B irmingham healthy E ating and A ctive lifestyle for CH ildren S tudy
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Transcript of B irmingham healthy E ating and A ctive lifestyle for CH ildren S tudy
Birmingham healthy Eating and Active lifestyle for CHildren Study
Funded by: National Prevention Research Initiative http://www.npri.org.uk
Investigators: Peymané Adab (PI), Tim Barrett, Janet Cade, KK Cheng, Amanda Daley, Joan Duda, Ulf Ekelund, Paramjit Gill, Miranda Pallan, Jayne Parry
Collaborators: Raj Bhopal, Michelle Howard, Eleanor McGee, Sandra PassmoreResearch team: Victoria Brookes; Miriam Banting; Sheila Hirst
BEACHeS Study: Aims• To develop a childhood
obesity prevention intervention aimed at children aged 6 to 8, particularly focusing on South Asians– Using lay knowledge, evidence base
and expert input
• To pilot developed intervention in an exploratory trial– Primary and secondary outcomes
measured in school children
MRC framework for developing and evaluating complex interventions
Campbell, M. et al. BMJ 2000;321:694-696
BEACHeS Study Methodology• Setting
– 8 Primary schools & communities in Birmingham with >50% South Asian pupils (Indian, Pakistani or Bangladeshi)
• Phase I– Focus groups run with a range of local stakeholders– Views on childhood obesity and potential prevention
interventions explored– Resulting data used in development of intervention
package
BEACHeS Study Phase II– Year 1 and 2 children undergo
baseline measures:• Height, weight, waist circ, skinfolds,
BIA• Blood pressure• Physical activity assessment• Dietary assessment• HRQoL, self concept and body
image• Demographic information
– Intervention delivered to 4 schools/communities
– Year 3 and 4 children undergo follow up measures
Progress so far: baseline measures
• 52 schools in Birmingham eligible, 8 recruited:– 81% pupils are
South Asian• 1090 pupils eligible,
606 consented– 574 measured
Phase 1: Focus groups
• Identity groups convened:– Parents (groups run in English and Punjabi)– Teachers– Catering and school support staff– Local Authority, leisure and retail
representatives– Community representatives– Health representatives– Children
Focus groups: emerging findings
• Focus of interventions should shift to family and community settings
• Themes for interventions included:– Developing parenting skills– Activities for parents/families– Working on children’s self-esteem– Daily, non-competitive physical activity in
schools– Involving children in school changes– Improving provision of healthy food in schools
– Working with mosques, and other faith groups
Focus groups: barriers to successful interventions
• Many barriers identified
• Some are culturally specific– Many children spend evenings at mosque– Extended families in same household, grand
parents may have major influence over children
– Obesity may not be seen as a problem in some communities
Baseline measures: obesity prevalence
22.5% of study population overweight or obese(males 20.3%, females 24.9%)
Weight category Males (%) Females (%) Total (%) Underweight
32 (10.8) 21 (7.7) 53 (9.3) Healthy weight
204 (68.9) 184 (67.4) 388 (68.2) Overweight
24 (8.1) 23 (8.4) 47 (8.3) Obese
36 (12.2) 45 (16.5) 81 (14.2) Total
296 (100) 273 (100) 569* (100)
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Obesity prevalence: comparison of BEACHeS and regional data
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BEACHeS population Regional data:reception
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Next steps for BEACHeS• Detailed analysis of focus group data • Detailed analysis of baseline
measures• Development of the intervention
using:– focus group data – Evidence base – expert input
• Implementation of the developed intervention package