Evaluation of a real world intervention using professional football players to promote a healthy diet and physical activity in children and adolescents from a lower socio-economic background: a controlled pretest-posttest design

BMC Public Health

Greet Cardon³  Hannah Brooke²  Kristine De Martelaer⁴  Johan Lefevre⁵  Jan Seghers⁵  Lea Maes⁶  Ilse De Bourdeaudhuij³  Katrien De Cocker¹  Veerle Dubuy³ 

[1] Research Foundation Flanders, Egmontstraat 5, B-1000 Brussels, Belgium;MRC Epidemiology Unit and UKCRC Centre for Diet and Activity Research (CEDAR), Institute of Metabolic Science, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Box 285, Cambridge CB2 0QQ, UK;Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, B-9000 Ghent, Belgium;Department of Movement and Sports Training, VU Brussel, Pleinlaan 2, B-1050 Brussels, Belgium;Department of Kinesiology, KU Leuven Tervuursevest 101, B-3001 Leuven, Belgium;Department of Public Health, Ghent University, De Pintelaan 185, B-9000 Ghent, Belgium

关键词: Disadvantaged children;    Health promotion;    School program;    Football;    Healthy diet;    Physical activity;   

Others  :  1131401
DOI  :  10.1186/1471-2458-14-457

 received in 2014-02-12, accepted in 2014-05-08,  发布年份 2014

【 摘 要 】

Background

The increasing rates of obesity among children and adolescents, especially in those from lower socio-economic backgrounds, emphasise the need for interventions promoting a healthy diet and physical activity. The present study aimed to examine the effectiveness of the ‘Health Scores!’ program, which combined professional football player role models with a school-based program to promote a healthy diet and physical activity to socially vulnerable children and adolescents.

Methods

The intervention was implemented in two settings: professional football clubs and schools. Socially vulnerable children and adolescents (n = 165 intervention group, n = 440 control group, aged 10-14 year) provided self-reported data on dietary habits and physical activity before and after the four-month intervention. Intervention effects were evaluated using repeated measures analysis of variance. In addition, a process evaluation was conducted.

Results

No intervention effects were found for several dietary behaviours, including consumption of breakfast, fruit, soft drinks or sweet and savoury snacks. Positive intervention effects were found for self-efficacy for having a daily breakfast (p < 0.01), positive attitude towards vegetables consumption (p < 0.01) and towards lower soft drink consumption (p < 0.001). A trend towards significance (p < 0.10) was found for self-efficacy for reaching the physical activity guidelines. For sports participation no significant intervention effect was found. In total, 92 pupils completed the process evaluation, the feedback was largely positive.

Conclusions

The ‘Health Scores!’ intervention was successful in increasing psychosocial correlates of a healthy diet and PA. The use of professional football players as a credible source for health promotion was appealing to socially vulnerable children and adolescents.

【 授权许可】

   
2014 Dubuy et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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