A community-based intervention increases physical activity and reduces obesity in school-age children in North Carolina.

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Benjamin Neelon, Sara E

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Namenek Brouwer, Rebecca J

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Østbye, Truls

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Evenson, Kelly R

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Neelon, Brian

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Martinie, Annie

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Bennett, Gary

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United States

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2016-01-05T14:07:43Z

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2015-06

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BACKGROUND: Community-based interventions are promising approaches to obesity prevention, but few studies have prospectively evaluated them. The aim of this study was to evaluate a natural experiment—a community intervention designed to promote active living and decrease obesity within a small southern town. METHODS: In 2011, community leaders implemented the Mebane on the Move intervention—a community-wide effort to promote physical activity (PA) and decrease obesity among residents of Mebane, North Carolina. We measured child PA and BMI before and after the intervention, using a nearby town not implementing an intervention as the comparison. In total, we assessed 64 children from Mebane and 40 from the comparison community 6 months before, as well as 34 and 18 children 6 months after the intervention. We assessed PA with accelerometers worn for 7 days and calculated BMI z-scores using children's height and weight. We conducted multivariable linear regressions examining pre- to postintervention change in minutes of PA and BMI z-score, adjusting for confounders. RESULTS: At follow-up, children in Mebane modestly increased their moderate-to-vigorous PA (1.3 minutes per hour; 95% confidence interval (CI): 0.2, 2.3; p=0.03) and vigorous activity (0.8 minutes per hour; 95% CI: 0.1, 1.5; p=0.04) more than comparison children. In intervention children, BMI z-scores decreased 0.5 units (kg/m(2); 95% CI: -0.9, -0.02; p=0.045), compared to children in the comparison community. CONCLUSIONS: We observed positive effects on PA level and weight status of children in Mebane, despite high rates of attrition, suggesting that the community-based intervention may have been successful.

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http://www.ncbi.nlm.nih.gov/pubmed/25938983

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2153-2176

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https://hdl.handle.net/10161/11436

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eng

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Mary Ann Liebert Inc

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Child Obes

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10.1089/chi.2014.0130

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Body Mass Index

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Child

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Community Health Services

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Exercise

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Female

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Follow-Up Studies

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Health Behavior

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Health Knowledge, Attitudes, Practice

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Health Promotion

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Humans

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Male

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North Carolina

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Pediatric Obesity

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Weight Loss

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A community-based intervention increases physical activity and reduces obesity in school-age children in North Carolina.

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Journal article

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Namenek Brouwer, Rebecca J|0000-0001-8655-7368

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http://www.ncbi.nlm.nih.gov/pubmed/25938983

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297

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303

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3

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Center for Child and Family Policy

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Clinical Science Departments

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Community and Family Medicine

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Duke

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Duke Cancer Institute

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Duke Science & Society

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Global Health Institute

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Initiatives

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Institutes and Centers

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Institutes and Provost's Academic Units

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Medicine

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Medicine, Nephrology

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Pediatrics

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Pediatrics, Primary Care Pediatrics

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Psychology and Neuroscience

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Sanford School of Public Policy

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School of Medicine

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School of Nursing

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School of Nursing - Secondary Group

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Staff

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Trinity College of Arts & Sciences

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University Institutes and Centers

pubs.publication-status

Published

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11

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