Preventing childhood obesity, phase II feasibility study focusing on South Asians: BEACHeS.
Preventing childhood obesity, phase II feasibility study focusing on South Asians: BEACHeS.
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DOI：
10.1136/bmjopen-2013-004579
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发表时间：
2014-04-10
期刊：
影响因子：
2.9
通讯作者：
Cheng KK
中科院分区：
文献类型：
--
作者：
Adab P;Pallan MJ;Cade J;Ekelund U;Barrett T;Daley A;Deeks J;Duda J;Gill P;Parry J;Bhopal R;Cheng KK
评估用于预防南亚儿童肥胖的多方面、文化上适当的干预措施的可行性和可接受性，并获取数据以告知最终试验的样本量。复杂干预措施的第二阶段可行性研究。英国伯明翰市中心的 8 所小学，人口主要是南亚裔。 1090 名 6-8 岁儿童参与了干预。 571 人（85.9% 来自南亚背景）接受了基线测量。 85.5% (n=488) 的患者在 2 年后进行了随访。为期一年的干预措施包括以学校和家庭为基础的活动，针对饮食和身体活动行为。在整个分娩期间，对干预措施进行了修改和完善。评估最终试验结果所需的干预和测量的可接受性和可行性。手臂之间体重指数 (BMI) z 分数的差异被用来为最终试验的样本量计算提供信息。一些干预措施（增加学校体育活动机会、家庭烹饪技能研讨会、当地休闲设施的路标以及参加足球俱乐部的日间活动）是可行且可以接受的。其他组件是可以接受的，但不可行。提倡步行团体既不可接受也不可行。随访时，与对照组相比，干预组儿童肥胖的可能性较小（OR 0.41；0.19至0.89），并且调整后的BMI z得分较低（−0.15 kg/m2；95% CI -0.27至-0.03）。可行性研究为干预计划的组成部分提供了信息。干预组体重状况的有利结果表明需要进行明确的试验。目前正在进行一项整群随机对照试验，以评估干预措施的临床和成本效益。 ISRCTN51016370。
To assess feasibility and acceptability of a multifaceted, culturally appropriate intervention for preventing obesity in South Asian children, and to obtain data to inform sample size for a definitive trial. Phase II feasibility study of a complex intervention. 8 primary schools in inner city Birmingham, UK, within populations that are predominantly South Asian. 1090 children aged 6–8 years took part in the intervention. 571 (85.9% from South Asian background) underwent baseline measures. 85.5% (n=488) were followed up 2 years later. The 1-year intervention consisted of school-based and family-based activities, targeting dietary and physical activity behaviours. The intervention was modified and refined throughout the period of delivery. Acceptability and feasibility of the intervention and of measurements required to assess outcomes in a definitive trial. The difference in body mass index (BMI) z-score between arms was used to inform sample size calculations for a definitive trial. Some intervention components (increasing school physical activity opportunities, family cooking skills workshops, signposting of local leisure facilities and attending day event at a football club) were feasible and acceptable. Other components were acceptable, but not feasible. Promoting walking groups was neither acceptable nor feasible. At follow-up, children in the intervention compared with the control group were less likely to be obese (OR 0.41; 0.19 to 0.89), and had lower adjusted BMI z-score (−0.15 kg/m2; 95% CI −0.27 to −0.03). The feasibility study informed components for an intervention programme. The favourable direction of outcome for weight status in the intervention group supports the need for a definitive trial. A cluster randomised controlled trial is now underway to assess the clinical and cost-effectiveness of the intervention. ISRCTN51016370.
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DOI：
10.1249/01.mss.0000176466.78408.cc
发表时间：
2005-10-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Corder, K;Brage, S;Ekelund, U
通讯作者：
Ekelund, U
影响因子：
4.7
作者：
Brage, S;Brage, N;Wareham, NJ
通讯作者：
Wareham, NJ
影响因子：
158.5
作者：
Baker, Jennifer L.;Olsen, Lina W.;Sorensen, Thorkild I. A.
通讯作者：
Sorensen, Thorkild I. A.
影响因子：
5.1
作者：
Pallan, Miranda;Parry, Jayne;Adab, Peymane
通讯作者：
Adab, Peymane
影响因子：
105.7
作者：
Hawe, P;Shiell, A;Riley, T
通讯作者：
Riley, T