دورية أكاديمية
أعرض في EDS

A Natural Experiment Comparing the Effectiveness of the "Healthy Eagles" Child Weight Management Intervention in School Versus Community Settings.

التفاصيل البيبلوغرافية
العنوان: A Natural Experiment Comparing the Effectiveness of the "Healthy Eagles" Child Weight Management Intervention in School Versus Community Settings.
المؤلفون: Little M; Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Primary Care Building, Radcliffe Observatory Quarter, Woodstock Road, Oxford OX2 6GG, UK.; Nutrition and Dietetics, Foodtalk CIC, London SE16 6SG, UK., Serber-Souza S; Nutrition and Dietetics, Foodtalk CIC, London SE16 6SG, UK., Kebbe M; Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Primary Care Building, Radcliffe Observatory Quarter, Woodstock Road, Oxford OX2 6GG, UK.; Reproductive Endocrinology and Women's Health Laboratory, Baton Rouge, LA 70802, USA., Aveyard PN; Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Primary Care Building, Radcliffe Observatory Quarter, Woodstock Road, Oxford OX2 6GG, UK., Jebb SA; Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Primary Care Building, Radcliffe Observatory Quarter, Woodstock Road, Oxford OX2 6GG, UK.
المصدر: Nutrients [Nutrients] 2021 Oct 31; Vol. 13 (11). Date of Electronic Publication: 2021 Oct 31.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: MDPI Publishing Country of Publication: Switzerland NLM ID: 101521595 Publication Model: Electronic Cited Medium: Internet ISSN: 2072-6643 (Electronic) Linking ISSN: 20726643 NLM ISO Abbreviation: Nutrients Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI Publishing
مواضيع طبية MeSH: Schools*, Overweight/*therapy , Pediatric Obesity/*therapy , Weight Reduction Programs/*methods, Adolescent ; Animals ; Body Mass Index ; Child ; Child, Preschool ; Exercise ; Female ; Health Behavior ; Humans ; Life Style ; London ; Male ; Nutrition Therapy/methods ; Residence Characteristics
مستخلص: Behavioural weight management interventions are recommended for the treatment of obesity in children. However, the evidence for these is limited and often generated under trial conditions with White, middle-class populations. Healthy Eagles is a behavioural weight management intervention designed to treat excess weight in children. It ran in the London Borough of Croydon from 2017 to 2020 and was delivered in both school and community settings, providing a natural experiment to compare outcomes. A total of 1560 participants started the Healthy Eagles programme; 347 were in the community setting and 703 in the school setting. Data were analysed for those who completed 70% of the programme. In the school setting, there was a small but significant reduction in BMI z-score (M = -0.04, 95% CI = -0.08, -0.01) for participants above a healthy weight, especially in those with severe obesity (M = -0.09, 95% CI = -0.15, -0.03); there was no significant change in any subgroup in the community setting. Linear regression analysis showed the school setting was associated with a 0.26 (95% CI = 0.13, 0.49) greater reduction in BMI z-score than the community setting after adjusting for ethnicity, deprivation, age and gender. Across both programmes, the effect was somewhat greater in participants from a Black (African/Caribbean/Other) ethnic background (M = -0.06, 95% CI = -0.09, -0.02) and from the two most deprived quintiles (M = -0.06, 95% CI = -0.11, -0.01). Data were limited, but minimal changes were measured in nutrition and physical activity behaviours regardless of setting. This evaluation provides indirect evidence of a small but significant benefit to running weight management interventions in a school versus community setting.
References: PLoS Med. 2020 Mar 18;17(3):e1003078. (PMID: 32187177)
Obes Rev. 2017 Feb;18(2):183-194. (PMID: 27862851)
Prev Med Rep. 2020 Dec 31;21:101299. (PMID: 33511024)
Perspect Public Health. 2021 May 15;:17579139211006738. (PMID: 33998330)
BMC Public Health. 2014 Jun 17;14:614. (PMID: 24938729)
J Med Ethics. 2015 Oct;41(10):848-53. (PMID: 26187285)
Pediatrics. 2017 Dec;140(6):. (PMID: 29158228)
Lancet Child Adolesc Health. 2018 Jan;2(1):35-45. (PMID: 29302609)
Cochrane Database Syst Rev. 2017 Jun 22;6:CD012691. (PMID: 28639320)
J Epidemiol Community Health. 2015 Feb;69(2):142-8. (PMID: 25294895)
PLoS One. 2018 Sep 27;13(9):e0204560. (PMID: 30261057)
Health Res Policy Syst. 2020 May 18;18(1):48. (PMID: 32423438)
J Pediatr Psychol. 2014 Sep;39(8):809-25. (PMID: 24824614)
Public Health Nutr. 2021 Jul;24(10):3087-3099. (PMID: 33745501)
Int J Behav Nutr Phys Act. 2021 Jan 4;18(1):1. (PMID: 33397403)
Clin Trials. 2012 Feb;9(1):48-55. (PMID: 21948059)
Arch Public Health. 2014 Jan 29;72(1):3. (PMID: 24472187)
Int J Obes (Lond). 2011 Jul;35(7):891-8. (PMID: 20975725)
Obes Rev. 2021 Feb;22(2):e13153. (PMID: 33462935)
Cochrane Database Syst Rev. 2019 Jul 23;7:CD001871. (PMID: 31332776)
J Obes. 2017;2017:5021902. (PMID: 29391949)
BMJ. 2015 Mar 19;350:h1258. (PMID: 25791983)
Lancet. 2011 Aug 27;378(9793):815-25. (PMID: 21872750)
Health Educ Behav. 2004 Apr;31(2):143-64. (PMID: 15090118)
Asia Pac J Public Health. 2012 Sep;24(5):733-52. (PMID: 22593222)
BMJ. 2018 Feb 7;360:k211. (PMID: 29437667)
Arch Dis Child. 1995 Jul;73(1):25-9. (PMID: 7639544)
Trials. 2019 May 28;20(1):296. (PMID: 31138278)
Obesity (Silver Spring). 2010 Feb;18 Suppl 1:S62-8. (PMID: 20107463)
Nutrients. 2020 Jul 17;12(7):. (PMID: 32709005)
معلومات مُعتمدة: N/A NIHR Oxford Applied Research Collaboration (ARC) and the Oxford-Wolfson-Marriott NDPCHS Graduate Scholarship
فهرسة مساهمة: Keywords: behavioural weight management interventions; childhood obesity; children; weight management
تواريخ الأحداث: Date Created: 20211127 Date Completed: 20211220 Latest Revision: 20211220
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8623922
DOI: 10.3390/nu13113912
PMID: 34836167
قاعدة البيانات: MEDLINE
الوصف
تدمد:2072-6643
DOI:10.3390/nu13113912