A Cluster Randomized Controlled Trial of the Archena Infancia Saludable Project on 24-h Movement Behaviors and Adherence to the Mediterranean Diet among Schoolchildren: A Pilot Study Protocol

  • José Francisco López-Gil
  • , Antonio García-Hermoso
  • , Lee Smith
  • , Alejandra Gallego
  • , Desirée Victoria-Montesinos
  • , Yasmin Ezzatvar
  • , Maria S. Hershey
  • , Héctor Gutiérrez-Espinoza
  • , Arthur Eumann Mesas
  • , Estela Jiménez-López
  • , Pedro Antonio Sánchez-Miguel
  • , Alba López-Benavente
  • , Laura Moreno-Galarraga
  • , Sitong Chen
  • , Javier Brazo-Sayavera
  • , Alejandro Fernandez-Montero
  • , Pedro Emilio Alcaraz
  • , Josefa María Panisello Royo
  • , Pedro J. Tárraga-López
  • , Stefanos N. Kales

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: The aim of this paper is to describe the protocol of pilot cluster randomized controlled trial (RCT) that will evaluate the effects of a lifestyle-based intervention. The Archena Infancia Saludable project will have several objectives. The primary objective of this project is to determine the 6-month effects of a lifestyle-based intervention on adherence to 24-h movement behaviors and Mediterranean diet (MedDiet) in schoolchildren. The secondary objective of this project is to test the intervention effects of this lifestyle-based intervention on a relevant set of health-related outcomes (i.e., anthropometric measurements, blood pressure, perceived physical fitness, sleep habits, and academic performance). The tertiary objective is to investigate this intervention’s “halo” effect on parents’/guardians’ 24-h movement behaviors and adherence to the MedDiet. Methods: The Archena Infancia Saludable trial will be a cluster RCT submitted to the Clinical Trials Registry. The protocol will be developed according to SPIRIT guidelines for RCTs and CONSORT statement extension for cluster RCTs. A total of 153 eligible parents/guardians with schoolchildren aged 6–13 years will be randomized into an intervention group or a control group. This project focuses on two fundamental pillars: 24-h movement behaviors and MedDiet. It will mainly focus on the relationship between parents/guardians and their children. Behavior change strategies for dietary and 24-h movement behaviors in schoolchildren will be based on healthy lifestyle education for parents/guardians through infographics, video recipes, brief video clips, and videos. Conclusions: Most of the current knowledge on 24-h movement behaviors and adherence to the MedDiet is based on cross-sectional or longitudinal cohort studies, warranting a need to design and conduct RCTs to obtain more robust evidence on the effect of a healthy lifestyle program to increase 24-h movement behaviors and to improve adherence to the MedDiet in schoolchildren.

Original languageEnglish
Article number738
JournalChildren
Volume10
Issue number4
DOIs
StatePublished - Apr 2023
Externally publishedYes

Keywords

  • children
  • family
  • lifestyle
  • movement guidelines
  • movement recommendations
  • parents
  • physical activity
  • screen time
  • sedentary behavior
  • sleep duration

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