A randomised controlled trial for overweight and obese parents to prevent childhood obesity - Early STOPP (STockholm Obesity Prevention Program)

BMC Public Health

Study Protocol

Claude Marcus¹  Håkan Karlsson¹  Viktoria Svensson¹  Anna Ek¹  Yingting Cao¹  Tanja Sobko¹  Elin Johansson²  Mirjam Ekstedt³  Maria Hagströmer⁴ 

[1] Department of Clinical Science, Intervention and Technology, Division of Paediatrics, Endocrine Research Unit B62, Karolinska Institutet, S-141 86, Stockholm, Sweden;Department of Clinical Science, Intervention and Technology, Division of Paediatrics, Endocrine Research Unit B62, Karolinska Institutet, S-141 86, Stockholm, Sweden;Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society Karolinska Institutet, S-141 86, Stockholm, Sweden;Department of Clinical Science, Intervention and Technology, Division of Paediatrics, Endocrine Research Unit B62, Karolinska Institutet, S-141 86, Stockholm, Sweden;Ersta Sköndal Högskola, Box 111 89, SE-100 61, Stockholm, Sweden;Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society Karolinska Institutet, S-141 86, Stockholm, Sweden;

关键词: Physical Activity;    Sedentary Behaviour;    Sleep Duration;    Obesity Prevention;    Obese Parent;   

DOI  :  10.1186/1471-2458-11-336

 received in 2011-03-08, accepted in 2011-05-18,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundOverweight and obesity have a dramatic negative impact on children's health not only during the childhood but also throughout the adult life. Preventing the development of obesity in children is therefore a world-wide health priority. There is an obvious urge for sustainable and evidenced-based interventions that are suitable for families with young children, especially for families with overweight or obese parents. We have developed a prevention program, Early STOPP, combating multiple obesity-promoting behaviors such unbalanced diet, physical inactivity and disturbed sleeping patterns. We also aim to evaluate the effectiveness of the early childhood obesity prevention in a well-characterized population of overweight or obese parents. This protocol outlines methods for the recruitment phase of the study.Design and methodsThis randomized controlled trial (RCT) targets overweight and/or obese parents with infants, recruited from the Child Health Care Centers (CHCC) within the Stockholm area. The intervention starts when infants are one year of age and continues until they are six and is regularly delivered by a trained coach (dietitian, physiotherapist or a nurse). The key aspects of Early STOPP family intervention are based on Swedish recommendations for CHCC, which include advices on healthy food choices and eating patterns, increasing physical activity/reducing sedentary behavior and regulating sleeping patterns.DiscussionThe Early STOPP trial design addresses weaknesses of previous research by recruiting from a well-characterized population, defining a feasible, theory-based intervention and assessing multiple measurements to validate and interpret the program effectiveness. The early years hold promise as a time in which obesity prevention may be most effective. To our knowledge, this longitudinal RCT is the first attempt to demonstrate whether an early, long-term, targeted health promotion program focusing on healthy eating, physical activity/reduced sedentary behaviors and normalizing sleeping patterns could be effective. If proven so, Early STOPP may protect children from the development of overweight and obesity.Trial registrationThe protocol for this study is registered with the clinical trials registry clinicaltrials.gov, ID: ES-2010)

【 授权许可】

CC BY   
© Sobko et al; licensee BioMed Central Ltd. 2011