| Title |
Effect of a community-based childhood obesity intervention program on changes in anthropometric variables, incidence of obesity, and lifestyle choices in Spanish children aged 8 to 10 years
|
|---|---|
| Published in |
European Journal of Pediatrics, July 2018
|
| DOI | 10.1007/s00431-018-3207-x |
| Pubmed ID | |
| Authors |
Santiago Felipe Gómez, Rafael Casas Esteve, Isaac Subirana, Lluis Serra-Majem, Marta Fletas Torrent, Clara Homs, Rowaedh Ahmed Bawaked, Lidia Estrada, Montserrat Fíto, Helmut Schröder |
| Abstract |
Results of community-based childhood obesity intervention programs do not provide strong evidence for their effectiveness. In this study, we evaluated the effect of the Thao-Child Health Program (TCHP), a community-based, multisetting, multistrategy intervention program for healthy weight development and lifestyle choices. In four Catalan cities, a total of 2250 children aged 8 to 10 years were recruited. Two cities were randomly selected for the TCHP intervention, and two cities followed usual health care policy. Children were selected from 41 elementary schools. Weight, height, and waist circumference were measured at baseline and after a mean follow-up of 15 months. Physical activity and adherence to the Mediterranean diet were measured with validated questionnaires. Generalized estimating equations (GEE) models were fitted to determine the intervention's effect on body mass index (BMI) z-score, waist-to-height ratio, Mediterranean diet adherence, and physical activity. Fully adjusted models revealed that the intervention had no significant effect on the BMI z-score, incidence of general and abdominal obesity, Mediterranean diet adherence, and physical activity. Waist-to-height ratio was significantly lower in controls than in the intervention group at follow-up (p < 0.004). The TCHP did not improve weight development, diet quality, and physical activity in the short term. What is Known: • There is inconsistent evidence for the efficacy of school-based childhood obesity prevention programs. • There is little evidence on the efficacy of childhood obesity intervention programs in other settings. What is New: • This paper contributes information about the efficacy of a multisetting and multistrategy Community Based Intervention (CBI) program that uses the municipality as its unit of randomization. • This CBI had no effect on the prevention and treatment of childhood obesity in the short term. |
X Demographics
The data shown below were collected from the profiles of 7 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 2 | 29% |
| France | 1 | 14% |
| Unknown | 4 | 57% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 6 | 86% |
| Practitioners (doctors, other healthcare professionals) | 1 | 14% |
Mendeley readers
The data shown below were compiled from readership statistics for 293 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 293 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 41 | 14% |
| Student > Bachelor | 37 | 13% |
| Student > Ph. D. Student | 23 | 8% |
| Researcher | 21 | 7% |
| Student > Doctoral Student | 15 | 5% |
| Other | 39 | 13% |
| Unknown | 117 | 40% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 70 | 24% |
| Medicine and Dentistry | 36 | 12% |
| Sports and Recreations | 18 | 6% |
| Biochemistry, Genetics and Molecular Biology | 8 | 3% |
| Psychology | 7 | 2% |
| Other | 23 | 8% |
| Unknown | 131 | 45% |
Attention Score in Context
This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 September 2018.
All research outputs
#7,235,009
of 23,096,849 outputs
Outputs from European Journal of Pediatrics
#1,400
of 3,778 outputs
Outputs of similar age
#123,124
of 329,152 outputs
Outputs of similar age from European Journal of Pediatrics
#32
of 52 outputs
Altmetric has tracked 23,096,849 research outputs across all sources so far. This one has received more attention than most of these and is in the 68th percentile.
So far Altmetric has tracked 3,778 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.7. This one has gotten more attention than average, scoring higher than 62% of its peers.
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We're also able to compare this research output to 52 others from the same source and published within six weeks on either side of this one. This one is in the 38th percentile – i.e., 38% of its contemporaries scored the same or lower than it.