{"id":14836,"date":"2016-12-01T00:00:00","date_gmt":"2018-12-03T18:14:28","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/an-educational-intervention-to-promote-healthy-lifestyles\/"},"modified":"2018-12-03T19:14:28","modified_gmt":"2018-12-03T18:14:28","slug":"an-educational-intervention-to-promote-healthy-lifestyles","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/an-educational-intervention-to-promote-healthy-lifestyles\/","title":{"rendered":"An educational intervention to promote healthy lifestyles in preschool children: A cluster-RCT."},"content":{"rendered":"<p style=\"text-align:justify\"><strong>OBJECTIVE<\/strong><br \/>\nPromoting 4 healthy behaviours among preschool children: \u2a7e4 servings of fruit and vegetables\/day, \u2a7e2&thinsp;h\/day of active play, \u2a7d1&thinsp;hour\/day of TV-watching and 0 sugar sweetened beverages\/day.<\/p>\n<p style=\"text-align:justify\"><strong>METHODS<\/strong><br \/>\nWe conducted a c-RCT on 425 three-year-old children at 16 childcare centres based in Cesena, Italy. We randomly allocated 8 childcare centres (199 children) to the intervention group and 8 childcare centres (226 children) to the control group. All the randomized childcare centres completed our study protocol. Parents recorded their children&#039;s target behaviours at home over 3 Saturdays, at baseline and at follow-up. Then trained nurses measured children&#039;s weight and height. We conducted a 6-month-long intervention trial in local health care centres where nurses and primary care paediatricians respectively conducted 2 subsequent motivational interviews with parents to encourage children&#039;s healthy behaviours at home. At the same time, teachers involved children in learning experiences about healthy behaviours. Our primary outcome is a children&#039;s combined health behaviour score (CHBS) at home. Our secondary outcomes measure the BMI z-score and the percentage of children that show a BMI trajectory crossing upward. After collecting CHBS and BMI data at baseline as well as at 1 and 2-year follow-ups, we performed an Intent-to-Treat (ITT) analysis.<\/p>\n<p style=\"text-align:justify\"><strong>RESULTS<\/strong><br \/>\nAfter 2 years from baseline, 48.4% of intervention group children showed a low-risk CHBS in comparison with 28.0% of control group children. A multilevel analysis showed that they were by far more likely to achieve low-risk scores (adjusted OR 3.41; 95% CI: 1.48-7.88; P 0.004). Our BMI outcomes showed no significant difference between groups.<\/p>\n<p style=\"text-align:justify\"><strong>CONCLUSIONS<\/strong><br \/>\nA multidimensional educational intervention, which consists of motivational interviews with parents and teacher-led learning experiences for children, improved preschool children&#039;s CHBS in the long term without influencing the outcomes of BMI z-score and BMI increase.International Journal of Obesity accepted article preview online, 28 December 2016. doi:10.1038\/ijo.2016.239.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-14836","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Primary Care Paediatrician and Community Paediatrician, Primary Care Department, Cesena, Forl\u00ec-Cesena, Italy.","annee":"2016","mois":"12","numero":"","page":"","auteurs":[{"ID":14830,"post_author":"0","post_date":"2018-12-03 19:14:24","post_date_gmt":"2018-12-03 18:14:24","post_content":"","post_title":"M Iaia","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"m-iaia","to_ping":"","pinged":"","post_modified":"2018-12-03 19:14:24","post_modified_gmt":"2018-12-03 18:14:24","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/m-iaia\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":14831,"post_author":"0","post_date":"2018-12-03 19:14:25","post_date_gmt":"2018-12-03 18:14:25","post_content":"","post_title":"M Pasini","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"m-pasini","to_ping":"","pinged":"","post_modified":"2018-12-03 19:14:25","post_modified_gmt":"2018-12-03 18:14:25","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/m-pasini\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":14832,"post_author":"0","post_date":"2018-12-03 19:14:25","post_date_gmt":"2018-12-03 18:14:25","post_content":"","post_title":"A Burnazzi","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"a-burnazzi","to_ping":"","pinged":"","post_modified":"2018-12-03 19:14:25","post_modified_gmt":"2018-12-03 18:14:25","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/a-burnazzi\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":14833,"post_author":"0","post_date":"2018-12-03 19:14:26","post_date_gmt":"2018-12-03 18:14:26","post_content":"","post_title":"P Vitali","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"p-vitali","to_ping":"","pinged":"","post_modified":"2018-12-03 19:14:26","post_modified_gmt":"2018-12-03 18:14:26","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/p-vitali\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":14834,"post_author":"0","post_date":"2018-12-03 19:14:26","post_date_gmt":"2018-12-03 18:14:26","post_content":"","post_title":"E Allara","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"e-allara","to_ping":"","pinged":"","post_modified":"2018-12-03 19:14:26","post_modified_gmt":"2018-12-03 18:14:26","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/e-allara\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":14835,"post_author":"0","post_date":"2018-12-03 19:14:27","post_date_gmt":"2018-12-03 18:14:27","post_content":"","post_title":"M Farneti","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"m-farneti","to_ping":"","pinged":"","post_modified":"2018-12-03 19:14:27","post_modified_gmt":"2018-12-03 18:14:27","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/m-farneti\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":6134,"post_author":"0","post_date":"2018-12-03 17:35:10","post_date_gmt":"2018-12-03 16:35:10","post_content":"","post_title":"International journal of obesity (2005)","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"international-journal-of-obesity-2005","to_ping":"","pinged":"","post_modified":"2018-12-03 17:35:10","post_modified_gmt":"2018-12-03 16:35:10","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/international-journal-of-obesity-2005\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.6 (Yoast SEO v23.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>An educational intervention to promote healthy lifestyles in preschool children: A cluster-RCT. - Aprifel<\/title>\n<meta name=\"description\" content=\"An educational intervention to promote healthy lifestyles in preschool children: A cluster-RCT. - Aprifel\" \/>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta 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