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Please use this identifier to cite or link to this item: http://hdl.handle.net/10481/35305

Title: A web- and mobile phone-based intervention to prevent obesity in 4-year-olds (MINISTOP): a population-based randomized controlled trial
Authors: Delisle, Christine
Sandin, Sven
Forsum, Elisabet
Henriksson, Hanna
Trolle-Lagerros, Ylva
Larsson, Christel
Maddison, Ralph
Ortega Porcel, Francisco B.
Ruiz, Jonatan R.
Silfvernagel, Kristin
Timpka, Toomas
Löf, Marie
Issue Date: 2015
Abstract: Background: Childhood obesity is an increasing health problem globally. Overweight and obesity may be established as early as 2–5 years of age, highlighting the need for evidence-based effective prevention and treatment programs early in life. In adults, mobile phone based interventions for weight management (mHealth) have demonstrated positive effects on body mass, however, their use in child populations has yet to be examined. The aim of this paper is to report the study design and methodology of the MINSTOP (Mobile-based Intervention Intended to Stop Obesity in Preschoolers) trial.
Methods/Design: A two-arm, parallel design randomized controlled trial in 300 healthy Swedish 4-year-olds is conducted. After baseline measures, parents are allocated to either an intervention- or control group. The 6- month mHealth intervention consists of a web-based application (the MINSTOP app) to help parents promote healthy eating and physical activity in children. MINISTOP is based on the Social Cognitive Theory and involves the delivery of a comprehensive, personalized program of information and text messages based on existing guidelines for a healthy diet and active lifestyle in pre-school children. Parents also register physical activity and intakes of candy, soft drinks, vegetables as well as fruits of their child and receive feedback through the application. Primary outcomes include body fatness and energy intake, while secondary outcomes are time spent in sedentary, moderate, and vigorous physical activity, physical fitness and intakes of fruits and vegetables, snacks, soft drinks and candy. Food and energy intake (Tool for Energy balance in Children, TECH), body fatness (pediatric option for BodPod), physical activity (Actigraph wGT3x-BT) and physical fitness (the PREFIT battery of five fitness tests) are measured at baseline, after the intervention (six months after baseline) and at follow-up (12 months after baseline).
Discussion: This novel study will evaluate the effectiveness of a mHealth program for mitigating gain in body fatness among 4-year-old children. If the intervention proves effective it has great potential to be implemented in child-health care to counteract childhood overweight and obesity.
Sponsorship: This work is supported by grants from the Swedish Research Council, the Swedish Research Council for Health, Working life and Welfare, Karolinska Institute, and Bo and Vera Ax:son Johnssons’ foundation (all ML). FO and JR are supported by grants from the Spanish Ministry of Economy and Competitiveness [RYC–2010–05957; RYC–2011–09011].
Publisher: Biomed Central
Keywords: Childhood obesity
Randomized controlled trial
Mobile phones
Body composition
URI: http://hdl.handle.net/10481/35305
ISSN: 1471-2458
Citation: Delisle, C.; et al. A web- and mobile phone-based intervention to prevent obesity in 4-year-olds (MINISTOP): a population-based randomized controlled trial. BMC Public Health, 15: 95 (2015). [http://hdl.handle.net/10481/35305]
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