International Journal of Behavioral Nutrition and Physical Activity最新文献

{"title":"Health-related outcomes of youth sport participation: a systematic review and meta-analysis.","authors":"Dennis Bengtsson, Joar Svensson, Virginia Wiman, Andreas Stenling, Erik Lundkvist, Andreas Ivarsson","doi":"10.1186/s12966-025-01792-x","DOIUrl":"10.1186/s12966-025-01792-x","url":null,"abstract":"<p><strong>Background: </strong>Participating in youth sports can benefit individuals' psychological (e.g., fewer depressive symptoms, improved self-esteem), social (e.g., improved social skills, learning to work with others as a team), and physical health-related outcomes (e.g., higher physical activity levels, lower body fat), aligning with global sustainable development goals. Nevertheless, little is known about the magnitude concerning the effects of youth sport participation on such health-related outcomes compared with nonparticipation over time from childhood to adulthood. In this paper, we systematically review the extant longitudinal research and estimate the effects of youth sport participation on several psychological, physical, and social outcomes compared with nonparticipation.</p><p><strong>Methods: </strong>Electronic database searches were employed to identify English-language peer-reviewed studies published from the earliest date until October 4, 2024. By using a priori criteria for inclusion and exclusion, we included 46 out of 4588 identified individual studies in the systematic review and 38 of the eligible studies for calculation of Cohen's d effect size estimates.</p><p><strong>Results: </strong>Together, the follow-up measurements of the included studies varied from 1 to 54 years after baseline, and the sample sizes ranged from 76 to over 50,000 participants. The meta-analysis revealed that youth sport participation had positive and statistically significant low- to medium-sized effects on physical activity, health and wellbeing, and negative small- to medium-sized effects on unhealthy body composition and mental ill-being over time.</p><p><strong>Conclusions: </strong>This study provides evidence that participating in youth sports can have health-promoting effects throughout childhood, adolescence, and adulthood. This advocates for collaborative efforts among national governments, sport governing bodies, communities, and sports clubs to create an accessible and inclusive youth sport environment where young people can thrive and reap the health benefits of sport participation.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"89"},"PeriodicalIF":5.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimal dosage of group-based organized physical activity for enhancing social abilities in autistic children: insights from a multilevel meta-analysis.","authors":"Jinrong He, Yikang Gong, Mingyue Yin, Lei Zhang, Xueping Wu","doi":"10.1186/s12966-025-01787-8","DOIUrl":"10.1186/s12966-025-01787-8","url":null,"abstract":"<p><strong>Background: </strong>In response to current research trends emphasizing training programs to develop daily living skills in autistic children, this study employs a meta-analysis to explore the impact of group-based organized physical activity (GBOPA) on the social abilities of autistic children from multiple perspectives and further investigates its dose‒response relationship to define the \"optimal\" dose.</p><p><strong>Methods: </strong>We searched the PubMed, Web of Science, Embase, and Cochrane Library databases to identify relevant studies and screen their references. The effect size was calculated via Hedges' g, and three-level random effects models were constructed via the metafor package in R. Moderation and regression analyses were conducted to explore significant influencing factors.</p><p><strong>Results: </strong>This study included 24 articles from ten countries and included 1,042 participants (aged 4.56-11.11 years). The meta-analysis results clearly show that GBOPA can significantly improve social abilities (g = 0.48, Q = 114.84), including social functioning (g = 0.50, Q = 62.97) and communication (g = 0.37, Q = 48.07), in autistic children. Moderation analysis indicated that different age groups and training frequencies significantly affected social ability (between-group difference: p < 0.05). Specifically, interventions for early childhood children (g = 0.65) and a frequency of five sessions per week (g = 0.69) significantly enhanced the training effects on social ability. The multivariate meta-regression analysis results suggest that the optimal intervention for improving social ability in autistic children consists of 40 training sessions, each lasting 50 min.</p><p><strong>Conclusions: </strong>GBOPA can improve the social abilities of autistic children, including social functioning and communication. On the basis of existing evidence, GBOPA should be prioritized for early childhood autistic children (5 sessions per week, 50 min per session), followed by a transition to a maintenance intervention strategy (1-2 sessions per week) after completing the 8-week foundational cycle (a total of 2,000 min of exercise).</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"87"},"PeriodicalIF":5.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ecological momentary assessment of meal context and food types contributing to salt intake at meals.","authors":"Nana Shinozaki, Kentaro Murakami, Shizuko Masayasu, Satoshi Sasaki","doi":"10.1186/s12966-025-01780-1","DOIUrl":"10.1186/s12966-025-01780-1","url":null,"abstract":"","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"85"},"PeriodicalIF":5.6,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlates and determinants of physical activity among older adults of lower versus higher socio-economic status: a systematic review and meta-analysis.","authors":"Olivia S Malkowski, Jessica Harvey, Nick P Townsend, Mark J Kelson, Charlie E M Foster, Max J Western","doi":"10.1186/s12966-025-01775-y","DOIUrl":"10.1186/s12966-025-01775-y","url":null,"abstract":"<p><strong>Background: </strong>Understanding socio-economic differences in the factors influencing physical activity among older adults is essential for developing comprehensive interventions. We aimed to quantify the associations of modifiable correlates and determinants on physical activity among older adults of lower versus higher socio-economic status in the United Kingdom.</p><p><strong>Methods: </strong>In this systematic review and meta-analysis, we searched MEDLINE, Embase, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), and Scopus from inception to December 2023, for peer-reviewed studies published in English, investigating associations between a modifiable factor as an independent variable and physical activity as a dependent variable, by socio-economic status (defined according to various area- and individual-level indicators, including neighbourhood deprivation, wealth or income, education, and occupational class), in samples of community-dwelling older adults aged 60+ years in the United Kingdom. Hospitalised and institutionalised populations were excluded. Random effects meta-analyses were performed separately for people of lower and higher socio-economic status. Risk of bias was assessed with the Mixed Methods Appraisal Tool. This study was registered with the International prospective register of systematic reviews (PROSPERO; CRD42022351708).</p><p><strong>Results: </strong>Searches identified 11,472 references; seventy-seven studies met the selection criteria, of which fifty-one contributed to meta-analyses (N range = 134-29,280). Of the exposures positively associated with physical activity, physical function, social participation, and perception of general health had the largest effect sizes (standardised mean difference [SMD] range = 0.53-0.81; I² range = 54.81-91.00%). Estimates were comparable among older adults of lower and higher socio-economic status, except for the presence of built physical activity facilities, access to walking and cycling infrastructure, and less smoking, which were positively associated with physical activity only among individuals of lower socio-economic status.</p><p><strong>Conclusions: </strong>Our results suggest researchers need to better understand discrepancies in the prevalence of the assessed correlates (e.g., fewer participants of lower socio-economic status reported good physical function) to inform policies that reduce inequalities in older adults' physical activity levels. However, most studies were cross-sectional. Future longitudinal and experimental research should gauge the suitability of these correlates as intervention targets.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"83"},"PeriodicalIF":5.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12183859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enablers and barriers to physical activity among older adults of low socio-economic status: a systematic review of qualitative literature.","authors":"Olivia S Malkowski, Jessica Harvey, Nick P Townsend, Mark J Kelson, Charlie E M Foster, Max J Western","doi":"10.1186/s12966-025-01753-4","DOIUrl":"10.1186/s12966-025-01753-4","url":null,"abstract":"<p><strong>Background: </strong>Understanding the factors influencing physical activity in older adults, and whether they vary according to socio-economic status (SES), could help to inform interventions that are effective in reducing inequalities and improving the quality of life of an ageing population. This systematic review aimed to synthesise the qualitative evidence on the modifiable enablers of, and barriers to, physical activity based on low-SES older adults' perspectives in the United Kingdom (UK). A secondary aim was to identify and summarise differences in physical activity enablers and barriers between older adults of low and high SES.</p><p><strong>Methods: </strong>We searched five electronic databases from inception to December 2023 for studies conducted among UK-based, community-dwelling older adults aged 60+ years including qualitative methods, with results reported by SES. We excluded hospitalised or institutionalised participants. Risk of bias was assessed with the Mixed Methods Appraisal Tool, and framework synthesis was applied using the Capability, Opportunity, Motivation, and Behaviour (COM-B) model.</p><p><strong>Results: </strong>Thirty studies were included in the review, of which five specifically examined inequalities in physical activity enablers and barriers. Low-SES older adults' physical capability was influenced by fitness, mobility, and general health, while their psychological capability was shaped by knowledge and behavioural regulation. Physical opportunity was characterised by safety, pedestrian infrastructure, access to physical activity opportunities and daily destinations, environmental quality, and aesthetics. Themes under social opportunity encompassed social support, social norms, social engagement, and dog ownership. Physical activity was motivated by reflective processes, such as outcome expectancies, self-efficacy, and attitudes, as well as automatic processes, including habits, lack of time, and enjoyment. Few studies investigated differences between participants of low and high SES, with those that did predominantly pointing to disparities in the physical or built environment.</p><p><strong>Conclusions: </strong>This meta-synthesis of qualitative literature identified a wide range of interacting factors influencing physical activity across socio-ecological and COM-B domains, underscoring whole-system interventions as a potential approach to stimulate meaningful and sustained change. Future research could report results by SES to enhance our understanding of inequalities and ensure that low-SES older adults are represented in the development and evaluation of interventions targeting improvements in physical activity.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"82"},"PeriodicalIF":5.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12183869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are we working (too) comfortably?: the systematic development of an intervention to support workers to move more while working at home.","authors":"Divya Sivaramakrishnan, Claire Fitzsimons, Sarah Morton, Jillian Manner, Ruth Jepson, Ailsa Niven","doi":"10.1186/s12966-025-01762-3","DOIUrl":"10.1186/s12966-025-01762-3","url":null,"abstract":"<p><strong>Background: </strong>Covid-19 accelerated a transformational change in working practices, with a considerable proportion of desk-based workers now engaged in home or hybrid working. Working at home appears to exacerbate the already elevated levels of unhealthy occupational sedentary behaviour, and there is a need to support employees to reduce sedentary behaviour while working at home. The aim of this study was to develop an intervention to support employees to reduce sedentary behaviour when working at home utilising the novel integration of the Six Steps in Quality Intervention Development (6SQuID) and Behaviour Change Wheel (BCW) intervention development frameworks.</p><p><strong>Methods: </strong>We report on 6SQuID steps 1-5, with the Capability, Opportunity and Motivation influence on Behaviour (COM-B) model integrated into steps 1-4, providing a theoretical organising framework. In step 4, the intervention functions and behaviour change technique elements of the BCW were used to accurately and consistently specify the active ingredients of the intervention. The test and refine phase of 6SQuID (step 5) evaluated the acceptability of elements of the intervention with a sample of Scottish Government employees.</p><p><strong>Results: </strong>The causal factors for employee sedentary behaviour while working at home were delineated, and theory of change/action models were constructed. Intervention components were developed to address causal factors and presented as a toolkit on an online platform. These comprised: 1) education on sedentary behaviour, 2) resources to aid intention formation and action planning, 3) strategies to increase movement, and 4) suggestions for support from colleagues/friends/family. Strategies aimed at line managers and organisations to support employees and create an organisational culture that enables employees to move more were also developed. The acceptability testing demonstrated the value of the toolkit format incorporating a suite of strategies, and feedback informed refinement of the toolkit.</p><p><strong>Conclusions: </strong>This study addresses the urgent need to support employees to reduce sedentary behaviour while working at home. Using the novel application of integrated intervention development frameworks, a comprehensive intervention toolkit has been formulated and preliminarily tested. The toolkit comprises strategies and resources for employees, line managers and organisations. Further feasibility and effectiveness testing with a larger sample is recommended prior to large-scale implementation.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"84"},"PeriodicalIF":5.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12183816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The socioecological model levels, behavior change mechanisms, and behavior change techniques to improve accelerometer-measured physical activity among Hispanic women: a systematic review.","authors":"Elizabeth Lorenzo, Jeni Page, Rebeca Wong, Elizabeth Lyons","doi":"10.1186/s12966-025-01783-y","DOIUrl":"10.1186/s12966-025-01783-y","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Interventions to increase and maintain Hispanic women's moderate-to-vigorous physical activity (MVPA) are lacking. Socioecological models hypothesize that MVPA participation is influenced by factors at multiple levels of the environment (i.e., intrapersonal, interpersonal, organizational, neighborhood, policy). These factors, including behavior change mechanisms (BCM), are targeted with behavior change techniques (BCT) delivered through interventions to improve MVPA participation. However, the specific factors and BCT that positively influence Hispanic women's MVPA remain unknown.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;Synthesize existing literature to determine the socioecological model levels, BCM, and BCT that significantly increased Hispanic women's accelerometer-measured MVPA.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Databases (PubMed, CINAHL, Scopus, Cochrane Library and PsychINFO) were searched using key terms ((Hispanic women) OR (Hispanic OR Mexican American OR Latina OR Latinx) AND (female) AND (exercise OR physical activity)) without date or geographic limitations in March 2023. Peer-reviewed studies published in English that tested interventions to increase Hispanic women's accelerometer-measured MVPA were included. Two authors extracted data, a narrative synthesis was conducted, and a conceptual model of a multilevel MVPA intervention was proposed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Nine unique interventions were identified with four studies providing additional findings (N = 13). Studies were conducted in the United States and totaled 2,303 Hispanic women (M = 28.4-44.6 years). Self-efficacy (intrapersonal level) and family participation (interpersonal level) were the only BCM that mediated MVPA post-intervention. Half of the studies targeting the organizational (n = 3/6) and 83.3% (n = 5/6) targeting the neighborhood levels demonstrated significant improvements in MVPA. BCT targeting confidence, goals, and problem-solving at the intrapersonal level, partner support and childcare barriers at the interpersonal level, and physical activity access with methods to overcome weather and safety barriers at the neighborhood level significantly improved MVPA post-intervention. None of the interventions tested for longer-term (i.e., &gt; 9-months post-intervention) MVPA change.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Interventions to increase Hispanic women's accelerometer-measured MVPA in the shorter-term should be developed to include BCT to increase self-efficacy (intrapersonal level) and family participation (interpersonal level) and identify physical activity opportunities/access (neighborhood level), including BCT to overcome safety and weather barriers. Future research is needed to confirm these findings and determine the socioecological levels, BCM, and BCT to maintain Hispanic women's MVPA in the longer term.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Trial registration: &lt;/strong&gt;The 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"80"},"PeriodicalIF":5.6,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urban cycling-specific active transportation behaviour is sensitive to the fresh start effect: triangulating observational evidence from real world data.","authors":"Isaak Fast, Shamsia Sobhan, Nika Klaprat, Tyler George, Nils Vik, Dan Prowse, Jacqueline Collett, Jonathan McGavock","doi":"10.1186/s12966-025-01785-w","DOIUrl":"10.1186/s12966-025-01785-w","url":null,"abstract":"","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"81"},"PeriodicalIF":5.6,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the contribution of a scaled up community-based overweight prevention programme in the Netherlands to children's health behaviours and BMIz.","authors":"Irma Huiberts, Ehsan Motazedi, Famke J M Mölenberg, Amika S Singh, Dorine Collard, Mai J M ChinAPaw, Frank J van Lenthe","doi":"10.1186/s12966-025-01784-x","DOIUrl":"10.1186/s12966-025-01784-x","url":null,"abstract":"<p><strong>Background: </strong>Community-based overweight prevention programmes are widely implemented, however, little is known about their effectiveness after scale-up. This study examines the contribution of a scaled up community-based overweight prevention programme in the Netherlands: Healthy Youth, Healthy Future (JOGG) to children's BMIz, adherence to fruit and/or vegetable consumption guidelines, and minutes of moderate to vigorous physical activity (MVPA) per week.</p><p><strong>Methods: </strong>In this observational study we used repeated cross-sectional data from 5 to 11- and 12-18-year-old participants in the annual Dutch national health survey (2006-2019) and applied two analytical methods for more robust inference. First, we applied linear mixed models to assess the association between JOGG exposure for at least 18 months (n = 1,008) vs. no exposure (n = 23,779) and the outcomes and assessed whether this association differed across subgroups defined by age, socioeconomic position (SEP), or migration background. Second, we compared outcome trends in JOGG and non-JOGG municipalities before and after implementation, using a difference-in-differences approach, to account for unobserved time-invariant confounders.</p><p><strong>Results: </strong>Results showed no significant association between JOGG exposure and BMIz or MVPA. However, JOGG exposure was associated with higher adherence to fruit and/or vegetable consumption guidelines in 12- to 18-year-olds (log odds 1.82, 95%CI 0.23, 3.41). We observed no differential associations across subgroups and no differences in outcome trends between JOGG and non-JOGG municipalities.</p><p><strong>Conclusions: </strong>The scale up of JOGG in the Netherlands between 2010 and 2019 potentially contributed to higher fruit and vegetable consumption but not to BMIz or MVPA levels. Further examination of the implementation process may provide insight in underlying mechanisms and contribution of JOGG.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"79"},"PeriodicalIF":5.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Six-month intervention effect of a digital movement behavior intervention on parent- and child intermediary outcomes-results from the Let's Grow randomized controlled trial.","authors":"Johanna Sandborg, Katherine L Downing, Liliana Orellana, Rachael W Taylor, Lisa M Barnett, Valerie Carson, Kylie D Hesketh","doi":"10.1186/s12966-025-01764-1","DOIUrl":"10.1186/s12966-025-01764-1","url":null,"abstract":"<p><strong>Background: </strong>Parental-focused interventions often aim to improve child health behaviors by changing parenting practices and cognitions and supporting child skill development. These intermediary outcomes serve as milestones that indicate progress towards achieving the ultimate intervention goal; however, the impact on these is rarely reported. The aim of this study was to investigate the effect of a digital intervention, intended to help parents promote healthy movement behaviors in toddlers on these intermediary outcomes.</p><p><strong>Methods: </strong>This study utilized data from the Let's Grow trial (n = 1165). Participants were recruited Australia-wide and randomized to usual care (routine child healthcare visits) or intervention (usual care plus Let's Grow app) following baseline assessment. Participants with data on at least one intermediary outcome (assessed via an online survey) at baseline and mid-intervention (6-months) were included (usual care, n = 618; intervention, n = 547). These included parental cognitions (knowledge, self-efficacy, confidence) and behaviors (co-participation, role modelling, family rules and routines, screens in child's bedroom), and child developmental skills (motor skills, emotional regulation). Linear regression compared between-group outcomes. We also explored whether changes in the intermediary outcomes were associated with intervention engagement (Web app analytics).</p><p><strong>Results: </strong>The intervention group had higher knowledge of child movement behaviors (mean difference = 0.41, P = 0.002) compared to control. This difference was driven by knowledge in physical activity (mean differences 0.12, P = 0.028) and sleep (mean difference 0.27, P = 0.003) topics. No significant effect was observed for the other intermediary outcomes. Higher engagement was associated with improvements in parental knowledge of child movement behaviors and physical activity, confidence, ease of parenting, family rules for movement behaviors and screen time, and less parental screen time (all P ≤ 0.039).</p><p><strong>Conclusions: </strong>While Let's Grow positively influenced physical activity and sleep knowledge at the mid-intervention point, our findings suggests that parents might need more time or support to improve cognitions and behaviors related to children's sedentary behavior/screen time and child developmental skills. Further clarity on whether the observed changes translate into differential impacts on child movement behaviors will be reported following trial conclusion. Engagement appears to enhance intervention effects, highlighting the importance of strategies to optimize engagement.</p><p><strong>Trial registration: </strong>ACTRN12620001280998; U1111-1252-0599.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"78"},"PeriodicalIF":5.6,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12172252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}