Integrating Community LITE Programme as an Online Family-based Intervention to Combat Childhood Obesity

Summary

Childhood obesity in Singapore is rising with a record prevalence of 13% in 2017 (1). Given that 70% of overweight children remain so into adulthood (2), this will further increase the public health epidemic of diabetes among Singaporeans. Early intervention is thus critical to improve the weight trajectory of overweight children and foster life long healthy lifestyle habits. Family-based interventions combining dietary, physical activity and behavioural interventions are currently recommended as the best practice in the management of childhood obesity in children younger than 12 years old (3-7). Our pilot study on family-based intervention in the tertiary setting demonstrated feasibility and short-term effectiveness. However, its outreach and sustainable results are limited. Currently, school-based screening, weight management clinics and community recreational facilities are operating in silos with limited effectiveness. Here, the investigators will integrate our family-based intervention into a school, clinic and community partnership to achieve an impactful and sustainable outcome for families with overweight children.

The community Lifestyle InTervention for Everyone (LITE) program is a structured, group family-based multicomponent lifestyle intervention. Community LITE program will introduce various exercise programs within the family based online sessions to reduce perceived barrier and promote self-efficacy of community sports facilities to increase physical activity. Children have minimal control over their food and physical activity choices especially in current obesogenic environment (8). Parents are the most important influencers(9) to impose interventions for childhood obesity through parental practices and parenting style(10). Therefore, they are the main focus of the community-based intervention program.

Conditions

• Pediatric Obesity

Interventions

BEHAVIORAL

Usual Care

Participants will be offered standard care which consists of the following: * Clinic consultation with physician and dietician, * pamphlets on weight management principles.

BEHAVIORAL

Online community LITE programme

Participants will be invited to participate in the online community LITE programme. Participants will also receive basic sports equipment for the online programme. The online community LITE programme will consist of 2 sessions a week for 4-5 months. Each session is 1 hour long. The programme will deliver 3 domains: physical activity, nutrition and behaviour. It consists of relatively unstructured sessions comprising of cooking and nutrition classes, games and sports and peer support.

Sponsors & Collaborators

• Duke University

  collaborator OTHER

• Sport Singapore

  collaborator UNKNOWN

• Health Promotion Board, Singapore

  collaborator OTHER_GOV

• Duke-NUS Graduate Medical School

  collaborator OTHER

• KK Women's and Children's Hospital

  lead OTHER_GOV

Principal Investigators

• Elaine Chu Shan Chew, MBBS · KK Women's and Children's Hospital

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

CROSSOVER

Eligibility

Min Age

6 Years

Max Age

12 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2022-04-22

Primary Completion

2025-12-31

Completion

2025-12-31

Countries

• Singapore

Study Locations