The Fun, Food, and Fitness Project (FFFP): the Baylor GEMS pilot study.

The Fun, Food, and Fitness Project (FFFP): the Baylor GEMS pilot study.
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DOI:
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发表时间:
2003
影响因子:
3.2
通讯作者:
T. Baranowski;J. Baranowski;K. Cullen;Deborah I Thompson;T. Nicklas;Issa Zakeri;J. Rochon
T. Baranowski;J. Baranowski;K. Cullen;Deborah I Thompson;T. Nicklas;Issa Zakeri;J. Rochon
中科院分区:
医学4区
文献类型:
--
作者:
T. Baranowski;J. Baranowski;K. Cullen;Deborah I Thompson;T. Nicklas;Issa Zakeri;J. Rochon

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女孩健康丰富多地点研究(GEMS)的乐趣,食物和健身项目(FFFP)的目的是防止肥胖的8岁非洲裔美国女孩。设计为期12周的两组平行随机对照的先导性研究。环境位于德克萨斯州休斯顿的夏令营和家庭。35名女孩及其父母或照顾者被随机分配到治疗组(N=19)或对照组(N=16)。干预干预组的女孩参加了为期4周的特殊夏令营,随后为女孩及其父母进行了为期8周的家庭互联网干预。对照组女孩参加了不同的为期4周的夏令营,然后每月家庭互联网干预,这两个组件都不包括GEMS-FFFP增强。主要观察指标:体重指数(BMI),水果、100%果汁和蔬菜的摄入量(FJV),体力活动。结果:调整基线BMI后,治疗组和对照组女孩的BMI没有显著差异,无论是在为期4周的夏令营结束时,还是在为期12周的干预后。到夏令营结束时,与对照组中体重较重的女孩相比,基线体重较重的治疗组女孩亚组表现出BMI较低的趋势(P<0.08)。12周项目结束时的总体结果表明,在假设的方向上,治疗组和对照组之间存在实质性差异,尽管不显著。平均而言,只有不到一半的治疗样本登录网站,这限制了干预剂量。结论:夏令营似乎为启动健康行为改变提供了希望。在互联网程序发挥其潜力之前,必须开发和测试有效的方法来提高健康儿童及其父母的登录率。
OBJECTIVE The Girls health Enrichment Multisite Studies (GEMS) Fun, Food, and Fitness Project (FFFP) was designed to prevent obesity among 8-year-old African-American girls. DESIGN Twelve-week, two-arm parallel group randomized controlled pilot study. SETTING Summer day camp and homes in Houston, Texas. PARTICIPANTS Thirty-five girls and their parents or caregivers were randomly assigned to treatment (N=19) or control groups (N=16). INTERVENTION Girls in the intervention group attended a special 4-week summer day camp, followed by a special 8-week home Internet intervention for the girls and their parents. Control group girls attended a different 4-week summer day camp, followed by a monthly home Internet intervention, neither of which components included the GEMS-FFFP enhancements. MAIN OUTCOME MEASURES Body mass index (BMI), consumption of fruit, 100% fruit juice, and vegetables (FJV), physical activity. RESULTS After adjusting for baseline BMI, there were no significant differences in BMI between treatment and control group girls, either at the end of the 4-week summer day camp, or after the full 12-week intervention. By the end of the summer camp, the subgroup of treatment group girls heavier at baseline exhibited a trend (P<.08) toward lower BMI, compared to their heavier counterparts in the control group. Overall results at the end of the 12-week program demonstrated substantial, although not significant, differences between treatment and control groups in the hypothesized directions. On average, less than half the treatment sample logged onto the Website, which limited intervention dose. CONCLUSIONS Summer day camp appears to offer promise for initiating health behavior change. Effective methods must be developed and tested to enhance log-on rates among healthy children and their parents before Internet programs can achieve their potential.