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首页> 外文期刊>BMC Public Health >The Healthy Start project: a randomized, controlled intervention to prevent overweight among normal weight, preschool children at high risk of future overweight
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The Healthy Start project: a randomized, controlled intervention to prevent overweight among normal weight, preschool children at high risk of future overweight

机译:健康开始项目:一项随机,可控制的干预措施,以防止体重正常的学龄前儿童有超重的风险,以防止他们超重

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Background Research shows that obesity prevention has to start early. Targeting interventions towards subgroups of individuals who are predisposed, but yet normal weight, may prove more effective in preventing overweight than interventions towards unselected normal weight subsets. Finally, interventions focused on other factors than diet and activity are lacking. The objectives were to perform a randomized, controlled intervention aiming at preventing overweight in children aged 2–6?years, who are yet normal weight, but have high predisposition for future overweight, and to intervene not only by improving diet and physical activity, but also reduce stress and improve sleep quality and quantity. Methods/Design Based on information from the Danish National Birth Registry and administrative birth forms, children were selected based on having either a high birth weight, a mother who was overweight prior to pregnancy, or a familial low socioeconomic status. Selected children (n?=?5,902) were randomized into three groups; an intervention group, a shadow control group followed in registers exclusively, and a control group examined at the beginning and at the end of the intervention. Approximately 21% agreed to participate. Children who presented as overweight prior to the intervention were excluded from this study (n?=?92). In the intervention group, 271 children were included, and in the control group 272 were included. Information obtained from the shadow control group is on-going, but it is estimated that 394 children will be included. The intervention took place over on average 1??year between 2009 and 2011, and consisted of optional individual guidance in optimizing diet and physical activity habits, reducing chronic stress and stressful events and improving sleep quality and quantity. The intervention also included participation in cooking classes and play arrangements. Information on dietary intake, meal habits, physical activity, sleep habits, and overall stress level was obtained by 4–7 day questionnaire diaries and objective measurements. Discussion If the Healthy Start project is effective in preventing excessive weight gain, it will provide valuable information on new determinants of obesity which should be considered in future interventions, and on new strategies to prevent development of overweight and obesity at an early age. Trial registration ClinicalTrials.gov, ID NCT01583335.
机译:背景研究表明,预防肥胖必须尽早开始。与针对未选择的正常体重亚组的干预相比,针对那些倾向于但仍具有正常体重的个体亚组进行干预可能更有效。最后,缺乏针对饮食和活动以外其他因素的干预措施。目的是进行一项随机,受控的干预措施,以防止体重在正常范围内但对将来超重的倾向较高的2-6岁儿童的超重,并不仅通过改善饮食和体育锻炼来干预,而且还可以减轻压力,改善睡眠质量和数量。方法/设计根据丹麦国家出生登记处的信息和行政出生表,根据出生体重高,怀孕前超重的母亲或家族社会经济地位低下的情况选择儿童。选定的儿童(n = 5902)被随机分为三组。一个干预组,一个影子对照组和一个排在其后的登记册,以及一个在干预开始和结束时进行检查的对照组。大约21%同意参加。干预前表现为超重的儿童被排除在本研究之外(n = 92)。干预组包括271名儿童,对照组272名。从影子控制小组获得的信息仍在继续,但据估计将包括394名儿童。该干预措施在2009年至2011年期间平均进行了1年,包括可选的个人指导,以优化饮食和身体活动习惯,减轻慢性压力和压力事件以及改善睡眠质量和数量。干预还包括参加烹饪课和游戏安排。通过4-7天的问卷日记和客观测量获得有关饮食摄入,饮食习惯,身体活动,睡眠习惯和总体压力水平的信息。讨论如果“健康开始”项目能够有效防止体重过多增加,它将提供有关肥胖的新决定因素(在以后的干预措施中应予以考虑)以及防止早期发展超重和肥胖的新策略的宝贵信息。试用注册ClinicalTrials.gov,ID NCT01583335。

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