RESPOND 随机试验的三年行为、健康相关生活质量和体重指数结果。

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2024-11-09 DOI:10.1016/j.puhe.2024.10.015

Steven Allender , Cadeyrn J. Gaskin , Denise Becker , Michelle Jackson , Liliana Orellana , Josh Hayward , Colin Bell , Melanie Nichols , Vicki Brown , Monique Hillenaar , Marj Moodie , Anna Peeters , Andrew D. Brown , Jillian Whelan , Boyd Swinburn , Claudia Strugnell

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引用次数: 0

摘要

目标：评估 RESPOND 这一基于社区的系统干预措施，预防儿童肥胖和非传染性疾病：评估基于社区的系统干预措施 RESPOND，以预防儿童肥胖症和非传染性疾病 (NCD)：研究设计：在澳大利亚维多利亚州东北部的 10 个地方政府辖区开展群组随机试验，培养社区利用系统科学预防儿童肥胖和非传染性疾病的能力。为期四年的阶梯式楔形试验，因 COVID-19 的限制而有所调整方法：在澳大利亚维多利亚州东北部的 10 个地方政府地区开展群组随机试验，以培养社区利用系统科学预防儿童肥胖和非传染性疾病的能力。为期四年的阶梯式楔形试验，因 COVID-19 的限制而有所调整。使用线性混合模型分析了 31 所小学在 2019 年 3 月至 6 月（学校参与率为 60%）和 2022 年 3 月至 8 月（学校参与率为 30%）期间的数据。主要结果是根据测量的身高和体重计算出的年龄-性别调整后体重指数 z 值（BMIz）（二年级、四年级和六年级[7-12 岁]儿童）。次要结果是与健康相关的生活质量（HRQoL）和自我报告的健康行为（4 年级和 6 年级）：在 BMIz（-0.10；95 % CI：0.30，0.11）和超重或肥胖百分比（-5.4 %；95 % CI：13.6 %，2.7 %）方面观察到的干预效果不显著。2019年至2022年期间，HRQoL有所恶化，但在男孩的社会心理健康总分（7.4；95% CI：3.5，11.2）和总分（9.9；95% CI：5.5，14.2）中观察到了对HRQoL的干预效果。每天喝水≥5杯的男孩比例产生了干预效果（15.2%；95% CI：0.9-29.6）：RESPOND保护了整体健康和社会心理健康，并对体重指数（BMIz）产生了积极影响。

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Three-year behavioural, health-related quality of life, and body mass index outcomes from the RESPOND randomized trial

Objectives

Evaluate RESPOND, a community-based systems intervention to prevent childhood obesity and non-communicable diseases (NCD).

Study design

Methods

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).

Results

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).

Conclusion

RESPOND protected overall and psychosocial health and had positive effects on BMIz.

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.