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Program Obesity Zero (POZ) – a community based intervention to address overweight primary school children from five Portuguese municipalities

dc.contributor.authorRito, A.I.
dc.contributor.authorCarvalho, M.A.
dc.contributor.authorRamos, C.
dc.contributor.authorBreda, J.
dc.date.accessioned2014-03-10T14:08:10Z
dc.date.available2014-03-10T14:08:10Z
dc.date.issued2013-06
dc.description.abstractOBJECTIVE: Results of the WHO European Childhood Obesity Surveillance Initiative indicated that on average one out of four primary-school children is overweight or obese. Portugal presented one of the highest prevalences of obesity. Childhood obesity prevention and treatment should be a top priority. The aim of the present study was to evaluate the effectiveness of Program Obesity Zero (POZ), a multi-component, community-, family- and school-based childhood obesity intervention. DESIGN: Parents and children attended four individual nutrition and physical activity counselling sessions, a one-day healthy cooking workshop and two school extracurricular sessions of nutrition education. Waist circumference, BMI, physical activity level, sedentary behaviours, and nutrition and physical activity knowledge, attitudes and behaviour were assessed at baseline and after 6 months. Diet was assessed using two 24 h recalls, at baseline and at 6 months. SETTING: Five Portuguese municipalities and local communities. SUBJECTS: Two hundred and sixty-six overweight children (BMI ≥ 85th percentile) aged 6-10 years, from low-income families in five Portuguese municipalities, were assigned to the intervention. RESULTS: Children showed reductions in waist circumference (-2.0 cm; P < 0.0001), mean BMI (-0.7 kg/m2; P < 0.0001) and BMI-for-age percentile (-1.7; P < 0.0001) at 6 months. Overall, children's intake of fruit and vegetables was <400 g/d throughout the intervention. After 6 months, higher fibre consumption and an apparent decrease in sugary soft drinks intake to a quarter of that observed at baseline (mean intake: 198 ml/d at baseline), with improvements in physical activity levels and screen time <2 h/d, were also observed. CONCLUSIONS: The findings suggested that POZ is a promising intervention programme, at municipality level, to tackle childhood overweight and obesity.por
dc.identifier.citationPublic Health Nutr. 2013 Jun;16(6):1043-51. Epub 2013 Mar 6por
dc.identifier.issn1368-9800
dc.identifier.otherdoi: 10.1017/S1368980013000244.
dc.identifier.urihttp://hdl.handle.net/10400.18/1988
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherCambridge University Press (CUP)/ Nutrition Societypor
dc.relation.publisherversionhttp://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=8923101por
dc.subjectNutriçãopor
dc.subjectObesidade Infantilpor
dc.subjectEstilos de Vida e Impacto na Saúdepor
dc.titleProgram Obesity Zero (POZ) – a community based intervention to address overweight primary school children from five Portuguese municipalitiespor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1051por
oaire.citation.startPage1043por
oaire.citation.titlePublic Health Nutritionpor
oaire.citation.volume16(6)por
rcaap.rightsrestrictedAccesspor
rcaap.typearticlepor

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