BMJ (Online)
Volume 343, Issue 7830, 2011

Effect of multidimensional lifestyle intervention on fitness and adiposity in predominantly migrant preschool children (Ballabeina): Cluster randomised controlled trial (Article) (Open Access)

Puder J.J.* , Marques-Vidal P. , Schindler C. , Zahner L. , Niederer I. , Bürgi F. , Ebenegger V. , Nydegger A. , Kriemler S.
  • a Service of Endocrinology, Diabetes and Metabolism, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Rue du Bugnon 46, 1011 Lausanne, Switzerland
  • b Institute of Social and Preventive Medicine, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland
  • c Swiss Tropical and Public Health Institute, University of Basel, Socinstrasse 57, 4002 Basel, Switzerland
  • d Institute of Exercise and Health Sciences, University of Basel, Birsstrasse 320b, 4052 Basel, Switzerland
  • e Institute of Exercise and Health Sciences, University of Basel, Birsstrasse 320b, 4052 Basel, Switzerland
  • f Institute of Exercise and Health Sciences, University of Basel, Birsstrasse 320b, 4052 Basel, Switzerland
  • g Institute of Sport Sciences, University of Lausanne, Bâtiments Administratifs de Vidy, Route de Chavannes 33, 1015 Lausanne, Switzerland
  • h Department of Paediatric Gastroenterology and Nutrition, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland
  • i Swiss Tropical and Public Health Institute, University of Basel, Socinstrasse 57, 4002 Basel, Switzerland

Abstract

Objective: To test the effect of a multidimensional lifestyle intervention on aerobic fitness and adiposity in predominantly migrant preschool children. Design: Cluster randomised controlled single blinded trial (Ballabeina study) over one school year; randomisation was performed after stratification for linguistic region. Setting: 40 preschool classes in areas with a high migrant population in the German and French speaking regions of Switzerland. Participants: 652 of the 727 preschool children had informed consent and were present for baseline measures (mean age 5.1 years (SD 0.7), 72% migrants of multicultural origins). No children withdrew, but 26 moved away. Intervention: The multidimensional culturally tailored lifestyle intervention included a physical activity programme, lessons on nutrition, media use (use of television and computers), and sleep and adaptation of the built environment of the preschool class. It lasted from August 2008 to June 2009. Main outcome measures: Primary outcomes were aerobic fitness (20 m shuttle run test) and body mass index (BMI). Secondary outcomes included motor agility, balance, percentage body fat, waist circumference, physical activity, eating habits, media use, sleep, psychological health, and cognitive abilities. Results: Compared with controls, children in the intervention group had an increase in aerobic fitness at the end of the intervention (adjusted mean difference: 0.32 stages (95% confidence interval 0.07 to 0.57; P=0.01) but no difference in BMI (-0.07 kg/m 2, -0.19 to 0.06; P=0.31). Relative to controls, children in the intervention group had beneficial effects in motor agility (-0.54 s, -0.90 to -0.17; P=0.004), percentage body fat (-1.1%, -2.0 to -0.2; P=0.02), and waist circumference (-1.0 cm, -1.6 to -0.4; P=0.001). There were also significant benefits in the intervention group in reported physical activity, media use, and eating habits, but not in the remaining secondary outcomes. Conclusions: A multidimensional intervention increased aerobic fitness and reduced body fat but not BMI in predominantly migrant preschool children. Trial registration: Clinical Trials NCT00674544.

Author Keywords

[No Keywords available]

Index Keywords

education Parents physical activity immigrant lifestyle Life Style fitness controlled clinical trial health promotion sleep adaptation physiology clinical trial methodology television Waist Circumference health disparity Health Status Disparities mental health human Health Behavior single blind procedure statistics computer controlled study obesity priority journal diet randomized controlled trial agility furniture Interior Design and Furnishings body equilibrium nutrition education Computers Physical Fitness Outcome and Process Assessment (Health Care) cluster analysis Humans Treatment Outcome parent male Emigrants and Immigrants preschool child cognition Adiposity Child, Preschool female eating habit Article skinfold thickness lifestyle modification migration age body fat Age Factors Utilization Review body mass Body Mass Index Switzerland physical education Physical Education and Training Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84856370840&doi=10.1136%2fbmj.d6195&partnerID=40&md5=c84160d495fa3c52c6f5f35c4a1ad1c7
DOI: 10.1136/bmj.d6195
ISSN: 09598146
Cited by: 121
Original Language: English