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5. Thao-Child Health Programme: community based intervention for healthy lifestyles promotion to children and families: results of a cohort study

Author

Gómez Santos, Santiago Felipe, Estévez Santiago, Rocío, Palacios Gil-Antuñano, Nieves, Leis Trabazo, María Rosaura, Tojo Sierra, Rafael, Cuadrado Vives, Carmen, Beltrán de Miguel, Beatriz, Ávila Torres, José Manuel, Varela Moreiras, Gregorio, and Casas Esteve, Rafael

Subjects
Obesidad pediátrica, Life-style, Niño, Pediatric obesity, Intervention studies, Child, Estudios de intervención, Estilo de vida
Abstract

Introduction: childhood obesity is one of the main public health concerns. The multifactorial and multilevel causes require complex interventions such the community based interventions (CBI). Thao-Child Health Programme is a CBI implemented in Spain since 2007. Goal: show the Thao methodology and the latest cross-sectional and longitudinal results. Methods: longitudinal cohort study (4 years of follow- up) and cross sectional study. Results: the longitudinal study found an increase of 1% in the overweight prevalence after a follow-up of 4 years of Thao-Programme implementation in 10 municipalities with 6 697 children involved. The cross-sectional study carried out with 20 636 children from 22 municipalities found a childhood overweight prevalence of 26.6%. Discussion: currently a brake in the increase of childhood overweight prevalence is considered a success due to the high prevalence worldwide. More studies well methodologically performed are needed to know the efficacy of the CBI's in this field. Introducción: la obesidad infantil es una de las principales preocupaciones de salud pública. La etiología multifactorial y multinivel requiere de intervenciones complejas como las intervenciones de base comunitaria (CBI). El Programa Thao-Salud Infantil es una CBI implementada en España desde 2007. Objetivo: mostrar la metodología Thao y los últimos resultados transversales y longitudinales. Métodos: estudio de cohortes longitudinal (4 años de seguimiento) y estudio transversal. Resultados: el estudio longitudinal encontró un incremento del 1% en la prevalencia de exceso de peso tras 4 años de implementación del Programa Thao en 10 municipios con 6.697 niños y niñas involucrados. El estudio transversal llevado a cabo con 20.636 niños y niñas de 22 municipios encontró una prevalencia de exceso de peso infantil del 26,6%. Discusión: actualmente un freno en el incremento de la prevalencia de exceso de peso infantil es considerado como un éxito debido a la alta prevalencia a nivel mundial. Son necesarios más estudios metodológicamente bien realizados para conocer la eficacia de las CBI en este campo.

Published
2015

6. Thao-child health programme: Community based intervention for healthy lifestyles promotion to children and families: Results of a cohort study

Author

Gómez Santos, Santiago, Estévez Santiago, Rocío, Palacios Gil-Antuñano, N. P., Leis, Rosaura, Tojo Sierra, Rafael, Cuadrado Vives, Carmen, Beltrán de Miguel, Beatriz, Ávila Torres, José Manuel, Varela-Moreiras, Gregorio, and Casas Esteve, Rafael

Subjects
Life-style, Pediatric obesity, Intervention studies, Child
Abstract

Introduction: childhood obesity is one of the main public health concerns. The multifactorial and multilevel causes require complex interventions such the community based interventions (CBI). Thao-Child Health Programme is a CBI implemented in Spain since 2007. Goal: show the Thao methodology and the latest cross-sectional and longitudinal results. Methods: longitudinal cohort study (4 years of follow- up) and cross sectional study. Results: the longitudinal study found an increase of 1% in the overweight prevalence after a follow-up of 4 years of Thao-Programme implementation in 10 municipalities with 6 697 children involved. The cross-sectional study carried out with 20 636 children from 22 municipalities found a childhood overweight prevalence of 26.6%. Discussion: currently a brake in the increase of childhood overweight prevalence is considered a success due to the high prevalence worldwide. More studies well methodologically performed are needed to know the efficacy of the CBI’s in this field.

Published
2015

7. Prospective Association of Maternal Educational Level with Child's Physical Activity, Screen Time, and Diet Quality.

Author

Cárdenas-Fuentes, Gabriela, Homs, Clara, Ramírez-Contreras, Catalina, Juton, Charlotte, Casas-Esteve, Rafael, Grau, Maria, Aguilar-Palacio, Isabel, Fitó, Montserrat, Gomez, Santiago F., and Schröder, Helmut

Abstract

Evidence has identified unhealthy lifestyle behaviors as the main contributors to obesity in children, so it is essential to identify factors that could influence children's lifestyles. The objective of the present study was to analyze the association of baseline maternal educational level with child's physical activity, screen time, and dietary habits at follow-up. This community-based cohort study was carried out between 2012 and 2014 and included 1405 children aged 8 to 10 years old. Maternal educational level was used as an indicator of child's socioeconomic status. Physical activity, screen time, and dietary habits were assessed by validated questionnaires. The odds of having commercially baked goods for breakfast [OR 1.47 (95% CI 1.03 to 2.10)], going more than once a week to a fast-food restaurant [OR 1.64 (95% CI 1.20 to 2.26)], and taking sweets and candys several times a day [OR 3.23 (95% CI 2.14 to 4.87) were significantly higher among children whose mothers had a lower educational level compared to their peers whose mothers had a higher level. These associations held for taking sweets and candy several times a day after additional adjustment for the corresponding dietary behavior at baseline. Maternal educational level was inversely associated (p < 0.001) with child's screen time at follow up and being in the lowest maternal educational category was associated with an increased odds of surpassing the maximum recommended time of screen time of 120 min per day (OR (95% CI) 1.43 (1.07 to 1.90), p = 0.016). Maternal education is a predictor for unhealthy dietary habits and high screen time in children. [ABSTRACT FROM AUTHOR]

Published
2022
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8. THAO-CHILD HEALTH PROGRAMME: COMMUNITY BASED INTERVENTION FOR HEALTHY LIFESTYLES PROMOTION TO CHILDREN AND FAMILIES: RESULTS OF A COHORT STUDY.

Author

Gómez Santos SF, Estévez Santiago R, Palacios Gil-Antuñano N, Leis Trabazo MR, Tojo Sierra R, Cuadrado Vives C, Beltrán de Miguel B, Ávila Torres JM, Varela Moreiras G, and Casas Esteve R

Subjects
Child, Child, Preschool, Cohort Studies, Cross-Sectional Studies, Family, Female, Humans, Longitudinal Studies, Male, Overweight epidemiology, Prevalence, Spain epidemiology, Child Health, Community Health Services, Health Promotion, Life Style
Abstract

Introduction: childhood obesity is one of the main public health concerns. The multifactorial and multilevel causes require complex interventions such the community based interventions (CBI). Thao-Child Health Programme is a CBI implemented in Spain since 2007., Goal: show the Thao methodology and the latest cross-sectional and longitudinal results., Methods: longitudinal cohort study (4 years of follow- up) and cross sectional study., Results: the longitudinal study found an increase of 1% in the overweight prevalence after a follow-up of 4 years of Thao-Programme implementation in 10 municipalities with 6 697 children involved. The cross-sectional study carried out with 20 636 children from 22 municipalities found a childhood overweight prevalence of 26.6%., Discussion: currently a brake in the increase of childhood overweight prevalence is considered a success due to the high prevalence worldwide. More studies well methodologically performed are needed to know the efficacy of the CBI's in this field., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)

Published
2015
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