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dc.contributor.authorWang, Z
dc.contributor.authorXu, F
dc.contributor.authorYe, Q
dc.contributor.authorTse, LA
dc.contributor.authorXue, H
dc.contributor.authorTan, Z
dc.contributor.authorLeslie, E
dc.contributor.authorOwen, N
dc.contributor.authorWang, Y
dc.date.accessioned2020-12-17T03:47:52Z
dc.date.available2020-12-17T03:47:52Z
dc.date.issued2018-04
dc.identifierpii: ijo2017243
dc.identifier.citationWang, Z., Xu, F., Ye, Q., Tse, L. A., Xue, H., Tan, Z., Leslie, E., Owen, N. & Wang, Y. (2018). Childhood obesity prevention through a community-based cluster randomized controlled physical activity intervention among schools in china: the health legacy project of the 2nd world summer youth olympic Games (YOG-Obesity study).. Int J Obes (Lond), 42 (4), pp.625-633. https://doi.org/10.1038/ijo.2017.243.
dc.identifier.issn0307-0565
dc.identifier.urihttp://hdl.handle.net/11343/255035
dc.description.abstractBACKGROUND: Childhood obesity has been becoming a worldwide public health problem. We conducted a community-based physical activity (PA) intervention program aiming at childhood obesity prevention in general student population in Nanjing of China, the host city of the 2nd World Summer Youth Olympic Games (YOG-Obesity study). METHODS: This was a cluster randomized controlled intervention study. Participants were the 4th (mean age±s.e.: 9.0±0.01) and 7th (mean age±s.e.: 12.0±0.01) grade students (mean age±s.e.: 10.5±0.02) from 48 schools and randomly allocated (1:1) to intervention or control groups at school level. Routine health education was provided to all schools, whereas the intervention schools additionally received an 1-year tailored multi-component PA intervention program, including classroom curricula, school environment support, family involvement and fun programs/events. The primary outcome measures were changes in body mass index, obesity occurrence and PA. RESULTS: Overall, 9858 (97.7%) of the 10091 enrolled students completed the follow-up survey. Compared with the baseline, PA level increased by 33.13 min per week (s.e. 10.86) in the intervention group but decreased by 1.76 min per week (s.e. 11.53) in the control group (P=0.028). After adjustment for potential confounders, compared with the control group, the intervention group were more likely to have increased time of PA (adj. Odds ratio=1.15, 95% confidence interval=1.06-1.25), but had a smaller increase in mean body mass index (BMI) (0.22 (s.e. 0.02) vs 0.46 (0.02), P=0.01) and BMI z-score (0.07 (0.01) vs 0.16 (0.01), P=0.01), and were less likely to be obese (adj. Odds ratio=0.7, 95% confidence interval=0.6, 0.9) at study end. The intervention group had fewer new events of obesity/overweight but a larger proportion of formerly overweight/obese students having normal weight by study end. CONCLUSIONS: This large community-based PA intervention was feasible and effective in promoting PA and preventing obesity among the general student population in a large city in China. Experiences from this study are the lessons for China to control the childhood obesity epidemic.
dc.languageeng
dc.publisherSpringer Science and Business Media LLC
dc.titleChildhood obesity prevention through a community-based cluster randomized controlled physical activity intervention among schools in china: the health legacy project of the 2nd world summer youth olympic Games (YOG-Obesity study).
dc.typeJournal Article
dc.identifier.doi10.1038/ijo.2017.243
melbourne.affiliation.departmentMelbourne School of Population and Global Health
melbourne.source.titleInternational Journal of Obesity
melbourne.source.volume42
melbourne.source.issue4
melbourne.source.pages625-633
dc.rights.licenseCC BY-NC-SA
melbourne.elementsid1330484
melbourne.openaccess.pmchttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984083
melbourne.contributor.authorOWEN, NEVILLE
dc.identifier.eissn1476-5497
melbourne.accessrightsOpen Access


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