多维基于学校和家庭参与的干预措施，以促进儿童肥胖预防的健康和可持续生活方式（活力）：研究方案。

Multidimensional School-Based and Family-Involved Interventions to Promote a Healthy and Sustainable Lifestyle (LIVELY) for Childhood Obesity Prevention: Study Protocol.

机构信息

Laboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.

Laboratory of Pharmacoepidemiology and Human Nutrition, Department of Health Policy, Istituto di Ricerche Farmacologiche Mario Negri Istituto di Ricovero e Cura a Carattere Scientifico, Milan, Italy.

出版信息

JMIR Res Protoc. 2024 Oct 30;13:e57509. doi: 10.2196/57509.

DOI:10.2196/57509

PMID:39475855

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11561434/

Abstract

BACKGROUND

Childhood obesity has become a significant public health concern over the past 2 decades, posing multifactorial challenges, including modifiable factors like dietary habits, physical activity, screen time, and sleeping habits. Prevention efforts require a comprehensive approach comprising educational interventions, collaboration among multidisciplinary teams, and community engagement. Since schools play a central role in children's lives, they are the ideal setting for promoting healthy habits.

OBJECTIVE

The LIVELY (Multidimensional School-Based and Family-Involved Interventions to Promote a Healthy and Sustainable Lifestyle) study will assess the prevalence of overweight and obesity in primary school children and identify contributing factors within families. Additionally, it aims to implement and evaluate a multidimensional, multidisciplinary intervention to foster a sustainable and healthy lifestyle, ultimately working toward preventing obesity in school-aged children.

METHODS

During the school year, each class will be individually involved in a multidimensional educational intervention covering the topics of healthy, sustainable nutrition and lifestyle. Children will also participate in a multimedia lab where they will create an animated cartoon. The lectures will engage them through various methods, including direct instructions, games, and drawing activities, to stimulate and enhance their learning and involvement.

RESULTS

Data collection began in October 2023 and will last until the end of October 2024. A sample of 227 children from 14 classes was included in the study. The mean age was 8.9 (SD 1.2) years, and 48% (n=110) were males. Among the overall sample, 18.1% (n=41; 95% CI 13.7%-23.7%) were overweight, while 5.3% (n=12; 95% CI 3%-9%) had obesity. Males had a higher prevalence of obesity than females (9.1%, n=10 vs 1.7%, n=3, P=.03, respectively). Otherwise, the prevalence of central obesity was similar between the two (P=.329). Data analysis and the presentation of the complete results will be available after the end of 2024.

CONCLUSIONS

The study could lead to the structuring of an educational intervention model in school settings aimed at preventing childhood obesity. Moreover, it could help raise awareness of childhood obesity and help prevent this public health issue.

TRIAL REGISTRATION

ClinicalTrials.gov NCT05966051; https://clinicaltrials.gov/study/NCT05966051.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/57509.

摘要

背景

在过去的 20 年里，儿童肥胖已成为一个重大的公共卫生问题，带来了多方面的挑战，包括可改变的因素，如饮食习惯、身体活动、屏幕时间和睡眠习惯。预防工作需要采取综合方法，包括教育干预、多学科团队合作和社区参与。由于学校在儿童生活中起着核心作用，因此它们是促进健康习惯的理想场所。

目的

LIVELY（基于学校的多维和家庭参与的干预措施，以促进健康和可持续的生活方式）研究将评估小学生超重和肥胖的流行率，并确定家庭内的促成因素。此外，它旨在实施和评估多维、多学科的干预措施，以培养可持续和健康的生活方式，最终致力于预防学龄儿童肥胖。

方法

在学年期间，每个班级将单独参与一个涵盖健康、可持续营养和生活方式主题的多维教育干预。孩子们还将参加一个多媒体实验室，在那里他们将制作一个动画卡通。讲座将通过各种方法吸引他们，包括直接指导、游戏和绘画活动，以激发和增强他们的学习和参与度。

结果

数据收集始于 2023 年 10 月，将持续到 2024 年 10 月底。该研究纳入了来自 14 个班级的 227 名儿童。平均年龄为 8.9（SD 1.2）岁，48%（n=110）为男性。在整个样本中，18.1%（n=41；95%CI 13.7%-23.7%）超重，5.3%（n=12；95%CI 3%-9%）肥胖。男性肥胖的患病率高于女性（9.1%，n=10 与 1.7%，n=3，P=.03），而中心性肥胖的患病率在两者之间相似（P=.329）。数据分析和完整结果的呈现将在 2024 年底后进行。