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Birmingham healthy Eating and Active lifestyle for CHildren Study

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Birmingham healthy Eating and Active lifestyle for CHildren Study Investigators: Peyman Adab (PI), Tim Barrett, Janet Cade, KK Cheng, Amanda Daley, Joan Duda, Ulf ... – PowerPoint PPT presentation

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Title: Birmingham healthy Eating and Active lifestyle for CHildren Study


1
BEACHeS
  • Birmingham healthy Eating and Active lifestyle
    for CHildren Study

Investigators Peymané Adab (PI), Tim Barrett,
Janet Cade, KK Cheng, Amanda Daley, Joan Duda,
Ulf Ekelund, Paramjit Gill, Miranda Pallan, Jayne
Parry Collaborators Raj Bhopal, Michelle
Howard, Eleanor McGee, Sandra Passmore Research
team Victoria Brookes Miriam Banting Sheila
Hirst
Funded by National Prevention Research
Initiative http//www.npri.org.uk
2
BEACHeS Study Aims
  • To develop a childhood obesity prevention
    intervention aimed at children aged 6 to 8,
    particularly focusing on South Asians
  • Using lay knowledge, evidence base and expert
    input
  • To pilot developed intervention in an exploratory
    trial
  • Primary and secondary outcomes measured in school
    children

3
MRC framework for developing and evaluating
complex interventions
BEACHeS
Campbell, M. et al. BMJ 2000321694-696
4
BEACHeS Study Methodology
  • Setting
  • 8 Primary schools communities in Birmingham
    with gt50 South Asian pupils (Indian, Pakistani
    or Bangladeshi)
  • Phase I
  • Focus groups run with a range of local
    stakeholders
  • Views on childhood obesity and potential
    prevention interventions explored
  • Resulting data used in development of
    intervention package

5
BEACHeS Study Phase II
  • Year 1 and 2 children undergo baseline measures
  • Height, weight, waist circ, skinfolds, BIA
  • Blood pressure
  • Physical activity assessment
  • Dietary assessment
  • HRQoL, self concept and body image
  • Demographic information
  • Intervention delivered to 4 schools/communities
  • Year 3 and 4 children undergo follow up measures

6
Progress so far baseline measures
  • 52 schools in Birmingham eligible, 8 recruited
  • 81 pupils are South Asian
  • 1090 pupils eligible, 606 consented
  • 574 measured

7
Phase 1 Focus groups
  • Identity groups convened
  • Parents (groups run in English and Punjabi)
  • Teachers
  • Catering and school support staff
  • Local Authority, leisure and retail
    representatives
  • Community representatives
  • Health representatives
  • Children

8
Focus groups emerging findings
  • Focus of interventions should shift to family and
    community settings
  • Themes for interventions included
  • Developing parenting skills
  • Activities for parents/families
  • Working on childrens self-esteem
  • Daily, non-competitive physical activity in
    schools
  • Involving children in school changes
  • Improving provision of healthy food in schools
  • Working with mosques, and other faith groups

9
Focus groups barriers to successful interventions
  • Many barriers identified
  • Some are culturally specific
  • Many children spend evenings at mosque
  • Extended families in same household, grand
    parents may have major influence over children
  • Obesity may not be seen as a problem in some
    communities

10
Baseline measures obesity prevalence
  • 22.5 of study population overweight or obese
  • (males 20.3, females 24.9)

11
Overweight, obesity and age
  • Males
  • Females

12
Overweight, obesity and ethnicity
  • Males
  • Females

13
Obesity prevalence comparison of BEACHeS and
regional data
14
Next steps for BEACHeS
  • Detailed analysis of focus group data
  • Detailed analysis of baseline measures
  • Development of the intervention using
  • focus group data
  • Evidence base
  • expert input
  • Implementation of the developed intervention
    package
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