{"id":23610,"date":"2015-10-01T00:00:00","date_gmt":"2018-12-03T20:31:32","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/the-si-program-for-cardiovascular-health-promotion-in-early\/"},"modified":"2018-12-03T21:31:32","modified_gmt":"2018-12-03T20:31:32","slug":"the-si-program-for-cardiovascular-health-promotion-in-early","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/the-si-program-for-cardiovascular-health-promotion-in-early\/","title":{"rendered":"The SI! Program for Cardiovascular Health Promotion in Early Childhood: A Cluster-Randomized Trial."},"content":{"rendered":"<p style=\"text-align: justify\"><strong>BACKGROUND: <\/strong>The preschool years offer a unique window of opportunity to instill healthy life-style behaviors and promote cardiovascular health.<\/p>\n<p style=\"text-align: justify\"><strong>OBJECTIVES: <\/strong>This study sought to evaluate the effect of a 3-year multidimensional school-based intervention to improve life-style-related behaviors.<\/p>\n<p style=\"text-align: justify\"><strong>METHODS: <\/strong>We performed a cluster-randomized controlled intervention trial involving 24 public schools in Madrid, Spain, that were assigned to either the SI! Program intervention or the usual curriculum and followed for 3 years. The SI! Program aimed to instill and develop healthy behaviors in relation to diet, physical activity, and understanding how the human body and heart work. The primary outcome was change in the overall knowledge, attitudes, and habits (KAH) score (range 0 to 80). The intervention&#039;s effect on adiposity markers was also evaluated.<\/p>\n<p style=\"text-align: justify\"><strong>RESULTS: <\/strong>A total of 2,062 children from 3 to 5 years of age were randomized. After 3 years of follow-up, the overall KAH score was 4.9% higher in children in the intervention group compared with the control group (21.7 vs. 16.4; p&nbsp;&lt;&nbsp;0.001). A peak effect was observed at the second year (improvement 7.1% higher than in the control group; p&nbsp;&lt;&nbsp;0.001). Physical activity was the main driver of the change in KAH at all evaluation times. Children in the intervention group for 2 years and 1 year showed greater improvement than control subjects (5.9%; p&nbsp;&lt; 0.001 and 2.9%; p&nbsp;= 0.002, respectively). After 3 years, the intervention group showed a higher probability than the control group of reducing the triceps skinfold z-score by at least 0.1 (hazard ratio: 1.40, 95% confidence interval: 1.04 to 1.89; p&nbsp;= 0.027).<\/p>\n<p style=\"text-align: justify\"><strong>CONCLUSIONS: <\/strong>The SI! Program is an effective strategy for instilling healthy habits among preschoolers, translating into a beneficial effect on adiposity, with maximal effect when started at the earliest age and maintained over 3 years. Wider adoption may have a meaningful effect on cardiovascular health promotion.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-23610","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Fundaci\u00f3n Centro Nacional de Investigaciones Cardiovasculares Carlos III, Madrid, Spain; Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address: valentin.fuster@mountsinai.org","annee":"2015","mois":"10","numero":"66:14","page":"1525-34","auteurs":[{"ID":1654,"post_author":"0","post_date":"2018-12-03 16:01:20","post_date_gmt":"2018-12-03 15:01:20","post_content":"","post_title":"Mercedes Sotos-prieto","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"mercedes-sotos-prieto","to_ping":"","pinged":"","post_modified":"2018-12-03 16:01:20","post_modified_gmt":"2018-12-03 15:01:20","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/mercedes-sotos-prieto\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":1655,"post_author":"0","post_date":"2018-12-03 16:01:21","post_date_gmt":"2018-12-03 15:01:21","post_content":"","post_title":"Gloria Santos-beneit","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"gloria-santos-beneit","to_ping":"","pinged":"","post_modified":"2018-12-03 16:01:21","post_modified_gmt":"2018-12-03 15:01:21","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/gloria-santos-beneit\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":1657,"post_author":"0","post_date":"2018-12-03 16:01:22","post_date_gmt":"2018-12-03 15:01:22","post_content":"","post_title":"Juliana Redondo","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"juliana-redondo","to_ping":"","pinged":"","post_modified":"2018-12-03 16:01:22","post_modified_gmt":"2018-12-03 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Ruano-Rodr\u00edguez","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"cristina-ruano-rodriguez","to_ping":"","pinged":"","post_modified":"2018-12-03 20:21:44","post_modified_gmt":"2018-12-03 19:21:44","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/cristina-ruano-rodriguez\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":9097,"post_author":"0","post_date":"2018-12-03 18:07:19","post_date_gmt":"2018-12-03 17:07:19","post_content":"","post_title":"Enrique G\u00f3mez-Gracia","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"enrique-gomez-gracia","to_ping":"","pinged":"","post_modified":"2018-12-03 18:07:19","post_modified_gmt":"2018-12-03 17:07:19","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/enrique-gomez-gracia\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":13098,"post_author":"0","post_date":"2018-12-03 18:54:14","post_date_gmt":"2018-12-03 17:54:14","post_content":"","post_title":"Juan Miguel Fern\u00e1ndez-Alvira","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"juan-miguel-fernandez-alvira","to_ping":"","pinged":"","post_modified":"2018-12-03 18:54:14","post_modified_gmt":"2018-12-03 17:54:14","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/juan-miguel-fernandez-alvira\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":17614,"post_author":"0","post_date":"2018-12-03 19:54:30","post_date_gmt":"2018-12-03 18:54:30","post_content":"","post_title":"Valentin Fuster","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"valentin-fuster","to_ping":"","pinged":"","post_modified":"2018-12-03 19:54:30","post_modified_gmt":"2018-12-03 18:54:30","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/valentin-fuster\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":23605,"post_author":"0","post_date":"2018-12-03 21:31:25","post_date_gmt":"2018-12-03 20:31:25","post_content":"","post_title":"Patricia Bodega","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"patricia-bodega","to_ping":"","pinged":"","post_modified":"2018-12-03 21:31:25","post_modified_gmt":"2018-12-03 20:31:25","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/patricia-bodega\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":23606,"post_author":"0","post_date":"2018-12-03 21:31:27","post_date_gmt":"2018-12-03 20:31:27","post_content":"","post_title":"Bel&Atilde;&copy;n Oliva","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"beln-oliva","to_ping":"","pinged":"","post_modified":"2018-12-03 21:31:27","post_modified_gmt":"2018-12-03 20:31:27","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/beln-oliva\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":23607,"post_author":"0","post_date":"2018-12-03 21:31:28","post_date_gmt":"2018-12-03 20:31:28","post_content":"","post_title":"Xavier Orrit","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"xavier-orrit","to_ping":"","pinged":"","post_modified":"2018-12-03 21:31:28","post_modified_gmt":"2018-12-03 20:31:28","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/xavier-orrit\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":23608,"post_author":"0","post_date":"2018-12-03 21:31:29","post_date_gmt":"2018-12-03 20:31:29","post_content":"","post_title":"Rajesh Vedanthan","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"rajesh-vedanthan","to_ping":"","pinged":"","post_modified":"2018-12-03 21:31:29","post_modified_gmt":"2018-12-03 20:31:29","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/rajesh-vedanthan\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":23609,"post_author":"0","post_date":"2018-12-03 21:31:31","post_date_gmt":"2018-12-03 20:31:31","post_content":"","post_title":"Sameer Bansilal","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"sameer-bansilal","to_ping":"","pinged":"","post_modified":"2018-12-03 21:31:31","post_modified_gmt":"2018-12-03 20:31:31","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/sameer-bansilal\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":3098,"post_author":"0","post_date":"2018-12-03 17:02:17","post_date_gmt":"2018-12-03 16:02:17","post_content":"","post_title":"JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"journal-of-the-american-college-of-cardiology","to_ping":"","pinged":"","post_modified":"2018-12-03 17:02:17","post_modified_gmt":"2018-12-03 16:02:17","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/journal-of-the-american-college-of-cardiology\/","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>The SI! Program for Cardiovascular Health Promotion in Early Childhood: A Cluster-Randomized Trial. - Aprifel<\/title>\n<meta name=\"description\" content=\"The SI! Program for Cardiovascular Health Promotion in Early Childhood: A Cluster-Randomized Trial. - Aprifel\" \/>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The SI! Program for Cardiovascular Health Promotion in Early Childhood: A Cluster-Randomized Trial.\" \/>\n<meta property=\"og:description\" content=\"The SI! 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