48 Cluster-Randomised Trial of a Targeted Intervention to Promote Exercise Self-Efficacy and Reduce Bmi in Children at Risk of Obesity
Identifieur interne : 000248 ( Istex/Corpus ); précédent : 000247; suivant : 00024948 Cluster-Randomised Trial of a Targeted Intervention to Promote Exercise Self-Efficacy and Reduce Bmi in Children at Risk of Obesity
Auteurs : C. Glazebrook ; M. Batty ; N. Mullan ; K. Sayal ; D. Nathan ; L. Mcwilliams ; L. Hogarth ; I. Macdonald ; A. Smyth ; M. Yang ; B. Guo ; C. HollisSource :
- Archives of Disease in Childhood [ 0003-9888 ] ; 2012-10.
Abstract
Background and aims Being physically active can help to reduce the risk of obesity in later life. This study aimed to evaluate the effectiveness of a targeted, school-based intervention (Steps to Active Kids - STAK) in improving exercise self-efficacy and reducing BMI in children. Method STAK is a 12 week, activity programme including activity diary, street dance DVD, circuit training and, for children at or above the 91st centile weight for height, motivational interviewing and goal setting. STAK was evaluated in a cluster-randomised trial in 24 schools. Children aged 9 to 11 were screened for overweight, low exercise self-efficacy or asthma. Twelve schools were randomised to receive the STAK intervention and 12 to control. BMI, waist circumference and exercise self-efficacy were assessed at baseline and post intervention (4 months). Results Of the 2479 children screened, 1065 children (43%) met the study inclusion criteria. Parents of 424 (40%) children consented to their child’s participation with 4 months follow-up data available for 392 (92%). The groups were well matched at baseline. After controlling for baseline values and time between testing, children in the intervention group had higher total self-efficacy at 4 month follow-up. In the group of children who were overweight at baseline (=>91st centile), those in the STAK intervention group had smaller waist circumference and lower BMI at 4 month follow-up. Conclusion Preliminary analysis suggests that a targeted activity intervention has benefits for children at risk of obesity. Future analyses will explore if benefits are sustained at 12 months follow-up.
Url:
DOI: 10.1136/archdischild-2012-302724.0048
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">48 Cluster-Randomised Trial of a Targeted Intervention to Promote Exercise Self-Efficacy and Reduce Bmi in Children at Risk of Obesity</title><author><name sortKey="Glazebrook, C" sort="Glazebrook, C" uniqKey="Glazebrook C" first="C" last="Glazebrook">C. Glazebrook</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Batty, M" sort="Batty, M" uniqKey="Batty M" first="M" last="Batty">M. Batty</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Mullan, N" sort="Mullan, N" uniqKey="Mullan N" first="N" last="Mullan">N. Mullan</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Sayal, K" sort="Sayal, K" uniqKey="Sayal K" first="K" last="Sayal">K. Sayal</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Nathan, D" sort="Nathan, D" uniqKey="Nathan D" first="D" last="Nathan">D. Nathan</name><affiliation><mods:affiliation>Community Paediatrics, Nottinghamshire University NHS Hospitals Trust</mods:affiliation></affiliation></author><author><name sortKey="Mcwilliams, L" sort="Mcwilliams, L" uniqKey="Mcwilliams L" first="L" last="Mcwilliams">L. Mcwilliams</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Hogarth, L" sort="Hogarth, L" uniqKey="Hogarth L" first="L" last="Hogarth">L. Hogarth</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Macdonald, I" sort="Macdonald, I" uniqKey="Macdonald I" first="I" last="Macdonald">I. Macdonald</name><affiliation><mods:affiliation>School of Biomedical Sciences</mods:affiliation></affiliation></author><author><name sortKey="Smyth, A" sort="Smyth, A" uniqKey="Smyth A" first="A" last="Smyth">A. Smyth</name><affiliation><mods:affiliation>School of Clinical Sciences, University of Nottingham, Nottingham, UK</mods:affiliation></affiliation></author><author><name sortKey="Yang, M" sort="Yang, M" uniqKey="Yang M" first="M" last="Yang">M. Yang</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Guo, B" sort="Guo, B" uniqKey="Guo B" first="B" last="Guo">B. Guo</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Hollis, C" sort="Hollis, C" uniqKey="Hollis C" first="C" last="Hollis">C. Hollis</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:24636519B0E088FC619485C12C394BDCCFB6D82E</idno><date when="2012" year="2012">2012</date><idno type="doi">10.1136/archdischild-2012-302724.0048</idno><idno type="url">https://api.istex.fr/document/24636519B0E088FC619485C12C394BDCCFB6D82E/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000248</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000248</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">48 Cluster-Randomised Trial of a Targeted Intervention to Promote Exercise Self-Efficacy and Reduce Bmi in Children at Risk of Obesity</title><author><name sortKey="Glazebrook, C" sort="Glazebrook, C" uniqKey="Glazebrook C" first="C" last="Glazebrook">C. Glazebrook</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Batty, M" sort="Batty, M" uniqKey="Batty M" first="M" last="Batty">M. Batty</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Mullan, N" sort="Mullan, N" uniqKey="Mullan N" first="N" last="Mullan">N. Mullan</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Sayal, K" sort="Sayal, K" uniqKey="Sayal K" first="K" last="Sayal">K. Sayal</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Nathan, D" sort="Nathan, D" uniqKey="Nathan D" first="D" last="Nathan">D. Nathan</name><affiliation><mods:affiliation>Community Paediatrics, Nottinghamshire University NHS Hospitals Trust</mods:affiliation></affiliation></author><author><name sortKey="Mcwilliams, L" sort="Mcwilliams, L" uniqKey="Mcwilliams L" first="L" last="Mcwilliams">L. Mcwilliams</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Hogarth, L" sort="Hogarth, L" uniqKey="Hogarth L" first="L" last="Hogarth">L. Hogarth</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Macdonald, I" sort="Macdonald, I" uniqKey="Macdonald I" first="I" last="Macdonald">I. Macdonald</name><affiliation><mods:affiliation>School of Biomedical Sciences</mods:affiliation></affiliation></author><author><name sortKey="Smyth, A" sort="Smyth, A" uniqKey="Smyth A" first="A" last="Smyth">A. Smyth</name><affiliation><mods:affiliation>School of Clinical Sciences, University of Nottingham, Nottingham, UK</mods:affiliation></affiliation></author><author><name sortKey="Yang, M" sort="Yang, M" uniqKey="Yang M" first="M" last="Yang">M. Yang</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Guo, B" sort="Guo, B" uniqKey="Guo B" first="B" last="Guo">B. Guo</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author><author><name sortKey="Hollis, C" sort="Hollis, C" uniqKey="Hollis C" first="C" last="Hollis">C. Hollis</name><affiliation><mods:affiliation>Psychiatry, University of Nottingham</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Archives of Disease in Childhood</title><title level="j" type="abbrev">Arch Dis Child</title><idno type="ISSN">0003-9888</idno><idno type="eISSN">1468-2044</idno><imprint><publisher>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><date type="published" when="2012-10">2012-10</date><biblScope unit="volume">97</biblScope><biblScope unit="issue">Suppl 2</biblScope><biblScope unit="page" from="A13">A13</biblScope></imprint><idno type="ISSN">0003-9888</idno></series><idno type="istex">24636519B0E088FC619485C12C394BDCCFB6D82E</idno><idno type="DOI">10.1136/archdischild-2012-302724.0048</idno><idno type="href">archdischild-97-A13-3.pdf</idno><idno type="ArticleID">archdischild-2012-302724.0048</idno><idno type="local">archdischild;97/Suppl_2/A13-c</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0003-9888</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Background and aims Being physically active can help to reduce the risk of obesity in later life. This study aimed to evaluate the effectiveness of a targeted, school-based intervention (Steps to Active Kids - STAK) in improving exercise self-efficacy and reducing BMI in children. Method STAK is a 12 week, activity programme including activity diary, street dance DVD, circuit training and, for children at or above the 91st centile weight for height, motivational interviewing and goal setting. STAK was evaluated in a cluster-randomised trial in 24 schools. Children aged 9 to 11 were screened for overweight, low exercise self-efficacy or asthma. Twelve schools were randomised to receive the STAK intervention and 12 to control. BMI, waist circumference and exercise self-efficacy were assessed at baseline and post intervention (4 months). Results Of the 2479 children screened, 1065 children (43%) met the study inclusion criteria. Parents of 424 (40%) children consented to their child’s participation with 4 months follow-up data available for 392 (92%). The groups were well matched at baseline. After controlling for baseline values and time between testing, children in the intervention group had higher total self-efficacy at 4 month follow-up. In the group of children who were overweight at baseline (=>91st centile), those in the STAK intervention group had smaller waist circumference and lower BMI at 4 month follow-up. Conclusion Preliminary analysis suggests that a targeted activity intervention has benefits for children at risk of obesity. Future analyses will explore if benefits are sustained at 12 months follow-up.</div></front></TEI><istex><corpusName>bmj</corpusName><author><json:item><name>C Glazebrook</name><affiliations><json:string>Psychiatry, University of Nottingham</json:string></affiliations></json:item><json:item><name>M Batty</name><affiliations><json:string>Psychiatry, University of Nottingham</json:string></affiliations></json:item><json:item><name>N Mullan</name><affiliations><json:string>Psychiatry, University of Nottingham</json:string></affiliations></json:item><json:item><name>K Sayal</name><affiliations><json:string>Psychiatry, University of Nottingham</json:string></affiliations></json:item><json:item><name>D Nathan</name><affiliations><json:string>Community Paediatrics, Nottinghamshire University NHS Hospitals Trust</json:string></affiliations></json:item><json:item><name>L McWilliams</name><affiliations><json:string>Psychiatry, University of Nottingham</json:string></affiliations></json:item><json:item><name>L Hogarth</name><affiliations><json:string>Psychiatry, University of Nottingham</json:string></affiliations></json:item><json:item><name>I MacDonald</name><affiliations><json:string>School of Biomedical Sciences</json:string></affiliations></json:item><json:item><name>A Smyth</name><affiliations><json:string>School of Clinical Sciences, University of Nottingham, Nottingham, UK</json:string></affiliations></json:item><json:item><name>M Yang</name><affiliations><json:string>Psychiatry, University of Nottingham</json:string></affiliations></json:item><json:item><name>B Guo</name><affiliations><json:string>Psychiatry, University of Nottingham</json:string></affiliations></json:item><json:item><name>C Hollis</name><affiliations><json:string>Psychiatry, University of Nottingham</json:string></affiliations></json:item></author><articleId><json:string>archdischild-2012-302724.0048</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>abstract</json:string></originalGenre><abstract>Background and aims Being physically active can help to reduce the risk of obesity in later life. This study aimed to evaluate the effectiveness of a targeted, school-based intervention (Steps to Active Kids - STAK) in improving exercise self-efficacy and reducing BMI in children. Method STAK is a 12 week, activity programme including activity diary, street dance DVD, circuit training and, for children at or above the 91st centile weight for height, motivational interviewing and goal setting. STAK was evaluated in a cluster-randomised trial in 24 schools. Children aged 9 to 11 were screened for overweight, low exercise self-efficacy or asthma. Twelve schools were randomised to receive the STAK intervention and 12 to control. BMI, waist circumference and exercise self-efficacy were assessed at baseline and post intervention (4 months). Results Of the 2479 children screened, 1065 children (43%) met the study inclusion criteria. Parents of 424 (40%) children consented to their child’s participation with 4 months follow-up data available for 392 (92%). The groups were well matched at baseline. After controlling for baseline values and time between testing, children in the intervention group had higher total self-efficacy at 4 month follow-up. In the group of children who were overweight at baseline (=>91st centile), those in the STAK intervention group had smaller waist circumference and lower BMI at 4 month follow-up. Conclusion Preliminary analysis suggests that a targeted activity intervention has benefits for children at risk of obesity. Future analyses will explore if benefits are sustained at 12 months follow-up.</abstract><qualityIndicators><score>6.75</score><pdfVersion>1.5</pdfVersion><pdfPageSize>595.276 x 793.701 pts</pdfPageSize><refBibsNative>false</refBibsNative><keywordCount>0</keywordCount><abstractCharCount>1642</abstractCharCount><pdfWordCount>1762</pdfWordCount><pdfCharCount>11911</pdfCharCount><pdfPageCount>2</pdfPageCount><abstractWordCount>249</abstractWordCount></qualityIndicators><title>48 Cluster-Randomised Trial of a Targeted Intervention to Promote Exercise Self-Efficacy and Reduce Bmi in Children at Risk of Obesity</title><genre><json:string>abstract</json:string></genre><host><volume>97</volume><publisherId><json:string>adc</json:string></publisherId><pages><first>A13</first></pages><issn><json:string>0003-9888</json:string></issn><issue>Suppl 2</issue><genre><json:string>journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1468-2044</json:string></eissn><title>Archives of Disease in Childhood</title></host><categories><wos><json:string>science</json:string><json:string>pediatrics</json:string></wos><scienceMetrix><json:string>health sciences</json:string><json:string>clinical medicine</json:string><json:string>pediatrics</json:string></scienceMetrix></categories><publicationDate>2012</publicationDate><copyrightDate>2012</copyrightDate><doi><json:string>10.1136/archdischild-2012-302724.0048</json:string></doi><id>24636519B0E088FC619485C12C394BDCCFB6D82E</id><score>0.19679885</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/24636519B0E088FC619485C12C394BDCCFB6D82E/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/24636519B0E088FC619485C12C394BDCCFB6D82E/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/24636519B0E088FC619485C12C394BDCCFB6D82E/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">48 Cluster-Randomised Trial of a Targeted Intervention to Promote Exercise Self-Efficacy and Reduce Bmi in Children at Risk of Obesity</title><respStmt><resp>Références bibliographiques récupérées via GROBID</resp><name resp="ISTEX-API">ISTEX-API (INIST-CNRS)</name></respStmt></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><availability><p>© 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</p></availability><date>2012</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">48 Cluster-Randomised Trial of a Targeted Intervention to Promote Exercise Self-Efficacy and Reduce Bmi in Children at Risk of Obesity</title><author xml:id="author-1" corresp="yes"><persName><forename type="first">C</forename><surname>Glazebrook</surname></persName><affiliation>Psychiatry, University of Nottingham</affiliation></author><author xml:id="author-2"><persName><forename type="first">M</forename><surname>Batty</surname></persName><affiliation>Psychiatry, University of Nottingham</affiliation></author><author xml:id="author-3"><persName><forename type="first">N</forename><surname>Mullan</surname></persName><affiliation>Psychiatry, University of Nottingham</affiliation></author><author xml:id="author-4"><persName><forename type="first">K</forename><surname>Sayal</surname></persName><affiliation>Psychiatry, University of Nottingham</affiliation></author><author xml:id="author-5"><persName><forename type="first">D</forename><surname>Nathan</surname></persName><affiliation>Community Paediatrics, Nottinghamshire University NHS Hospitals Trust</affiliation></author><author xml:id="author-6"><persName><forename type="first">L</forename><surname>McWilliams</surname></persName><affiliation>Psychiatry, University of Nottingham</affiliation></author><author xml:id="author-7"><persName><forename type="first">L</forename><surname>Hogarth</surname></persName><affiliation>Psychiatry, University of Nottingham</affiliation></author><author xml:id="author-8"><persName><forename type="first">I</forename><surname>MacDonald</surname></persName><affiliation>School of Biomedical Sciences</affiliation></author><author xml:id="author-9"><persName><forename type="first">A</forename><surname>Smyth</surname></persName><affiliation>School of Clinical Sciences, University of Nottingham, Nottingham, UK</affiliation></author><author xml:id="author-10"><persName><forename type="first">M</forename><surname>Yang</surname></persName><affiliation>Psychiatry, University of Nottingham</affiliation></author><author xml:id="author-11"><persName><forename type="first">B</forename><surname>Guo</surname></persName><affiliation>Psychiatry, University of Nottingham</affiliation></author><author xml:id="author-12"><persName><forename type="first">C</forename><surname>Hollis</surname></persName><affiliation>Psychiatry, University of Nottingham</affiliation></author></analytic><monogr><title level="j">Archives of Disease in Childhood</title><title level="j" type="abbrev">Arch Dis Child</title><idno type="pISSN">0003-9888</idno><idno type="eISSN">1468-2044</idno><imprint><publisher>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><date type="published" when="2012-10"></date><biblScope unit="volume">97</biblScope><biblScope unit="issue">Suppl 2</biblScope><biblScope unit="page" from="A13">A13</biblScope></imprint></monogr><idno type="istex">24636519B0E088FC619485C12C394BDCCFB6D82E</idno><idno type="DOI">10.1136/archdischild-2012-302724.0048</idno><idno type="href">archdischild-97-A13-3.pdf</idno><idno type="ArticleID">archdischild-2012-302724.0048</idno><idno type="local">archdischild;97/Suppl_2/A13-c</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2012</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>Background and aims Being physically active can help to reduce the risk of obesity in later life. This study aimed to evaluate the effectiveness of a targeted, school-based intervention (Steps to Active Kids - STAK) in improving exercise self-efficacy and reducing BMI in children. Method STAK is a 12 week, activity programme including activity diary, street dance DVD, circuit training and, for children at or above the 91st centile weight for height, motivational interviewing and goal setting. STAK was evaluated in a cluster-randomised trial in 24 schools. Children aged 9 to 11 were screened for overweight, low exercise self-efficacy or asthma. Twelve schools were randomised to receive the STAK intervention and 12 to control. BMI, waist circumference and exercise self-efficacy were assessed at baseline and post intervention (4 months). Results Of the 2479 children screened, 1065 children (43%) met the study inclusion criteria. Parents of 424 (40%) children consented to their child’s participation with 4 months follow-up data available for 392 (92%). The groups were well matched at baseline. After controlling for baseline values and time between testing, children in the intervention group had higher total self-efficacy at 4 month follow-up. In the group of children who were overweight at baseline (=>91st centile), those in the STAK intervention group had smaller waist circumference and lower BMI at 4 month follow-up. Conclusion Preliminary analysis suggests that a targeted activity intervention has benefits for children at risk of obesity. Future analyses will explore if benefits are sustained at 12 months follow-up.</p></abstract></profileDesc><revisionDesc><change when="2012-10">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2017-01-19">References added</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/24636519B0E088FC619485C12C394BDCCFB6D82E/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus bmj" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="no"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Archiving and Interchange DTD v2.3 20070202//EN" URI="archivearticle.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="abstract" xml:lang="EN"><front><journal-meta><journal-id journal-id-type="hwp">archdischild</journal-id><journal-id 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pub-id-type="other">archdischild-2012-302724.0048</article-id><article-categories><subj-group subj-group-type="heading"><subject>Oral presentations</subject></subj-group></article-categories><title-group><article-title>48 Cluster-Randomised Trial of a Targeted Intervention to Promote Exercise Self-Efficacy and Reduce Bmi in Children at Risk of Obesity</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" xlink:type="simple"><name name-style="western"><surname>Glazebrook</surname><given-names>C</given-names></name><xref ref-type="aff" rid="AF0001"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Batty</surname><given-names>M</given-names></name><xref ref-type="aff" rid="AF0001"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Mullan</surname><given-names>N</given-names></name><xref ref-type="aff" rid="AF0001"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Sayal</surname><given-names>K</given-names></name><xref ref-type="aff" rid="AF0001"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Nathan</surname><given-names>D</given-names></name><xref ref-type="aff" rid="AF0002"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>McWilliams</surname><given-names>L</given-names></name><xref ref-type="aff" rid="AF0001"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Hogarth</surname><given-names>L</given-names></name><xref ref-type="aff" rid="AF0001"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>MacDonald</surname><given-names>I</given-names></name><xref ref-type="aff" rid="AF0003"><sup>3</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Smyth</surname><given-names>A</given-names></name><xref ref-type="aff" rid="AF0004"><sup>4</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Yang</surname><given-names>M</given-names></name><xref ref-type="aff" rid="AF0001"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Guo</surname><given-names>B</given-names></name><xref ref-type="aff" rid="AF0001"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Hollis</surname><given-names>C</given-names></name><xref ref-type="aff" rid="AF0001"><sup>1</sup></xref></contrib><aff id="AF0001"><sup>1</sup>Psychiatry, University of Nottingham</aff><aff id="AF0002"><sup>2</sup>Community Paediatrics, Nottinghamshire University NHS Hospitals Trust</aff><aff id="AF0003"><sup>3</sup>School of Biomedical Sciences</aff><aff id="AF0004"><sup>4</sup>School of Clinical Sciences, University of Nottingham, Nottingham, UK</aff></contrib-group><pub-date pub-type="ppub"><month>10</month><year>2012</year></pub-date><volume>97</volume><volume-id pub-id-type="other">97</volume-id><volume-id pub-id-type="other">97</volume-id><issue>Suppl 2</issue><issue-id pub-id-type="other">archdischild;97/Suppl_2</issue-id><issue-id pub-id-type="other" content-type="supplement">Suppl_2</issue-id><issue-id pub-id-type="other">97/Suppl_2</issue-id><issue-title>The 4th Congress of the European Academy of Paediatric Societies, 5–9 October 2012. Istandul, Turkey</issue-title><fpage seq="3">A13</fpage><permissions><copyright-statement>© 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</copyright-statement><copyright-year>2012</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="archdischild-97-A13-3.pdf"></self-uri><abstract><sec><title>Background and aims</title><p>Being physically active can help to reduce the risk of obesity in later life. This study aimed to evaluate the effectiveness of a targeted, school-based intervention (Steps to Active Kids - STAK) in improving exercise self-efficacy and reducing BMI in children.</p></sec><sec><title>Method</title><p>STAK is a 12 week, activity programme including activity diary, street dance DVD, circuit training and, for children at or above the 91<sup>st</sup> centile weight for height, motivational interviewing and goal setting. STAK was evaluated in a cluster-randomised trial in 24 schools. Children aged 9 to 11 were screened for overweight, low exercise self-efficacy or asthma. Twelve schools were randomised to receive the STAK intervention and 12 to control. BMI, waist circumference and exercise self-efficacy were assessed at baseline and post intervention (4 months).</p></sec><sec><title>Results</title><p>Of the 2479 children screened, 1065 children (43%) met the study inclusion criteria. Parents of 424 (40%) children consented to their child’s participation with 4 months follow-up data available for 392 (92%). The groups were well matched at baseline. After controlling for baseline values and time between testing, children in the intervention group had higher total self-efficacy at 4 month follow-up. In the group of children who were overweight at baseline (=>91<sup>st</sup> centile), those in the STAK intervention group had smaller waist circumference and lower BMI at 4 month follow-up.</p></sec><sec><title>Conclusion</title><p>Preliminary analysis suggests that a targeted activity intervention has benefits for children at risk of obesity. Future analyses will explore if benefits are sustained at 12 months follow-up.</p></sec></abstract></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>48 Cluster-Randomised Trial of a Targeted Intervention to Promote Exercise Self-Efficacy and Reduce Bmi in Children at Risk of Obesity</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>48 Cluster-Randomised Trial of a Targeted Intervention to Promote Exercise Self-Efficacy and Reduce Bmi in Children at Risk of Obesity</title></titleInfo><name type="personal" displayLabel="corresp"><namePart type="given">C</namePart><namePart type="family">Glazebrook</namePart><affiliation>Psychiatry, University of Nottingham</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M</namePart><namePart type="family">Batty</namePart><affiliation>Psychiatry, University of Nottingham</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">N</namePart><namePart type="family">Mullan</namePart><affiliation>Psychiatry, University of Nottingham</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">K</namePart><namePart type="family">Sayal</namePart><affiliation>Psychiatry, University of Nottingham</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">D</namePart><namePart type="family">Nathan</namePart><affiliation>Community Paediatrics, Nottinghamshire University NHS Hospitals Trust</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">L</namePart><namePart type="family">McWilliams</namePart><affiliation>Psychiatry, University of Nottingham</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">L</namePart><namePart type="family">Hogarth</namePart><affiliation>Psychiatry, University of Nottingham</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">I</namePart><namePart type="family">MacDonald</namePart><affiliation>School of Biomedical Sciences</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A</namePart><namePart type="family">Smyth</namePart><affiliation>School of Clinical Sciences, University of Nottingham, Nottingham, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M</namePart><namePart type="family">Yang</namePart><affiliation>Psychiatry, University of Nottingham</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">B</namePart><namePart type="family">Guo</namePart><affiliation>Psychiatry, University of Nottingham</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C</namePart><namePart type="family">Hollis</namePart><affiliation>Psychiatry, University of Nottingham</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="abstract" displayLabel="abstract"></genre><originInfo><publisher>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><dateIssued encoding="w3cdtf">2012-10</dateIssued><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract>Background and aims Being physically active can help to reduce the risk of obesity in later life. This study aimed to evaluate the effectiveness of a targeted, school-based intervention (Steps to Active Kids - STAK) in improving exercise self-efficacy and reducing BMI in children. Method STAK is a 12 week, activity programme including activity diary, street dance DVD, circuit training and, for children at or above the 91st centile weight for height, motivational interviewing and goal setting. STAK was evaluated in a cluster-randomised trial in 24 schools. Children aged 9 to 11 were screened for overweight, low exercise self-efficacy or asthma. Twelve schools were randomised to receive the STAK intervention and 12 to control. BMI, waist circumference and exercise self-efficacy were assessed at baseline and post intervention (4 months). Results Of the 2479 children screened, 1065 children (43%) met the study inclusion criteria. Parents of 424 (40%) children consented to their child’s participation with 4 months follow-up data available for 392 (92%). The groups were well matched at baseline. After controlling for baseline values and time between testing, children in the intervention group had higher total self-efficacy at 4 month follow-up. In the group of children who were overweight at baseline (=>91st centile), those in the STAK intervention group had smaller waist circumference and lower BMI at 4 month follow-up. Conclusion Preliminary analysis suggests that a targeted activity intervention has benefits for children at risk of obesity. Future analyses will explore if benefits are sustained at 12 months follow-up.</abstract><relatedItem type="host"><titleInfo><title>Archives of Disease in Childhood</title></titleInfo><titleInfo type="abbreviated"><title>Arch Dis Child</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0003-9888</identifier><identifier type="eISSN">1468-2044</identifier><identifier type="PublisherID">adc</identifier><identifier type="PublisherID-hwp">archdischild</identifier><identifier type="PublisherID-nlm-ta">Arch Dis Child</identifier><part><date>2012</date><detail type="title"><title>The 4th Congress of the European Academy of Paediatric Societies, 5–9 October 2012. Istandul, Turkey</title></detail><detail type="volume"><caption>vol.</caption><number>97</number></detail><detail type="issue"><caption>no.</caption><number>Suppl 2</number></detail><extent unit="pages"><start>A13</start></extent></part></relatedItem><identifier type="istex">24636519B0E088FC619485C12C394BDCCFB6D82E</identifier><identifier type="DOI">10.1136/archdischild-2012-302724.0048</identifier><identifier type="href">archdischild-97-A13-3.pdf</identifier><identifier type="ArticleID">archdischild-2012-302724.0048</identifier><identifier type="local">archdischild;97/Suppl_2/A13-c</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</accessCondition><recordInfo><recordContentSource>BMJ</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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