Follow-up of a healthy lifestyle education program (the EdAl study): four years after cessation of randomized controlled trial intervention

Autor según el artículo: Llaurado, Elisabet; Tarro, Lucia; Morina, David; Aceves-Martins, Magaly; Giralt, Montse; Sola, Rosa

Departamento: Medicina i Cirurgia; Ciències Mèdiques Bàsiques

Autor/es de la URV: ACEVES MARTINS, MAGALY / Giralt Batista, Montserrat / Llauradó Ribé, Elisabet / Solà Alberich, Rosa Maria / Tarro Sánchez, Lucía

Palabras clave: Spain; School-based intervention; School health services; Program evaluation; Pediatric obesity; Obesity; Male; Lifestyles; Life style; Humans; Health education; Follow-up studies; Follow-up; Female; Adolescents; Adolescent; obesity; lifestyles; follow-up; adolescents

Resumen: 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.

Áreas temáticas: Zootecnia / recursos pesqueiros; Sociología; Serviço social; Saúde coletiva; Química; Public, environmental & occupational health; Public health, environmental and occupational health; Psicología; Planejamento urbano e regional / demografia; Odontología; Nutrição; Medicina iii; Medicina ii; Medicina i; Interdisciplinar; Geociências; Farmacia; Ensino; Enfermagem; Educação física; Educação; Economia; Ciências biológicas iii; Ciências biológicas ii; Ciências biológicas i; Ciências ambientais; Ciência de alimentos; Biotecnología; Astronomia / física; Antropologia / arqueologia; Administração, ciências contábeis e turismo; Administração pública e de empresas, ciências contábeis e turismo

Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 14712458

Direcció de correo del autor: elisabet.llaurado@urv.cat; montse.giralt@urv.cat; rosa.sola@urv.cat

Fecha de alta del registro: 2025-02-24

Versión del articulo depositado: info:eu-repo/semantics/publishedVersion

Enlace a la fuente original: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-017-5006-0

URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/

Referencia al articulo segun fuente origial: Bmc Public Health. 18 (1): 104-

Referencia de l'ítem segons les normes APA: Llaurado, Elisabet; Tarro, Lucia; Morina, David; Aceves-Martins, Magaly; Giralt, Montse; Sola, Rosa (2018). Follow-up of a healthy lifestyle education program (the EdAl study): four years after cessation of randomized controlled trial intervention. Bmc Public Health, 18(1), 104-. DOI: 10.1186/s12889-017-5006-0

DOI del artículo: 10.1186/s12889-017-5006-0

Entidad: Universitat Rovira i Virgili

Año de publicación de la revista: 2018

Tipo de publicación: Journal Publications