Sport and Exercise Science Research Institute, University of Ulster, Newtownabbey BT370QB, UK.
Arch Dis Child. 2012 Jul;97(7):618-24. doi: 10.1136/archdischild-2011-301108. Epub 2012 Jun 9.
This study assessed the efficacy of a school-based healthy lifestyle intervention (Sport for LIFE) for increasing physical activity, decreasing sedentary behaviour, reducing screen time behaviour, encouraging healthy attitudes and behaviour to nutrition, and reducing body mass index (BMI) in 8-9-year-old primary school children from lower socioeconomic backgrounds in Northern Ireland.
A non-randomised controlled trial of 416 children from 24 schools took part. Schools were randomly assigned to one of two groups, an intervention or control group with 12 schools in each group. The intervention group received a 12-week school-based programme based on social cognitive theory. At baseline and follow-up, groups completed questionnaires assessing physical activity, screen time behaviour and dietary patterns. On each occasion anthropometric assessments of height and weight were taken. Physical activity and sedentary behaviour were measured by accelerometry.
Significant effects were observed for vigorous, moderate and light activity for the intervention group at follow-up. Sedentary behaviour was significantly reduced for the intervention group but not for the control group. No significant effects of the intervention on BMI, screen time behaviour or attitudes to nutrition, with the exception of non-core foods, were shown.
The programme was effective in increasing physical activity and reducing sedentary behaviour, however no significant changes in screen time behaviour and attitude to nutrition, with the exception of non-core foods, were observed. Future research ideas are offered for tackling low levels of physical activity in children.
本研究评估了一项基于学校的健康生活方式干预(Sport for LIFE)在增加身体活动、减少久坐行为、减少屏幕时间行为、鼓励 8-9 岁来自北爱尔兰社会经济背景较低的小学生对营养的健康态度和行为以及降低身体质量指数(BMI)方面的效果。
共有 416 名来自 24 所学校的儿童参与了一项非随机对照试验。学校被随机分配到干预组或对照组,每组 12 所学校。干预组接受了为期 12 周的基于社会认知理论的学校基础方案。在基线和随访时,两组均完成了评估身体活动、屏幕时间行为和饮食模式的问卷。每次都测量了身高和体重的人体测量评估。通过加速度计测量身体活动和久坐行为。
在随访时,干预组的剧烈、中度和轻度活动均显示出显著效果。干预组的久坐行为显著减少,但对照组没有。干预对 BMI、屏幕时间行为或营养态度没有显著影响,但非核心食物除外。
该方案在增加身体活动和减少久坐行为方面是有效的,但在屏幕时间行为和营养态度方面,除了非核心食物外,没有观察到显著变化。提出了未来研究的思路,以解决儿童中低水平的身体活动问题。