Long-term effects of the Active for Life Year 5 (AFLY5) school-based cluster-randomised controlled trial.

Long-term effects of the Active for Life Year 5 (AFLY5) school-based cluster-randomised controlled trial.
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DOI:
10.1136/bmjopen-2015-010957
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发表时间:
2016-11-24
期刊:
影响因子:
2.9
通讯作者:
Lawlor DA
Lawlor DA
中科院分区:
医学3区
文献类型:
--
作者:
Anderson EL;Howe LD;Kipping RR;Campbell R;Jago R;Noble SM;Wells S;Chittleborough C;Peters TJ;Lawlor DA

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调查以学校为基础的干预措施改善儿童身体活动和饮食的长期有效性。整群随机对照试验。英格兰西南部有 60 所小学。招募时年龄为 8-9 岁、干预期间为 9-10 岁、长期跟踪评估时为 10-11 岁的小学生。教师培训、提供课程以及儿童与家长互动的作业计划和教材。主要结果是加速计评估的每天中度至剧烈体力活动 (MVPA) 分钟数、加速计评估的每天久坐行为分钟数以及报告的每日水果和蔬菜消耗量。招募了 60 所学校、2221 名符合条件的儿童。正如之前在干预结束后立即发表的评估结果一样,与长期随访结束时(干预结束后 1 年)对照学校的儿童相比,分配到干预的学校中的儿童的三项主要结果均没有差异。次要结果的差异与立即随访时的结果一致,没有证据表明这些差异随着时间的推移而减少。与对照学校的干预措施相比,周末儿童报告的平均屏幕观看时间差异为−16.03 分钟(95% CI -32.82 至 0.73),每天供应零食的差异为 -0.11(95% CI -0.39 至 0.06),每天饮用高能量饮料的差异为 -0.20(95% CI -0.39 至 0.73)。 -0.01)和每天高脂肪食物份数 -0.12(95% CI -0.39 至 0.00)。这些都没有达到我们预定义的统计显着性水平,特别是在考虑了多次测试之后。仅以学校为基础的课程干预不太可能对儿童的饮食和身体活动产生重大的公共卫生影响。 ISRCTN50133740,结果后。
To investigate the long-term effectiveness of a school-based intervention to improve physical activity and diet in children. Cluster-randomised controlled trial. 60 primary schools in the southwest of England. Primary school children who were aged 8–9 years at recruitment, 9–10 years during the intervention and 10–11 years at the long-term follow-up assessment. Teacher training, provision of lesson and child–parent interactive homework plans and teaching materials. Primary outcomes were accelerometer-assessed minutes of moderate to vigorous physical activity (MVPA) per day, accelerometer-assessed minutes of sedentary behaviour per day and reported daily consumption of servings of fruit and vegetables. 60 schools with 2221 eligible children were recruited. As in the previously published assessment immediately after the end of the intervention, none of the three primary outcomes differed between children in schools allocated to the intervention, compared with those in control schools at the end of the long-term follow-up (1 year after the end of the intervention). Differences in secondary outcomes were consistent with those at the immediate follow-up, with no evidence that these had diminished over time. Comparing intervention with control schools, the difference in mean child-reported screen viewing at the weekend was −16.03 min (95% CI −32.82 to 0.73), for servings of snacks per day, the difference was −0.11 (95% CI −0.39 to 0.06), in servings of high-energy drinks per day −0.20 (95% CI −0.39 to −0.01) and in servings of high-fat foods per day −0.12 (95% CI −0.39 to 0.00). None of these reached our predefined level of statistical significance, especially after accounting for multiple testing. School-based curriculum interventions alone are unlikely to have a major public health impact on children's diet and physical activity. ISRCTN50133740, Post-results.
DOI: 10.1001/jama.2012.156
发表时间: 2012-02-15
影响因子: 120.7
作者:
Ekelund, Ulf;Luan, Jian'an;Sherar, Lauren B.;Esliger, Dale W.;Griew, Pippa;Cooper, Ashley
通讯作者: Cooper, Ashley
DOI: 10.1186/s12966-015-0274-5
发表时间: 2015-09-17
期刊: The international journal of behavioral nutrition and physical activity
影响因子: --
作者:
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通讯作者: Ekelund U
DOI: 10.1001/archpedi.153.9.975
发表时间: 1999-09-01
影响因子: --
作者:
Gortmaker, SL;Cheung, LWY;Laird, N
通讯作者: Laird, N
DOI: 10.1080/19406940.2012.656676
发表时间: 2013-01-01
影响因子: 2.1
作者:
Griffiths, Mark;Armour, Kathleen
通讯作者: Armour, Kathleen
DOI: 10.1186/1745-6215-14-234
发表时间: 2013-07-24
期刊: TRIALS
影响因子: 2.5
作者:
Lawlor, Debbie A.;Peters, Tim J.;Jago, Russell
通讯作者: Jago, Russell