The “Healthy Habits, Healthy Girls” randomized controlled trial for girls: study design, protocol, and baseline results

Gonçalves

et al. 2019

Ciênc. saúde coletiva

Resumo Analisar programas de intervenção para atividade física (AF) é de grande importância para auxiliar o avanço na área. A ferramenta RE-AIM vem sendo amplamente difundida na literatura. Neste sentido, o presente estudo objetivou identificar programas de intervenção para AF em escolares brasileiros e analisá-los por meio da ferramenta RE-AIM. A busca foi realizada nas bases Lilacs, SportDiscus, SciELO, Scopus, Web of Science, EBSCOhot, Psycinfo e PubMed. Após leitura de títulos, resumos e estudos na íntegra, foram inclusos 15 artigos (sete programas de intervenção para AF). Verificou-se que os programas foram realizados nos últimos dez anos, em escolas públicas, com a maior parte nas regiões Sul e Sudeste do Brasil. Foram utilizadas estratégias multicomponentes (educativas e treinamento de professores), com resultados positivos na prática de AF. Quanto às dimensões do RE-AIM, verificou-se que “alcance” foi a mais relatada (74%), seguida de “efetividade/eficácia” (48%), “adoção” (43%), “implementação” (35%) e “manutenção” (5%). Os indicadores mais mencionados foram aqueles referentes à validade interna do programa: informação demográfica e comportamental da população alvo, método de identificação da população-alvo, tamanho da amostra, taxa de participação e número de unidades organizacionais envolvidas.

Section: Resultados Seleção Dos Artigosunclassified

Section: Descrição Dos Programas De Intervençãounclassified

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Programas de intervenção para atividade física nas escolas brasileiras: revisão com base no modelo RE-AIM

Gonçalves

et al. 2019

Ciênc. saúde coletiva

Nutrition &Amp; Food Science

“…The study design, protocol and baseline results are reported in detail elsewhere (Leme and Philippi, 2015). In summary, it was a six-month school-based group randomized controlled trial named "Healthy Habits, Healthy Girls -Brazil (H3G --Brazil)".…”

Section: Study Design and Participantsmentioning

confidence: 99%

Dietary intake and meal frequency of Brazilian girls attending a school-based randomized controlled trial

Philippi

Leme

2015

Self Cite

2015),"Dietary intake and meal frequency of Brazilian girls attending a school-based randomized controlled trial", Nutrition & Food Science, Vol. 45 Iss 6 pp. 954 -968 Permanent link to this document: http://dx. AbstractPurpose -This paper aims to evaluate the effects of a school-based obesity prevention program targeting Brazilian adolescent girls on dietary intake and meal frequency. Design/methodology/approach -It was a six-month school-based group randomized controlled trial with female adolescents. The intervention was based on the Social Cognitive Theory and focused on ten nutrition and physical activity key messages. Diet intake was measured using a validated food frequency questionnaire, and the food items were aggregate into the eight food groups of the Brazilian Food Guide Pyramid. The meals frequency assessed were breakfast, lunch, dinner and snack-in-between-meals, the frequency ranged from never to everyday. Linear mixed models were used to examine the dietary effects and chi-squared test to identify proportional differences among groups in meal frequency. All analyses followed intention-to-treat principles and alpha levels of p Յ 0.05 were set. Findings -After six months from baseline, changes in the fruits (mean [SE] 12.48 kcal [7.86], p ϭ 0.005), vegetables (8.80 kcal [7.11], p ϭ 0.006) and sugar (Ϫ55.98 kcal [50.70], p ϭ 0.036) groups were demonstrated. Proportional difference was shown for snack-in-between-meals (p ϭ 0.001), and the frequency most cited was for "five to six days" per week. Originality/value -The "Healthy Habits, Healthy Girls-Brazil" showed promise in the adolescents' dietary intake and could be used as framework for future interventions. Also, the methods used for dietary intake can be enhanced and implemented for future studies.

Cochrane Database of Systematic Reviews

Interventions for preventing obesity in children

Brown

Moore

Hooper

et al. 2019

1,216

659

Background Obesity prevention is an international public health priority. The prevalence of obesity and overweight is increasing in child populations throughout the world, impacting on short and long-term health. Obesity prevention strategies for children can change behaviour but efficacy in terms of preventing obesity remains poorly understood. Objectives To assess the effectiveness of interventions designed to prevent obesity in childhood through diet, physical activity and/or lifestyle and social support. Search strategy MEDLINE, PsycINFO, EMBASE, CINAHL and CENTRAL were searched from 1990 to February 2005. Non-English language papers were included and experts contacted. Selection criteria Randomised controlled trials and controlled clinical trials with minimum duration twelve weeks. Data collection and analysis Two reviewers independently extracted data and assessed study quality. Main results Twenty-two studies were included; ten long-term (at least 12 months) and twelve short-term (12 weeks to 12 months). Nineteen were school/preschool-based interventions, one was a community-based intervention targeting low-income families, and two were familybased interventions targeting non-obese children of obese or overweight parents. Six of the ten long-term studies combined dietary education and physical activity interventions; five resulted in no difference in overweight status between groups and one resulted in improvements for girls receiving the intervention, but not boys. Two studies Interventions for preventing obesity in children (Review)