一项针对超重或肥胖学龄儿童的为期10周的家庭聚焦电子健康健康生活方式项目的有效性：一项随机对照试验。

The effectiveness of a 10-week family-focused e-Health healthy lifestyle program for school-aged children with overweight or obesity: a randomised control trial.

作者信息

Zhu Diana, Dordevic Aimee L, Gibson Simone, Davidson Zoe E

机构信息

Department of Nutrition Dietetics and Food, Monash University, Level 1, 264 Ferntree Gully Road, Notting Hill, VIC, 3168, Australia.

School of Clinical Sciences, Monash University, Level 5 Block E, Monash Medical Centre, Clayton, VIC, 3168, Australia.

出版信息

BMC Public Health. 2025 Jan 7;25(1):59. doi: 10.1186/s12889-024-21120-5.

DOI:10.1186/s12889-024-21120-5

PMID:39773158

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11705843/

Abstract

BACKGROUND

Electronic health (e-Health) interventions may increase effectiveness and address limitations of conventional in-person childhood obesity treatment programs. This study evaluates the effectiveness of a 10-week e-Health (web-based) healthy lifestyle program for school-aged children with overweight/obesity.

METHODS

In this randomised control trial (RCT), families with children aged 7-13 years with overweight/obesity (body mass index, BMI ≥ 85th percentile), living in Victoria, Australia, were recruited. Families were randomised to intervention or waitlist control and received the 10-week web-based program. The primary outcome was the change in children's BMI z-score over 10 weeks. Other outcomes included change in children's waist circumference, dietary intake, physical activity, and quality of life over 10 weeks.

RESULTS

Of 148 children (125 families) recruited, 102 children (85 families) completed the RCT. A significant decrease in children's BMI z-scores was observed in the intervention compared to the control group over 10 weeks (mean difference 0.11; 95% CI, 0.02-0.20). The web-based program was also effective in improving children's quality of life and lifestyle behaviour changes over 10 weeks. In the intervention group, there was a significant increase in children's quality of life scores (intervention versus control: median change (IQR) = 11 (3, 17) versus 1 (-3, 7); p = 0.034), overall diet quality scores (6 (2, 10) versus 2 (-3, 5); p < 0.001), and daily physical activity levels (5.2 (-2.6, 12.8) versus - 0.2 (-8.2, 4.5); p = 0.022) compared to the control group.

CONCLUSIONS

A web-based healthy lifestyle program effectively improved short-term health-related outcomes in children with overweight/obesity. Further research is needed to identify determinants of program effectiveness, evaluate sustained effects, and equitably tailor childhood obesity e-Health interventions to diverse populations.

TRIAL REGISTRATION

This study was registered with the Australian New Zealand Clinical Trial Registry (ACTRN12621001762842) on November 11, 2021, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=383053 .

摘要

背景

电子健康（e-Health）干预措施可能会提高疗效，并克服传统面对面儿童肥胖治疗项目的局限性。本研究评估了一项为期10周的针对超重/肥胖学龄儿童的电子健康（基于网络）健康生活方式项目的有效性。

方法

在这项随机对照试验（RCT）中，招募了居住在澳大利亚维多利亚州、有7-13岁超重/肥胖儿童（体重指数，BMI≥第85百分位数）的家庭。将家庭随机分为干预组或等待名单对照组，并接受为期10周的基于网络的项目。主要结局是儿童在10周内BMI z评分的变化。其他结局包括儿童在10周内腰围、饮食摄入量、身体活动和生活质量的变化。

结果

在招募的148名儿童（125个家庭）中，102名儿童（85个家庭）完成了RCT。与对照组相比，干预组儿童在10周内的BMI z评分显著降低（平均差异0.11；95%CI，0.02-0.20）。基于网络的项目在改善儿童生活质量和生活方式行为变化方面也有效。在干预组中，与对照组相比，儿童的生活质量评分（干预组与对照组：中位数变化（IQR）=11（3，17）对1（-3，7）；p=0.034）、总体饮食质量评分（6（2，10）对2（-3，5）；p<0.001）和每日身体活动水平（5.2（-2.6，12.8）对-0.2（-8.2，4.5）；p=0.022）显著增加。