Quantifying the overall impact of an early childhood multi-behavioural lifestyle intervention

Miaobing Zheng1, Kylie D Hesketh1, Sarah A McNaughton1

  • 1School of Exercise and Nutrition Sciences, Deakin University, Institute for Physical Activity and Nutrition Research, Geelong, Victoria, Australia.

Pediatric Obesity
|October 18, 2021
PubMed

Insights

This study found an early childhood intervention effectively improved multiple unhealthy lifestyle behaviors in infants. Lifestyle pattern analysis proved useful for evaluating such multi-behavioral interventions.

Area of Science:

  • Child Health
  • Public Health Interventions
  • Behavioral Science

Background:

  • The impact of interventions targeting multiple health behaviors simultaneously is under-researched.
  • Early childhood is a critical period for establishing lifestyle patterns.
  • Previous research has not fully explored integrative approaches to assess multi-behavioral interventions.

Purpose of the Study:

  • To evaluate the effectiveness of the Melbourne INFANT program, an early childhood intervention, on multiple behaviors.
  • To utilize an integrative lifestyle pattern analysis to assess intervention impact.
  • To determine sustained effects of the intervention on infant lifestyle patterns.

Main Methods:

  • A 15-month cluster-randomized controlled trial involving 542 infants and their parents.
  • Intervention included six education sessions promoting healthy diet, physical activity, and limiting sedentary behavior.
  • Lifestyle patterns were identified using principal component analysis; intervention impact assessed via random effect linear regression models.

Main Results:

  • The intervention group showed significantly lower 'Discretionary consumption and TV' lifestyle pattern scores at 1.5, 3.6, and 5 years post-intervention.
  • Adjusted mean differences in 'Discretionary consumption and TV' scores ranged from -0.21 to -0.29.
  • No significant differences were observed between groups for the 'Fruit, vegetables and outdoor' lifestyle pattern score.

Conclusions:

  • The early childhood intervention effectively improved correlated unhealthy lifestyle behaviors.
  • Integrative lifestyle pattern analysis is a valuable tool for evaluating interventions targeting multiple behaviors.
  • Findings support the use of multi-behavioral interventions in early childhood to promote healthier lifestyles.
Abstract

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