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Mobile-based interv...
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Nystrom, C. D.Karolinska Institutet,Karolinska Institute, Sweden
(author)
Mobile-based intervention intended to stop obesity in preschool-aged children: the MINISTOP randomized controlled trial
- Article/chapterEnglish2017
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LIBRIS-ID:oai:gup.ub.gu.se/254896
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https://gup.ub.gu.se/publication/254896URI
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https://doi.org/10.3945/ajcn.116.150995DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:135965075URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-138896URI
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Funding Agencies|Swedish Research Council [2012-2883]; Swedish Research Council for Health, Working Life and Welfare [2012-0906]; Swedish Nutrition Foundation; Bo and Vera Axson Johnsons Foundation; Karolinska Institute; Henning and Johan Throne-Holst Foundation
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Background: Traditional obesity prevention programs are time-and cost-intensive. Mobile phone technology has been successful in changing behaviors and managing weight; however, to our knowledge, its potential in young children has yet to be examined. Objective: We assessed the effectiveness of a mobile health (mHealth) obesity prevention program on body fat, dietary habits, and physical activity in healthy Swedish children aged 4.5 y. Design: From 2014 to 2015, 315 children were randomly assigned to an intervention or control group. Parents in the intervention group received a 6-mo mHealth program. The primary outcome was fat mass index (FMI), whereas the secondary outcomes were intakes of fruits, vegetables, candy, and sweetened beverages and time spent sedentary and in moderate-to-vigorous physical activity. Composite scores for the primary and secondary outcomes were computed. Results: No statistically significant intervention effect was observed for FMI between the intervention and control group (mean +/- SD: -0.23 +/- 0.56 compared with -0.20 +/- 0.49 kg/m(2)). However, the intervention group increased their mean composite score from baseline to follow-up, whereas the control group did not (+ 0.36 +/- 1.47 compared with -0.06 +/- 1.33 units; P = 0.021). This improvement was more pronounced among the children with an FMI above the median (4.11 kg/m(2)) (P = 0.019). The odds of increasing the composite score for the 6 dietary and physical activity behaviors were 99% higher for the intervention group than the control group (P = 0.008). Conclusions: This mHealth obesity prevention study in preschool-aged children found no difference between the intervention and control group for FMI. However, the intervention group showed a considerably higher postintervention composite score (a secondary outcome) than the control group, especially in children with a higher FMI. Further studies targeting specific obesity classes within preschool-aged children are warranted.
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Sandin, S.Karolinska Institutet,Karolinska Institute, Sweden; Icahn School Medical Mt Sinai, NY 10029 USA; Icahn School Medical Mt Sinai, NY 10029 USA
(author)
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Henriksson, P.University of Granada, Spain
(author)
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Henriksson, H.University of Granada, Spain
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Trolle-Lagerros, Y.Karolinska Institutet,Karolinska Institute, Sweden; Karolinska University Hospital, Sweden
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Larsson, Christel,1972Gothenburg University,Göteborgs universitet,Institutionen för kost- och idrottsvetenskap,Department of Food and Nutrition, and Sport Science,University of Gothenburg, Sweden(Swepub:gu)xlachr
(author)
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Maddison, R.Deakin University, Australia
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Ortega, F. B.Karolinska Institutet,University of Granada, Spain
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Pomeroy, J.Marshfield Clin Research Fdn, WI USA
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Ruiz, J. R.Karolinska Institutet,University of Granada, Spain
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Silfvernagel, KristinLinköpings universitet,Psykologi,Filosofiska fakulteten(Swepub:liu)krisi79
(author)
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Timpka, Toomas,1957-Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Verksamhetsutveckling vård och hälsa(Swepub:liu)tooti02
(author)
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Lof, M.Karolinska Institutet,Karolinska Institute, Sweden
(author)
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Karolinska InstitutetKarolinska Institute, Sweden
(creator_code:org_t)
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In:American Journal of Clinical Nutrition: Elsevier BV105:6, s. 1327-13350002-91651938-3207
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Nystrom, C. D.
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Sandin, S.
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Henriksson, P.
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Henriksson, H.
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Trolle-Lagerros, ...
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Larsson, Christe ...
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Maddison, R.
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Ortega, F. B.
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Pomeroy, J.
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Ruiz, J. R.
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Silfvernagel, Kr ...
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Timpka, Toomas, ...
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Lof, M.
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University of Gothenburg
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Karolinska Institutet
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Linköping University