Gymnastik- och idrottshögskolan, GIH

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Universal healthy school start intervention reduced the body mass index of young children with obesity.
Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.; Division for Risk and Benefit Assessment, Swedish Food Agency, Uppsala, Sweden..
Swedish School of Sport and Health Sciences, GIH, Department of Physical Activity and Health. Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden..ORCID iD: 0000-0003-0004-8533
Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden..
Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.; Centre for Epidemiology and Community Medicine, Region Stockholm, Stockholm, Sweden.
2024 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227Article in journal (Refereed) Epub ahead of print
Abstract [en]

AIM: To evaluate the effect of a universal, school-based family support programme on body mass index (BMI) of children aged 5-7 years, using pooled data from three trials.

METHODS: The programme has three to four components and is delivered during the first school year. It aims to promote healthy dietary and physical activity behaviours, and secondarily prevent unhealthy weight gain. Three cluster-randomised controlled trials were conducted between 2010 and 2018 in low and mixed socioeconomic status areas in Sweden. Weight and height were measured. Multiple mixed linear regression analysis was performed on the pooled data.

RESULTS: In total, 961 children were included (50% girls, mean age 6.3 years). The post-intervention effect on BMI z-score in all children was small, but in those with obesity at baseline, we observed a significant, clinically relevant, decrease in BMI z-score (-0.21). This was most pronounced in children with a non-Nordic born parent (-0.24). Five to six months after the intervention, decreases were no longer statistically significant.

CONCLUSION: The intervention resulted in changes in BMI comparable to obesity treatment programmes focusing on behaviour change. However, the effect attenuated with time suggesting the programme should be sustained and evaluated for a longer time.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024.
Keywords [en]
family support programme, obesity prevention, parental support, school-based interventions
National Category
Pediatrics Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Medicine/Technology
Identifiers
URN: urn:nbn:se:gih:diva-8122DOI: 10.1111/apa.17164ISI: 001169066700001PubMedID: 38381539OAI: oai:DiVA.org:gih-8122DiVA, id: diva2:1840071
Available from: 2024-02-22 Created: 2024-02-22 Last updated: 2024-03-21

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Nyberg, Gisela

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