The 鈥楬ealthy Dads, Healthy Kids鈥?community randomized controlled trial: A community-based healthy lifestyle program for fathers and their children

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• 作者：Philip J. Morgan^a ; ^b ; ^{Philip.Morgan@newcastle.edu.au" class="auth_mail} ; Clare E. Collins^a ; ^c ; Ronald C. Plotnikoff^a ; ^b ; Robin Callister^a ; ^d ; Tracy Burrows^a ; ^c ; Richard Fletcher^e ; Anthony D. Okely^f ; Myles D. Young^a ; ^b ; Andrew Miller^a ; ^b ; Adam B. Lloyd^a ; ^b ; Alyce T. Cook^a ; ^b ; Joel Cruickshank^a ; ^b ; Kristen L. Saunders^a ; ^b ; David R. Lubans^a ; ^b
• 关键词：HDHK ; Healthy Dads ; Healthy Kids ; BMI ; body mass index ; LGAs ; local government areas ; SCT ; Social Cognitive Theory ; AES ; Australian Eating Survey ; FFQ ; food frequency questionnaire ; ACAES ; Australian Children and Adolescent Eating Survey ; SES ; socio-economic status ; SEIFA ; Socio-Economic Indexes for Areas ; LMMs ; linear mixed models
• 刊名：Preventive Medicine
• 出版年：April, 2014
• 年：2014
• 卷：61
• 期：Complete
• 页码：90-99
• 全文大小：498 K

文摘

Objective

To evaluate the effectiveness of the 鈥楬ealthy Dads, Healthy Kids (HDHK)鈥?program when delivered by trained facilitators in community settings.

Method

A two-arm randomized controlled trial of 93 overweight/obese fathers (mean [SD] age = 40.3 [5.3] years; BMI = 32.5 [3.8] kg/m²) and their primary school-aged children (n = 132) from the Hunter Region, Australia. In 2010-2011, families were randomized to either: (i) HDHK intervention (n = 48 fathers, n = 72 children) or (ii) wait-list control group. The 7-week intervention included seven sessions and resources (booklets, pedometers). Assessments were held at baseline and 14-weeks with fathers' weight (kg) as the primary outcome. Secondary outcomes for fathers and children included waist, BMI, blood pressure, resting heart rate, physical activity (pedometry), and self-reported dietary intake and sedentary behaviors.

Results

Linear mixed models (intention-to-treat) revealed significant between-group differences for fathers' weight (P < .001, d = 0.24), with HDHK fathers losing more weight (鈭?#xA0;3.3 kg; 95%CI, 鈭?#xA0;4.3, 鈭?#xA0;2.4) than control fathers (0.1 kg; 95%CI, 鈭?#xA0;0.9,1.0). Significant treatment effects (P < .05) were also found for fathers' waist (d = 0.41), BMI (d = 0.26), resting heart rate (d = 0.59), energy intake (d = 0.49) and physical activity (d = 0.46) and for children's physical activity (d = 0.50) and adiposity (d = 0.07).

Discussion

HDHK significantly improved health outcomes and behaviors in fathers and children, providing evidence for program effectiveness when delivered in a community setting.