期刊论文详细信息
BMC Public Health
Follow-up of a healthy lifestyle education program (the EdAl study): four years after cessation of randomized controlled trial intervention
Magaly Aceves-Martins1  Lucia Tarro1  Elisabet Llauradó1  Montse Giralt2  David Moriña3  Rosa Solà4 
[1] Facultat de Medicina i Ciències de la Salut, Health Education and Promotion, Functional Nutrition, Oxidation and Cardiovascular Disease Research Group, Medicine and Surgery Department, Universitat Rovira i Virgili;Unit of Farmacobiology, Functional Nutrition, Oxidation and Cardiovascular Disease Research Group, Medicine and Surgery Department, Universitat Rovira i Virgili;Unit of Infections and Cancer (UNIC – I&I), Cancer Epidemiology Research Program (CERP), Catalan Institute of Oncology, (ICO)-IDIBELL, L’Hospitalet de Llobregat;Unit of Lipids and Arteriosclerosis Research, CIBERDEM, Hospital Universitari Sant Joan, IISPV, Universitat Rovira i Virgili, Technological Centre of Nutrition and Health (CTNS), Functional Nutrition, Oxidation and Cardiovascular Disease Research Group, Medicine and Surgery Department, Universitat Rovira i Virgili;
关键词: Follow-up;    School-based intervention;    Obesity;    Lifestyles;    Adolescents;   
DOI  :  10.1186/s12889-017-5006-0
来源: DOAJ
【 摘 要 】

Abstract Background An important challenge of school-based childhood obesity (OB) intervention programs is understanding the maintenance of the effects after cessation of the intervention to overcome the limitations of follow-up studies. The aim of this study is to verify the sustainability of the benefits achieved at a 4-year follow-up of the post-Educació en Alimentació (EDAl) program intervention cessation by assessing the OB-related outcomes and lifestyles of 13- to 15-year-old adolescents. Methods This paper describes a 4-year follow-up study after the cessation of a school-based randomized controlled intervention in adolescents (n = 349, intervention; n = 154, control) with baseline and 4-year follow-up data from high schools in Reus (intervention group), Salou, Cambrils and Vila-seca (control group). The outcomes are body mass index (BMI), BMI z-score, and OB prevalence according to the World Health Organization and International Obesity Task Force criteria and lifestyle data (obtained from questionnaires). Results Compared with the control girls, the intervention girls showed reduced BMI z-scores (−0.33 units, p < 0.01) from baseline (2007) to the 4-year follow-up post-intervention (2014). Compared with the control boys, the intervention boys showed reduced OB prevalence (−7.7%; p = 0.02). Compared with the control boys, more boys in the intervention group (19% increase; p = 0.059) showed ≥4 h/week after-school physical activity (PA). A decrease in the consumption of dairy products, fruits and fish was observed in both groups. Conclusions At the 4-year post-intervention follow-up of the EdAl program, compared with the control groups, girls had lower BMI z-scores and boys had lower OB prevalence from the intervention. The encouragement in after-school PA was long-lasting and maintained after the cessation of the intervention, whereas healthy food habits must be further reinforced in adolescents. Trial registration ISRCTN29247645 .

【 授权许可】

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