Imperial College London
Alternate

Dr Kiara C-M Chang

Faculty of Medicine, School of Public Health

NIHR Research Fellow
 
 
 
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Contact

 

chu-mei.chang

 
 
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Location

 

609School of Public HealthWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Bijlani:2022:10.1016/S0140-6736(22)02232-2,
author = {Bijlani, C and Vrinten, C and Chang, K and Hrobonova, E and Lewis, E and Seferidi, P and Laverty, A and Junghans, C and Vamos, EP},
doi = {10.1016/S0140-6736(22)02232-2},
journal = {Lancet},
title = {Changes in diet and physical activity after a pilot intervention to tackle childhood obesity in a deprived inner-London community: an observational cohort study.},
url = {http://dx.doi.org/10.1016/S0140-6736(22)02232-2},
volume = {400 Suppl 1},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Local authorities in England are uniquely positioned to modify obesogenic local environments contributing to childhood obesity. Evaluating the effects of local authority-led, community-wide approaches is challenging. This study examines changes in diet and physical activity in children aged 6-11 years after a 4-year, complex, community-based, pilot intervention in Golborne, one of the most deprived areas in London. METHODS: The Go-Golborne intervention aimed to shape the local environment by building on local assets, connecting stakeholders in local government and the community, and synchronising existing activities. Activities focused on six themes to make changes to local environments and reduce the consumption of sugary snacks and beverages, increase fruit and vegetable intake, promote healthy snacks, increase active play and travel, and reduce screen time. We analysed changes in self-reported diet and physical activity, collected annually in 2016-19, from children from six local schools. Results were compared with the data collected at baseline. We used multilevel, linear (for dietary outcomes), and logistic (for physical activity) random-slope regression models to examine changes in diet and physical activity by time on study, adjusting for baseline age, sex, ethnicity, deprivation quintile, school, and baseline weight status. Dietary outcomes were calculated by summing the total occasions a participant indicated they ate or drank a certain food or drink (reported as portions per day, expressed as a β coefficient). The physical activity outcomes were developed by creating six binary variables to distinguish those who were most active from those who were least active. FINDINGS: 1650 children (mean age 7·9 years [SD:1·6]; 808 [49%] girls and 842 [51%] boys) were included. After 3 years of follow-up, we noted reductions in sugary beverage consumption (adjusted β -0·43 portions [95% CI -0·55 to -0·32]; p<0
AU  - Bijlani,C
AU  - Vrinten,C
AU  - Chang,K
AU  - Hrobonova,E
AU  - Lewis,E
AU  - Seferidi,P
AU  - Laverty,A
AU  - Junghans,C
AU  - Vamos,EP
DO  - 10.1016/S0140-6736(22)02232-2
PY  - 2022///
TI  - Changes in diet and physical activity after a pilot intervention to tackle childhood obesity in a deprived inner-London community: an observational cohort study.
T2  - Lancet
UR  - http://dx.doi.org/10.1016/S0140-6736(22)02232-2
UR  - https://www.ncbi.nlm.nih.gov/pubmed/36929965
VL  - 400 Suppl 1
ER  -
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