Anna Viitasalo1, Aino-Maija Eloranta2, Niina Lintu3, Juuso Väistö4, Taisa Venäläinen5, Sanna Kiiskinen6, Panu Karjalainen7, Jaana Peltola8, Eeva-Kaarina Lampinen9, Eero A Haapala10, Jussi Paananen11, Ursula Schwab12, Virpi Lindi13, Timo A Lakka14. 1. Institute of Biomedicine, Physiology, University of Eastern Finland, Kuopio, Finland. Electronic address: anna.viitasalo@uef.fi. 2. Institute of Biomedicine, Physiology, University of Eastern Finland, Kuopio, Finland. Electronic address: aino-maija.eloranta@uef.fi. 3. Institute of Biomedicine, Physiology, University of Eastern Finland, Kuopio, Finland. Electronic address: niina.lintu@uef.fi. 4. Institute of Biomedicine, Physiology, University of Eastern Finland, Kuopio, Finland. Electronic address: juuso.vaisto@uef.fi. 5. Institute of Biomedicine, Physiology, University of Eastern Finland, Kuopio, Finland; Institute of Public Health and Clinical Nutrition, Clinical Nutrition, University of Eastern Finland, Kuopio, Finland. Electronic address: taisa.venalainen@uef.fi. 6. Institute of Biomedicine, Physiology, University of Eastern Finland, Kuopio, Finland. Electronic address: sanna.kiiskinen@uef.fi. 7. Institute of Biomedicine, Physiology, University of Eastern Finland, Kuopio, Finland. Electronic address: panu.karjalainen@uef.fi. 8. Institute of Biomedicine, Physiology, University of Eastern Finland, Kuopio, Finland. Electronic address: karjalainenjaana@gmail.com. 9. Institute of Biomedicine, Physiology, University of Eastern Finland, Kuopio, Finland. Electronic address: eeva.lampinen@santasport.fi. 10. Institute of Biomedicine, Physiology, University of Eastern Finland, Kuopio, Finland; Department of Biology of Physical Activity, University of Jyväskylä, Jyväskylä, Finland. Electronic address: eero.haapala@uef.fi. 11. Institute of Biomedicine, Bioinformatics Center, University of Eastern Finland, Kuopio, Finland. Electronic address: jussi.paananen@uef.fi. 12. Institute of Public Health and Clinical Nutrition, Clinical Nutrition, University of Eastern Finland, Kuopio, Finland; Institute of Clinical Medicine, Internal Medicine, Kuopio University Hospital, Kuopio, Finland. Electronic address: ursula.schwab@uef.fi. 13. Institute of Biomedicine, Physiology, University of Eastern Finland, Kuopio, Finland. Electronic address: virpi.lindi@uef.fi. 14. Institute of Biomedicine, Physiology, University of Eastern Finland, Kuopio, Finland; Department of Clinical Physiology and Nuclear Medicine, Kuopio University Hospital, Kuopio, Finland; Kuopio Research Institute of Exercise Medicine, Kuopio, Finland. Electronic address: timo.lakka@uef.fi.
Abstract
OBJECTIVE: To investigate the effects of a long-term, individualized and family-based lifestyle intervention on physical activity, sedentary behavior and diet quality in children. METHODS: We carried out a 2-year intervention study in a population sample of 506 children aged 6-8years in Finland in 2007-2012. We allocated the participants at baseline in the intervention and control group. We assessed physical activity and sedentary behavior by questionnaires and diet by food records. RESULTS:Total physical activity (+9min/d in intervention group vs. -5min/d in control group, p=0.001 for time*group interaction), unsupervised physical activity (+7min/d vs. -9min/d, p<0.001) and organized sports (+8min/d vs. +3min/d, p=0.001) increased in the intervention group but not in the control group. Using computer and playing video games increased less in the intervention group than in the control group (+9min/d vs. +19min/d, p=0.003). Consumption of vegetables (+12g/d vs. -12g/d, p=0.001), high-fat vegetable-oil based margarine (+10g/d vs. +3g/d, p<0.001) and low-fat milk (+69g/d vs. +11g/d, p=0.042) and intake of dietary fiber (+1.3g/d vs. +0.2g/d, p=0.023), vitamin C (+4.5mg/d vs. -7.2mg/d, p=0.042) and vitamin E (+1.4mg/d vs. +0.5mg/d, p=0.002) increased in the intervention group but not in the control group. Consumption of butter-based spreads increased in the control group but not in the intervention group (+2g/d vs. -1g/d, p=0.002). CONCLUSIONS:Individualized and family-based lifestyle intervention increased physical activity, attenuated increase in sedentary behavior and enhanced diet quality in children. TRIAL REGISTRATION: ClinicalTrials.gov: NCT01803776.
RCT Entities:
OBJECTIVE: To investigate the effects of a long-term, individualized and family-based lifestyle intervention on physical activity, sedentary behavior and diet quality in children. METHODS: We carried out a 2-year intervention study in a population sample of 506 children aged 6-8years in Finland in 2007-2012. We allocated the participants at baseline in the intervention and control group. We assessed physical activity and sedentary behavior by questionnaires and diet by food records. RESULTS: Total physical activity (+9min/d in intervention group vs. -5min/d in control group, p=0.001 for time*group interaction), unsupervised physical activity (+7min/d vs. -9min/d, p<0.001) and organized sports (+8min/d vs. +3min/d, p=0.001) increased in the intervention group but not in the control group. Using computer and playing video games increased less in the intervention group than in the control group (+9min/d vs. +19min/d, p=0.003). Consumption of vegetables (+12g/d vs. -12g/d, p=0.001), high-fat vegetable-oil based margarine (+10g/d vs. +3g/d, p<0.001) and low-fat milk (+69g/d vs. +11g/d, p=0.042) and intake of dietary fiber (+1.3g/d vs. +0.2g/d, p=0.023), vitamin C (+4.5mg/d vs. -7.2mg/d, p=0.042) and vitamin E (+1.4mg/d vs. +0.5mg/d, p=0.002) increased in the intervention group but not in the control group. Consumption of butter-based spreads increased in the control group but not in the intervention group (+2g/d vs. -1g/d, p=0.002). CONCLUSIONS: Individualized and family-based lifestyle intervention increased physical activity, attenuated increase in sedentary behavior and enhanced diet quality in children. TRIAL REGISTRATION: ClinicalTrials.gov: NCT01803776.
Authors: Laurie A Matthews; Suvi P Rovio; Johanna M Jaakkola; Harri Niinikoski; Hanna Lagström; Antti Jula; Jorma S A Viikari; Tapani Rönnemaa; Olli Simell; Olli T Raitakari; Katja Pahkala Journal: Eur J Clin Nutr Date: 2018-11-05 Impact factor: 4.016
Authors: Carlo Bressa; María Bailén-Andrino; Jennifer Pérez-Santiago; Rocío González-Soltero; Margarita Pérez; Maria Gregoria Montalvo-Lominchar; Jose Luis Maté-Muñoz; Raúl Domínguez; Diego Moreno; Mar Larrosa Journal: PLoS One Date: 2017-02-10 Impact factor: 3.240
Authors: Rodrigo M Carrillo-Larco; Antonio Bernabé-Ortiz; Víctor G Sal Y Rosas; Katherine A Sacksteder; Francisco Diez-Canseco; María K Cárdenas; Robert H Gilman; J Jaime Miranda Journal: Trop Med Int Health Date: 2018-04-01 Impact factor: 2.622
Authors: Scott Duncan; Tom Stewart; Julia McPhee; Robert Borotkanics; Kate Prendergast; Caryn Zinn; Kim Meredith-Jones; Rachael Taylor; Claire McLachlan; Grant Schofield Journal: Int J Behav Nutr Phys Act Date: 2019-09-05 Impact factor: 6.457
Authors: Rehana A Salam; Zahra A Padhani; Jai K Das; Amina Y Shaikh; Zahra Hoodbhoy; Sarah Masroor Jeelani; Zohra S Lassi; Zulfiqar A Bhutta Journal: Nutrients Date: 2020-07-24 Impact factor: 5.717
Authors: Aino-Maija Eloranta; Taisa Sallinen; Anna Viitasalo; Niina Lintu; Juuso Väistö; Henna Jalkanen; Tuomo T Tompuri; Sonja Soininen; Eero A Haapala; Sanna Kiiskinen; Theresia M Schnurr; Tuomas O Kilpeläinen; Santtu Mikkonen; Kai Savonen; Mustafa Atalay; Soren Brage; David E Laaksonen; Virpi Lindi; Jyrki Ågren; Ursula Schwab; Jarmo Jääskeläinen; Timo A Lakka Journal: Eur J Nutr Date: 2020-05-04 Impact factor: 5.614
Authors: Nicole E Blackburn; Jason J Wilson; Ilona I McMullan; Paolo Caserotti; Maria Giné-Garriga; Katharina Wirth; Laura Coll-Planas; Sergi Blancafort Alias; Marta Roqué; Manuela Deidda; Andrew T Kunzmann; Dhayana Dallmeier; Mark A Tully Journal: Int J Behav Nutr Phys Act Date: 2020-04-25 Impact factor: 6.457
Authors: Timo A Lakka; Niina Lintu; Juuso Väistö; Anna Viitasalo; Taisa Sallinen; Eero A Haapala; Tuomo T Tompuri; Sonja Soininen; Panu Karjalainen; Theresia M Schnurr; Santtu Mikkonen; Mustafa Atalay; Tuomas O Kilpeläinen; Tomi Laitinen; David E Laaksonen; Kai Savonen; Soren Brage; Ursula Schwab; Jarmo Jääskeläinen; Virpi Lindi; Aino-Maija Eloranta Journal: Diabetologia Date: 2020-08-20 Impact factor: 10.122