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Childhood overweight and obesity is a health problem with lifelong implications related to diabetes, hypertension, cardiovascular disease, psychological disorders as well as other chronic conditions.
In Taiwan, the nationwide prevalence of overweight and obesity among school-age children aged 7 to 11 years has also increased over the past years. Sleep and weight are intricately related. School-age children requires at least 10 hours of sleep per night but children in Asian countries are on average obtaining shorter sleep than children in Caucasian countries.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Behavioral Intervention | Experimental | Children and families in the intervention group will received the FAMILY program developed according to evidence-based guidelines.The intervention content regarding healthy sleep will emphasize the importance of having a consistent sleep schedule, establishing a regular bedtime routine, and creating an environment only for sleeping. The physical activity content will emphasize at least 60 minutes/day of moderate-to-vigorous intensity physical activity, reduction of sedentary behavior, and screen time limited to 2 hours/day. The nutrition content will emphasis the replacement of sugar-sweetened beverages, increased fruit and vegetable as well as water intake, consumption of regular meals, and reduction of discretionary food groups. |
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| Control | Other | An active placebo control intervention was designed which did not apply evidence-based lifestyle recommendations effective in weight loss and focused on vegetable education. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Behavioral intervention | Behavioral | The intervention has an intensive phase and a maintenance phase. |
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| Measure | Description | Time Frame |
|---|---|---|
| Child BMI-for-age z-score | Child BMI-for-age z-score will be computed based on the World Health Organization growth reference data for 5-19 years. | Change from baseline to 12 months post intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Child BMI | Child BMI will be calculated based on child weight and height. | Change from baseline to 12 months post intervention |
| Child percent body fat | Percent body fat will be estimated according to the skinfold thickness equations. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shao-Yu Tsai, PhD | National Taiwan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University | Taipei | Taiwan |
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| ID | Term |
|---|---|
| D050177 | Overweight |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| ID | Term |
|---|---|
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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| Change from baseline to 12 months post intervention |
| child sleep duration and sleep efficiency | Actigraphy-derived daily sleep duration and nocturnal sleep efficiency | Change from baseline to 12 months post intervention |
| Parental sleep quality | Pittsburgh Sleep Quality Index total scores | Change from baseline to 12 months post intervention |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |