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Trial baseline characteristics of a cluster randomised controlled trial of a school-located obesity prevention programme; the Healthy Lifestyles Programme (HeLP) trial.

Authors :
Lloyd, Jenny
Creanor, Siobhan
Price, Lisa
Abraham, Charles
Dean, Sarah
Green, Colin
Hillsdon, Melvyn
Pearson, Virginia
Taylor, Rod S.
Tomlinson, Richard
Logan, Stuart
Hurst, Alison
Ryan, Emma
Daurge, Wendy
Wyatt, Katrina
Source :
BMC Public Health; 4/4/2017, Vol. 17, p1-14, 14p, 1 Diagram, 4 Charts
Publication Year :
2017

Abstract

<bold>Background: </bold>We have developed a healthy lifestyles programme (HeLP) for primary school aged children (9-10 years), currently being evaluated in a definitive cluster randomised controlled trial. This paper descriptively presents the baseline characteristics of trial children (BMI, waist circumference, % body fat, diet and physical activity) by gender, cluster level socio-economic status, school size and time of recruitment into the trial.<bold>Methods: </bold>Schools were recruited from across the South West of England and allocated 1:1 to either intervention (HeLP) or control (usual practice) stratified by the proportion of children eligible for free school meals (FSM, <19%, ≥19%) and school size (one Year 5 class, >1 Year 5 class). The primary outcome is change in body mass index standard deviation score (BMI sds) at 24 months post-randomisation. Secondary outcomes are BMI sds at 18 months, waist circumference and percentage body fat sds at 18 and 24 months, proportion of children classified as underweight, overweight and obese at 18 and 24 months, physical activity (for a sub-sample) and food intake at 18 months.<bold>Results: </bold>At baseline 11.4% and 13.6% of children were categorised as overweight or obese respectively. A higher percentage of girls than boys (25.3% vs 24.8%) and children from schools in FSM category 2 (28.2% vs 23.2%) were overweight or obese. Children were consuming a mean (range) of 4.15 (0-13) energy dense snacks (EDS) and 3.23 (0-9) healthy snacks (HS) per day with children from schools in FSM category 2 consuming more EDS and negative food markers and less HS and positive food markers. Children spent an average 53.6 min per day (11.9 to 124.8) in MVPA and thirteen hours (779.3 min) per day (11 h to 15 h) doing less than 'light' intensity activity. Less than 5% of children achieved the Departments of Health's recommendation of 60 min of MVPA every day.<bold>Conclusion: </bold>We have excellent completeness of baseline data for all measures and have achieved compliance to accelerometry not seen before in other large scale studies. Our anthropometric baseline data is representative of local and national data for children this age and reflects the gender and socio-economic variations expected of children this age in relation to physical activity and weight status.<bold>Trial Registration: </bold>ISRCTN15811706 (1/05/2012). [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
14712458
Volume :
17
Database :
Complementary Index
Journal :
BMC Public Health
Publication Type :
Academic Journal
Accession number :
122336226
Full Text :
https://doi.org/10.1186/s12889-017-4196-9