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dc.contributor.advisorNjølstad, Inger
dc.contributor.authorKokkvoll, Ane Sofie
dc.date.accessioned2014-12-23T10:52:35Z
dc.date.available2014-12-23T10:52:35Z
dc.date.issued2014-12-11
dc.description.abstractChildhood obesity has reached epidemic proportions globally and represents a major threat to children’s health. Data on effectiveness of treatment programs for childhood obesity beyond one year is limited and there is little high-quality evidence to recommend one treatment over another. The objective of the clinical trial The Finnmark Activity School was to compare a new multidisciplinary approach comprising meeting with other families in groups and physical activity organised weekly (multiple family intervention, MUFI) with a more conventional single-family intervention (SIFI) with respect to primary outcome parameters (BMI kg/m2 and BMI SD score) and secondary outcome parameters (anthropometrical and psychological measures) up till two years of intervention ( Paper II and III). Both strategies were based on collaboration between specialised and primary health care. In order to enhance planning and recruitment process for an intervention study, we aimed at documenting the prevalence of childhood overweight and obesity within Finnmark county (Paper I).This thesis therefore comprises two studies; a cross sectional study of overweight and obesity prevalence and a clinical trial. A survey of 1774 children born during 1999 and 2000 collected from 18 child health care centres in Finnmark 2007, showed a prevalence of overweight (included obesity) of 16 % and 22 % among 6-year old boys and girls, respectively. The prevalence of overweight and obesity was high and justified preventive and treatment initiatives. Altogether 97 families were randomised in a parallel design, 91 delivered baseline data, height and weight data from 79 children were collected after 24 months. No between-group differences were detected for BMI kg/m2 or BMI SD score. A small between-group difference in waist circumference in favour of the MUFI intervention was observed. Data from both intervention groups pooled showed significant improvement in parent and self-reported measures of mental health and a significant decrease in BMI SD score after 24 months.en
dc.description.doctoraltypedr.philos.en
dc.description.popularabstractBlant førskolebarn født 1999–2000 i Finnmark hadde 16 % av guttene og 22 % av jentene overvekt eller fedme. Det viste data fra 1779 førskolebarn samlet inn fra helsestasjoner i Finnmark. I behandlingsstudien Aktivitetsskolen i Finnmark ble 97 familier fra 7 kommuner i Finnmark og Troms loddtrukket til «Enkeltfamilie» eller «Flerfamilie»-tilbud. Enkeltfamilie-tilbudet bestod av møte med sykepleier, barnelege og klinisk ernæringsfysiolog på barnepoliklinikk, samt oppfølging hos helsesøster. Deltakere i Flerfamilie-tilbudet fikk i tillegg møte andre familier og et flerfaglig team på barneavdeling og fikk oppfølgingen hos helsesøster i grupper. Det ble organisert ukentlig treningstilbud for barna og en friluftsskole for familiene. Vi fant ingen statistisk forskjell mellom behandlingsgruppene når det gjaldt endring i grad av overvekt etter to år. Barna i Flerfamilie-oppfølging hadde en mer gunstig utvikling i midjemål enn barna i Enkeltfamilie-oppfølging. Begge behandlingsgruppene reduserte sin grad av overvekt og rapporterte bedring i mål for psykisk helse.en
dc.description.sponsorshipEkstrastiftelsen Helse og Rehabilitering,Helse Nord, Helse Finnmark, Helsedirektoratet,Helse- og omsorgsdepartementet,Universitetet i Tromsø, Sparebank 1 Nord Norge, Odd Berg Fondeten
dc.descriptionPaper number I of this thesis is not available in Munin:<br> I: Ane Kokkvoll, Elisabeth Jeppesen, Petur B Juliusson, Trond Flægstad, Inger Njølstad, ‘High prevalence of overweight and obesity among 6-year-old children in Finnmark County, North Norway’, Acta Paediatrica, 2012, Volume 101, Issue 9, pp. 924–928. Available at <a href=http://dx.doi.org/10.1111/j.1651-2227.2012.02735.x>http://dx.doi.org/10.1111/j.1651-2227.2012.02735.x</a>en
dc.identifier.urihttp://hdl.handle.net/10037/6964
dc.identifier.urnURN:NBN:no-uit_munin_6562
dc.language.isoengen
dc.publisherUiT The Arctic University of Norwayen
dc.publisherUiT Norges arktiske universiteten
dc.rights.accessRightsopenAccess
dc.subject.courseIDDOKTOR-003en
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Pediatri: 760en
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Pediatrics: 760en
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Forebyggende medisin: 804en
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Preventive medicine: 804en
dc.titleManaging childhood obesity, The Finnmark Activity Schoolen
dc.typeDoctoral thesisen
dc.typeDoktorgradsavhandlingen


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