期刊
PEDIATRICS
卷 137, 期 5, 页码 -出版社
AMER ACAD PEDIATRICS
DOI: 10.1542/peds.2015-3104
关键词
-
类别
资金
- Swedish Research Council for Health, Working Life and Welfare [2006-0226, 2011-0413]
- Swedish Research Council [K2006-27X-20069-01-3, K2012-69X-22058-01-3]
- Research and Development Committee, Stockholm County Council [2006-0324]
- Regional Research Council of the Uppsala and Urebro Health Care Region [RFR-12404]
- Uppsala County Council
- Sormland County Council
- Public Health Committee of Stockholm County Council [0803-377]
- Vardal Foundation [B2007-006]
- AFA Insurance [H-06:05/070001]
- Foundation of the Swedish Diabetes Society [TMA2006-004]
- Karolinska Health Care Sciences Postgraduate School
- Karolinska Institutet
OBJECTIVE: The objective was to evaluate a manualized theory-driven primary preventive intervention aimed at early childhood obesity. The intervention was embedded in Swedish child health services, starting when eligible children were 9 to 10 months of age and continuing until the children reached age 4. METHODS: Child health care centers in 8 Swedish counties were randomized into intervention and control units and included 1355 families with 1369 infants. Over similar to 39 months, families in the intervention group participated in 1 group session and 8 individual sessions with a nurse trained in motivational interviewing, focusing on healthy food habits and physical activity. Families in the control group received care as usual. Primary outcomes were children's BMI, overweight prevalence, and waist circumference at age 4. Secondary outcomes were children's and mothers' food and physical activity habits and mothers' anthropometrics. Effects were assessed in linear and log-binominal regression models using generalized estimating equations. RESULTS: There were no statistically significant differences in children's BMI (beta = -0.11, 95% confidence interval [CI]: -0.31 to 0.08), waist circumference (beta = -0.48, 95% CI: -0.99 to 0.04), and prevalence of overweight (relative risk = 0.95, 95% CI: 0.69 to 1.32). No significant intervention effects were observed in mothers' anthropometric data or regarding mothers' and children's physical activity habits. There was a small intervention effect in terms of healthier food habits among children and mothers. CONCLUSIONS: There were no significant group differences in children's and mothers' anthropometric data and physical activity habits. There was, however, some evidence suggesting healthier food habits, but this should be interpreted with caution.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据