Effects of the healthy children, healthy families, healthy communities program for obesity prevention among vulnerable children: A cluster-randomized controlled trial

Jina Choo, Hwa Mi Yang, Sae Young Jae, Hye Jin Kim, Jihyun You, Juneyoung Lee

Research output: Contribution to journalArticle

Abstract

Background: We aimed to examine whether the Healthy Children, Healthy Families, and Healthy Communities Program, consisting of multi-level strategies for obesity prevention tailoring the context of socioeconomically vulnerable children based on an ecological perspective, would be effective on improving their healthy lifestyle behaviors and obesity status. Methods: Participants were 104 children (and 59 parents) enrolled in public welfare systems in Seoul, South Korea. Based on a cluster-randomized controlled trial (no. ISRCTN11347525), eight centers were randomly assigned to intervention (four centers, 49 children, 27 parents) versus control groups (four centers, 55 children, 32 parents). Multi-level interventions of child-, parent-, and center-level strategies were conducted for 12 weeks. Children’s healthy lifestyle behaviors and obesity status were assessed as daily recommended levels and body mass index ≥85th percentile, respectively. Parents’ parenting behaviors were measured by the Family Nutrition and Physical Activity scale. Results: Compared to the control group, the intervention group showed significant improvements in total composite scores of healthy-lifestyle behaviors—including 60-minutes of moderate physical activity—but not in obesity status among children. Moreover, the intervention group showed significant improvements in parenting behaviors among parents. Conclusion: The multi-level strategies for obesity prevention based on an ecological perspective may be effective for promoting healthy lifestyles among socioeconomically vulnerable children.

Original languageEnglish
Article number2895
JournalInternational journal of environmental research and public health
Volume17
Issue number8
DOIs
Publication statusPublished - 2020 Apr 2

Keywords

  • Childhood obesity
  • Healthy lifestyle
  • Parenting
  • Vulnerable populations

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Fingerprint Dive into the research topics of 'Effects of the healthy children, healthy families, healthy communities program for obesity prevention among vulnerable children: A cluster-randomized controlled trial'. Together they form a unique fingerprint.

  • Cite this