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Cited by 270Obesity, Physical Activity, DietPhysical Activity and HealthSchool Health and Nursing Education

Reducing unhealthy weight gain in children through community capacity-building: results of a quasi-experimental intervention program, Be Active Eat Well

Sanigorski, A M, Bell, A C, Kremer, P J, Cuttler, R, Swinburn, B A·2008·International Journal of Obesity
DOI 10.1038/ijo.2008.79
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Abstract

Background Be Active Eat Well (BAEW) was a multifaceted community capacity-building program promoting healthy eating and physical activity for children (aged 4-12 years) in the Australian town of Colac.Objective To evaluate the effects of BAEW on reducing children's unhealthy weight gain.Methods BAEW had a quasi-experimental, longitudinal design with anthropometric and demographic data collected on Colac children in four preschools and six primary schools at baseline (2003, n=1001, response rate: 58%) and follow-up (2006, n=839, follow-up rate: 84%). The comparison sample was a stratified random selection of preschools (n=4) and primary schools (n=12) from the rest of the Barwon South Western region of Victoria, with baseline assessment in 2003-2004 (n=1183, response rate: 44%) and follow-up in 2006 (n=979, follow-up rate: 83%).Results Colac children had significantly lower increases in body weight (mean: -0.92 kg, 95% CI: -1.74 to -0.11), waist (-3.14 cm, -5.07 to -1.22), waist/height (-0.02, -0.03 to -0.004), and body mass index z-score (-0.11, -0.21 to -0.01) than comparison children, adjusted for baseline variable, age, height, gender, duration between measurements and clustering by school. In Colac, the anthropometric changes were not related to four indicators of socioeconomic status (SES), whereas in the comparison group 19/20 such analyses showed significantly greater gains in anthropometry in children from lower SES families. Changes in underweight and attempted weight loss were no different between the groups.Conclusions Building community capacity to promote healthy eating and physical activity appears to be a safe and effective way to reduce unhealthy weight gain in children without increasing health inequalities.

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  • Community- and school-based long-term media and education campaigns have been effective in improving dietary habits of adults, school-age children, and younger children, as well as reducing adiposity and cardiovascular risk factors in adults.

    “Community- and school-based long-term media and education campaigns have also been effective in improving dietary habits of adults, school-age children, and younger children,45–48 as well as reducing adiposity and cardiovascular risk factors in adults.49”

    From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [45]

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Authors
Sanigorski, A. M., Bell, A. C., Kremer, P. J., Cuttler, R., & Swinburn, B. A.
Affiliations
Deakin University (AU)
ORCID
Venue
International Journal of Obesity
Publisher
Springer Science and Business Media LLC
Published
2008-06-10
Volume
32
Issue
7
Pages
1060-1067
ISSN
  • 0307-0565 (ISSN-L)
  • 1476-5497
DOI
10.1038/ijo.2008.79
OpenAlex
W2052103732
Cited by
270
References
25
Citations by year
2026: 4 · 2025: 6 · 2024: 10 · 2023: 6 · 2022: 6 · 2021: 14 · 2020: 10 · 2019: 18 · 2018: 19 · 2017: 11 · 2016: 14 · 2015: 27 · 2014: 17 · 2013: 25 · 2012: 23
FWCI
19.87
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • International Journal of Obesity (publishedVersion)
  • PubMed (publishedVersion)
  • ResearchSpace (University of Auckland) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Keywords
childhood obesity, community capacity building, healthy eating promotion, physical activity promotion, preschool children, elementary school students, body mass index, waist circumference, socioeconomic status, health disparities
MeSH terms
Anthropometry, Child, Child, Preschool, Community Health Services, Female, Health Promotion, Humans, Longitudinal Studies, Male, Obesity, Patient Acceptance of Health Care, Rural Population, Social Class, Victoria, Program Evaluation, Exercise, Case-Control Studies, Treatment Outcome

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