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A 12-month follow-up of a mobile-based (mHealth) obesity prevention intervention in pre-school children: the MINISTOP randomized controlled trial

Delisle Nyström, Christine, Sandin, Sven, Henriksson, Pontus, Henriksson, Hanna, Maddison, Ralph and Löf, Marie 2018, A 12-month follow-up of a mobile-based (mHealth) obesity prevention intervention in pre-school children: the MINISTOP randomized controlled trial, BMC public health, vol. 18, no. 1, pp. 1-7, doi: 10.1186/s12889-018-5569-4.

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Title A 12-month follow-up of a mobile-based (mHealth) obesity prevention intervention in pre-school children: the MINISTOP randomized controlled trial
Author(s) Delisle Nyström, Christine
Sandin, Sven
Henriksson, Pontus
Henriksson, Hanna
Maddison, RalphORCID iD for Maddison, Ralph orcid.org/0000-0001-8564-5518
Löf, Marie
Journal name BMC public health
Volume number 18
Issue number 1
Article ID 658
Start page 1
End page 7
Total pages 7
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2018-05-24
ISSN 1471-2458
Keyword(s) intervention
mHealth
nutrition
oesity
physical activity
pre-school
prevention
science & technology
life sciences & biomedicine
public, environmental & occupational health
Summary BACKGROUND: To date, few mobile health (mHealth) interventions aimed at changing lifestyle behaviors have measured long term effectiveness. At the 6-month follow-up the MINISTOP trial found a statistically significant intervention effect for a composite score comprised of fat mass index (FMI) as well as dietary and physical activity variables; however, no intervention effect was observed for FMI. Therefore, the aim of this study was to investigate if the MINISTOP intervention 12-months after baseline measurements: (i) improved FMI and (ii) had a maintained effect on a composite score comprised of FMI and dietary and physical activity variables.

METHODS: A two-arm parallel randomized controlled trial was conducted in 315 healthy 4.5 year old children between January 2014 and October 2015. Parents' of the participating children either received the MINISTOP intervention or a basic pamphlet on dietary and physical activity behaviors (control group). After 6 months, participants did not have access to the intervention content and were measured again 6 months later (i.e. the 12-month follow-up). The Wilcoxon rank-sum test was then used to examine differences between the groups.

RESULTS: At the 12-month follow-up, no statistically significant difference was observed between the intervention and control groups for FMI (p = 0.57) and no maintained effect for the change in composite score was observed (mean ± standard deviation for the intervention and control group: + 0.53 ± 1.49 units and + 0.35 ± 1.27 units respectively, p = 0.25 between groups).

CONCLUSIONS: The intervention effect observed at the 6-month follow-up on the composite score was not maintained at the 12-month follow-up, with no effect on FMI being observed at either follow-up. Future studies using mHealth are needed to investigate how changes in obesity related markers in young children can be maintained over longer time periods.
Language eng
DOI 10.1186/s12889-018-5569-4
Field of Research 110699 Human Movement and Sports Science not elsewhere classified
111799 Public Health and Health Services not elsewhere classified
1117 Public Health And Health Services
Socio Economic Objective 920401 Behaviour and Health
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30109215

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