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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
Authors: Gómez, Santiago Felipe
Casas Esteve, Rafael
Subirana, Isaac
Serra-Majem, Lluis 
Fletas Torrent, Marta
Homs, Clara
Bawaked, Rowaedh Ahmed
Estrada, Lidia
Fíto, Montserrat
Schröder, Helmut
UNESCO Clasification: 3206 Ciencias de la nutrición
Keywords: Childhood obesity
Community-based intervention
Issue Date: 2018
Publisher: 0340-6199
Journal: European Journal of Pediatrics 
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).
ISSN: 0340-6199
DOI: 10.1007/s00431-018-3207-x
Source: European Journal of Pediatrics [ISSN 0340-6199], v. 177 (10), p. 1531-1539
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