The effects of the CHANGE! intervention on children's physical activity and health
Low childhood physical activity levels, and high paediatric overweight and obesity levels, carry a considerable burden to health including cardiometabolic disease, low fitness, and reduced psychosocial well-being. Numerous school- based physical activity interventions have been conducted with varied success. This thesis therefore aimed to develop and investigate the effectiveness of the Children's Health, Activity and Nutrition: Get Educated! (CHANGE!) project, which was a school-based curriculum intervention to promote healthy lifestyles using an educational focus on physical activity and healthy eating. The purpose of the formative study (Study 1) was to elicit subjective views of children, their parents, and teachers about physical activity to inform the design of the CHANGE! intervention programme. Analyses revealed that families have a powerful and important role in promoting health-enhancing behaviours. Involvement of parents and the whole family is a strategy that could be significant to ~ncrease children's physical activity levels. There is large variation in the cut-points used to define moderate physical activity (MPA), vigorous physical activity (VPA) and sedentary time, which impacts on accurate estimation of physical activity levels. The purpose of Study 2 was to test a field-based protocol using intermittent activities representative of children's physical activity behaviours, to generate behaviourally valid, population-specific cut-points for sedentary behaviour, MPA and VPA. These cut-points were subsequently applied to CHANGE! to investigate changes in physical activity (Study 3). The CHANGE! intervention resulted in positive changes to body size and VPA outcomes after follow-up. The effects were strongest among those sociodemographic groups at greatest risk of poor health status. Further work is required to test the sustained effectiveness of this approach in the medium and long-term. Further, the development of an inexpensive and replicable field- based protocol to generate behaviourally valid and population-specific accelerometer cut-points may improve classification of physical activity levels in children, which could enhance subsequent intervention and observational studies.
GV Recreation Leisure, TX341 Nutrition. Foods and food supply, RJ101 Child Health. Child health services
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