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dc.creatorEk, A. (Anna)-
dc.creatorDelisle-Nyström, C. (Christine)-
dc.creatorChirita-Emandi, A. (Adela)-
dc.creatorTur, J.A. (Josep A.)-
dc.creatorNordin, K. (Karin)-
dc.creatorBouzas, C. (Cristina)-
dc.creatorArgelich, E. (Emma)-
dc.creatorMartinez, J.A. (José Alfredo)-
dc.creatorFrost, G. (Gary)-
dc.creatorGarcía-Pérez, I. (Isabel)-
dc.creatorSaez, M. (Marc)-
dc.creatorPaul, C. (Corina)-
dc.creatorLöf, M. (Marie)-
dc.creatorNowicka, P. (Paulina)-
dc.date.accessioned2021-08-24T11:47:40Z-
dc.date.available2021-08-24T11:47:40Z-
dc.date.issued2019-
dc.identifier.citationEk, A. (Anna); Delisle-Nyström, C. (Christine); Chirita-Emandi, A. (Adela); et al. "A randomized controlled trial for overweight and obesity in preschoolers: the More and Less Europe study - an intervention within the STOP project". BMC Public Health. 19 (945), 2019, 1 - 13es_ES
dc.identifier.issn1471-2458-
dc.identifier.issn10.1186/s12889-019-7161-y-
dc.identifier.otherPMID: 31307412-
dc.identifier.urihttps://hdl.handle.net/10171/61591-
dc.description.abstractBackground: Childhood overweight and obesity is a serious public health issue with an increase being observed in preschool-aged children. Treating childhood obesity is difficult and few countries use standardized treatments. Therefore, there is a need to find effective approaches that are feasible for both health care providers and families. Thus, the overall aim of this study is to assess the acceptance and effectiveness of a parent support program (the More and Less, ML) for the management of overweight and obesity followed by a mobile health (mHealth) program (the MINISTOP application) in a socially diverse population of families. Methods/design: A two-arm, parallel design randomized controlled trial in 300 2-to 6-year-old children with overweight and obesity from Romania, Spain and Sweden (n = 100 from each). Following baseline assessments children are randomized into the intervention or control group in a 1:1 ratio. The intervention, the ML program, consists of 10-weekly group sessions which focus on evidence-based parenting practices, followed by the previously validated MINISTOP application for 6-months to support healthy eating and physical activity behaviors. The primary outcome is change in body mass index (BMI) z-score after 9-months and secondary outcomes include: waist circumference, eating behavior (Child Eating Behavior Questionnaire), parenting behavior (Comprehensive Feeding Practices Questionnaire), physical activity (ActiGraph wGT3x-BT), dietary patterns (based on metabolic markers from urine and 24 h dietary recalls), epigenetic and gut hormones (fasting blood samples), and the overall acceptance of the overweight and obesity management in young children (semi-structured interviews). Outcomes are measured at baseline and after: 10-weeks (only BMI z-score, waist circumference), 9-months (all outcomes), 15- and 21-months (all outcomes except physical activity, dietary patterns, epigenetics and gut hormones) post-baseline. Discussion: This study will evaluate a parent support program for weight management in young children in three European countries. To boost the effect of the ML program the families will be supported by an app for 6-months. If the program is found to be effective, it has the potential to be implemented into routine care to reduce overweight and obesity in young children and the app could prove to be a viable option for sustained effects of the care provided.es_ES
dc.description.sponsorshipThis study is funded through the STOP project, http://www.stopchildobesity.eu/. The STOP project received funding from the European Union’s Horizon 2020 research and innovation programme under Grant Agreement No. 774548 [67]. The content of this document reflects only the authors’ views and the European Commission is not liable for any use that may be made of the information it contains. JAT, CB, EA and JAM are also funded by CIBEROBN (CB12/03/30038), Instituto de Salud Carlos III and the European Regional Development Fund. CB is also funded by a Fernando Tarongí Bauzà Grant. MS was also funded by CIBERESP, Instituto de Salud Carlos III. The funders had no role in the design; collection, analysis, and interpretation of data; or in writing the manuscript.es_ES
dc.language.isoenges_ES
dc.publisherSpringer Science and Business Media LLCes_ES
dc.relationinfo:eu-repo/grantAgreement/EC/H2020/774548/EU//es_ES
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.subjectMaterias Investigacion::Ciencias de la Salud::Nutrición y dietéticaes_ES
dc.subjectChildrenes_ES
dc.subjectFamilyes_ES
dc.subjectmHealthes_ES
dc.subjectObesityes_ES
dc.subjectOverweightes_ES
dc.subjectTreatmentes_ES
dc.subjectStopes_ES
dc.titleA randomized controlled trial for overweight and obesity in preschoolers: the More and Less Europe study - an intervention within the STOP projectes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.description.noteThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.es_ES
dadun.citation.endingPage13es_ES
dadun.citation.number945es_ES
dadun.citation.publicationNameBMC Public Healthes_ES
dadun.citation.startingPage1es_ES
dadun.citation.volume19es_ES

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