TY - JOUR
T1 - Mobile-based intervention intended to stop obesity in preschool-aged children
T2 - The MINISTOP randomized controlled trial
AU - Nyström, Christine Delisle
AU - Sandin, Sven
AU - Henriksson, Pontus
AU - Henriksson, Hanna
AU - Trolle-Lagerros, Ylva
AU - Larsson, Christel
AU - Maddison, Ralph
AU - Ortega, Francisco B.
AU - Pomeroy, Jeremy
AU - Ruiz, Jonatan R.
AU - Silfvernagel, Kristin
AU - Timpka, Toomas
AU - Löf, Marie
N1 - Publisher Copyright:
© 2017 American Society for Nutrition.
PY - 2017/6/1
Y1 - 2017/6/1
N2 - Background: Traditional obesity prevention programs are time-and cost-intensive. Mobile phone technology has been successful in changing behaviors and managing weight; however, to our knowledge, its potential in young children has yet to be examined. Objective: We assessed the effectiveness of a mobile health (mHealth) obesity prevention program on body fat, dietary habits, and physical activity in healthy Swedish children aged 4.5 y. Design: From 2014 to 2015, 315 children were randomly assigned to an intervention or control group. Parents in the intervention group received a 6-mo mHealth program. The primary outcome was fat mass index (FMI), whereas the secondary outcomes were intakes of fruits, vegetables, candy, and sweetened beverages and time spent sedentary and in moderate-to-vigorous physical activity. Composite scores for the primary and secondary outcomes were computed. Results: No statistically significant intervention effect was observed for FMI between the intervention and control group (mean ± SD: 20.23 ± 0.56 compared with 20.20 ± 0.49 kg/m2). However, the intervention group increased their mean composite score from baseline to follow-up, whereas the control group did not (+0.36 ± 1.47 compared with 20.06 ± 1.33 units; P = 0.021). This improvement was more pronounced among the children with an FMI above the median (4.11 kg/m2) (P = 0.019). The odds of increasing the composite score for the 6 dietary and physical activity behaviors were 99% higher for the intervention group than the control group (P = 0.008). Conclusions: This mHealth obesity prevention study in preschoolaged children found no difference between the intervention and control group for FMI. However, the intervention group showed a considerably higher postintervention composite score (a secondary outcome) than the control group, especially in children with a higher FMI. Further studies targeting specific obesity classes within preschool-aged children are warranted. This trial was registered at clinicaltrials.gov as NCT02021786. Am J Clin Nutr 2017;105:1327-35.
AB - Background: Traditional obesity prevention programs are time-and cost-intensive. Mobile phone technology has been successful in changing behaviors and managing weight; however, to our knowledge, its potential in young children has yet to be examined. Objective: We assessed the effectiveness of a mobile health (mHealth) obesity prevention program on body fat, dietary habits, and physical activity in healthy Swedish children aged 4.5 y. Design: From 2014 to 2015, 315 children were randomly assigned to an intervention or control group. Parents in the intervention group received a 6-mo mHealth program. The primary outcome was fat mass index (FMI), whereas the secondary outcomes were intakes of fruits, vegetables, candy, and sweetened beverages and time spent sedentary and in moderate-to-vigorous physical activity. Composite scores for the primary and secondary outcomes were computed. Results: No statistically significant intervention effect was observed for FMI between the intervention and control group (mean ± SD: 20.23 ± 0.56 compared with 20.20 ± 0.49 kg/m2). However, the intervention group increased their mean composite score from baseline to follow-up, whereas the control group did not (+0.36 ± 1.47 compared with 20.06 ± 1.33 units; P = 0.021). This improvement was more pronounced among the children with an FMI above the median (4.11 kg/m2) (P = 0.019). The odds of increasing the composite score for the 6 dietary and physical activity behaviors were 99% higher for the intervention group than the control group (P = 0.008). Conclusions: This mHealth obesity prevention study in preschoolaged children found no difference between the intervention and control group for FMI. However, the intervention group showed a considerably higher postintervention composite score (a secondary outcome) than the control group, especially in children with a higher FMI. Further studies targeting specific obesity classes within preschool-aged children are warranted. This trial was registered at clinicaltrials.gov as NCT02021786. Am J Clin Nutr 2017;105:1327-35.
KW - MHealth
KW - Obesity
KW - Preschool
KW - Prevention
KW - Randomized controlled trial
UR - http://www.scopus.com/inward/record.url?scp=85020501451&partnerID=8YFLogxK
U2 - 10.3945/ajcn.116.150995
DO - 10.3945/ajcn.116.150995
M3 - Article
C2 - 28446496
AN - SCOPUS:85020501451
SN - 0002-9165
VL - 105
SP - 1327
EP - 1335
JO - American Journal of Clinical Nutrition
JF - American Journal of Clinical Nutrition
IS - 6
ER -