Health Economics Unit, Institute of Applied Health Research, University of Birmingham, B15 2TT, Birmingham, UK.
Institute of Applied Health Research, University of Birmingham, B15 2TT, Birmingham, UK.
BMC Public Health. 2018 Jan 11;18(1):126. doi: 10.1186/s12889-017-5019-8.
Childhood obesity prevention is a public health priority. Children spend a large proportion of their waking time in school; therefore this is an appropriate setting to implement obesity prevention initiatives. Anecdotal reports suggest that implementing The Daily Mile in schools has had positive effects on childhood obesity, academic attainment and wellbeing. This trial aims to measure the effectiveness of The Daily Mile for improving health and wellbeing.
This protocol describes a cluster randomised controlled trial (RCT) in 40 primary schools located in Birmingham, UK. Eligible participants are children in years 3 (aged 7-8) and 5 (aged 9-10). The study compares The Daily Mile (intervention) to usual practice (control) in relation to health and wellbeing. The Daily Mile intervention involves an additional 15 min of running or walking integrated into the school day, throughout a 12 month study period. The primary clinical outcome is body mass index (BMI) z-scores at 12 months following introduction of the intervention. The cost per Quality Adjusted Life Year (QALY) is the primary outcome of the economic evaluation. Secondary outcomes include wellbeing, physical fitness and teacher reported academic attainment.
This study is the first RCT investigating the clinical and cost-effectiveness of The Daily Mile. A range of outcomes will be measured to evaluate the broader wellbeing and academic benefits in addition to clinical outcomes typically measured in childhood obesity prevention trials. The intervention is simple and low-cost, therefore if the benefits are demonstrated it has enormous potential to influence future policy.
ISRCTN: 12698269 . Date protocol registered 27th October 2016.
儿童肥胖预防是公共卫生的重点。儿童在醒着的大部分时间都在学校度过；因此，这是实施肥胖预防措施的适当场所。有传闻称，在学校实施“每日一英里”计划对儿童肥胖、学业成绩和幸福感都有积极影响。本试验旨在衡量“每日一英里”对改善健康和幸福感的效果。
本方案描述了在英国伯明翰的 40 所小学进行的一项群组随机对照试验（RCT）。合格的参与者是 3 年级（7-8 岁）和 5 年级（9-10 岁）的儿童。该研究将“每日一英里”（干预组）与常规做法（对照组）进行比较，以评估健康和幸福感。“每日一英里”干预措施包括在 12 个月的研究期间，在学校日中额外增加 15 分钟的跑步或步行。主要临床结果是干预后 12 个月的体重指数（BMI）z 分数。每质量调整生命年（QALY）的成本是经济评估的主要结果。次要结果包括幸福感、身体健康和教师报告的学业成绩。
本研究是第一项调查“每日一英里”计划的临床和成本效益的 RCT。将测量一系列结果，以评估除了儿童肥胖预防试验中通常测量的临床结果之外，更广泛的幸福感和学业收益。该干预措施简单且成本低，因此如果其效益得到证实，它将具有很大的潜力影响未来的政策。
ISRCTN: 12698269。方案于 2016 年 10 月 27 日注册。
