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Influence of a lifestyle intervention in preschool children on physiological and psychological parameters (Ballabeina) : study design of a cluster randomized controlled trial

Niederer, Iris and Kriemler, Susi and Zahner, Lukas and Bürgi, Flavia and Ebenegger, Vincent and Hartmann, Tim and Meyer, Ursina and Schindler, Christian and Nydegger, Andreas and Marques-Vidal, Pedro and Puder, Jardena J.. (2009) Influence of a lifestyle intervention in preschool children on physiological and psychological parameters (Ballabeina) : study design of a cluster randomized controlled trial. BMC public health, Vol. 9 , 94.

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Official URL: http://edoc.unibas.ch/dok/A5252128

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Abstract

BACKGROUND: Childhood obesity and physical inactivity are increasing dramatically worldwide. Children of low socioeconomic status and/or children of migrant background are especially at risk. In general, the overall effectiveness of school-based programs on health-related outcomes has been disappointing. A special gap exists for younger children and in high risk groups. METHODS/DESIGN: This paper describes the rationale, design, curriculum, and evaluation of a multicenter preschool randomized intervention study conducted in areas with a high migrant population in two out of 26 Swiss cantons. Twenty preschool classes in the German (canton St. Gallen) and another 20 in the French (canton Vaud) part of Switzerland were separately selected and randomized to an intervention and a control arm by the use of opaque envelopes. The multidisciplinary lifestyle intervention aimed to increase physical activity and sleep duration, to reinforce healthy nutrition and eating behaviour, and to reduce media use. According to the ecological model, it included children, their parents and the teachers. The regular teachers performed the majority of the intervention and were supported by a local health promoter. The intervention included physical activity lessons, adaptation of the built infrastructure; promotion of regional extracurricular physical activity; playful lessons about nutrition, media use and sleep, funny homework cards and information materials for teachers and parents. It lasted one school year. Baseline and post-intervention evaluations were performed in both arms. Primary outcome measures included BMI and aerobic fitness (20 m shuttle run test). Secondary outcomes included total (skinfolds, bioelectrical impedance) and central (waist circumference) body fat, motor abilities (obstacle course, static and dynamic balance), physical activity and sleep duration (accelerometry and questionnaires), nutritional behaviour and food intake, media use, quality of life and sign
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Biostatistics > Biostatistics Frequentist Modelling (Kwiatkowski)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Former Units within Swiss TPH > Physical Activity and Health (Kriemler)
03 Faculty of Medicine > Bereich Medizinische Fächer (Klinik) > Endokrinologie / Diabetologie
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Medizinische Fächer (Klinik) > Endokrinologie / Diabetologie
03 Faculty of Medicine > Departement Sport, Bewegung und Gesundheit > Bereich Sport- und Bewegungsmedizin > Sportmedizin (Schmidt-Trucksäss)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Environmental Exposures and Health Systems Research > Physical Hazards and Health (Röösli)
03 Faculty of Medicine > Departement Sport, Bewegung und Gesundheit > Bereich Bewegungs- und Trainingswissenschaft > Trainingswissenschaften (Zahner)
UniBasel Contributors:Zahner, Lukas and Puder, Jardena and Schindler, Christian and Kriemler, Susi
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:BioMed Central
ISSN:1471-2458
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:01 Mar 2013 11:12
Deposited On:22 Mar 2012 13:38

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