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Preventing childhood obesity, phase II feasibility study focusing on South Asians: BEACHeS
  1. Peymané Adab1,
  2. Miranda J Pallan1,
  3. Janet Cade2,
  4. Ulf Ekelund3,4,
  5. Timothy Barrett5,
  6. Amanda Daley1,
  7. Jonathan Deeks1,
  8. Joan Duda6,
  9. Paramjit Gill1,
  10. Jayne Parry1,
  11. Raj Bhopal7,
  12. K K Cheng1
  1. 1School of Health & Population Sciences (Public Health, Epidemiology and Biostatistics and Primary Care Clinical Sciences), University of Birmingham, Birmingham, UK
  2. 2Nutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, Leeds, UK
  3. 3MRC Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK
  4. 4Department of Sport Medicine, Norwegian School of Sport Sciences, Cambridge, UK
  5. 5School of Clinical and Experimental Medicine, University of Birmingham, Birmingham, UK
  6. 6School of Sport, Exercise and Rehabilitation Sciences, The University of Birmingham, Birmingham, UK
  7. 7Edinburgh Ethnicity and Health Research Group, Centre for Population Health Sciences, University of Edinburgh, Edinburgh, UK
  1. Correspondence to Dr Miranda J Pallan; m.j.pallan{at}bham.ac.uk

Abstract

Objective To assess feasibility and acceptability of a multifaceted, culturally appropriate intervention for preventing obesity in South Asian children, and to obtain data to inform sample size for a definitive trial.

Design Phase II feasibility study of a complex intervention.

Setting 8 primary schools in inner city Birmingham, UK, within populations that are predominantly South Asian.

Participants 1090 children aged 6–8 years took part in the intervention. 571 (85.9% from South Asian background) underwent baseline measures. 85.5% (n=488) were followed up 2 years later.

Interventions The 1-year intervention consisted of school-based and family-based activities, targeting dietary and physical activity behaviours. The intervention was modified and refined throughout the period of delivery.

Main outcome measures Acceptability and feasibility of the intervention and of measurements required to assess outcomes in a definitive trial. The difference in body mass index (BMI) z-score between arms was used to inform sample size calculations for a definitive trial.

Results Some intervention components (increasing school physical activity opportunities, family cooking skills workshops, signposting of local leisure facilities and attending day event at a football club) were feasible and acceptable. Other components were acceptable, but not feasible. Promoting walking groups was neither acceptable nor feasible. At follow-up, children in the intervention compared with the control group were less likely to be obese (OR 0.41; 0.19 to 0.89), and had lower adjusted BMI z-score (−0.15 kg/m2; 95% CI −0.27 to −0.03).

Conclusions The feasibility study informed components for an intervention programme. The favourable direction of outcome for weight status in the intervention group supports the need for a definitive trial. A cluster randomised controlled trial is now underway to assess the clinical and cost-effectiveness of the intervention.

Trial registration number ISRCTN51016370.

  • Obesity
  • Children
  • Prevention

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