The Nutrition and Enjoyable Activity for Teen Girls (NEAT girls) randomized controlled trial for adolescent girls from disadvantaged secondary schools: rationale, study protocol, and baseline results.

The Nutrition and Enjoyable Activity for Teen Girls (NEAT girls) randomized controlled trial for adolescent girls from disadvantaged secondary schools: rationale, study protocol, and baseline results.
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DOI:
10.1186/1471-2458-10-652
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发表时间:
2010-10-28
期刊:
影响因子:
4.5
通讯作者:
Callister R
Callister R
中科院分区:
医学2区
文献类型:
--
作者:
Lubans DR;Morgan PJ;Dewar D;Collins CE;Plotnikoff RC;Okely AD;Batterham MJ;Finn T;Callister R

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儿童和青少年肥胖症使个人更容易因一系列生活方式疾病而发病和死亡。虽然有一些证据表明,近年来儿童肥胖率已经趋于平稳,但在低社会经济背景的年轻人中,情况并非如此。本文旨在报告一项以学校为基础的肥胖预防计划的基本原理、研究设计和基线结果,该计划针对来自弱势中学的低活动青春期女孩。青少年女孩的营养和快乐活动(NEAT女孩)干预将使用一组随机对照试验进行评估。NEAT Girls是一项为期12个月的多成分校本干预措施,参照社会认知理论制定,包括加强学校体育课程、互动研讨会、营养讲习班、午餐时间体育活动(PA)课程、PA和营养手册、家长通讯、自我监测计步器和社会支持短信。在基线时评估了以下变量,并将在12个月和24个月时再次完成:肥胖、客观测量的PA、肌肉健康、久坐行为时间、饮食摄入、PA和营养社会认知介质、身体自我感知和整体自尊。统计分析将遵循意向治疗原则,并将探讨PA和营养行为变化的假设介质。NEAT Girls是一项针对低活动量女孩的创新干预措施,使用基于证据的行为改变策略和营养和PA信息,有可能防止不健康的体重增加,减少与低社会经济地位相关的身体活动和不良饮食习惯的下降。很少有研究报告了以学校为基础的肥胖预防计划的长期影响,目前的研究有可能对该领域做出重要贡献。澳大利亚和新西兰临床试验注册中心编号:ACTRN12610000330044
Child and adolescent obesity predisposes individuals to an increased risk of morbidity and mortality from a range of lifestyle diseases. Although there is some evidence to suggest that rates of pediatric obesity have leveled off in recent years, this has not been the case among youth from low socioeconomic backgrounds. The purpose of this paper is to report the rationale, study design and baseline findings of a school-based obesity prevention program for low-active adolescent girls from disadvantaged secondary schools. The Nutrition and Enjoyable Activity for Teen Girls (NEAT Girls) intervention will be evaluated using a group randomized controlled trial. NEAT Girls is a 12-month multi-component school-based intervention developed in reference to Social Cognitive Theory and includes enhanced school sport sessions, interactive seminars, nutrition workshops, lunch-time physical activity (PA) sessions, PA and nutrition handbooks, parent newsletters, pedometers for self-monitoring and text messaging for social support. The following variables were assessed at baseline and will be completed again at 12- and 24-months: adiposity, objectively measured PA, muscular fitness, time spent in sedentary behaviors, dietary intake, PA and nutrition social-cognitive mediators, physical self-perception and global self-esteem. Statistical analyses will follow intention-to-treat principles and hypothesized mediators of PA and nutrition behavior change will be explored. NEAT Girls is an innovative intervention targeting low-active girls using evidence-based behavior change strategies and nutrition and PA messages and has the potential to prevent unhealthy weight gain and reduce the decline in physical activity and poor dietary habits associated with low socio-economic status. Few studies have reported the long-term effects of school-based obesity prevention programs and the current study has the potential to make an important contribution to the field. Australian New Zealand Clinical Trials Registry No: ACTRN12610000330044
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