Changes in weight status, quality of life and behaviours of South Australian primary school children: results from the Obesity Prevention and Lifestyle (OPAL) community intervention program.
Activity
Australia
Child
Community
Eating
Intervention
Obesity
Sedentary
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
22 Oct 2019
22 Oct 2019
Historique:
received:
15
04
2018
accepted:
30
09
2019
entrez:
24
10
2019
pubmed:
24
10
2019
medline:
11
1
2020
Statut:
epublish
Résumé
Childhood obesity is a serious public health concern worldwide. Community-based obesity prevention interventions offer promise due to their focus on the broader social, cultural and environmental contexts rather than individual behaviour change and their potential for sustainability and scalability. This paper aims to determine the effectiveness of a South Australian community-based, multi-setting, multi-strategy intervention, OPAL (Obesity Prevention and Lifestyle), in increasing healthy weight prevalence in 9 to 11-year-olds. A quasi-experimental repeated cross-sectional design was employed. This paper reports on the anthropometric, health-related quality of life (HRQoL) and behaviour outcomes of primary school children (9-11 years) after 2-3 years of intervention delivery. Consenting children from primary schools (20 intervention communities, INT; 20 matched comparison communities, COMP) completed self-report questionnaires on diet, activity and screen time behaviours. HRQoL was measured using the Child Health Utility 9D. Body Mass Index (BMI) z-score and weight status were determined from children's measured height and weight. A multilevel mixed-effects model, accounting for clustering in schools, was implemented to determine intervention effect. Sequential Bonferroni adjustment was used to allow for multiple comparisons of the secondary outcomes. At baseline and final, respectively, 2611 and 1873 children completed questionnaires and 2353 and 1760 had anthropometric measures taken. The prevalence of children with healthy weight did not significantly change over time in INT (OR 1.11, 95%CI 0.92-1.35, p = 0.27) or COMP (OR 0.85, 95%CI 0.68-1.06, p = 0.14). Although changes in the likelihood of obesity, BMI z-score and HRQoL favoured the INT group, the differences were not significant after Bonferroni adjustment. There were also no significant differences between groups at final for behavioural outcomes. OPAL did not have a significant impact on the proportion of 9 to 11-year-olds in the healthy weight range, nor children's BMI z-score, HRQoL and behaviours. Long-term, flexible community-based program evaluation approaches are required . ACTRN12616000477426 (12th April 2016, retrospectively registered).
Sections du résumé
BACKGROUND
BACKGROUND
Childhood obesity is a serious public health concern worldwide. Community-based obesity prevention interventions offer promise due to their focus on the broader social, cultural and environmental contexts rather than individual behaviour change and their potential for sustainability and scalability. This paper aims to determine the effectiveness of a South Australian community-based, multi-setting, multi-strategy intervention, OPAL (Obesity Prevention and Lifestyle), in increasing healthy weight prevalence in 9 to 11-year-olds.
METHODS
METHODS
A quasi-experimental repeated cross-sectional design was employed. This paper reports on the anthropometric, health-related quality of life (HRQoL) and behaviour outcomes of primary school children (9-11 years) after 2-3 years of intervention delivery. Consenting children from primary schools (20 intervention communities, INT; 20 matched comparison communities, COMP) completed self-report questionnaires on diet, activity and screen time behaviours. HRQoL was measured using the Child Health Utility 9D. Body Mass Index (BMI) z-score and weight status were determined from children's measured height and weight. A multilevel mixed-effects model, accounting for clustering in schools, was implemented to determine intervention effect. Sequential Bonferroni adjustment was used to allow for multiple comparisons of the secondary outcomes.
RESULTS
RESULTS
At baseline and final, respectively, 2611 and 1873 children completed questionnaires and 2353 and 1760 had anthropometric measures taken. The prevalence of children with healthy weight did not significantly change over time in INT (OR 1.11, 95%CI 0.92-1.35, p = 0.27) or COMP (OR 0.85, 95%CI 0.68-1.06, p = 0.14). Although changes in the likelihood of obesity, BMI z-score and HRQoL favoured the INT group, the differences were not significant after Bonferroni adjustment. There were also no significant differences between groups at final for behavioural outcomes.
CONCLUSIONS
CONCLUSIONS
OPAL did not have a significant impact on the proportion of 9 to 11-year-olds in the healthy weight range, nor children's BMI z-score, HRQoL and behaviours. Long-term, flexible community-based program evaluation approaches are required .
TRIAL REGISTRATION
BACKGROUND
ACTRN12616000477426 (12th April 2016, retrospectively registered).
Identifiants
pubmed: 31640645
doi: 10.1186/s12889-019-7710-4
pii: 10.1186/s12889-019-7710-4
pmc: PMC6805510
doi:
Types de publication
Controlled Clinical Trial
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1338Références
PLoS One. 2017 Nov 9;12(11):e0187668
pubmed: 29121640
Qual Life Res. 2003;12 Suppl 1:73-80
pubmed: 12803313
Int J Public Health. 2009 Sep;54 Suppl 2:140-50
pubmed: 19639259
Appl Health Econ Health Policy. 2011 May 1;9(3):157-69
pubmed: 21506622
BMJ. 1997 Aug 23;315(7106):477-80
pubmed: 9284671
Am J Clin Nutr. 2007 Sep;86(3):735-42
pubmed: 17823440
Obes Rev. 2015 Dec;16 Suppl 2:16-29
pubmed: 26707013
Aust N Z J Public Health. 2007 Aug;31(4):305-7
pubmed: 17725005
Obesity (Silver Spring). 2010 Jan;18(1):131-6
pubmed: 19444231
Patient. 2018 Feb;11(1):29-37
pubmed: 28681319
Obes Rev. 2011 Nov;12 Suppl 2:20-8
pubmed: 22008556
BMC Public Health. 2010 Feb 12;10:65
pubmed: 20152018
Soc Sci Med. 2016 May;157:48-59
pubmed: 27060541
Health Promot Int. 2016 Jun;31(2):375-84
pubmed: 25700429
BMJ. 2000 May 6;320(7244):1240-3
pubmed: 10797032
Value Health. 2012 Dec;15(8):1092-9
pubmed: 23244812
Int J Obes (Lond). 2008 Jul;32(7):1060-7
pubmed: 18542082
Qual Life Res. 2009 Oct;18(8):1105-13
pubmed: 19693703
Int J Pediatr Obes. 2006;1(2):66-76
pubmed: 17907317
Int J Public Health. 2014 Feb;59(1):43-50
pubmed: 23529384
Appl Health Econ Health Policy. 2011;9(1):15-27
pubmed: 21033766
Obesity (Silver Spring). 2010 Feb;18 Suppl 1:S4-7
pubmed: 20107460
Cochrane Database Syst Rev. 2011 Dec 07;(12):CD001871
pubmed: 22161367
Qual Health Res. 2010 Mar;20(3):340-51
pubmed: 20054040
Int J Behav Nutr Phys Act. 2010 Dec 31;7:92
pubmed: 21194427
Pharmacoeconomics. 2015 Oct;33(10):1013-28
pubmed: 25985933
Value Health. 2015 Jun;18(4):432-8
pubmed: 26091597
Arch Dis Child. 1995 Jul;73(1):25-9
pubmed: 7639544
Obes Rev. 2001 Aug;2(3):173-82
pubmed: 12120102
J Sci Med Sport. 2005 Sep;8(3):284-93
pubmed: 16248469
Prev Med. 1999 Dec;29(6 Pt 1):563-70
pubmed: 10600438
Lancet. 2016 Feb 27;387(10021):825-7
pubmed: 26823046
Obesity (Silver Spring). 2008 Feb;16(2):275-84
pubmed: 18239633
Obes Rev. 2012 Apr;13(4):299-315
pubmed: 22106871
Qual Life Res. 2012 May;21(4):717-25
pubmed: 21837445
Public Health Nutr. 2009 Oct;12(10):1735-42
pubmed: 19102807
Appl Health Econ Health Policy. 2015 Oct;13(5):485-92
pubmed: 26135244
Pediatr Obes. 2014 Dec;9(6):455-62
pubmed: 24203373
J Am Diet Assoc. 2006 Jun;106(6):925-45
pubmed: 16812927
Aust N Z J Public Health. 2011 Apr;35(2):131-4
pubmed: 21463408
Am J Clin Nutr. 2010 Apr;91(4):831-40
pubmed: 20147472
Med J Aust. 2014 Jun 2;200(10):558-9
pubmed: 24882471
BMJ. 2007 Jul 28;335(7612):194
pubmed: 17591624
ISRN Obes. 2013 Mar 19;2013:752081
pubmed: 24555153
Soc Sci Med. 2016 Nov;168:43-52
pubmed: 27639051
Health Educ Res. 2014 Dec;29(6):918-32
pubmed: 25214513