Prevention & lipidsRandomised controlled trial

Effect of Time-Varying Exposure to School-Based Health Promotion on Adiposity in Childhood

J Am Coll CardiolPublished

  • Cluster randomised controlled trial
  • 48 schools in Madrid (Spain)

Authors' conclusion

Early elementary school interventions may be more effective than later interventions on abdominal adiposity.

Study context

Population
Elementary school children in Madrid (Spain)48 schools
Participants
459 / 513 / 419 / 379
Comparison
SI! Program at different elementary grades vs standard curriculum
  • E1-6n = 459
  • E1-3n = 513
  • E4-6n = 419
  • Controln = 379reference
Primary endpoint
Between-group difference in change from baseline in adiposity markers and overall knowledge-attitudes-habits (KAH) score
Follow-up
3- and 6-year follow-up

Primary result

As reported in the abstract

Adiposity z-scores (change from baseline)
Each group vs controlDifference (95% CI)P value
InterventionzBMI, 3-year follow-up
−0.09(−0.16 to −0.03)
P = 0.003
InterventionzWC and zWHtR, 3-year follow-up
−0.19(−0.28 to −0.10)
P < 0.001
E1-6zWC, 6-year follow-up
−0.19(−0.36 to −0.03)
P = 0.020
E1-3zWC, 6-year follow-up
−0.22(−0.38 to −0.06)
P = 0.009
E1-6zWHtR, 6-year follow-up
−0.24(−0.41 to −0.06)
P = 0.009
E1-3zWHtR, 6-year follow-up
−0.29(−0.47 to −0.11)
P = 0.001

Original publication

Effect of Time-Varying Exposure to School-Based Health Promotion on Adiposity in Childhood. J Am Coll Cardiol. Published 6 August 2024. doi:10.1016/j.jacc.2024.04.065

Summarised from the published abstract; every number is checked against it