Childhood Nutrition Research Centre, University College London, Institute of Child Health, London, UK.
BMJ Open. 2013 May 3;3(5):e002607. doi: 10.1136/bmjopen-2013-002607.
The aim of this study was to report outcomes of the UK service level delivery of MEND (Mind,Exercise,Nutrition...Do it!) 5-7, a multicomponent, community-based, healthy lifestyle intervention designed for overweight and obese children aged 5-7 years and their families.
Repeated measures.
Community venues at 37 locations across the UK.
440 overweight or obese children (42% boys; mean age 6.1 years; body mass index (BMI) z-score 2.86) and their parents/carers participated in the intervention.
MEND 5-7 is a 10-week, family-based, child weight-management intervention consisting of weekly group sessions. It includes positive parenting, active play, nutrition education and behaviour change strategies. The intervention is designed to be scalable and delivered by a range of health and social care professionals.
The primary outcome was BMI z-score. Secondary outcome measures included BMI, waist circumference, waist circumference z-score, children's psychological symptoms, parenting self-efficacy, physical activity and sedentary behaviours and the proportion of parents and children eating five or more portions of fruit and vegetables.
274 (62%) children were measured preintervention and post-intervention (baseline; 10-weeks). Post-intervention, mean BMI and waist circumference decreased by 0.5 kg/m(2) and 0.9 cm, while z-scores decreased by 0.20 and 0.20, respectively (p<0.0001). Improvements were found in children's psychological symptoms (-1.6 units, p<0.0001), parent self-efficacy (p<0.0001), physical activity (+2.9 h/week, p<0.01), sedentary activities (-4.1 h/week, p<0.0001) and the proportion of parents and children eating five or more portions of fruit and vegetables per day (both p<0.0001). Attendance at the 10 sessions was 73% with a 70% retention rate.
Participation in the MEND 5-7 programme was associated with beneficial changes in physical, behavioural and psychological outcomes for children with complete sets of measurement data, when implemented in UK community settings under service level conditions. Further investigation is warranted to establish if these findings are replicable under controlled conditions.
本研究旨在报告英国 MEND（Mind，Exercise，Nutrition...Do it！）5-7 服务水平交付的结果，这是一种多组分、基于社区的健康生活方式干预措施，专为 5-7 岁超重和肥胖儿童及其家庭设计。
重复测量。
英国 37 个地点的社区场所。
440 名超重或肥胖儿童（42%为男孩；平均年龄 6.1 岁；体重指数（BMI）z 分数 2.86）及其父母/照顾者参加了干预。
MEND 5-7 是一项为期 10 周的基于家庭的儿童体重管理干预措施，包括每周小组会议。它包括积极的育儿、积极的游戏、营养教育和行为改变策略。该干预措施旨在可扩展，并由一系列卫生和社会保健专业人员提供。
主要结果是 BMI z 分数。次要结果测量包括 BMI、腰围、腰围 z 分数、儿童心理症状、育儿自我效能感、身体活动和久坐行为以及父母和儿童食用五份或更多份水果和蔬菜的比例。
274 名（62%）儿童在干预前和干预后（基线；10 周）进行了测量。干预后，平均 BMI 和腰围分别下降了 0.5 kg/m² 和 0.9 cm，而 z 分数分别下降了 0.20 和 0.20（p<0.0001）。儿童的心理症状（-1.6 单位，p<0.0001）、父母自我效能感（p<0.0001）、身体活动（每周增加 2.9 小时，p<0.01）、久坐活动（每周减少 4.1 小时，p<0.0001）和父母和儿童每天食用五份或更多份水果和蔬菜的比例（均 p<0.0001）均有所改善。参加 10 次课程的出勤率为 73%，保留率为 70%。
在英国社区环境下，根据服务水平条件实施完整数据集的 MEND 5-7 计划，与儿童的身体、行为和心理结果的有益变化相关，需要进一步研究以确定在对照条件下这些发现是否具有可重复性。
