基于家庭的生活方式干预对父亲及其子女共同身体活动和其他健康相关结果的影响：“跑爸爸跑”干预。
Effects of a family-based lifestyle intervention on co-physical activity and other health-related outcomes of fathers and their children: the 'Run Daddy Run' intervention.
机构信息
Department of Movement and Sports Sciences, Ghent University, 9000, Ghent, Belgium.
PRCPAN (Priority Research Centre for Physical Activity and Nutrition), School of Education, University of Newcastle, 2308, Newcastle, Australia.
出版信息
BMC Public Health. 2023 Feb 15;23(1):342. doi: 10.1186/s12889-023-15191-z.
BACKGROUND
Fathers are important in establishing healthy behaviors in their children, but are rarely engaged in lifestyle programs. Focusing on physical activity (PA) of both fathers and their children by engaging them together in PA (i.e. "co-PA") is therefore a promising novel strategy for interventions. The study aim was to investigate the effect of the 'Run Daddy Run' on co-PA and PA of fathers and their children, and secondary outcomes such as weight status and sedentary behaviour (SB).
METHODS
This study is a non-randomized controlled trial (nRCT), including 98 fathers and one of their 6 to 8 years old children (intervention = 35, control = 63). The intervention was implemented over a 14-week period, and consisted of six (inter)active father-child sessions and an online component. Due to COVID-19, only 2/6 sessions could be implemented as planned, the remaining sessions were delivered online. In November 2019-January 2020 pre-test measurements took place, and post-test measurements in June 2020. Additional follow-up test was conducted in November 2020. PA (i.e. LPA, MPA, VPA and volume) of fathers and children were objectively measured using accelerometry, co-PA and the secondary outcomes were questioned using an online questionnaire.
RESULTS
Significant intervention effects were found for co-PA (+ 24 min./day in the intervention compared to the control group, p = 0.002), and MPA of the father (+ 17 min./day, p = 0.035). For children, a significant increase in LPA (+ 35 min./day, p < 0.001) was found. However, an inverse intervention effect was found for their MPA and VPA (-15 min./day, p = 0.005 and - 4 min./day, p = 0.002, respectively). Also decreases in fathers' and children's SB were found (-39 min./day, p = 0.022 and - 40 min./day, p = 0.003, respectively), but no changes in weight status, the father-child relationship, and the PA-family health climate (all p > 0.05).
CONCLUSION
The Run Daddy Run intervention was able to improve co-PA, MPA of fathers and LPA of children, and decreasing their SB. Inverse intervention effects were however found for MPA and VPA of children. These results are unique given their magnitude and clinical relevance. Targeting fathers together with their children might be a novel and potential intervention strategy to improve overall physical activity levels, however, further efforts should however be made to target children's MPA and VPA. Last, replicating these findings in a randomized controlled trial (RCT) is recommended for future research.
TRIAL REGISTRATION NUMBER
This study is registered as a clinical trial (clinicaltrials.gov, ID number: NCT04590755, date: 19/10/2020).
背景
父亲在培养孩子健康行为方面起着重要作用，但很少参与生活方式项目。因此，通过让父亲和孩子一起参与体育活动（即“共同体育活动”）来关注他们的体育活动（PA），是一种有前途的干预新策略。本研究旨在调查“爸爸快跑”对父亲及其孩子共同体育活动和 PA 的影响，以及体重状况和久坐行为（SB）等次要结果。
方法
这是一项非随机对照试验（nRCT），纳入了 98 位父亲和他们 6 至 8 岁的一位孩子（干预组=35 人，对照组=63 人）。干预持续了 14 周，包括 6 次（互动）父亲-孩子活动和一个在线部分。由于 COVID-19，只有 2/6 次活动按计划进行，其余活动都是在线进行的。2019 年 11 月至 2020 年 1 月进行了预测试，2020 年 6 月进行了后测试。在 2020 年 11 月进行了额外的随访测试。使用加速度计客观测量父亲和孩子的 PA（即 LPA、MPA、VPA 和运动量），并通过在线问卷询问共同体育活动和次要结果。
结果
与对照组相比，共同体育活动有显著的干预效果（干预组每天增加 24 分钟，p=0.002），父亲的 MPA 也有显著增加（每天增加 17 分钟，p=0.035）。对于儿童，发现 LPA 显著增加（每天增加 35 分钟，p<0.001）。然而，对于儿童的 MPA 和 VPA，却发现了相反的干预效果（每天减少 15 分钟，p=0.005 和每天减少 4 分钟，p=0.002）。此外，父亲和孩子的 SB 也有所减少（每天减少 39 分钟，p=0.022 和每天减少 40 分钟，p=0.003），但体重状况、父子关系和 PA 家庭健康氛围没有变化（均 p>0.05）。
结论
“爸爸快跑”干预能够提高父亲的共同体育活动、父亲的 MPA 和儿童的 LPA，以及降低他们的 SB。然而，对于儿童的 MPA 和 VPA，却发现了相反的干预效果。鉴于这些结果的重要性和临床相关性，这些结果是独特的。针对父亲及其子女的目标可能是提高整体 PA 水平的一种新的、潜在的干预策略，然而，需要进一步努力针对儿童的 MPA 和 VPA。最后，建议在随机对照试验（RCT）中进一步验证这些发现。
试验注册号
本研究已在临床试验注册中心注册（clinicaltrials.gov，注册号：NCT04590755，日期：2020 年 10 月 19 日）。
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