The Incidence of Obesity, Assessed as Adiposity, Is Reduced After 1 Year in Primary Schoolchildren by the POIBA Intervention

ABSTRACT Background Childhood obesity is becoming a serious problem, and prevention programs are needed. Objective The purpose of this study was to evaluate, after 1 y, the effectiveness of a multicomponent, school-based obesity intervention program. Methods This intervention, conducted in Barcelona, Spain, was a quasi-experimental obesity primary prevention intervention targeting schoolchildren aged 9–10 y. Participants were assigned to an intervention group (IG) (1464 students) or to a comparison group (CG) (1609 students). The intervention consisted of a 9-session classroom program, 6 weekly sessions of physical education and out-of-school physical activity, and a workshop for families. It lasted from October 2011 to May 2012. Data obtained at baseline (spring 2011) and follow-up (spring 2012) included information on nutrition and physical activity, through 2 self-reported questionnaires, and measurement of weight, height, triceps skinfold thickness, and waist circumference. The cumulative incidence rate (CIR) of obesity was calculated from triceps skinfold measures. A multilevel logistic regression model was fitted to determine the association between the intervention and the CIR of obesity. The effect size of the program was estimated with Cohen's criteria. Results The overall prevalence of obesity at baseline was 12.7%. At the 12-mo follow-up, the incidence of obesity was 7.8% in the IG compared with 11.4% in the CG (P < 0.005), representing 31% fewer new cases of obesity in the IG. The Cohen's d effect size of the program was 0.33. In the multilevel analysis, there was a protective effect of the intervention on the CIR of obesity at 12 mo (OR: 0.7; 95% CI: 0.5, 0.9) (P = 0.009). Conclusions The first Prevención de la Obesidad Infantil en Barcelona (Childhood Obesity Prevention in Barcelona) (POIBA) intervention, targeting children aged 9–10 y, reduced the incidence of obesity as measured by adiposity. The intervention could prevent 1 in 3 new cases of childhood obesity in this age range.

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'Effectiveness Of A Peer Support Intervention Program On Obesity Control Among Women In A Rural Area Of Turkey' (Preprint)

10.2196/preprints.34614 ◽

2021 ◽

Author(s):

Berna Bilgin Şahin ◽

Erhan Eser

Keyword(s):

Physical Activity ◽

Peer Support ◽

Intervention Program ◽

Intervention Group ◽

The Body ◽

Obesity Prevalence ◽

Community Based ◽

Support Intervention ◽

Quasi Experimental ◽

Obesity Interventions

BACKGROUND Obesity in women is one of the leading public health problems globally. Peer support interventions have been effective in many areas of health promotion, and they have also been successful in obesity prevention and treatment. OBJECTIVE The purpose of this research was to reduce the Body Mass Index, fat ratio, and fat amount of the targeted women through the support of their peers (leading women) by regulating nutrition and improving physical activity in a rural community. METHODS This is a quasi-experimental obesity peer-led intervention study called the Leading Woman Model. At baseline, the obesity prevalence was found to be 60.5% among women aged 18–64 (n = 655) living in a rural district of Turkey. Of the participants (n = 137), 86.9% completed the 3rd month and 78.1% the 6th month of the intervention. Leading women (n = 11) were recruited from the community to supervise and monitor their own target groups of women during the intervention, which included supervised balanced nutrition and regular physical activity. RESULTS The mean age of the target intervention group was 42.8 ± 12.2. Significant improvements were observed in the body weight of the participating in the 3rd (-1.15 ± 2.51 kg) and 6th month (-1.13 ± 4.15 kg) of the intervention (p <0.05). Of the women, 10.9% lost at least 5% of their weight by the 3rd month and 13.1% by the 6th month of intervention, and 8.4% and 11.2% of the women achieved a better BMI category in the 3rd and 6th month of intervention, respectively. CONCLUSIONS Community-based obesity interventions are challenging but much more promising than those based at a facility. We suggest the Leading Women Model for community-based obesity interventions in women.

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Under COVID-19 Pandemic: A Quasi-Experimental Trial of Observation on Diabetes Patients' Health Behavior Affected by the Pandemic From a Coaching Intervention Program

Frontiers in Public Health ◽

10.3389/fpubh.2021.580032 ◽

2021 ◽

Vol 9 ◽

Author(s):

Ching-Ling Lin ◽

Li-Chi Huang ◽

Yao-Tsung Chang ◽

Ruey-Yu Chen ◽

Shwu-Huey Yang

Keyword(s):

Physical Activity ◽

Usual Care ◽

Intervention Program ◽

Intervention Group ◽

Self Management ◽

Time Interval ◽

Observation Study ◽

Quasi Experimental ◽

Eating Out ◽

The Impact

Introduction: The aim of this study was to explore the impact of diabetes self-management and HbA1c affected by the COVID-19 pandemic and the epidemic prevention work.Methods: This quasi-experimental study collected a pooled data from a randomized-control study between February and May 2020 in which 114 participants who presented type 2 diabetes were recruited. The intervention group had health coaching and usual care, whereas the control had usual care only. The main outcome variables of this observation study were the change of HbA1c, physical activity, and eating out behavior within this time interval.Results: We found that the eating out behavior of both groups had decreased, and if a health coach helped the patients set physical activity goals in the two groups, the physical activity behavior will not be impacted due to the pandemic.Conclusions: While every country is focusing on COVID-19 pandemic prevention, especially when strict home quarantine measures and social distancing are adopted, reminding and assisting chronic patients to maintain good self-management behavior may lessen the social and medical system burdens caused by the deterioration of chronic conditions due to the excessive risk prevention behavior and the epidemic prevention work.Trial Registration:www.isrctn.com, identifier number: ISRCTN14167790, date: 12 July, 2019.

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Three-Year Follow-Up of the POIBA Intervention on Childhood Obesity: A Quasi-Experimental Study

Nutrients ◽

10.3390/nu13020453 ◽

2021 ◽

Vol 13 (2) ◽

pp. 453

Author(s):

Francesca Sánchez-Martínez ◽

Silvia Brugueras ◽

Gemma Serral ◽

Sara Valmayor ◽

Olga Juárez ◽

...

Keyword(s):

Physical Activity ◽

Experimental Study ◽

Childhood Obesity ◽

Activity Score ◽

Global Score ◽

School Based ◽

Quasi Experimental ◽

Global Activity ◽

Screen Use

Childhood obesity has increased worldwide over the past four decades. This quasi-experimental study aimed to assess the effectiveness of a multicomponent and multilevel school-based intervention (POIBA) at 3 years of follow-up. The nutrition intervention focused on food groups, food pyramid, nutrients, portions, and balanced menus. In total, 3624 children participated in the study. Anthropometric measurements and information on food frequency and behavior, physical activity, and daily screen use were collected in the intervention (IG) and comparison group (CG). Positive unadjusted changes toward adherence to recommendations were found for water, meat, sweets, and fried potato consumption, proper breakfast, not having dinner in front of the TV, out-of-school physical activity, and daily screen use. Three scores were used to calculate the proportion of children making more than one change to improve healthy habits regarding physical activity (global Activity score), nutrition (global Nutrition score), and both (global score). Students exposed to the intervention had a significantly better global Activity score (16.2% IG vs. 11.9% CG; p = 0.012) and Global score (63.9% IG vs. 58.5% CG; p = 0.025). Intervention effects on obesity incidence at 3-year follow-up lost significance but maintained the positive trend. In conclusion, school-based interventions including a family component could be useful to address the childhood obesity problem.

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Sports camp with six months of support from a local sports club as a treatment for childhood obesity

Scandinavian Journal of Public Health ◽

10.1177/1403494809344444 ◽

2009 ◽

Vol 37 (8) ◽

pp. 793-800 ◽

Cited By ~ 11

Author(s):

Paulina Nowicka ◽

Jan Lanke ◽

Angelo Pietrobelli ◽

Erwin Apitzsch ◽

Carl-Erik Flodmark

Keyword(s):

Physical Activity ◽

Childhood Obesity ◽

Controlled Trial ◽

Intervention Group ◽

Treatment Strategies ◽

Control Group ◽

Z Score ◽

Sports Club ◽

Baseline Bmi

Aims: Although childhood obesity is becoming increasingly prevalent, treatment options are limited and the continued development of effective treatment strategies is necessary. It is equally important to explore involvement of other resources in society, such as sports associations. This study was designed to investigate the possibility of reducing the degree of obesity in obese children by focusing on physical activity as an intervention. Methods: Seventy-six children (40 boys) aged 8—12 years (mean age 10.5 years, mean body mass index (BMI) 28.9, standard deviation (SD) 3.0; mean BMI z-score 3.24, SD 0.49) were invited to participate in a one-week sports camp and six-month support system. After the camp a sports coach from a local sports club supported the child during participation in a chosen sport for six months. Weight, height, body composition (using dual energy x-ray absorptiometry and magnetic resonance imaging), and lifestyle (using a questionnaire) were measured at baseline and after 12 months. Data were pooled from two camps, one with a self-selected control group and one randomized controlled trial. Results: Twelve months after the camp the intervention group had a significant decrease in BMI z-score (baseline BMI z-score 3.22; follow up 3.10, p = 0.023). The control group also reduced their BMI z-score (baseline BMI z-score 3.27; follow up 3.18, p = 0.022). No differences were found in baseline values, follow-up values, or changes in BMI z-score between groups, nor between boys and girls. Conclusions: The focus on physical activity as an intervention had no effect on degree of obesity when compared with a waiting list control group.

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Increasing Physical Activity in Persons With Dementia: A Randomized Controlled Trial

Journal of Aging and Physical Activity ◽

10.1123/japa.2019-0183 ◽

2020 ◽

Vol 28 (4) ◽

pp. 588-597

Author(s):

Rebekka Pomiersky ◽

Bastian Abel ◽

Christian Werner ◽

André Lacroix ◽

Klaus Pfeiffer ◽

...

Keyword(s):

Physical Activity ◽

Intervention Program ◽

Primary Outcome ◽

Controlled Trial ◽

Intervention Group ◽

The Elderly ◽

Control Group ◽

Moderate Dementia ◽

Activity Questionnaire

This study investigated the effectivity and sustainability of a physical activity (PA) promotion and motor training programs and analyzed predictors for PA changes in persons with dementia. A total of 122 participants with mild-to-moderate dementia were randomized to the intervention program designed for persons with dementia (intervention group) or a motor placebo activity (control group). The primary outcome was the Physical Activity Questionnaire for the Elderly assessed at the baseline, after the 3-month intervention, and at a 3-month follow-up. The PA promotion program significantly increased PA in the intervention group compared with the control group during the training intervention phase. Both groups showed an increase in habitual PA when intervention-induced activities were excluded. PA was sustainably increased in both groups at follow-up. Low baseline PA was predictive for increased PA after the intervention and low baseline PA, high motor performance, and low comorbidity for increased PA at follow-up.

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Walking for Better Outcomes and Recovery: The Effect of WALK-FOR in Preventing Hospital-Associated Functional Decline Among Older Adults

The Journals of Gerontology Series A ◽

10.1093/gerona/glz025 ◽

2019 ◽

Vol 74 (10) ◽

pp. 1664-1670 ◽

Cited By ~ 13

Author(s):

Yaniv Cohen ◽

Anna Zisberg ◽

Yehudit Chayat ◽

Nurit Gur-Yaish ◽

Efrat Gil ◽

...

Keyword(s):

Older Adults ◽

Group Intervention ◽

Functional Decline ◽

Intervention Group ◽

Control Group ◽

Community Mobility ◽

Steps Per Day ◽

Quasi Experimental ◽

Activity Survey

Abstract Background In-hospital immobility of older adults is associated with hospital-associated functional decline (HAFD). This study examined the WALK-FOR program’s effects on HAFD prevention. Methods A quasi-experimental pre-post two-group (intervention group [IG] n = 188, control group [CG] n = 189) design was applied in two hospital internal medical units. On admission, patients reported pre-hospitalization functional status, which was assessed again at discharge and 1-month follow-up. Primary outcome was decline in basic activities of daily living (BADL), using the Modified Barthel Index. Secondary outcomes were decline in instrumental ADL (Lawton’s IADL scale) and community mobility (Yale Physical Activity Survey). All participants (75.1 ± 7 years old) were cognitively intact and ambulatory at admission. The WALK-FOR included a unit-tailored mobility program utilizing patient-and-staff education with a specific mobility goal (900 steps per day), measured by accelerometer. Results Decline in BADL occurred among 33% of the CG versus 23% of the IG (p = .02) at discharge, and among 43% of the CG versus 30% in the IG (p = .01) at 1-month follow-up. Similarly, 26% of the CG versus 15% of the IG declined in community mobility at 1-month follow-up (p = .01). Adjusted for major covariates, the intervention reduced the odds of decline in BADL by 41% (p = .05) at discharge and by 49% at 1-month follow-up (p = .01), and in community mobility by 63% (p = .02). There was no significant effect of the intervention on IADL decline (p = .19). Conclusions The WALK-FOR intervention is effective in reducing HAFD.

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Individual Physical Activity Behaviour and Group Composition as Determinants of the Effectiveness of a Childhood Obesity Intervention Program

Obesity Facts ◽

10.1159/000512293 ◽

2020 ◽

pp. 1-8

Author(s):

Liesa Marie Lier ◽

Christoph Breuer ◽

Nina Ferrari ◽

David Friesen ◽

Fernanda Maisonave ◽

...

Keyword(s):

Childhood Obesity ◽

Physical Fitness ◽

Intervention Program ◽

Program Effectiveness ◽

Physical Activity Behaviour ◽

Control Group ◽

Linear Regression Models ◽

Physically Active ◽

Gender Groups ◽

Age Range

Introduction: Up to now, there is limited clarity on factors that determine the effectiveness of childhood obesity interventions. Objective: This study intends to uncover individual- and program-level predictors of BMI-SDS and fitness to achieve significant, sustainable health improvements. Methods: Data of 249 children with obesity or overweight who participated in an outpatient multidisciplinary program were analysed and compared to 54 waitlist controls. Linear regression models were used to examine associations between individual- and group-level variables and BMI-SDS and fitness. Results: Among intervention children, BMI-SDS decreased by 0.19 units and physical fitness increased by 11.5%, versus a BMI-SDS decrease of 0.07 and a 1.8% decrease in fitness in the control group. Participants who reported being physically active before the program start achieved greater improvements in BMI-SDS (β = –0.177, p < 0.05) and physical fitness (β = 0.174, p < 0.05) than inactive peers. BMI-SDS decreased significantly more for members of gender-heterogeneous groups (β = 0.194, p < 0.05) with a narrow age range (β = 0.152, p < 0.05). Conclusions: The program under review is effective in counteracting juvenile obesity. The results give reason to believe that forming mixed-gender groups with a small age range and providing increased support for reportedly inactive children may improve program effectiveness.

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A childhood obesity prevention programme in Barcelona (POIBA Project): Study protocol of the intervention

Journal of Public Health Research ◽

10.4081/jphr.2018.1129 ◽

2018 ◽

Author(s):

Francesca Sánchez-Martínez ◽

Olga Juárez ◽

Gemma Serral ◽

Sara Valmayor ◽

Rosa Puigpinós ◽

...

Keyword(s):

Physical Activity ◽

Childhood Obesity ◽

New Technologies ◽

Eating Habits ◽

Intervention Group ◽

Total Duration ◽

Outcome Variable ◽

Preventive Interventions ◽

School Based ◽

Diet And Physical Activity

Background: Childhood obesity preventive interventions should promote a healthy diet and physical activity at home and school. This study aims to describe a school-based childhood obesity preventive programme (POIBA Project) targeting 8-to-12- year-old. Design and methods: Evaluation study of a school-based intervention with a pre-post quasi-experimental design and a comparison group. Schools from disadvantaged neighbourhoods are oversampled. The intervention consists of 9 sessions, including 58 activities of a total duration between 9 and 13 hours, and the booster intervention of 2 sessions with 8 activities lasting 3 or 4 hours. They are multilevel (individual, family and school) and multicomponent (classroom, physical activity and family). Data are collected through anthropometric measurements, physical fitness tests and lifestyle surveys before and after the intervention and the booster intervention. In the intervention group, families complete two questionnaires about their children’s eating habits and physical activity. The outcome variable is the cumulative incidence rate of obesity, obtained from body mass index values and body fat assessed by triceps skinfold thickness. The independent variables are socio-demographic, contextual, eating habits, food frequency, intensity of physical activity and use of new technologies. Expected impact for public health: It is essential to implement preventive interventions at early ages and to follow its effects over time. Interventions involving diet and physical activity are the most common, being the most effective setting the school. The POIBA Project intervenes in both the school and family setting and focuses on the most disadvantaged groups, in which obesity is most pronounced and difficult to prevent.

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Augmented Rehabilitation Program for Young Patients Following Total Hip Arthroplasty

10.21203/rs.3.rs-138081/v1 ◽

2021 ◽

Author(s):

Ahmed Negm ◽

Milad Yavarai ◽

Gian Jhangri ◽

Robert Haennel ◽

Allyson Jones

Keyword(s):

Physical Activity ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Intervention Group ◽

Young Patients ◽

Rehabilitation Program ◽

Control Group ◽

Total Hip ◽

The Impact

Abstract BackgroundThe increase rate seen in Total Hip Arthroplasty (THA) for younger patients has implications for future rehabilitation demands for primary and revision THA surgery. This study aims to determine the impact of a 6-week post-operative rehabilitation program designed for THA patients ≤ 60 years on physical activity (PA) and function compared to age- and a sex-matched control group received usual postoperative care at 12-week post-THA. MethodsIn this quasi-experimental study, a cohort of THA candidates was recruited during their 6-week postoperative visit to their surgeons. The out-patient rehabilitation program consisted of 12 structured exercise classes (2 hrs/class) over 6 weeks. Physical activity was assessed using Sense Wear Pro ArmbandTM [SWA]. Participants completed the Hip Osteoarthritis Outcome Score (HOOS), and THA satisfaction questionnaire before and immediately after the intervention. ResultsThe intervention group took significantly more steps/day at the follow-up compared to baseline. The intervention group had a higher mean change in the number of weekly PA bouts than the control group. Within the intervention groups, all HOOS subscales were significantly higher at the follow-up compared to baseline. ConclusionThe augmented rehabilitation program may have immediate effects on pain relief and symptom reduction for patients (≤60 years) following THA.

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Bone Metabolism Markers and their Correlation with Body Mass Index in Aerobic Physical Activity

SCRIPTA MEDICA ◽

10.7251/scmed1802092b ◽

2018 ◽

Vol 49 (2) ◽

Author(s):

Zorislava Bajić ◽

Nela Rašeta ◽

Nenad Ponorac

Keyword(s):

Physical Activity ◽

Body Mass Index ◽

Bone Formation ◽

Body Mass ◽

Young Women ◽

Intervention Group ◽

Positive Influence ◽

Control Group ◽

Bone Resorption Marker

Introduction: Bone formation marker osteocalcin (OC) and bone resorption marker C-terminal telopeptide of type 1 collagen (CTX) can be used to detect or to monitor the early responses of the skeleton to physical activity. Literature suggests that it is likely that higher body mass index (BMI) has positive effect on bones and can postpone onset of osteoporosis.Aim of the Study: The aim of this study is to:1.Determine the effect of aerobic physical acitivity on OC and CTX in young women2.Investigate correlation of OC, CTX and BMI in young women engaged into structured aerobic excerciseMaterial and methods: Study included 64 healthy young women, aged 19 to 25 years, devided into two groups: intervention group (n=32) and control group (n=32). The study duration was six weeks with follow-up period of four weeks. The intervention group underwent structured aerobic physical activity program for six weeks, but the control group did not receive such program. Level of OC, CTX and BMI were measured at baseline, after 6-week aerobic program, and after 4-week follow up (only intervention group).Results: There was significant increase of OC level after 6-week aerobic program, while level of CTX did not changed. OC level was at its maximum immediately after finishing the program in the participants with normal BMI (p<0.001). There was no statistically significant interaction of BMI and CTX level.Conclusion: Aerobic physical activity increases level of osteocalcin, suggesting that it has positive influence on bone formation in young women, primarily in women with normal BMI.

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