child health behaviors. The intervention consisted of offering healthy lifestyle counseling to parents of overweight (not obese) 5-year-old children. Effects of the intervention on the child having breakfast, drinking sweet beverages, watching television and playing outside were evaluated.

Methods

Data were collected with the 'Be active, eat right’ study, a cluster randomized controlled trial among nine youth health care centers in the Netherlands. Parents of overweight children received lifestyle counseling according to the intervention protocol in the intervention condition (n = 349) and usual care in the control condition (n = 288). Parents completed questionnaires regarding demographic characteristics, health behaviors and the home environment at baseline and at 2-year follow-up. Cluster adjusted regression models were applied; interaction terms were explored.

Results

The population for analysis consisted of 38.1% boys; mean age 5.8 [sd 0.4] years; mean BMI SDS 1.9 [sd 0.4]. There were no significant differences in the number of minutes of outside play or television viewing a day between children in the intervention and the control condition. Also, the odds ratio for having breakfast daily or drinking two or less glasses of sweet beverages a day showed no significant differences between the two conditions. Additional analyses showed that the odds ratio for drinking less than two glasses of sweet beverages at follow-up compared with baseline was significantly higher for children in both the intervention (p < 0.001) and the control condition (p = 0.029).

Conclusions

Comparison of the children in the two conditions showed that the intervention does not contribute to a change in health behaviors. Further studies are needed to investigate opportunities to adjust the intervention protocol, such as integration of elements in the regular well-child visit. The intervention protocol for youth health care may become part of a broader approach to tackle childhood overweight and obesity.

Trial registration

Current Controlled TrialsISRCTN04965410

【 授权许可】

   
2014 van Grieken et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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