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- W1488922342 abstract "Introduction Whole-of-community intervention programs are an important strategy to reduce childhood obesity. This report covers the first such demonstration project in Australia which was conducted (2003-2006) in the rural Victorian town of Colac (pop 11,000). The Be Active Eat Well (BAEW) project aimed to increase the community’s capacity to promote healthy eating and physical activity and prevent unhealthy weight gain in children aged 4-12 years. Methods BAEW had a quasi-experimental, longitudinal design with anthropometric data collected on Colac children in 4 preschools and 6 primary schools at baseline (2003, n=1001, response rate: 58.0%) and follow-up (2006, n= 844, follow-up rate: 84.0%). The comparison sample was a stratified random selection of preschools (n=4) and primary schools (n=12) from the rest of the Barwon South Western region of Victoria, with baseline assessment in 2004 (n=1183, response rate: 44.0%) and follow-up in 2006 (n=983, follow-up rate: 83%). Other data collection involved a computer assisted telephone interview of parents, a grade 5 and 6 survey, a lunchbox checklist survey, an environmental school audit, and an assessment of capacity building using the Community Capacity Index. Key Findings Colac children had significantly (p Conclusions The Colac Be Active Eat Well program provides ‘proof-of-principle’ that whole-of-community approaches can increase community health promotion capacity and have a significant impact on reducing unhealthy increases in children’s weight and waist. This is the first such evidence that whole-of-community programs in Australia can have an impact on unhealthy weight gain in primary school children. Importantly, there was no evidence of harm and strong evidence that the program reduced inequalities by reducing the SES gradient with body weight. Changes were found in some, but not all, of the expected mediators (awareness of key messages and changes in attitudes, knowledge and behaviour). The BAEW efforts need to continue in Colac because the intervention only slowed the increase in overweight and obesity and did not halt or reverse it. The evidence and lessons learnt from this and similar projects need to be incorporated into systems to support similar community capacity building throughout Victoria and Australia." @default.
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- W1488922342 date "2009-01-01" @default.
- W1488922342 modified "2023-09-23" @default.
- W1488922342 title "Nutrition and physical activity in children and adolescents : report 6 : Lessons learned from Colac's Be Active Eat Well Project (2002-2006)" @default.
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