Steven Allender1, Liliana Orellana2, Nic Crooks1, Kristy A Bolton1, Penny Fraser1, Andrew Dwight Brown1, Ha Le1,3, Janette Lowe4, Kayla de la Haye5, Lynne Millar6, Marjorie Moodie1,3, Boyd Swinburn7, Colin Bell8, Claudia Strugnell1. 1. Faculty of Health, Global Obesity Centre (GLOBE), Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia. 2. Faculty of Health, Biostatistics Unit, Deakin University, Geelong, Victoria, Australia. 3. Faculty of Health, Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia. 4. Southern Grampians and Glenelg Primary Care Partnership, Hamilton, Victoria, Australia. 5. Department of Preventive Medicine, University of Southern California, Los Angeles, California, USA. 6. School of Public Health, Curtin University, Perth, Western Australia, Australia. 7. School of Population Health, University of Auckland, Auckland, New Zealand. 8. Faculty of Health, School of Medicine, Deakin University, Geelong, Victoria, Australia.
Abstract
OBJECTIVE: This study aimed to test the effectiveness of the Whole of Systems Trial of Prevention Strategies for Childhood Obesity (WHO STOPS Childhood Obesity) for behavioral, health-related quality of life (HRQoL), and BMI outcomes. METHODS: This was a cluster randomized trial of 10 communities randomly allocated (1:1) to start intervention in 2015 (step 1) or in 2019 (after 4 years) in South West Victoria, Australia. Data were collected from participating primary schools in April to June of 2015 (73% school participation rate), 2017 (69%), and 2019 (63%). Student participation rates were 80% in 2015 (1,792/2,516 invited), 81% in 2017 (2,411/2,963), and 79% in 2019 (2,177/2,720). Repeat cross-sectional analyses of measured height and weight (grades two, four, and six [aged approximately 7 to 12 years]), self-reported behavior, and HRQoL (grades four and six) were conducted. RESULTS: There was an intervention by time interaction in BMI z scores (P = 0.031) and obesity/overweight prevalence (P = 0.006). BMI z score and overweight/obesity prevalence decreased between 2015 and 2017 and increased between 2017 and 2019 in intervention communities. The intervention significantly reduced takeaway food consumption (P = 0.034) and improved physical (P = 0.019), psychosocial (P = 0.026), and global (P = 0.012) HRQoL. Water consumption increased among girls (P = 0.033) in the intervention communities, as did energy-dense, nutrient-poor snack consumption among boys (P = 0.006). CONCLUSIONS: WHO STOPS had a positive impact on takeaway food intake and HRQoL.
RCT Entities:
OBJECTIVE: This study aimed to test the effectiveness of the Whole of Systems Trial of Prevention Strategies for Childhood Obesity (WHO STOPS Childhood Obesity) for behavioral, health-related quality of life (HRQoL), and BMI outcomes. METHODS: This was a cluster randomized trial of 10 communities randomly allocated (1:1) to start intervention in 2015 (step 1) or in 2019 (after 4 years) in South West Victoria, Australia. Data were collected from participating primary schools in April to June of 2015 (73% school participation rate), 2017 (69%), and 2019 (63%). Student participation rates were 80% in 2015 (1,792/2,516 invited), 81% in 2017 (2,411/2,963), and 79% in 2019 (2,177/2,720). Repeat cross-sectional analyses of measured height and weight (grades two, four, and six [aged approximately 7 to 12 years]), self-reported behavior, and HRQoL (grades four and six) were conducted. RESULTS: There was an intervention by time interaction in BMI z scores (P = 0.031) and obesity/overweight prevalence (P = 0.006). BMI z score and overweight/obesity prevalence decreased between 2015 and 2017 and increased between 2017 and 2019 in intervention communities. The intervention significantly reduced takeaway food consumption (P = 0.034) and improved physical (P = 0.019), psychosocial (P = 0.026), and global (P = 0.012) HRQoL. Water consumption increased among girls (P = 0.033) in the intervention communities, as did energy-dense, nutrient-poor snack consumption among boys (P = 0.006). CONCLUSIONS: WHO STOPS had a positive impact on takeaway food intake and HRQoL.
Authors: Jane Jacobs; Claudia Strugnell; Steven Allender; Liliana Orellana; Kathryn Backholer; Kristy A Bolton; Penny Fraser; Ha Le; Andrew Dwight Brown; Melanie Nichols Journal: BMC Public Health Date: 2021-11-27 Impact factor: 3.295