A randomized controlled trial for overweight and obesity in preschoolers: the More and Less Europe study - an intervention within the STOP project
dc.contributor.author
dc.date.accessioned
2019-11-18T10:29:44Z
dc.date.available
2019-11-18T10:29:44Z
dc.date.issued
2019-07-15
dc.identifier.issn
1471-2458
dc.identifier.uri
dc.description.abstract
Childhood overweight and obesity is a serious public health issue with an increase being observed in preschool-aged children. Treating childhood obesity is difficult and few countries use standardized treatments. Therefore, there is a need to find effective approaches that are feasible for both health care providers and families. Thus, the overall aim of this study is to assess the acceptance and effectiveness of a parent support program (the More and Less, ML) for the management of overweight and obesity followed by a mobile health (mHealth) program (the MINISTOP application) in a socially diverse population of families.
Methods/design
A two-arm, parallel design randomized controlled trial in 300 2-to 6-year-old children with overweight and obesity from Romania, Spain and Sweden (n = 100 from each). Following baseline assessments children are randomized into the intervention or control group in a 1:1 ratio. The intervention, the ML program, consists of 10-weekly group sessions which focus on evidence-based parenting practices, followed by the previously validated MINISTOP application for 6-months to support healthy eating and physical activity behaviors. The primary outcome is change in body mass index (BMI) z-score after 9-months and secondary outcomes include: waist circumference, eating behavior (Child Eating Behavior Questionnaire), parenting behavior (Comprehensive Feeding Practices Questionnaire), physical activity (ActiGraph wGT3x-BT), dietary patterns (based on metabolic markers from urine and 24 h dietary recalls), epigenetic and gut hormones (fasting blood samples), and the overall acceptance of the overweight and obesity management in young children (semi-structured interviews). Outcomes are measured at baseline and after: 10-weeks (only BMI z-score, waist circumference), 9-months (all outcomes), 15- and 21-months (all outcomes except physical activity, dietary patterns, epigenetics and gut hormones) post-baseline.
Discussion
This study will evaluate a parent support program for weight management in young children in three European countries. To boost the effect of the ML program the families will be supported by an app for 6-months. If the program is found to be effective, it has the potential to be implemented into routine care to reduce overweight and obesity in young children and the app could prove to be a viable option for sustained effects of the care provided
dc.description.sponsorship
This study is funded through the STOP project, http://www.stopchildobesity.
eu/. The STOP project received funding from the European Union’s Horizon
2020 research and innovation programme under Grant Agreement No.
774548. The content of this document reflects only the authors’ views
and the European Commission is not liable for any use that may be made of
the information it contains. JAT, CB, EA and JAM are also funded by
CIBEROBN (CB12/03/30038), Instituto de Salud Carlos III and the European
Regional Development Fund. CB is also funded by a Fernando Tarongí Bauzà
Grant. MS was also funded by CIBERESP, Instituto de Salud Carlos III.
dc.format.mimetype
application/pdf
dc.language.iso
eng
dc.publisher
BioMed Central
dc.relation.isformatof
Reproducció digital del document publicat a: https://doi.org/10.1186/s12889-019-7161-y
dc.relation.ispartof
BMC Public Health, 2019, vol. 19, art.núm. 945
dc.relation.ispartofseries
Articles publicats (D-EC)
dc.rights
Attribution 4.0 International
dc.rights.uri
dc.subject
dc.title
A randomized controlled trial for overweight and obesity in preschoolers: the More and Less Europe study - an intervention within the STOP project
dc.type
info:eu-repo/semantics/article
dc.rights.accessRights
info:eu-repo/semantics/openAccess
dc.type.version
info:eu-repo/semantics/publishedVersion
dc.identifier.doi
dc.identifier.idgrec
030059
dc.type.peerreviewed
peer-reviewed