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Reducing unhealthy weight gain in children through community capacity-building: results of a quasi-experimental intervention program, Be Active Eat Well.
Int J Obes (Lond). 2008 Jul; 32(7):1060-7.IJ

Abstract

BACKGROUND

Be Active Eat Well (BAEW) was a multifaceted community capacity-building program promoting healthy eating and physical activity for children (aged 4-12 years) in the Australian town of Colac.

OBJECTIVE

To evaluate the effects of BAEW on reducing children's unhealthy weight gain.

METHODS

BAEW had a quasi-experimental, longitudinal design with anthropometric and demographic data collected on Colac children in four preschools and six primary schools at baseline (2003, n=1001, response rate: 58%) and follow-up (2006, n=839, follow-up rate: 84%). The comparison sample was a stratified random selection of preschools (n=4) and primary schools (n=12) from the rest of the Barwon South Western region of Victoria, with baseline assessment in 2003-2004 (n=1183, response rate: 44%) and follow-up in 2006 (n=979, follow-up rate: 83%).

RESULTS

Colac children had significantly lower increases in body weight (mean: -0.92 kg, 95% CI: -1.74 to -0.11), waist (-3.14 cm, -5.07 to -1.22), waist/height (-0.02, -0.03 to -0.004), and body mass index z-score (-0.11, -0.21 to -0.01) than comparison children, adjusted for baseline variable, age, height, gender, duration between measurements and clustering by school. In Colac, the anthropometric changes were not related to four indicators of socioeconomic status (SES), whereas in the comparison group 19/20 such analyses showed significantly greater gains in anthropometry in children from lower SES families. Changes in underweight and attempted weight loss were no different between the groups.

CONCLUSIONS

Building community capacity to promote healthy eating and physical activity appears to be a safe and effective way to reduce unhealthy weight gain in children without increasing health inequalities.

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Authors+Show Affiliations

Sanigorski AM
School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia. andrea.sanigorski@deakin.edu.au
Bell AC
No affiliation info available
Kremer PJ
No affiliation info available
Cuttler R
No affiliation info available
Swinburn BA
No affiliation info available

MeSH

AnthropometryCase-Control StudiesChildChild, PreschoolCommunity Health ServicesExerciseFemaleHealth PromotionHumansLongitudinal StudiesMaleObesityPatient Acceptance of Health CareProgram EvaluationRural PopulationSocial ClassTreatment OutcomeVictoria

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18542082

Citation

Sanigorski, A M., et al. "Reducing Unhealthy Weight Gain in Children Through Community Capacity-building: Results of a Quasi-experimental Intervention Program, Be Active Eat Well." International Journal of Obesity (2005), vol. 32, no. 7, 2008, pp. 1060-7.
Sanigorski AM, Bell AC, Kremer PJ, et al. Reducing unhealthy weight gain in children through community capacity-building: results of a quasi-experimental intervention program, Be Active Eat Well. Int J Obes (Lond). 2008;32(7):1060-7.
Sanigorski, A. M., Bell, A. C., Kremer, P. J., Cuttler, R., & Swinburn, B. A. (2008). Reducing unhealthy weight gain in children through community capacity-building: results of a quasi-experimental intervention program, Be Active Eat Well. International Journal of Obesity (2005), 32(7), 1060-7. https://doi.org/10.1038/ijo.2008.79
Sanigorski AM, et al. Reducing Unhealthy Weight Gain in Children Through Community Capacity-building: Results of a Quasi-experimental Intervention Program, Be Active Eat Well. Int J Obes (Lond). 2008;32(7):1060-7. PubMed PMID: 18542082.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reducing unhealthy weight gain in children through community capacity-building: results of a quasi-experimental intervention program, Be Active Eat Well. AU - Sanigorski,A M, AU - Bell,A C, AU - Kremer,P J, AU - Cuttler,R, AU - Swinburn,B A, Y1 - 2008/06/10/ PY - 2008/6/11/pubmed PY - 2008/9/16/medline PY - 2008/6/11/entrez SP - 1060 EP - 7 JF - International journal of obesity (2005) JO - Int J Obes (Lond) VL - 32 IS - 7 N2 - BACKGROUND: Be Active Eat Well (BAEW) was a multifaceted community capacity-building program promoting healthy eating and physical activity for children (aged 4-12 years) in the Australian town of Colac. OBJECTIVE: To evaluate the effects of BAEW on reducing children's unhealthy weight gain. METHODS: BAEW had a quasi-experimental, longitudinal design with anthropometric and demographic data collected on Colac children in four preschools and six primary schools at baseline (2003, n=1001, response rate: 58%) and follow-up (2006, n=839, follow-up rate: 84%). The comparison sample was a stratified random selection of preschools (n=4) and primary schools (n=12) from the rest of the Barwon South Western region of Victoria, with baseline assessment in 2003-2004 (n=1183, response rate: 44%) and follow-up in 2006 (n=979, follow-up rate: 83%). RESULTS: Colac children had significantly lower increases in body weight (mean: -0.92 kg, 95% CI: -1.74 to -0.11), waist (-3.14 cm, -5.07 to -1.22), waist/height (-0.02, -0.03 to -0.004), and body mass index z-score (-0.11, -0.21 to -0.01) than comparison children, adjusted for baseline variable, age, height, gender, duration between measurements and clustering by school. In Colac, the anthropometric changes were not related to four indicators of socioeconomic status (SES), whereas in the comparison group 19/20 such analyses showed significantly greater gains in anthropometry in children from lower SES families. Changes in underweight and attempted weight loss were no different between the groups. CONCLUSIONS: Building community capacity to promote healthy eating and physical activity appears to be a safe and effective way to reduce unhealthy weight gain in children without increasing health inequalities. SN - 1476-5497 UR - https://www.unboundmedicine.com/medline/citation/18542082/Reducing_unhealthy_weight_gain_in_children_through_community_capacity_building:_results_of_a_quasi_experimental_intervention_program_Be_Active_Eat_Well_ L2 - https://doi.org/10.1038/ijo.2008.79 DB - PRIME DP - Unbound Medicine ER -