A 12-month follow-up of a mobile-based (mHealth) obesity prevention intervention in pre-school children: the MINISTOP randomized controlled trial

被引：36

作者：

Nystrom, Christine Delisle ^{[1
,7
]}

Sandin, Sven ^{[2
,3
,4
]}

Henriksson, Pontus ^{[1
,5
]}

Henriksson, Hanna ^{[5
]}

Maddison, Ralph ^{[6
]}

Lof, Marie ^{[1
,8
]}

机构：

[1] Novum, Dept Biosci & Nutr, Karolinska Inst, Huddinge, Sweden

[2] Karolinska Inst, Dept Med Epidemiol & Biostat, S-17177 Stockholm, Sweden

[3] Icahn Sch Med Mt Sinai, Dept Psychiat, 1 Gustave L Levy Pl, New York, NY 10029 USA

[4] Seaver Autism Ctr Res & Treatment Mt Sinai, 1 Gustave L Levy Pl, New York, NY 10029 USA

[5] Univ Granada, Fac Sport Sci, Dept Phys Educ & Sports, PROFITH PROmoting FITness & Hlth phys activ Res, Carretera Alfacar S-N, Granada 18071, Spain

[6] Deakin Univ, Sch Exercise & Nutr Sci, Inst Phys Act & Nutr, 221 Burwood Highway, Burwood, Vic 3125, Australia

[7] Childrens Hosp, Eastern Ontario Res Inst, HALO, Res Grp, 401 Smyth Rd, Ottawa, ON K1H 8L1, Canada

[8] Linkoping Univ, Fac Med & Hlth, Dept Med & Hlth Sci, Linkoping, Sweden

来源：

BMC PUBLIC HEALTH | 2018年 / 18卷

基金：

瑞典研究理事会;

关键词：

Intervention; mHealth; Nutrition; Obesity; Physical activity; Pre-school; Prevention; PHYSICAL-ACTIVITY; OVERWEIGHT; METAANALYSIS; WEIGHT;

D O I：

10.1186/s12889-018-5569-4

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: To date, few mobile health (mHealth) interventions aimed at changing lifestyle behaviors have measured long term effectiveness. At the 6-month follow-up the MINISTOP trial found a statistically significant intervention effect for a composite score comprised of fat mass index (FMI) as well as dietary and physical activity variables; however, no intervention effect was observed for FMI. Therefore, the aim of this study was to investigate if the MINISTOP intervention 12-months after baseline measurements: (i) improved FMI and (ii) had a maintained effect on a composite score comprised of FMI and dietary and physical activity variables. Methods: A two-arm parallel randomized controlled trial was conducted in 315 healthy 4.5 year old children between January 2014 and October 2015. Parents' of the participating children either received the MINISTOP intervention or a basic pamphlet on dietary and physical activity behaviors (control group). After 6 months, participants did not have access to the intervention content and were measured again 6 months later (i.e. the 12-month follow-up). The Wilcoxon rank-sum test was then used to examine differences between the groups. Results: At the 12-month follow-up, no statistically significant difference was observed between the intervention and control groups for FMI (p = 0.57) and no maintained effect for the change in composite score was observed (mean +/- standard deviation for the intervention and control group: + 0.53 +/- 1.49 units and + 0.35 +/- 1.27 units respectively, p = 0.25 between groups). Conclusions: The intervention effect observed at the 6-month follow-up on the composite score was not maintained at the 12-month follow-up, with no effect on FMI being observed at either follow-up. Future studies using mHealth are needed to investigate how changes in obesity related markers in young children can be maintained over longer time periods.

引用

页数：7

共 24 条

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