Cull Brooke J, Rosenkranz Sara K, Dzewaltowski David A, Teeman Colby S, Knutson Cassandra K, Rosenkranz Richard R
Department of Food, Nutrition, Dietetics and Health, Kansas State University, 212 Justin Hall, 1324 Lovers Lane, Manhattan, KS 66506 USA.
Department of Food, Nutrition, Dietetics and Health, Kansas State University, 212 Justin Hall, 1324 Lovers Lane, Manhattan, KS 66506 USA ; Department of Kinesiology, Kansas State University, 1A Natatorium, 920 Denison Avenue, Manhattan, KS 66506 USA.
Pilot Feasibility Stud. 2016 Jun 1;2:26. doi: 10.1186/s40814-016-0066-y. eCollection 2016.
Childhood obesity is a major public health problem, with one third of America's children classified as either overweight or obese. Obesity prevention and health promotion programs using components such as wellness coaching and home-based interventions have shown promise, but there is a lack of published research evaluating the impact of a combined home-based and wellness coaching intervention for obesity prevention and health promotion in young girls. The main objective of this study is to test the feasibility of such an intervention on metrics related to recruitment, intervention delivery, and health-related outcome assessments. The secondary outcome is to evaluate the possibility of change in health-related psychosocial, behavioral, and biomedical outcomes in our sample of participants.
METHODS/DESIGN: Forty girls who are overweight or obese (aged 8-13 years) will be recruited from a Midwestern college town. Participants will be recruited through posted flyers, newspaper advertisements, email, and social media. The volunteer convenience sample of girls will be randomized to one of two home-based wellness coaching interventions: a general health education condition or a healthy eating physical activity skills condition. Trained female wellness coaches will conduct weekly hour-long home visits for 12 consecutive weeks. Assessments will occur at baseline, post-intervention (3 months after baseline), and follow-up (6 months after baseline) and will include height, weight, waist circumference, body composition, pulmonary function, blood pressure, systemic inflammation, physical activity (Actical accelerometer), and self-reported survey measures (relevant to fruit and vegetable consumption, physical activity, and quality of life).
This study will evaluate the feasibility of home-based wellness coaching interventions for overweight and obese girls and secondarily assess the preliminary impact on health-related psychosocial, behavioral, and biomedical outcomes. Results will provide information regarding the feasibility of this new model for use in girls as an approach to reduce the burden of overweight and obesity toward the prevention of chronic disease.
NCT01845480.
儿童肥胖是一个主要的公共卫生问题，美国三分之一的儿童被归类为超重或肥胖。使用健康指导和家庭干预等组成部分的肥胖预防和健康促进项目已显示出前景，但缺乏已发表的研究来评估基于家庭和健康指导相结合的干预措施对年轻女孩肥胖预防和健康促进的影响。本研究的主要目的是测试这种干预措施在与招募、干预实施和健康相关结果评估相关指标上的可行性。次要结果是评估我们的参与者样本中与健康相关的心理社会、行为和生物医学结果发生变化的可能性。
方法/设计：将从美国中西部的一个大学城招募40名超重或肥胖的女孩（年龄在8至13岁之间）。参与者将通过张贴传单、报纸广告、电子邮件和社交媒体进行招募。这些女孩的志愿者便利样本将被随机分配到两种基于家庭的健康指导干预措施之一：一般健康教育组或健康饮食与身体活动技能组。训练有素的女性健康指导师将连续12周每周进行一次为期一小时的家访。评估将在基线、干预后（基线后3个月）和随访（基线后6个月）时进行，评估内容将包括身高、体重、腰围、身体成分、肺功能、血压、全身炎症、身体活动（Actical加速度计）以及自我报告的调查指标（与水果和蔬菜消费、身体活动及生活质量相关）。
本研究将评估针对超重和肥胖女孩的基于家庭的健康指导干预措施的可行性，并其次评估对与健康相关的心理社会、行为和生物医学结果的初步影响。研究结果将提供有关这种新模式用于女孩以减轻超重和肥胖负担从而预防慢性病的可行性信息。
NCT01845480
