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Ensayo controlado aleatorizado2022Acceso abierto

Effects of telephone support or short message service on body mass index, eating and screen time behaviours of children age 2 years: A 3-arm randomized controlled trial

Wen LM, Xu H, Taki S, Buchanan L, Rissel C, Phongsavan P, Hayes AJ, Bedford K, Moreton R, Baur LA

Pediatric obesity · 22 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Health and Medical Research Council
Subvenciones
National Health and Medical Research Council (1169823)

Según 1 financiador declarado y la declaración de financiación del texto completo.

Publicación

Publicado
2021-11-24 · Pediatr Obes · vol. 17 · número 5 · pág. e12875
Editorial
Wiley
Citado
28 citas · más que el 94% de estudios similares · 4.0× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
42 trabajos
Acceso
Acceso abierto (revista híbrida) · CC-BY-NC
Áreas de investigación
Mobile Health and mHealth Applications · Obesity, Physical Activity, Diet · Nutrition, Health and Food Behavior
Palabras clave
childhood obesity prevention, body mass index, telephone support, short message service, early intervention, child eating behaviour, screen time, family meals, nurse-led intervention, mother-child dyads, child BMI z-score, child feeding practices, children's physical activity, children's motor development
MeSH
humans, body mass index, feeding behavior, pregnancy, telephone, female, text messaging, screen time

10 autores

  • Li Ming Wen🇦🇺 · autor de correspondenciaThe University of Sydney; Sydney Local Health District; National Health and Medical Research Council
  • Huilan Xu🇦🇺Sydney Local Health District
  • Sarah Taki🇦🇺The University of Sydney; Sydney Local Health District; National Health and Medical Research Council
  • Limin Buchanan🇦🇺The University of Sydney; Sydney Local Health District; National Health and Medical Research Council
  • Chris E. Rissel🇦🇺The University of Sydney; National Health and Medical Research Council
  • Philayrath Phongsavan🇦🇺The University of Sydney
  • Alison Hayes🇦🇺The University of Sydney; National Health and Medical Research Council
  • Karen Bedford🇦🇺Sydney Local Health District
  • Renée Moreton🇦🇺Sydney Local Health District
  • Louise Alison Baur🇦🇺The University of Sydney; National Health and Medical Research Council

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Few randomized controlled trial (RCT) interventions targeted children's early risk behaviours using telephone or short message service (SMS) support.

Objective

To evaluate the effectiveness of telephone or SMS early intervention focusing on mothers' behaviours starting from late pregnancy to improve BMI, and eating and screen time behaviours of children aged 2 years in comparison with the control group.

Methods

A 3-arm RCT was conducted in Australia, 2017-2019. Two arms involved the interventions using nurse-led telephone or SMS support, delivered in nine stages from late pregnancy to age 2 years. The third arm was control. The primary outcome was children's objectively measured BMI and BMI z-score at 2 years. Secondary outcomes included child eating and screen time behaviours as reported by parents at 2 years.

Results

At 2 years, 797 mother-child dyads (69%) completed the telephone survey with 666 (58%) completing weight and height measurements. The study found no statistically significant difference in BMI between the groups. The mean BMI for telephone support was 16.93 (95% CI: 16.73 to 17.13), for SMS 16.92 (95% CI: 16.73 to 17.11) or for control 16.95 (95% CI: 16.73 to 17.16) with a difference of -0.02 (95% CI: -0.31 to 0.27, p = 0.907) in telephone versus control, and a difference of -0.03 (95% CI: -0.30 to 0.24, p = 0.816) in SMS versus control. Telephone support was associated with higher odds of no bottle at bedtime (adjusted odds ratio [AOR]: 2.99; 95% CI: 2.01 to 4.47), family meals (AOR: 2.05; 95% CI: 1.26 to 3.33), drinking from a cup (AOR: 1.89; 95% CI: 1.24 to 2.88), less screen time (<1 h/day) (AOR: 1.56; 95% CI: 1.10 to 2.23) and not eating dinner in front of the TV (AOR: 1.50; 95% CI: 1.09 to 2.06). SMS support was also associated with higher odds of no bottle at bedtime (AOR 2.30, 95% CI: 1.58 to 3.33) than the control.

Conclusion

The telephone or SMS support intervention had no significant effects on BMI, but was effective in increasing no bottle use at bedtime. Telephone support showed more effects than SMS on reducing screen time and eating behaviours.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC).

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