Does Deciding Not to Participate in a Lifestyle Intervention Affect the Long-term Change in Psychosocial Well-being for Children With Obesity?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 403
- 试验地点
- 1
- 主要终点
- Change in psychosocial well-being as assessed by the DNWQ, obtained from the Danish agency for IT and Learning (STIL), The ministry of Education.
研究概览
简要总结
Childhood obesity has been associated with an increased risk of impaired psychosocial well-being and the development of depression and anxiety. However, little is known about the long-term psychosocial impact on children with obesity who decided not to participate in lifestyle interventions, representing a critical gap in literature.
This study includes approximately 400 children with obesity aged 5-10 years living in Aarhus municipality in the time-period 2014-2020, who either decided not to participate in a lifestyle intervention, were not invited to participate or attended the intervention. During that period the children annually completed the Danish National Well-being Questionnaire (DNWQ) in school. The DNWQ is a national questionnaire used to examine the well-being and learning environment in Danish schoolchildren.
The aim of this study is to investigate the long-term impact on psychosocial well-being for children with obesity deciding not to participate in a family-centered lifestyle intervention compared to children who attended the intervention, and to children never invited to participate in the intervention. The study will combine data from mandatory health check-ups at school, the Danish National Registries, and the Danish agency for IT and Learning (STIL), The ministry of Education.
详细描述
Childhood obesity is increasing worldwide and is associated with an increased risk of developing non-communicable lifestyle diseases later in life, while reduced psychosocial well-being often occurs during childhood. Children living with obesity suffer from poor self-esteem, which have been associated with increased levels of sadness and loneliness. They also experience a higher degree of bullying, have lower quality of life, and a greater risk of depression as compared to their peers living without obesity. Family-centered lifestyle interventions using a multifactorial approach are still considered the first line treatment for addressing childhood obesity. The literature suggests that this type of intervention can stabilize or to some extent reduce weight when treating children with obesity. In addition, various studies have reported positive effects of obesity interventions on psychosocial well-being in children and adolescents.
Previous studies have reported life stressors, societal norms of weight and body size, as well as earlier experiences with the health care system to be the primary determinants for caregivers not letting their children with obesity participate in lifestyle interventions. However, no studies have been able to describe if deciding not to participate in a lifestyle intervention affects the psychosocial well-being in children with obesity.
The aim of this study is therefore to investigate the long-term impact on psychosocial well-being for children with obesity deciding not to participate in a family-centered lifestyle intervention (decided not to participate group) compared to children who attended the intervention (intervention group), and to children never invited to participate in the intervention (non-intervention group). As a secondary objective, we aim to investigate the effect that is not caused by the weight change by adjusting for this.
Study design: This observational cohort study will combine data from mandatory health examinations at school, the Danish National Registries, and the Ministry of Education for children with obesity living in Aarhus municipality, Denmark between August 1st, 2014, and June 30th, 2020. The last possible day of follow-up will be February 1st, 2023.
The participants:
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 5 Years 至 10 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Inclusion visit between August 1st, 2014, and June 30th,
- •Obesity at time of referral as defined by the IOTF guideline as an iso-BMI >= 30 kg/m2 adjusted for age and sex.
- •Age between 5 and 10 years at inclusion visit.
- •A measure of weight and height within 6 months before or after time of inclusion
- •A completed DNWQ at inclusion:
- •The decided not to participate / non-intervention groups - with a timeframe between 6 months prior to and 6 months after inclusion.
- •The intervention group - with a timeframe between 10 months prior to and 2 months after inclusion.
- •A completed DNWQ at follow-up (1 to 3 years after inclusion visit).
排除标准
- •Children first decided not to participate, but subsequently accepting the intervention.
结局指标
主要结局
Change in psychosocial well-being as assessed by the DNWQ, obtained from the Danish agency for IT and Learning (STIL), The ministry of Education.
时间窗: Time Frame: Annually from August 1st, 2014, to February 1st, 2023
The impact on psychosocial well-being will be assessed with responses to specific items regarding psychosocial well-being related to school from the DNWQ at time of inclusion and at follow-up. At follow-up, we will prioritize completed questionnaires closest to two years from time of inclusion visit. The DNWQ is a national questionnaire completed annually in primary school and used to examine how primary schoolchildren perceive their well-being and learning environment in school. The following psychosocial well-being items have been selected: 1. Question: Are you happy with your school? 2. Questions: Do you feel lonely at school? 3. Question: Have you been bullied this school year? 4. Question: Does your stomach ache when you are at school? 5. Question: Are you good at solving your problems? 6. Question: Can you concentrate during class? 7. Question: Are you good at helping each other in class?
次要结局
未报告次要终点