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丹麦“11 项健康计划”对 10-12 岁丹麦男女青少年身心健康的影响——一项大规模群组 RCT 研究

The "11 for Health in Denmark" intervention in 10- to 12-year-old Danish girls and boys and its effects on well-being-A large-scale cluster RCT.

机构信息

Department of Sports Science and Clinical Biomechanics, SDU Sport and Health Sciences Cluster (SHSC), University of Southern Denmark, Odense, Denmark.

Institute of Sport Psychology and Physical Education, Faculty of Sport Science, Leipzig University, Leipzig, Germany.

出版信息

Scand J Med Sci Sports. 2020 Sep;30(9):1787-1795. doi: 10.1111/sms.13704. Epub 2020 May 27.

Abstract

BACKGROUND

The present study investigates the well-being effects for 10- to 12-year-old children  who participated in the school-based intervention "11 for Health in Denmark," which comprises physical activity (PA) and health education. Subgroup analyses were carried out for boys and girls.

METHOD

Three thousand sixty-one children were randomly assigned to an intervention group (IG) or a control group (CG) by 5:1 cluster randomization by school. 2533 children (mean age 11.5 ± 0.4; 49.7% boys) were assigned to IG and 528 children (mean age 11.4 ± 0.5; 50.8% boys) were assigned to CG. IG participated in the "11 for Health in Denmark" 11-week program, consisting of 2 × 45 min per week of football drills, small-sided games, and health education. CG did not participate in any intervention and continued with their regular education. Before and after the intervention period, both groups answered a shortened version of the multidimensional well-being questionnaire KIDSCREEN-27.

RESULTS

The "11 for Health in Denmark" intervention program had a positive effect on physical well-being in girls (IG: 48.6 ± 8.5 to 50.2 ± 9.3), whereas the improvement was not significant in boys. The program also had a positive impact on well-being scores for peers and social support (IG: 50.2 ± 10.2 to 50.8 ± 10.1), though when analyzed separately in the subgroups of boys and girls the changes were not significant. No between-group differences were found for psychological well-being or school environment.

CONCLUSION

The intervention program had a positive between-group effect on physical well-being in girls, whereas the change was not significant in boys. The overall scores for peers and social support improved during the intervention period, but no subgroup differences were found.

摘要

背景

本研究调查了参加基于学校的干预措施“丹麦的 11 项健康计划”的 10-12 岁儿童的幸福感效应,该计划包括体育活动(PA)和健康教育。进行了男孩和女孩的亚组分析。

方法

通过学校以 5:1 的比例进行聚类随机分组,将 3061 名儿童随机分配到干预组(IG)或对照组(CG)。2533 名儿童(平均年龄 11.5±0.4;49.7%男孩)被分配到 IG,528 名儿童(平均年龄 11.4±0.5;50.8%男孩)被分配到 CG。IG 参加了为期 11 周的“丹麦的 11 项健康计划”,包括每周 2 次、每次 45 分钟的足球训练、小场比赛和健康教育。CG 没有参加任何干预,继续接受常规教育。在干预前后,两组都回答了多维幸福感问卷 KIDSCREEN-27 的简短版本。

结果

“丹麦的 11 项健康计划”干预方案对女孩的身体幸福感有积极影响(IG:48.6±8.5 至 50.2±9.3),而男孩的改善不显著。该方案还对同伴和社会支持的幸福感评分产生了积极影响(IG:50.2±10.2 至 50.8±10.1),尽管在男孩和女孩的亚组中分别分析时,变化不显著。在心理幸福感或学校环境方面,两组之间没有差异。

结论

干预方案对女孩的身体幸福感有积极的组间影响,而男孩的变化不显著。在干预期间,同伴和社会支持的总体评分有所提高,但没有发现亚组差异。

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