Imperial College London
Alternate

DrIsabelGarcia Perez

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Senior Lecturer in Precision and Systems Medicine
 
 
 
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Contact

 

i.garcia-perez

 
 
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Location

 

101Sir Alexander Fleming BuildingSouth Kensington Campus

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Summary

 

Publications

Citation

BibTex format

@article{Ek:2019:10.1186/s12889-019-7161-y,
author = {Ek, A and Nystrom, CD and Chirita-Emandi, A and Tur, JA and Nordin, K and Bouzas, C and Argelich, E and Alfredo, Martinez J and Frost, G and Garcia-Perez, I and Saez, M and Paul, C and Lof, M and Nowicka, P},
doi = {10.1186/s12889-019-7161-y},
journal = {BMC Public Health},
pages = {1--13},
title = {A randomized controlled trial for overweight and obesity in preschoolers: the More and Less Europe study- an intervention within the STOP project},
url = {http://dx.doi.org/10.1186/s12889-019-7161-y},
volume = {19},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundChildhood overweight and obesity is a serious public health issue with an increase being observed in preschool-aged children. Treating childhood obesity is difficult and few countries use standardized treatments. Therefore, there is a need to find effective approaches that are feasible for both health care providers and families. Thus, the overall aim of this study is to assess the acceptance and effectiveness of a parent support program (the More and Less, ML) for the management of overweight and obesity followed by a mobile health (mHealth) program (the MINISTOP application) in a socially diverse population of families.Methods/designA two-arm, parallel design randomized controlled trial in 300 2-to 6-year-old children with overweight and obesity from Romania, Spain and Sweden (n = 100 from each). Following baseline assessments children are randomized into the intervention or control group in a 1:1 ratio. The intervention, the ML program, consists of 10-weekly group sessions which focus on evidence-based parenting practices, followed by the previously validated MINISTOP application for 6-months to support healthy eating and physical activity behaviors. The primary outcome is change in body mass index (BMI) z-score after 9-months and secondary outcomes include: waist circumference, eating behavior (Child Eating Behavior Questionnaire), parenting behavior (Comprehensive Feeding Practices Questionnaire), physical activity (ActiGraph wGT3x-BT), dietary patterns (based on metabolic markers from urine and 24 h dietary recalls), epigenetic and gut hormones (fasting blood samples), and the overall acceptance of the overweight and obesity management in young children (semi-structured interviews). Outcomes are measured at baseline and after: 10-weeks (only BMI z-score, waist circumference), 9-months (all outcomes), 15- and 21-months (all outcomes except physical activity, dietary patterns, epigenetics and gut hormones) post-baseline.DiscussionT
AU  - Ek,A
AU  - Nystrom,CD
AU  - Chirita-Emandi,A
AU  - Tur,JA
AU  - Nordin,K
AU  - Bouzas,C
AU  - Argelich,E
AU  - Alfredo,Martinez J
AU  - Frost,G
AU  - Garcia-Perez,I
AU  - Saez,M
AU  - Paul,C
AU  - Lof,M
AU  - Nowicka,P
DO  - 10.1186/s12889-019-7161-y
EP  - 13
PY  - 2019///
SN  - 1471-2458
SP  - 1
TI  - A randomized controlled trial for overweight and obesity in preschoolers: the More and Less Europe study- an intervention within the STOP project
T2  - BMC Public Health
UR  - http://dx.doi.org/10.1186/s12889-019-7161-y
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000475744600002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7161-y
UR  - http://hdl.handle.net/10044/1/81687
VL  - 19
ER  -
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