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Reducing unhealthy weight gain in children through community capacity-building: results of a quasi-experimental intervention program, Be Active Eat Well
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 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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Metadata
- Authors
- Sanigorski, A. M., Bell, A. C., Kremer, P. J., Cuttler, R., & Swinburn, B. A.
- Affiliations
- Deakin University (AU)
- Venue
- International Journal of Obesity
- Published
- 2008-06-10
- Volume
- 32
- Issue
- 7
- Pages
- 1060-1067
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- 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 › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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