A cluster randomized trial of a comprehensive intervention nesting family and clinic into school centered implementation to reduce myopia and obesity among children and adolescents in Beijing, China: study protocol

被引：9

作者：

Wang, Xinxin ^{[1
]}

Dang, Jiajia ^{[2
]}

Liu, Jieyu ^{[2
]}

Liu, Yunfei ^{[2
]}

Wang, Yaqi ^{[2
]}

Shi, Di ^{[2
]}

Chen, Ziyue ^{[2
]}

Yuan, Wen ^{[2
]}

Cai, Shan ^{[2
]}

Mi, Jie ^{[3
]}

Xiao, Pei ^{[3
]}

Li, Li ^{[4
]}

Fan, Yunwei ^{[4
]}

Gao, Aiyu ^{[5
]}

Chen, Haihua ^{[5
]}

Zhuang, Lili ^{[5
]}

Yu, Zhaocang ^{[6
]}

Li, Jianhui ^{[6
]}

Yang, Dongmei ^{[7
]}

Yang, Gang ^{[7
]}

Guo, Lipo ^{[8
]}

Li, Yuanyuan ^{[8
]}

Song, Jieyun ^{[2
]}

Li, Jing ^{[2
]}

Ma, Jun ^{[2
]}

Dong, Yanhui ^{[2
]}

Song, Yi ^{[2
]}

机构：

[1] Ningxia Med Univ, Sch Publ Hlth, Key Lab Environm Factors & Chron Dis Control, 1160 Shengli St, Yinchuan 750004, Peoples R China

[2] Peking Univ, Inst Child & Adolescent Hlth, Sch Publ Hlth, Natl Hlth Commiss Key Lab Reprod Hlth, Beijing 100191, Peoples R China

[3] Capital Med Univ, Beijing Childrens Hosp, Ctr Noncommunicable Dis Management, Natl Ctr Childrens Hlth, Beijing 100045, Peoples R China

[4] Capital Med Univ, Beijing Childrens Hosp, Natl Ctr Childrens Hlth, Dept Ophthalmol, Beijing 100045, Peoples R China

[5] Dongcheng Primary & Secondary Sch Hlth Care Ctr, Beijing, Peoples R China

[6] Beijing Tongzhou Dist Primar Yand Secondary Sch Hl, Beijing, Peoples R China

[7] Tongzhou Dist Ctr Dis Control & Prevent, Beijing, Peoples R China

[8] Hlth Educ Ctr Primary & Secondary Sch Changping B, Beijing, Peoples R China

来源：

BMC PUBLIC HEALTH | 2023年 / 23卷 / 01期

关键词：

Children; Adolescents; Myopia; Obesity; Custer randomized trial; CHILDHOOD OBESITY; DISEASE BURDEN; TIME SPENT; PREVENTION; MANAGEMENT; EDUCATION; METAANALYSIS; PREVALENCE; OVERWEIGHT; EXERCISE;

D O I：

10.1186/s12889-023-16270-x

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

BackgroundMyopia and obesity in children and adolescents have become serious public health problems that endanger public health, especially in China. Unhealthy lifestyle behaviors are environmental drivers of both myopia and obesity. This protocol describes a study to evaluate the effectiveness of "22510SS", that is 2 h of daytime outdoor activities ('2'); Limit screen time to no more than 2 h per day ('2'); Consume at least 5 servings of fruits and vegetables daily ('5'); Attain 1 h of physical activity daily ('1'); Consume 0 sugar-sweetened beverages ('0'); Reasonable sleep duration ('S'); Regular supervision ('S'). A school-based, multifaceted intervention strategy for myopia and obesity prevention, and to assess and explore the implementation of "22510SS" with regards to acceptability, feasibility, adoption, usage and maintenance.Methods and analysisThis study aims to develop a comprehensive intervention strategy "22510SS" based on the socio-ecological model, and A two-arm cluster randomized trial with a parallel-group of a 1:1 allocation ratio in 36 primary and secondary schools to test its evidence-based intervention programs on the effects and implementation of myopia and obesity epidemics in children and adolescents in grades 4 and 7. The primary outcomes will include differences in visual acuity, body mass index, outdoor activity indicators, screen time, fruit and vegetable intake, high-quality protein intake, sugar-sweetened beverage intake, sleep duration, and level of monitoring among children and adolescents. Secondary outcomes will assess the acceptability, feasibility, uptake, use, and maintenance of the intervention. Effects on the primary and secondary outcomes will be analyzed using linear and logistic regression analyses, as well as difference-in-difference analysis, taking into account cluster effects and possible confounding factors. Process assessments will also be conducted through quantitative and qualitative analyses, including acceptability, feasibility, gender, adoption, implementation, and sustainability.DiscussionThis study will evaluate the effectiveness of "22510SS" and examine its implementation in the school-based network nesting family and clinic. Following this intervention study, the integrated intervention program focused on myopia and obesity among children and adolescents have great potential to be implemented in China to promote and support healthy lifestyle behavior change and reduce the risk of myopia and obesity in children and adolescents.

引用

页数：20

共 60 条

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