scholarly journals A Customized Intervention Program Aiming to Improve Healthy Eating and Physical Activity Among Preschool Children: Protocol for a Randomized Controlled Trial (Iran Healthy Start Study)

10.2196/11329 ◽  
2018 ◽  
Vol 7 (12) ◽  
pp. e11329 ◽  
Author(s):  
Atieh Mehdizadeh ◽  
Mohsen Nematy ◽  
Majid Khadem-Rezaiyan ◽  
Majid Ghayour-Mobarhan ◽  
Mohammad Ali Sardar ◽  
...  
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Preschool Children ◽  
Healthy Eating ◽  
Intervention Program ◽  
Controlled Trial ◽  
Healthy Start ◽  
Randomized Controlled

scholarly journals A Customized Intervention Program Aiming to Improve Healthy Eating and Physical Activity Among Preschool Children: Protocol for a Randomized Controlled Trial (Iran Healthy Start Study) (Preprint)

2018 ◽  
Author(s):  
Atieh Mehdizadeh ◽  
Mohsen Nematy ◽  
Majid Khadem-Rezaiyan ◽  
Majid Ghayour-Mobarhan ◽  
Mohammad Ali Sardar ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Preschool Children ◽  
Childhood Obesity ◽  
Healthy Eating ◽  
Intervention Program ◽  
Healthy Start ◽  
Health Promotion Program ◽  
Medical Sciences ◽  
Randomized Controlled

BACKGROUND Prevention of childhood obesity is a key approach to the primary prevention of noncommunicable diseases. Several models, based on the population health approach and aligned with ecological models, are used to design childhood obesity prevention programs around the world. OBJECTIVE This study aims to introduce the design and evaluation plan of “Iran Healthy Start (IHS)/Aghazi Salem, Koodake Irani”—the customized Iranian version of Canadian Healthy Start/Départ Santé health promotion program—which is now being developed in Mashhad University of Medical Sciences (Mashhad, Iran) and focuses on improving physical activity and healthy eating among preschool children. METHODS We will evaluate the intervention using a pilot randomized controlled design. The components of intervention include customized Decoda Web-based resources for children, an implementation guide for educators and managers, training and monitoring, communication and knowledge exchange, building partnership, and parent engagement. Outcomes include changes in anthropometry, physical activity level, nutritional risk status and dietary intake, and quality of life. RESULTS The project is funded by Mashhad University of Medical Sciences. The intervention was completed by the end of March 2018, and the analysis is currently under way. The first results of the IHS intervention program are expected to be submitted for publication in December 2018. CONCLUSIONS The double burden of malnutrition in early years children is a major health concern in developing countries. This justifies the need for health promotion programs that are specifically designed to target both overnutrition and undernutrition prevention. If the efficacy approved, the IHS could potentially be a comprehensive health promotion program for young children whose lifestyle behaviors can be improved toward a healthy future life in a nutrition transition setting. CLINICALTRIAL International Clinical Trials Registry Platform IRCT2016041927475N1; https://en.irct.ir/trial/22497 INTERNATIONAL REGISTERED REPOR RR1-10.2196/11329

scholarly journals Turn up the healthy eating and activity time (HEAT): Physical activity outcomes from a 4-year non-randomized controlled trial in summer day camps

2020 ◽  
Vol 17 ◽  
pp. 101053 ◽  
Author(s):  
Keith Brazendale ◽  
Michael W. Beets ◽  
R. Glenn Weaver ◽  
Gabrielle M. Turner-McGrievy ◽  
Justin B. Moore ◽  
...  
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Healthy Eating ◽  
Controlled Trial ◽  
Activity Time ◽  
Randomized Controlled

scholarly journals Individually Tailored, Adaptive Intervention to Manage Gestational Weight Gain: Protocol for a Randomized Controlled Trial in Women With Overweight and Obesity (Preprint)

2017 ◽  
Author(s):  
Danielle Symons Downs ◽  
Jennifer S Savage ◽  
Daniel E Rivera ◽  
Joshua M Smyth ◽  
Barbara J Rolls ◽  
...  
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Weight Gain ◽  
Pregnant Women ◽  
Healthy Eating ◽  
Controlled Trial ◽  
Overweight And Obesity ◽  
Adaptive Intervention ◽  
Gestational Weight ◽  
Randomized Controlled

BACKGROUND High gestational weight gain is a major public health concern as it independently predicts adverse maternal and infant outcomes. Past interventions have had only limited success in effectively managing pregnancy weight gain, especially among women with overweight and obesity. Well-designed interventions are needed that take an individualized approach and target unique barriers to promote healthy weight gain. OBJECTIVE The primary aim of the study is to describe the study protocol for Healthy Mom Zone, an individually tailored, adaptive intervention for managing weight in pregnant women with overweight and obesity. METHODS The Healthy Mom Zone Intervention, based on theories of planned behavior and self-regulation and a model of energy balance, includes components (eg, education, self-monitoring, physical activity/healthy eating behaviors) that are adapted over the intervention (ie, increase in intensity) to better regulate weight gain. Decision rules inform when to adapt the intervention. In this randomized controlled trial, women are randomized to the intervention or standard care control group. The intervention is delivered from approximately 8-36 weeks gestation and includes step-ups in dosages (ie, Step-up 1 = education + physical activity + healthy eating active learning [cooking/recipes]; Step-up 2 = Step-up 1 + portion size, physical activity; Step-up 3 = Step-up 1 + 2 + grocery store feedback, physical activity); 5 maximum adaptations. Study measures are obtained at pre- and postintervention as well as daily (eg, weight), weekly (eg, energy intake/expenditure), and monthly (eg, psychological) over the study period. Analyses will include linear mixed-effects models, generalized estimating equations, and dynamical modeling to understand between-group and within-individual effects of the intervention on weight gain. RESULTS Recruitment of 31 pregnant women with overweight and obesity has occurred from January 2016 through July 2017. Baseline data have been collected for all participants. To date, 24 participants have completed the intervention and postintervention follow-up assessments, 3 are currently in progress, 1 dropped out, and 3 women had early miscarriages and are no longer active in the study. Of the 24 participants, 13 women have completed the intervention to date, of which 1 (8%, 1/13) received only the baseline intervention, 3 (23%, 3/13) received baseline + step-up 1, 6 (46%, 6/13) received baseline + step-up 1 + step-up 2, and 3 (23%, 3/13) received baseline + step-up 1 + step-up 2 +step-up 3. Data analysis is still ongoing through spring 2018. CONCLUSIONS This is one of the first intervention studies to use an individually tailored, adaptive design to manage weight gain in pregnancy. Results from this study will be useful in designing a larger randomized trial to examine efficacy of this intervention and developing strategies for clinical application. REGISTERED REPORT IDENTIFIER RR1-10.2196/9220

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