Public Health最新文献

{"title":"The effect of parents' lifestyle on Schoolchildren's consumption of ultra-processed food","authors":"G.A.L. Oliveira ,&nbsp;V.S.S. Gonçalves ,&nbsp;E.Y. Nakano ,&nbsp;N. Toral","doi":"10.1016/j.puhe.2024.11.005","DOIUrl":"10.1016/j.puhe.2024.11.005","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the association between schoolchildren's consumption of ultra-processed foods (UPFs) and various lifestyle factors of their parents in Brazil.</div></div><div><h3>Study design</h3><div>Cross-sectional population-based study with parent-child dyads aged 6–11.</div></div><div><h3>Methods</h3><div>The sample was distributed proportionally across Brazilian macro-regions and type of school. Recruitment utilized the snowball technique, and participants filled in an online questionnaire. Initially, parents provided data on education, eating practices, food consumption markers, screen time, and physical activity. Subsequently, their children reported their UPF consumption using the Illustrated Questionnaire on Food Consumption for Brazilian Schoolchildren. The UPF consumption among children was assessed using the NOVA score. Poisson's regression log-linear analysis was performed (p &lt; 0.05) with adjustments for macro-regions, type of school (as a proxy for socioeconomic status), gender, and age of the child.</div></div><div><h3>Results</h3><div>This study included a total of 2021 child-parent dyads. On average, children consumed 3.5 UPFs on the previous day. We found a significant association between high consumption of UPFs by the child and parents with less healthy eating practices (p &lt; 0.05), excessive screen time (p &lt; 0.05), and high UPF consumption (p &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>These findings demonstrate a relationship between Brazilian schoolchildren's consumption of UPFs and various lifestyle factors of their parents, particularly regarding eating practices, food consumption markers, screen time, and physical activity. This underscores the importance of the home food environment in shaping children's health during this critical developmental stage of life, emphasizing the need to incorporate support for family lifestyle factors into public health policies.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 443-448"},"PeriodicalIF":3.9,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender-dependent effect of physical activity on the risk of incident multimorbidity during the COVID-19 pandemic: Findings from the PAMPA cohort, Brazil","authors":"Natan Feter ,&nbsp;Felipe Mendes Delpino ,&nbsp;Felipe Fossati Reichert ,&nbsp;Eduardo L. Caputo ,&nbsp;Airton J. Rombaldi ,&nbsp;Caroline Huckembeck ,&nbsp;Jayne Santos Leite ,&nbsp;Carine Nascimento da Silva ,&nbsp;Júlia Cassuriaga ,&nbsp;Ricardo Alt ,&nbsp;Marcelo Cozzensa da Silva","doi":"10.1016/j.puhe.2024.11.006","DOIUrl":"10.1016/j.puhe.2024.11.006","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to investigate the association between physical activity (PA) and the risk of incident multimorbidity in adults from southern Brazil during the COVID-19 pandemic.</div></div><div><h3>Study design</h3><div>Prospective Study.</div></div><div><h3>Methods</h3><div>We analyzed data from the Prospective Study about Physical and Mental Health (PAMPA) cohort, a longitudinal study of adults living in southern Brazil. The baseline assessment occurred in June/July 2020, and further data collection occurred 6 and 12 months later. Participants with no multimorbidity (2 or more simultaneous chronic conditions) at baseline were included in the present analysis. PA weekly volume, status, type, and place were also assessed at baseline.</div></div><div><h3>Results</h3><div>Over one year, 30.8 % of participants developed multimorbidity. Men participants, classified as physically active before or during the pandemic, had reduced risk of multimorbidity. Practicing PA at home reduced the risk in both genders, while PA at and out of home only reduced the risk in women participants. Endurance and combined activities reduced the risk among women, while strength activities reduced the risk in both genders.</div></div><div><h3>Conclusions</h3><div>PA reduced the risk of incident multimorbidity among adults in southern Brazil, with different parameters moderating this effect between genders.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 449-455"},"PeriodicalIF":3.9,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Envisioning the sustainable and climate resilient hospital of the future","authors":"Federica Pascale ,&nbsp;Nebil Achour","doi":"10.1016/j.puhe.2024.10.028","DOIUrl":"10.1016/j.puhe.2024.10.028","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to create a vision of the future hospital to help healthcare leaders understand how changes in society and the healthcare system, compounded by climate change, could affect future hospital estate.</div></div><div><h3>Study design</h3><div>The study is part of a larger project based on participatory backcasting aimed at providing integrated strategies for transitioning to a zero-carbon future and adapting to existing climate change through improved asset management.</div></div><div><h3>Methods</h3><div>The data presented in this paper were collected during a full-day workshop to construct the vision of the future hospital in 2050. A multidisciplinary team of 19 participants participated in the discussions. A six-phase thematic analysis was applied to the data to develop the narrative vision and graphic recording.</div></div><div><h3>Results</h3><div>The healthcare system is undergoing transformative changes due to evolving healthcare delivery, patient expectations, emerging technologies, climate change, and sustainability. However, current hospital strategies often fail to consider the interrelationship between the hospital estate and its socio-environmental context. Policymakers, healthcare system leaders, and hospital leaders need a clear vision of the hospital of the future to implement transformational strategies.</div></div><div><h3>Conclusions</h3><div>Healthcare transformations require shifting from traditional centralised hospitals to a more flexible, distributed model. Healthcare leaders need to proactively assess how hospitals respond to current and future hazards and consider the impacts within the context of integrated and dispersed healthcare delivery. To address this, a systematic approach to modelling hazards and evaluating design or upgrading options is essential to mitigate the transfer of climate-related risks within healthcare systems.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 435-442"},"PeriodicalIF":3.9,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sugar-sweetened beverage consumption in Thailand: Determinants and variation across socioeconomic status","authors":"Kittiphong Thiboonboon,&nbsp;Richard De Abreu Lourenco,&nbsp;Jody Church,&nbsp;Stephen Goodall","doi":"10.1016/j.puhe.2024.10.037","DOIUrl":"10.1016/j.puhe.2024.10.037","url":null,"abstract":"<div><h3>Objectives</h3><div>Reducing consumption of sugar-sweetened beverages (SSBs) is a primary public health goal in Thailand, but information on the characteristics of SSB consumers remains limited. This study aims to gain knowledge about the characteristics of SSB consumers in Thailand.</div></div><div><h3>Study design</h3><div>Secondary analysis of survey data.</div></div><div><h3>Methods</h3><div>The study used data from the Health Behaviour of Population Survey conducted by Thailand's National Statistics Office between February and May 2021. SSB consumption was sourced from a survey question about the consumption of prepackaged sugar-sweetened non-alcoholic beverages. The influence of demographic, socioeconomic, behavioural, habitual, and health factors on mean daily intake and daily consumption was assessed using a two-part model and logistic regression analysis, respectively. Decomposition analysis was conducted to understand how the impact of these factors affecting SSB consumption varied across socioeconomic groups.</div></div><div><h3>Results</h3><div>Frequent SSB consumers exhibited various unhealthy behaviours, including smoking, unhealthy food consumption, low physical activity, and making food selections driven by appetitive motivations. Although higher socioeconomic status was associated with greater consumption of SSBs, it stabilised at elevated income levels. Increased SSB consumption in higher socioeconomic groups was linked to mixed eating habits, being overweight, and occasional drinking, while in lower socioeconomic groups, it was associated with unhealthy behaviours like smoking, regular alcohol drinking, appetitive food choices, and low physical activity.</div></div><div><h3>Conclusions</h3><div>SSB consumption in Thailand is multifactorial, varying by socioeconomic status. These insights are crucial for policy formation aimed at reducing SSB consumption in the country. Policymakers should explore interventions that address overall unhealthy behaviours alongside those targeting overconsumption of SSBs.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 426-434"},"PeriodicalIF":3.9,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The epidemiological profile and morbidity-mortality patterns of the natural hazards-related disasters in the Americas from 2000 to 2021","authors":"Andrea Fernández García,&nbsp;Rick Kye Gan,&nbsp;José Antonio Cernuda Martínez,&nbsp;Pedro Arcos González","doi":"10.1016/j.puhe.2024.11.004","DOIUrl":"10.1016/j.puhe.2024.11.004","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the epidemiological profile of natural hazard-related disasters in the Americas between 2000 and 2021.</div></div><div><h3>Study design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>Mean and standard deviation were used to calculate the mean rates of affected individuals, injuries, and mortality per year and per million inhabitants. The ANOVA test was applied between the calculated mean rates by type of disasters. Exponential smoothing was used to forecast the number of disasters up to the year 2026.</div></div><div><h3>Results</h3><div>A total of 2045 natural hazard-related disasters were recorded. Of these, 81 (3.96 %) were biological, 199 (9.73 %) were climatological, 140 (6.85 %) were geophysical, 843 (41.22 %) were hydrological, and 782 (38.24 %) were meteorological. A statistically significant difference was observed between the mean injury rates per million inhabitants of natural hazard-related disasters (F = 3.40; p = 0.010). The mortality rate per million inhabitants (F = 0.43; p = 0.786) and the mean affected rate per million inhabitants (F = 0.68; p = 0.609) were not found to be statistically significant regarding the type of disaster. The results demonstrated no statistically significant decline in the mean rate of affected individuals per million inhabitants (tau = −0.086, p = 0.336), the mean mortality rate per million inhabitants (tau = −0.221, p = 0.159), and the mean rate of injuries per million inhabitants (tau = 0.169, p = 0.284).</div></div><div><h3>Conclusions</h3><div>Hydrological disasters had the highest mean mortality rate, biological disasters had the highest mean injury rate, and geophysical disasters had the highest mean rate of affected individuals.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 418-425"},"PeriodicalIF":3.9,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between triglyceride glucose-body mass index and depression among US adults: A cross-sectional study","authors":"Lu Zhang ,&nbsp;Haiyang Sun ,&nbsp;Jiahui Yin ,&nbsp;Zerun Zhang ,&nbsp;Jiguo Yang ,&nbsp;Yuanxiang Liu","doi":"10.1016/j.puhe.2024.10.032","DOIUrl":"10.1016/j.puhe.2024.10.032","url":null,"abstract":"<div><h3>Objectives</h3><div>The triglyceride glucose-body mass index (TyG-BMI) is a well-established surrogate marker for insulin resistance. While an association between insulin resistance and depression has been identified, that between TyG-BMI and depression remains unclear. Therefore, we used data from the National Health and Nutrition Examination Survey (NHANES) database to investigate this.</div></div><div><h3>Study design</h3><div>This cross-sectional study included 9673 adults (aged ≥20 years) from the NHANES in the United States from 2011 to 2020.</div></div><div><h3>Methods</h3><div>Depressive symptoms were assessed using a nine-item version of the Patient Health Questionnaire. The covariates included age, sex, race/ethnicity, marital status, educational level, poverty-income ratio, smoking status, alcohol intake, diabetes status, cardiovascular disease, hypertension, physical activity, high-density lipoprotein, low-density lipoprotein, and total cholesterol. Multivariate logistic regression models, subgroup analyses, and threshold saturation effect analyses were conducted.</div></div><div><h3>Results</h3><div>After adjusting for age, sex, race/ethnicity, marital status, education level, poverty-income ratio, smoking status, drinking status, diabetes status, cardiovascular disease, hypertension, physical activity, total cholesterol, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol, the threshold saturation effect showed a TyG-BMI inflection point of 174.4. Below the inflection point, a 10-unit increase in TyG-BMI was associated with a 12 % lower prevalence of depression. Above the inflection point, each 10-unit increase in TyG-BMI was associated with a 4 % increase in prevalence of depression.</div></div><div><h3>Conclusions</h3><div>TyG-BMI had a U-shaped relationship with prevalence of depression. There was a significant link between higher TyG-BMI levels and increased prevalence of depression. When the TyG-BMI value was below 174.4, any further increase in TyG-BMI was associated with a significantly lower prevalence of depression.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 410-417"},"PeriodicalIF":3.9,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Environmental and occupational exposure to organochlorine pesticides associated with Parkinson's disease risk: A systematic review and meta-analysis based on epidemiological evidence","authors":"Yang Xu ,&nbsp;Yan Su ,&nbsp;Sheng Cai ,&nbsp;Yuanhang Yao ,&nbsp;Xianwen Chen","doi":"10.1016/j.puhe.2024.10.035","DOIUrl":"10.1016/j.puhe.2024.10.035","url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to analyze the association between environmental and occupational organochlorine pesticides (OCPs) exposure and Parkinson's disease (PD) risk.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>A comprehensive search of articles before March 18, 2024, was conducted through PubMed, Cochrane, Embase, Medlin and Web of Science databases, and the relevant data were expressed as odds ratios (OR) and 95 % confidence intervals (CI). Newcastle-Ottawa Scale (NOS) was used to evaluate literature quality. STATA (Version 11.0) was used for analysis.</div></div><div><h3>Results</h3><div>This meta-analysis included 17 case-control studies. The results showed that OCPs exposure increased PD risk, including seven blood sample assessment exposure (BOCPs) studies (OR = 1.54, 95 % CI = 1.32–1.79) and 10 indirect assessment exposure (IOCPs) studies (OR = 1.19, 95 % CI = 1.04–1.35). Location subgroup analysis showed that OCPs was positively associated with PD risk in Asia, while there was no statistical significance in North America and Europe. The IOCPs functional subclasses subgroup results suggested that organochlorine insecticides were significantly associated with PD risk (OR = 1.18, 95%CI = 1.03–1.37). Study time may be a factor of high heterogeneity in BOCPs. In addition, BOCPs (OR = 1.49, 95%CI = 1.28–1.74) and IOCPs (OR = 1.10, 95%CI = 0.95–1.26) showed different results with PD risk.</div></div><div><h3>Conclusions</h3><div>Study suggests that OCPs exposure may be a risk factor for PD, but there may be location and OCPs type differences.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 374-386"},"PeriodicalIF":3.9,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between voluntary health insurance and health outcomes in older adults in Europe: A survival analysis","authors":"Yamato Uejima ,&nbsp;Filippos T. Filippidis ,&nbsp;Thomas Hone ,&nbsp;Christopher Millett ,&nbsp;Raffaele Palladino","doi":"10.1016/j.puhe.2024.10.031","DOIUrl":"10.1016/j.puhe.2024.10.031","url":null,"abstract":"<div><h3>Objectives</h3><div>Voluntary health insurance (VHI) often serves a supplementary role in Europe. The ageing population and adoption of cost-sharing models in response to economic pressures raise concerns that VHI could contribute to health inequalities among older people. This study investigates the association of VHI with health outcomes among older people across 16 European countries and Israel.</div></div><div><h3>Study design</h3><div>Prospective cohort study.</div></div><div><h3>Methods</h3><div>Data on participants aged ≥50 years across 16 European countries and Israel were obtained from four waves (2013–2020) of the Survey of Health, Ageing, and Retirement in Europe (SHARE). Gompertz proportional hazards models assessed the association of VHI with mortality and multimorbidity. Hazard ratios (HR) and 95 % confidence intervals (CI) are reported.</div></div><div><h3>Results</h3><div>VHI prevalence was 38.2 % in 2013 and 34.9 % in 2015, with a higher prevalence among higher-income groups. VHI was associated with a 13 % lower risk of mortality (HR: 0.87, 95% CI: 0.81–0.94) after accounting for demographic, socioeconomic, lifestyle, and health-related factors. VHI was also associated with a lower risk of multimorbidity (HR: 0.92, 95 % CI: 0.87–0.97).</div></div><div><h3>Conclusions</h3><div>VHI was associated with a reduced risk of mortality and multimorbidity, after adjusting for demographic, socioeconomic, lifestyle, and health-related factors. VHI might facilitate the access to timely and high-quality healthcare services, which may exacerbate health inequalities among older individuals.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 361-366"},"PeriodicalIF":3.9,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Solid fuel combustion and adverse pregnancy outcomes: A nationwide study on stillbirth in India","authors":"Mohammad Hammad ,&nbsp;Mohd Asfahan Nomani ,&nbsp;Mohammad Hifz Ur Rahman","doi":"10.1016/j.puhe.2024.10.036","DOIUrl":"10.1016/j.puhe.2024.10.036","url":null,"abstract":"<div><h3>Objectives</h3><div>Stillbirth is a significant public health challenge in India, accounting for a substantial portion of the global burden. Exposure to household air pollution from solid fuel combustion during pregnancy has been associated with adverse pregnancy outcomes, including stillbirth. This study aimed to investigate the association between solid fuel use and stillbirth risk in India, utilizing data from the National Family Health Survey 5 (NFHS-5).</div></div><div><h3>Study design</h3><div>Nationwide cross-sectional study.</div></div><div><h3>Methods</h3><div>The study employed data from the NFHS-5, a nationally representative cross-sectional survey conducted in India from 2019 to 2021. The study sample consisted of 204,723 women aged 15–49 years who had a pregnancy in the past 5 years preceding the survey. Stillbirth was calculated using calendar data, providing robust estimates. Logistic regression analysis was performed to assess the relationship between solid fuel use and stillbirth, adjusting for various sociodemographic and maternal factors.</div></div><div><h3>Results</h3><div>The use of unclean cooking fuels was significantly associated with an increased risk of stillbirth (OR = 1.34, 95 % CI: 1.13–1.58, p &lt; 0.001) compared to clean fuels. Other factors associated with higher stillbirth risk included rural residence, lower maternal education, belongingness to certain social categories, delivering at private healthcare facilities, limited antenatal visits, and undergoing caesarean delivery.</div></div><div><h3>Conclusions</h3><div>The findings highlight the detrimental impact of solid fuel use on stillbirth rates in India, underscoring the need for targeted interventions to promote cleaner cooking technologies and address socioeconomic disparities. Efforts to transition households towards cleaner energy sources and improve access to quality maternal healthcare services are crucial for reducing the burden of stillbirth in India.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 367-373"},"PeriodicalIF":3.9,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three-year behavioural, health-related quality of life, and body mass index outcomes from the RESPOND randomized trial","authors":"Steven Allender ,&nbsp;Cadeyrn J. Gaskin ,&nbsp;Denise Becker ,&nbsp;Michelle Jackson ,&nbsp;Liliana Orellana ,&nbsp;Josh Hayward ,&nbsp;Colin Bell ,&nbsp;Melanie Nichols ,&nbsp;Vicki Brown ,&nbsp;Monique Hillenaar ,&nbsp;Marj Moodie ,&nbsp;Anna Peeters ,&nbsp;Andrew D. Brown ,&nbsp;Jillian Whelan ,&nbsp;Boyd Swinburn ,&nbsp;Claudia Strugnell","doi":"10.1016/j.puhe.2024.10.015","DOIUrl":"10.1016/j.puhe.2024.10.015","url":null,"abstract":"<div><h3>Objectives</h3><div>Evaluate RESPOND, a community-based systems intervention to prevent childhood obesity and non-communicable diseases (NCD).</div></div><div><h3>Study design</h3><div>Cluster randomized trial of building community capacity to use systems science for child obesity and NCD prevention in 10 local government areas in northeast Victoria, Australia. Four-year stepped wedge trial, adapted due to COVID-19 restrictions</div></div><div><h3>Methods</h3><div>Cluster randomized trial of building community capacity to use systems science for child obesity and NCD prevention in 10 local government areas in northeast Victoria, Australia. Four-year stepped wedge trial, adapted due to COVID-19 restrictions. Data from 31 primary schools participating at both March to June 2019 (60 % school participation rate), and March to August 2022 (30 %) analysed using linear mixed models. Primary outcome was age-sex-adjusted body mass index z-scores (BMIz) calculated from measured height and weight (children in grades 2, 4 and 6 [aged 7–12 years]). Secondary outcomes were health-related quality of life (HRQoL) and self-reported health behaviours (grades 4 and 6).</div></div><div><h3>Results</h3><div>Non-significant intervention effects were observed for BMIz (−0.10; 95 % CI: 0.30, 0.11), and percentage with overweight or obesity (−5.4 %; 95 % CI: 13.6 %, 2.7 %). HRQoL deteriorated between 2019 and 2022, except where intervention effects for HRQoL were observed in boys’ psychosocial health summary score (7.4; 95% CI: 3.5, 11.2) and total scale score (9.9; 95% CI: 5.5, 14.2). There was an intervention effect for the proportion of boys consuming ≥5 glasses of water per day (15.2 %; 95% CI: 0.9–29.6).</div></div><div><h3>Conclusion</h3><div>RESPOND protected overall and psychosocial health and had positive effects on BMIz.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 344-353"},"PeriodicalIF":3.9,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}