Family-based intervention to prevent childhood obesity among school-age children of low socioeconomic status : study protocol of the FIVALIN project
Homs, Clara (Universitat Ramon Llull)
Berruezo, Paula (Gasol Foundation, Sant Boi de Llobregat)
Según, Genís (Gasol Foundation, Sant Boi de Llobregat)
Estrada, Lidia (Gasol Foundation, Los Angeles)
De Bont, Jeroen (Universitat Autònoma de Barcelona)
Riera-Roman, Jordi (Universitat Ramon Llull)
Carrillo-Álvarez, Elena (Universitat Ramon Llull)
Schrder, H. (Institut Hospital del Mar d'Investigacions Mèdiques)
Milà-Villaroel, Raimón (Universitat Ramon Llull)
Gómez, Santiago Felipe (Universitat de Lleida)

Data:	2021
Resum:	Childhood obesity represents a global public health crisis: the number of obese children and adolescents (aged 519years) worldwide has risen tenfold in the past four decades. The vast majority of overweight and obese children live in high-income countries, and low socio-economic status (SES) is a significant risk factor. Family Based Interventions (FBI) have demonstrated positive results in preventing obesity, although these results are strongly influenced by SES. Moreover, we still poorly understand how FBI can determine a positive trend in weight status in low-income communities. Therefore, there is an urgent need to define and evaluate innovative and multi-target projects to reduce obesity risk behaviors and health inequalities and the present study aims to present the study protocol of FIVALIN a FBI that pretends to achieve this goal. We will conduct a quasi-experimental design within 60 Community Child Centers (CCC) in Barcelona metropolitan area. Each cluster (CCC) will be assigned by convenience to the intervention and control groups. For the whole study, a total of 810 children aged 812years and 600 parents will be recruited during 3 consecutive editions (1st 2019/2020; 2nd 2020/2021; 3rd 2021/2022) of 10months each. The action is a regular multicomponent health-promotion intervention targeting children, families, and CCC. All activities are based on the Motivational Interviewing (MI) approach and will focus on promoting good dietary habits, physical activity, appropriate screen time and sleep duration, and psychological well-being. The control group participate in a unique workshop on general awareness of healthy lifestyles for families. We will perform a comparative analysis of the evolution of weight status, healthy lifestyles, and socioeconomic variables, between the intervention and control groups. There is a need for more evidence on how to target and evaluate holistic interventions in low SES families. Our multi-targeting intervention for obesity prevention tackles risky behaviors that go beyond diet and physical activity (PA). Therefore, future interventions can effectively promote all the behavioral domains that determine trends in the weight status. ISRCTN Registry: . Registered 9 July 2020. Retrospectively registered. Protocol version: 30 April 2021, version 5. The online version contains supplementary material available at 10. 1186/s12887-021-02697-x.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Pediatric obesity ; Primary prevention ; Low-income population ; Health status disparities ; Healthy lifestyle
Publicat a:	BMC Pediatrics, Vol. 21 (may 2021) , ISSN 1471-2431

DOI: 10.1186/s12887-021-02697-x
PMID: 34020614

14 p, 3.6 MB

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