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Area of Science:

  • Pediatric Health
  • Cardiovascular Disease Prevention
  • Public Health Interventions

Background:

  • Cardiovascular health in children is a growing concern.
  • Long-term, sustainable interventions are needed to promote healthy lifestyles.
  • The SI! Program aims to address childhood cardiovascular health through school-based strategies.

Purpose of the Study:

  • To design and implement a cluster-randomized controlled trial for the revised SI! Program.
  • To evaluate the effectiveness of a reintervention strategy for long-term sustainability.
  • To promote a school-family approach for enhanced adherence and behavior change.

Main Methods:

  • A cluster-randomized controlled trial involving 977 children across 50 schools in Spain.
  • Randomization into a reintervention group (grades 2 and 5) or a single-intervention group (grade 5 only).
  • Primary endpoint: change in SI!-Child score (diet, physical activity, sleep, BMI) over 5 years.

Main Results:

  • The study is designed to assess changes in cardiovascular health indicators over a 5-year period.
  • Secondary endpoints include changes in specific SI!-Child subcomponents, sedentarism, and adiposity.
  • The Life's Essential 8 score and its subcomponents will also be analyzed.

Conclusions:

  • The revised SI! Program incorporates a reintervention and school-family engagement for improved adherence.
  • This trial aims to provide insights into sustainable, long-term behavior change for pediatric cardiovascular health.
  • The findings will inform future school-based public health initiatives for children.