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Rationale and methods of a randomised cross-over cluster trial to assess the effectiveness of MOVI-KIDS on preventing obesity in pre-schoolers

dc.contributor.authorMartínez-Vizcaino V.
dc.contributor.authorMota J.
dc.contributor.authorSolera-Martínez M.
dc.contributor.authorNotario-Pacheco B.
dc.contributor.authorArias-Palencia N.
dc.contributor.authorGarcía-Prieto J.C.
dc.contributor.authorGonzález-García A.
dc.contributor.authorÁlvarez-Bueno C.
dc.contributor.authorSánchez-López M.
dc.date.accessioned2020-09-02T22:22:31Z
dc.date.available2020-09-02T22:22:31Z
dc.date.issued2015
dc.identifier10.1186/s12889-015-1512-0
dc.identifier.citation15, 1, -
dc.identifier.issn14712458
dc.identifier.urihttps://hdl.handle.net/20.500.12728/5264
dc.descriptionBackground: Childhood obesity has become an alarming worldwide increasing public health problem. The earlier adiposity rebound occurs, the greater the risk of becoming obese during puberty and adolescence. It has been speculated about the potential influence of vigorous physical activity on modifying the age of onset of adiposity rebound. Moreover, studies aimed to evaluate the effectiveness of physical activity interventions programs on reducing adiposity and other cardiovascular risk factors in children younger than 6 years are scarce. This paper describes the rationale and methods of a study aimed to test the effectiveness of a two-years multidimensional pre-school intervention on preventing obesity and improving physical fitness during the adiposity rebound period. Methods/Design: Twenty-one schools from the provinces of Cuenca and Ciudad Real, Spain, were randomised to an intervention and a control arm. In the first academic year, children in third grade of pre-school and first grade of primary school in the intervention group received the physical activity intervention (MOVI-KIDS). After an academic year schools were crossed over to the alternative arm. According to the socio-ecological model, the intervention included children, their parents and teachers, and the school environment where MOVI-KIDS was conducted. MOVI-KIDS consisted of: i) three-h/week sessions of recreational non-competitive physical activity in after-school time; ii) educational materials to parents and teachers about physical activity benefits and sedentary lifestyle risks; and iii) modifications in the playground to promote physical activity during recess. Baseline and post-intervention outcomes are going to be measured in both arms three times, at the beginning and at the end of first academic year, and at the end of the second academic year. Primary outcomes included body mass index, waist circumference, triceps skinfold thickness, percentage of both body fat and fat-free mass, and blood pressure. Secondary end points were physical activity, fitness, and carotid intima-media thickness. Discussion: This paper reports the design of a randomised cross-over cluster trial aimed at assessing the effectiveness of the multidimensional physical activity intervention (MOVI-KIDS) during two years in pre-school children. Trial registration: Clinical trials.gov: NCT01971840. (Date of registration: Initial Release: 10/07/2013; Record Verification: 23/10/2013). © 2015 Martinez-Vizcaino et al.; licensee BioMed Central.
dc.language.isoen
dc.publisherBioMed Central Ltd.
dc.subjectAdiposity
dc.subjectAdiposity Rebound
dc.subjectCardiovascular Disease
dc.subjectChildren
dc.subjectFitness
dc.subjectMOVI-KIDS
dc.subjectObesity
dc.subjectPhysical Activity
dc.subjectarterial wall thickness
dc.subjectblood pressure
dc.subjectbody mass
dc.subjectCardiovascular Diseases
dc.subjectchild
dc.subjectcontrolled study
dc.subjectcrossover procedure
dc.subjecteducation
dc.subjectenvironment
dc.subjectepidemiology
dc.subjectexercise
dc.subjectfemale
dc.subjectfitness
dc.subjecthealth promotion
dc.subjecthuman
dc.subjectmale
dc.subjectmorphometrics
dc.subjectobesity
dc.subjectorganization and management
dc.subjectparent
dc.subjectpreschool child
dc.subjectrandomized controlled trial
dc.subjectrisk factor
dc.subjectschool
dc.subjectsedentary lifestyle
dc.subjectSpain
dc.subjectBlood Pressure
dc.subjectBody Mass Index
dc.subjectBody Weights and Measures
dc.subjectCardiovascular Diseases
dc.subjectCarotid Intima-Media Thickness
dc.subjectChild
dc.subjectChild, Preschool
dc.subjectCross-Over Studies
dc.subjectEnvironment
dc.subjectExercise
dc.subjectFemale
dc.subjectHealth Promotion
dc.subjectHumans
dc.subjectMale
dc.subjectObesity
dc.subjectParents
dc.subjectPhysical Fitness
dc.subjectRisk Factors
dc.subjectSchools
dc.subjectSedentary Lifestyle
dc.subjectSpain
dc.titleRationale and methods of a randomised cross-over cluster trial to assess the effectiveness of MOVI-KIDS on preventing obesity in pre-schoolers
dc.typeArticle


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