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The Danish SoL Project: Effects of a Multi-Component Community-Based Health Promotion Intervention on Prevention of

Tine Buch-Andersen1, Frank Eriksson2, Paul Bloch3

  • 1Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Nordre Fasanvej 57, 2000 Frederiksberg, Denmark.

International Journal of Environmental Research and Public Health
|August 27, 2021
PubMed

Insights

The community-based SoL health promotion intervention did not improve body mass index (BMI) z-scores or waist circumference (WC) in young children. Despite a significant difference in BMI z-score changes, the intervention group

Area of Science:

  • Community health
  • Pediatric health promotion
  • Obesity prevention

Background:

  • Childhood obesity is a significant public health concern.
  • Community-based interventions are crucial for addressing health behaviors in children.
  • Limited evidence exists on the effectiveness of multi-component interventions like Project SoL.

Purpose of the Study:

  • To evaluate the impact of the multi-component community-based SoL health promotion intervention.
  • To assess changes in body mass index (BMI) z-scores and waist circumference (WC) in children aged 3-8 years.
  • To determine the effectiveness of a 19-month intervention promoting healthy eating and physical activity.

Main Methods:

  • Quasi-experimental design with three intervention and three control communities.
  • 19-month intervention utilizing a supersetting approach.
  • Measurement of BMI z-scores and waist circumference at baseline and follow-up.

Main Results:

  • A statistically significant difference in the change of BMI z-scores over time between intervention and control groups (p = 0.001).
  • BMI z-scores increased in the intervention group while decreasing in the control group (difference in change: 0.19 z-scores).
  • No significant differences were observed in waist circumference between the groups.

Conclusions:

  • The Project SoL intervention did not demonstrate favorable effects on BMI z-scores or waist circumference in children.
  • Further research with larger sample sizes and longer intervention durations is recommended.
  • Community-based health promotion strategies require further investigation for efficacy in pediatric populations.

Keywords:
BMIDenmarkanthropometrychildrencommunityhealth promotionintervention studymulti-componentsupersetting

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