Author, as appears in the article.: Tarro L; Llauradó E; Albaladejo R; Moriña D; Arija V; Solà R; Giralt M
Department: Medicina i Cirurgia Ciències Mèdiques Bàsiques
URV's Author/s: Arija Val, Maria Victoria / Giralt Batista, Montserrat / Llauradó Ribé, Elisabet / Solà Alberich, Rosa Maria / Tarro Sánchez, Lucía
Keywords: Promoció de salut i educació per a la salut Obesity prevention Obesitat infantil Intervention program Healthy lifestyle Health promoting agent Childhood obesity
Abstract: Obesity is one of the main determinants of avoidable disease burden.To implement a program by university students acting as "health promoting agents" (HPAs) and to evaluate the effects on obesity prevalence of the primary-school-based program that promotes healthy lifestyle, including dietary and physical activity recommendations over 28 months.Two school clusters were randomly assigned to intervention (24 schools, 1,222 pupils) or control (14 schools, 717 pupils); 78% of pupils were Western European. Mean age (±SD) was 8.4±0.6 years (49.9% females) at baseline. Generalized linear mixed models were used to analyze differences in primary outcome between both groups. Data collected included body mass index (BMI) every year. Dietary habits and lifestyle questionnaires were filled in by the parents at baseline and at the end of the study. The interventions focused on eight lifestyle topics covered in 12 activities (1 hour/activity/session) implemented by HPAs over 3 school academic years.At 28 months, obesity prevalence in boys was decreased -2.36% in the intervention group (from 9.59% to 7.23%) and increased 2.03% (from 7.40% to 9.43%) in the control group; the difference was 4.39% (95% CI 3.48 to 5.30; P=0.01). The boys in the intervention group had an effective reduction of -0.24 units in the change of BMI z-score (from 0.01 to -0.04), compared to control (from -0.10 to 0.09); 5.1% more intervention pupils undertook physical activity>5 hours/week than control pupils (P=0.02).Fish consumption was a protector (odds ratio 0.39; 95% CI 0.23 to 0.67) while "fast-food" consumption was a risk factor for childhood obesity (odds ratio: 2.27; 95% CI 1.08 to 4.77).Our school-based program, conducted by HPA students, successfully reduced childhood obesity prevalence in boys.International Standard Randomized Controlled Trial Number: ISRCTN29247645.
Thematic Areas: Saúde coletiva Psicología Pharmacology (medical) Odontología Nutrição Medicine, research & experimental Medicine (miscellaneous) Medicina iii Medicina ii Medicina i Materiais Interdisciplinar Engenharias iv Enfermagem Educação física Ciências biológicas iii Ciências biológicas ii Ciências ambientais Biotecnología Administração pública e de empresas, ciências contábeis e turismo
licence for use: https://creativecommons.org/licenses/by/3.0/es/
ISSN: 17456215
Author's mail: elisabet.llaurado@urv.cat montse.giralt@urv.cat rosa.sola@urv.cat victoria.arija@urv.cat
Author identifier: 0000-0002-7439-9531 0000-0002-7073-577X 0000-0002-8359-235X 0000-0002-1758-0975
Record's date: 2024-09-07
Papper version: info:eu-repo/semantics/publishedVersion
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Trials. 15 (1): 58-
APA: Tarro L; Llauradó E; Albaladejo R; Moriña D; Arija V; Solà R; Giralt M (2014). A primary-school-based study to reduce the prevalence of childhood obesity - the EdAl (Educació en Alimentació) study: A randomized controlled trial. Trials, 15(1), 58-. DOI: 10.1186/1745-6215-15-58
Entity: Universitat Rovira i Virgili
Journal publication year: 2014
Publication Type: Journal Publications
Repositori URV