The effectiveness of a 10-week family-focused e-Health healthy lifestyle program for school-aged children with overweight or obesity: a randomised control trial.

IF 3.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Diana Zhu, Aimee L Dordevic, Simone Gibson, Zoe E Davidson
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引用次数: 0

Abstract

Background: Electronic health (e-Health) interventions may increase effectiveness and address limitations of conventional in-person childhood obesity treatment programs. This study evaluates the effectiveness of a 10-week e-Health (web-based) healthy lifestyle program for school-aged children with overweight/obesity.

Methods: In this randomised control trial (RCT), families with children aged 7-13 years with overweight/obesity (body mass index, BMI ≥ 85th percentile), living in Victoria, Australia, were recruited. Families were randomised to intervention or waitlist control and received the 10-week web-based program. The primary outcome was the change in children's BMI z-score over 10 weeks. Other outcomes included change in children's waist circumference, dietary intake, physical activity, and quality of life over 10 weeks.

Results: Of 148 children (125 families) recruited, 102 children (85 families) completed the RCT. A significant decrease in children's BMI z-scores was observed in the intervention compared to the control group over 10 weeks (mean difference 0.11; 95% CI, 0.02-0.20). The web-based program was also effective in improving children's quality of life and lifestyle behaviour changes over 10 weeks. In the intervention group, there was a significant increase in children's quality of life scores (intervention versus control: median change (IQR) = 11 (3, 17) versus 1 (-3, 7); p = 0.034), overall diet quality scores (6 (2, 10) versus 2 (-3, 5); p < 0.001), and daily physical activity levels (5.2 (-2.6, 12.8) versus - 0.2 (-8.2, 4.5); p = 0.022) compared to the control group.

Conclusions: A web-based healthy lifestyle program effectively improved short-term health-related outcomes in children with overweight/obesity. Further research is needed to identify determinants of program effectiveness, evaluate sustained effects, and equitably tailor childhood obesity e-Health interventions to diverse populations.

Trial registration: This study was registered with the Australian New Zealand Clinical Trial Registry (ACTRN12621001762842) on November 11, 2021, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=383053 .

一项针对超重或肥胖学龄儿童的10周以家庭为中心的电子健康健康生活方式计划的有效性:一项随机对照试验。
背景:电子健康(e-Health)干预措施可以提高有效性并解决传统的面对面儿童肥胖治疗方案的局限性。本研究评估了一个为期10周的电子健康(基于网络的)健康生活方式项目对超重/肥胖学龄儿童的有效性。方法:在这项随机对照试验(RCT)中,招募了生活在澳大利亚维多利亚州的7-13岁超重/肥胖(体重指数,BMI≥85百分位)儿童的家庭。家庭被随机分配到干预组或候补组,并接受为期10周的网络项目。主要结果是儿童BMI z-score在10周内的变化。其他结果包括10周内儿童腰围、饮食摄入、身体活动和生活质量的变化。结果:在148名儿童(125个家庭)中,102名儿童(85个家庭)完成了随机对照试验。与对照组相比,干预组儿童的BMI z分数在10周内显著下降(平均差0.11;95% ci, 0.02-0.20)。在10周的时间里,这个基于网络的项目在改善儿童的生活质量和改变生活方式行为方面也很有效。在干预组,儿童生活质量得分显著增加(干预组与对照组:中位数变化(IQR) = 11(3,17)对1 (- 3,7);P = 0.034),总体饮食质量评分(6(2,10)对2 (- 3,5);p结论:基于网络的健康生活方式项目有效地改善了超重/肥胖儿童的短期健康相关结局。需要进一步的研究来确定项目有效性的决定因素,评估持续效果,并公平地为不同人群量身定制儿童肥胖电子健康干预措施。试验注册:本研究已于2021年11月11日在澳大利亚新西兰临床试验注册中心(ACTRN12621001762842)注册,网址为https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=383053。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Public Health
BMC Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
4.40%
发文量
2108
审稿时长
1 months
期刊介绍: BMC Public Health is an open access, peer-reviewed journal that considers articles on the epidemiology of disease and the understanding of all aspects of public health. The journal has a special focus on the social determinants of health, the environmental, behavioral, and occupational correlates of health and disease, and the impact of health policies, practices and interventions on the community.
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