A Randomised Control Trial Investigating the Efficacy of the MapMe Intervention on Parental Ability to Correctly Categorise Overweight in Their Child and the Impact on Child BMI Z-Score Change at 1 Year.
A Randomised Control Trial Investigating the Efficacy of the MapMe Intervention on Parental Ability to Correctly Categorise Overweight in Their Child and the Impact on Child BMI Z-Score Change at 1 Year.
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DOI：
10.3390/children10091577
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发表时间：
2023-09-21
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影响因子：
--
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中科院分区：
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研究表明，父母识别孩子超重的能力有限。据推测，认识到儿童超重/肥胖是预防儿童超重/肥胖的根本，是父母采取行动改善儿童健康相关行为和/或寻求帮助的潜在障碍。本研究的目的是调查干预措施（MapMe）的有效性，以提高父母在干预后一个月将其孩子正确分类为超重的能力，并在干预后12个月降低儿童体重指数（BMI）z评分。MapMe包括已知儿童体重指数的身体形象量表，以及关于儿童超重后果、相关健康行为和支助来源的信息。我们进行了一项三臂（基于纸张的MapMe，基于网络的MapMe和对照）随机对照试验，在15个英国地方政府地区与4-5岁和10-11岁儿童的父母/监护人。父母对孩子体重状况的分类是用“你如何描述你孩子目前的体重”这个问题来评估的。回答选项为：体重不足、健康体重、超重和非常超重。使用客观测量的身高和体重数据以及UK 90临床阈值计算儿童体重状态和BMI z评分。父母正确将孩子归类为超重/非常超重的百分比没有差异（n = 264：41%对照，48%基于网络，43%基于纸张，p = 0.646）。与对照组相比，干预组在干预后12个月的BMI z评分显著降低（n = 338，BMI z评分变化的平均差异为-0.11（95%CI为-0.202至-0.020，p = 0.017）。MapMe与干预后12个月BMI z评分的降低相关，尽管没有直接证据表明父母正确分类儿童超重状态的能力有所改善。需要进一步开展工作，在更大的儿童样本中复制这些发现，调查行动机制，并确定MapMe作为公共卫生举措的用途。
Research suggests parental ability to recognise when their child has overweight is limited. It is hypothesised that recognition of child overweight/obesity is fundamental to its prevention, acting as a potential barrier to parental action to improve their child’s health-related behaviours and/or help seeking. The purpose of this study was to investigate the efficacy of an intervention (MapMe) to improve parental ability to correctly categorise their child as having overweight one-month post-intervention, and reduce child body mass index (BMI) z-score 12 months post-intervention. MapMe consists of body image scales of known child BMI and information on the consequences of childhood overweight, associated health-related behaviours and sources of support. We conducted a three-arm (paper-based MapMe, web-based MapMe and control) randomised control trial in fifteen English local authority areas with parents/guardians of 4–5- and 10–11-year-old children. Parental categorisation of child weight status was assessed using the question ‘How would you describe your child’s weight at the moment?’ Response options were: underweight, healthy weight, overweight, and very overweight. Child weight status and BMI z-scores were calculated using objectively measured height and weight data and UK90 clinical thresholds. There was no difference in the percentage of parents correctly categorising their child as having overweight/very overweight (n = 264: 41% control, 48% web-based, and 43% paper-based, p = 0.646). BMI z-scores were significantly reduced for the intervention group at 12 months post-intervention compared to controls (n = 338, mean difference in BMI z-score change −0.11 (95% CI −0.202 to −0.020, p = 0.017). MapMe was associated with a decrease in BMI z-score 12 months post-intervention, although there was no direct evidence of improved parental ability to correctly categorise child overweight status. Further work is needed to replicate these findings in a larger sample of children, investigate mechanisms of action, and determine the use of MapMe as a public health initiative.
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影响因子：
4.9
作者：
Jones, A. R.;Parkinson, K. N.;Adamson, A. J.
通讯作者：
Adamson, A. J.
影响因子：
8
作者：
Jain, A;Sherman, SN;Whitaker, RC
通讯作者：
Whitaker, RC
DOI：
10.1093/pubmed/fdx129
发表时间：
2018-09-01
期刊：
Journal of public health (Oxford, England)
影响因子：
--
作者：
Jones AR;Tovée MJ;Cutler LR;Parkinson KN;Ells LJ;Araujo-Soares V;Pearce MS;Mann KD;Scott D;Harris JM;Adamson AJ
通讯作者：
Adamson AJ
影响因子：
4.5
作者：
Gerards SM;Gubbels JS;Dagnelie PC;Kremers SP;Stafleu A;de Vries NK;Thijs C
通讯作者：
Thijs C
影响因子：
--
作者：
Golan, Moria
通讯作者：
Golan, Moria