Changes in adolescents' intake of sugar-sweetened beverages and sedentary behaviour: Results at 8 month mid-way assessment of the HEIA study - a comprehensive, multi-component school-based randomized trial

Autor: Andersen Lene F; Klepp Knut-Inge; Grydeland May; Bergh Ingunn H; Bjelland Mona; Anderssen Sigmund A; Ommundsen Yngvar; Lien Nanna
Sprache: Englisch
Veröffentlicht: 2011
Quelle: Directory of Open Access Journals: DOAJ Articles
Online Zugang: http://www.ijbnpa.org/content/8/1/63
https://doaj.org/toc/1479-5868
doi:10.1186/1479-5868-8-63
1479-5868
https://doaj.org/article/b713a8bb40fb423cbb31794a6287fb06
https://doi.org/10.1186/1479-5868-8-63
https://doaj.org/article/b713a8bb40fb423cbb31794a6287fb06
Erfassungsnummer: ftdoajarticles:oai:doaj.org/article:b713a8bb40fb423cbb31794a6287fb06

Zusammenfassung

Abstract Background Inconsistent effects of school-based obesity prevention interventions may be related to how different subgroups receive them. The aim of this study was to evaluate the effect of an intervention program, including fact sheets to parents and classroom components, on intake of sugar-sweetened beverages (SSB) and screen time. Further, to explore whether potential effects and parental involvement varied by adolescents' gender, weight status (WS) and parental educational level. Methods In total, 1465 11-year-olds participated at the pre-test and the 8 month mid-way assessment of the HEIA study. Parents (n = 349) contributed with process evaluation data. Self-reported intake of SSB was collected from the 11-year-olds assessing frequency and amount, while time used on watching TV/DVD and computer/game-use (weekday and weekend day) were assed by frequency measures. Data on awareness of the intervention and dose received were collected from parents. Covariance analyses (ANCOVA) were conducted testing for effects by gender and for moderation by WS and parental education. Results Time spent on TV/DVD (week p = 0.001, weekend p = 0.03) and computer/game-use (week p = 0.004, weekend p <.001), and the intake of SSB during weekend days (p = 0.04), were significantly lower among girls in the intervention group compared to the control group girls after 8 months. Girls' WS did not moderate these findings. However, no significant effects of the intervention were found for boys, but moderation effects were found for WS (week days: TV/DVD, p = 0.03 and computer/games, p = 0.02). There were no moderating effects of parental education for neither boys nor girls with respect to intake of SSB, time used for watching TV/DVD and computer/game-use. Parental awareness of the intervention was significantly higher among the parents of girls, while the parents of boys were more satisfied with the fact sheets. Conclusions The preventive initiatives appeared to change behaviour in girls only. This study suggests that ...