Effects of a family home-based intervention on global health and 24h movements: an exploratory family cluster-based approach to childhood obesity.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health Pub Date : 2026-06-25 eCollection Date: 2026-01-01 DOI:10.3389/ijph.2026.1609165

Julie Siroux, Juliette Lemay, Inès Ramos, Vicky Drapeau, Jean-Phillipe Chaput, Elodie Vedrine, Carla Dalmais, Victoria Rousset-Thiry, David Thivel, Yves Boirie, Magalie Miolanne

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引用次数: 0

Abstract

Objectives: This study aimed at (i) exploring the effects of a 12-month home-based family intervention on perceived global health and 24 h movement patterns among children with overweight/obesity (OW/OB) and their family members; (ii) identifying intra-family behavioral clusters and their influence on the intervention's effectiveness.

Methods: 142 families (n = 223 legal guardians) with at least one child with OW/OB were included. At baseline and 12 months, perceived health, sleep, physical activity (PA) and sedentary behaviors (SB) were assessed.

Results: Children with OW/OB showed poorer physical and mental quality of life (QoL) than normal weight (NW) ones (p < 0.001), and decreased body mass index (BMI) z-score over time (p = 0.001). Guardians with OW/OB improved physical QoL at the end of the program (p = 0.002). For all outcomes, clusters analysis suggested a distinction between NW children and those with OW/OB. Children tended to resemble their guardians of same weight status (WS). Changes in BMI z-scores among children with OW/OB might vary by QoL and behavioral profiles with greatest reductions in clusters having higher baseline global health or PA.

Conclusion: This study suggests the potential of family-centered strategies addressing childhood obesity.

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以家庭为基础的干预对全球健康和24小时运动的影响：一种基于家庭集群的儿童肥胖探索性方法

目的：本研究旨在(i)探索12个月的家庭干预对超重/肥胖儿童（OW/OB）及其家庭成员感知的整体健康和24小时运动模式的影响；（ii）确定家庭内部行为集群及其对干预效果的影响。方法：纳入142个至少有一名OW/OB患儿的家庭（223名法定监护人）。在基线和12个月时，评估感知健康、睡眠、身体活动（PA）和久坐行为（SB）。结果：OW/OB患儿的身心生活质量（QoL）较正常体重（NW）患儿差（p < 0.001），体重指数（BMI） z-score随时间推移而下降（p = 0.001）。OW/OB的监护人在项目结束时改善了身体生活质量（p = 0.002）。对于所有结果，聚类分析表明NW儿童和OW/OB儿童之间存在差异。儿童倾向于与其体重状况相同的监护人（WS）相似。OW/OB患儿BMI z分数的变化可能因生活质量和行为特征而异，在基线总体健康或PA较高的群体中下降幅度最大。结论：本研究提示以家庭为中心的策略解决儿童肥胖的潜力。

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

International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.