Language:

Cluster randomised trial of a school-community child health promotion and obesity prevention intervention: findings from the evaluation of fun 'n healthy in Moreland

BMC public health, 2017-08, Vol.18 (1), p.92-92, Article 92 [Peer Reviewed Journal]

COPYRIGHT 2017 BioMed Central Ltd. ;2017. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s). 2017 ;ISSN: 1471-2458 ;EISSN: 1471-2458 ;DOI: 10.1186/s12889-017-4625-9 ;PMID: 28774278

Full text available

Citations Cited by

Actions
1. Add to My Research
2. Remove from My Research
3. E-mail
4. Print
5. Permalink
6. Citation
7. EasyBib
8. EndNote
9. RefWorks
10. Delicious
11. Export RIS
12. Export BibTeX

Title:
Cluster randomised trial of a school-community child health promotion and obesity prevention intervention: findings from the evaluation of fun 'n healthy in Moreland
Author: Waters, Elizabeth ; Gibbs, Lisa ; Tadic, Maryanne ; Ukoumunne, Obioha C ; Magarey, Anthea ; Okely, Anthony D ; de Silva, Andrea ; Armit, Christine ; Green, Julie ; O'Connor, Thea ; Johnson, Britt ; Swinburn, Boyd ; Carpenter, Lauren ; Moore, Graham ; Littlecott, Hannah ; Gold, Lisa
Subjects: Adipose tissue ; Adiposity ; Analysis ; Australia ; Body Weight ; Catalysts ; Central business districts ; Child ; Child obesity prevention ; Child, Preschool ; Children ; Children & youth ; Childrens health ; Clinical trials ; Cluster RCT ; Community development ; Community health care ; Cross-Sectional Studies ; Curricula ; Drinking ; Education ; Elementary schools ; Evaluation ; Exercise ; Families & family life ; Female ; Fruit ; Fruit juices ; Fruits ; Health aspects ; Health Behavior ; Health care ; Health promotion ; Health Promotion - organization & administration ; Health services ; Humans ; Influence ; Intervention ; Male ; Obesity ; Obesity in children ; Occupational health ; Parents ; Pediatric Obesity - prevention & control ; Physical activity ; Policies ; Population ; Prevention ; Public health ; Randomization ; School Health Services - organization & administration ; Schools ; Significance ; Statistical analysis ; Students ; Urban Population ; Vegetables ; Victoria ; Water consumption
Is Part Of: BMC public health, 2017-08, Vol.18 (1), p.92-92, Article 92
Description: Multi-level, longer-term obesity prevention interventions that focus on inequalities are scarce. Fun 'n healthy in Moreland! aimed to improve child adiposity, school policies and environments, parent engagement, health behaviours and child wellbeing. All children from primary schools in an inner urban, culturally diverse and economically disadvantaged area in Victoria, Australia were eligible for participation. The intervention, fun 'n healthy in Moreland!, used a Health Promoting Schools Framework and provided schools with evidence, school research data and part time support from a Community Development Worker to develop health promoting strategies. Comparison schools continued as normal. Participants were not blinded to intervention status. The primary outcome was change in adiposity. Repeated cross-sectional design with nested longitudinal subsample. Students from twenty-four primary schools (clusters) were randomised (aged 5-12 years at baseline). 1426 students from 12 intervention schools and 1539 students from 10 comparison schools consented to follow up measurements. Despite increased prevalence of healthy weight across all schools, after 3.5 years of intervention there was no statistically significant difference between trial arms in BMI z score post-intervention (Mean (sd): Intervention 0.68(1.16); Comparison: 0.72(1.12); Adjusted mean difference (AMD): -0.05, CI: -0.19 to 0.08, p = 0.44). Children from intervention schools consumed more daily fruit serves (AMD: 0.19, CI:0.00 to 0.37, p = 0.10), were more likely to have water (AOR: 1.71, CI:1.05 to 2.78, p = 0.03) and vegetables (AOR: 1.23, CI: 0.99 to 1.55, p = 0.07), and less likely to have fruit juice/cordial (AOR: 0.58, CI:0.36 to 0.93, p = 0.02) in school lunch compared to children in comparison schools. More intervention schools (8/11) had healthy eating and physical activity policies compared with comparison schools (2/9). Principals and schools highly valued the approach as a catalyst for broader positive school changes. The cost of the intervention per child was $65 per year. The fun n healthy in Moreland! intervention did not result in statistically significant differences in BMI z score across trial arms but did result in greater policy implementation, increased parent engagement and resources, improved child self-rated health, increased fruit, vegetable and water consumption, and reduction in sweet drinks. A longer-term follow up evaluation may be needed to demonstrate whether these changes are sustainable and impact on childhood overweight and obesity. ACTRN12607000385448 (Date submitted 31/05/2007; Date registered 23/07/2007; Date last updated 15/12/2009).
Publisher: England: BioMed Central Ltd
Language: English
Identifier: ISSN: 1471-2458
EISSN: 1471-2458
DOI: 10.1186/s12889-017-4625-9
PMID: 28774278
Source: SpringerOpen
Geneva Foundation Free Medical Journals at publisher websites
AUTh Library subscriptions: ProQuest Central
ROAD
MEDLINE
PubMed Central
Directory of Open Access Journals

Back to results list


INSPIRE LIBRARY - TON DUC THANG UNIVERSITY	(84-028) 37 755 057	Feedback
19 Nguyen Huu Tho St. Dist.7, HCM	thuvien@tdtu.edu.vn	Feedback

Cluster randomised trial of a school-community child health promotion and obesity prevention intervention: findings from the evaluation of fun 'n healthy in Moreland

Searching Remote Databases, Please Wait