Three-year follow-up of the poiba intervention on childhood obesity

Childhood obesity has increased worldwide over the past four decades. This quasi-exper-imental study aimed to assess the effectiveness of a multicomponent and multilevel school-based intervention (POIBA) at 3 years of follow-up. The nutrition intervention focused on food groups, food pyramid, nutrie...

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Detalles Bibliográficos
Autores: Sánchez-Martínez, Francesca|||0000-0001-8198-1661, Brugueras Torrella, Silvia|||0000-0001-6439-0050, Serral, Gemma|||0000-0002-9968-5593, Valmayor, Sara|||0000-0003-4476-7898, Juárez Martínez, Olga|||0000-0001-5343-6295, López Medina, María José|||0000-0003-4402-2239, Ariza, Carles|||0000-0002-0101-1911
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:269930
Acceso en línea:https://ddd.uab.cat/record/269930
https://dx.doi.org/urn:doi:10.3390/nu13020453
Access Level:acceso abierto
Palabra clave:Childhood obesity
School-based program
Effectiveness evaluation
Adiposity
Healthy eating
Physical activity
Descripción
Sumario:Childhood obesity has increased worldwide over the past four decades. This quasi-exper-imental study aimed to assess the effectiveness of a multicomponent and multilevel school-based intervention (POIBA) at 3 years of follow-up. The nutrition intervention focused on food groups, food pyramid, nutrients, portions, and balanced menus. In total, 3624 children participated in the study. Anthropometric measurements and information on food frequency and behavior, physical activity, and daily screen use were collected in the intervention (IG) and comparison group (CG). Positive unadjusted changes toward adherence to recommendations were found for water, meat, sweets, and fried potato consumption, proper breakfast, not having dinner in front of the TV, out-of-school physical activity, and daily screen use. Three scores were used to calculate the proportion of children making more than one change to improve healthy habits regarding physical activity (global Activity score), nutrition (global Nutrition score), and both (global score). Students exposed to the intervention had a significantly better global Activity score (16.2% IG vs. 11.9% CG; p = 0.012) and Global score (63.9% IG vs. 58.5% CG; p = 0.025). Intervention effects on obesity incidence at 3-year follow-up lost significance but maintained the positive trend. In conclusion, school-based interventions including a family component could be useful to address the childhood obesity problem.