Effectiveness of a Gamification Strategy to Prevent Childhood Obesity in Schools: A Cluster Controlled Trial
Objective The aim of this study was to examine the effectiveness of a school‐based gamification strategy to prevent childhood obesity. Methods Schools were randomized in Santiago, Chile, between March and May 2018 to control or to receive a nutrition and physical activity intervention using a gamifi...
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| Veröffentlicht in: | Obesity (Silver Spring, Md.) Md.), 2021-11, Vol.29 (11), p.1825-1834 |
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| container_title | Obesity (Silver Spring, Md.) |
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| creator | Peña, Sebastián Carranza, Macarena Cuadrado, Cristóbal Parra, Diana C. Villalobos Dintrans, Pablo Castillo, Cecilia Cortinez‐O’Ryan, Andrea Espinoza, Paula Müller, Valeska Rivera, Cristián Genovesi, Romina Riesco, Juan Kontto, Jukka Cerda, Ricardo Zitko, Pedro |
| description | Objective
The aim of this study was to examine the effectiveness of a school‐based gamification strategy to prevent childhood obesity.
Methods
Schools were randomized in Santiago, Chile, between March and May 2018 to control or to receive a nutrition and physical activity intervention using a gamification strategy (i.e., the use of points, levels, and rewards) to achieve healthy challenges. The intervention was delivered for 7 months and participants were assessed at 4 and 7 months. Primary outcomes were mean difference in BMI z score and waist circumference (WC) between trial arms at 7 months. Secondary outcomes were mean difference in BMI and systolic and diastolic blood pressure between trial arms at 7 months.
Results
A total of 24 schools (5 controls) and 2,197 students (653 controls) were analyzed. Mean BMI z score was lower in the intervention arm compared with control (adjusted mean difference −0.133, 95% CI: −0.25 to −0.01), whereas no evidence of reduction in WC was found. Mean BMI and systolic blood pressure were lower in the intervention arm compared with control. No evidence of reduction in diastolic blood pressure was found.
Conclusions
The multicomponent intervention was effective in preventing obesity but not in reducing WC. Gamification is a potentially powerful tool to increase the effectiveness of school‐based interventions to prevent obesity. |
| doi_str_mv | 10.1002/oby.23165 |
| format | Article |
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The aim of this study was to examine the effectiveness of a school‐based gamification strategy to prevent childhood obesity.
Methods
Schools were randomized in Santiago, Chile, between March and May 2018 to control or to receive a nutrition and physical activity intervention using a gamification strategy (i.e., the use of points, levels, and rewards) to achieve healthy challenges. The intervention was delivered for 7 months and participants were assessed at 4 and 7 months. Primary outcomes were mean difference in BMI z score and waist circumference (WC) between trial arms at 7 months. Secondary outcomes were mean difference in BMI and systolic and diastolic blood pressure between trial arms at 7 months.
Results
A total of 24 schools (5 controls) and 2,197 students (653 controls) were analyzed. Mean BMI z score was lower in the intervention arm compared with control (adjusted mean difference −0.133, 95% CI: −0.25 to −0.01), whereas no evidence of reduction in WC was found. Mean BMI and systolic blood pressure were lower in the intervention arm compared with control. No evidence of reduction in diastolic blood pressure was found.
Conclusions
The multicomponent intervention was effective in preventing obesity but not in reducing WC. Gamification is a potentially powerful tool to increase the effectiveness of school‐based interventions to prevent obesity.</description><identifier>ISSN: 1930-7381</identifier><identifier>EISSN: 1930-739X</identifier><identifier>DOI: 10.1002/oby.23165</identifier><identifier>PMID: 34533295</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Blood pressure ; Body Mass Index ; Child ; Clinical trials ; Data collection ; Design ; Education ; Gamification ; Health care ; Health Promotion ; Humans ; Intervention ; Nutrition ; Obesity ; Parents & parenting ; Participation ; Pediatric Obesity - prevention & control ; School Health Services ; Schools ; Students</subject><ispartof>Obesity (Silver Spring, Md.), 2021-11, Vol.29 (11), p.1825-1834</ispartof><rights>2021 The Authors. published by Wiley Periodicals LLC on behalf of The Obesity Society (TOS).</rights><rights>2021 The Authors. Obesity published by Wiley Periodicals LLC on behalf of The Obesity Society (TOS).</rights><rights>Copyright Blackwell Publishing Ltd. Nov 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3885-4e14731fa78e79cc5c23a5f3d98d89f0a5fbddb71c1ac594d980206ad58cb40a3</citedby><cites>FETCH-LOGICAL-c3885-4e14731fa78e79cc5c23a5f3d98d89f0a5fbddb71c1ac594d980206ad58cb40a3</cites><orcidid>0000-0002-2555-4179 ; 0000-0002-9797-6231 ; 0000-0003-1162-4591 ; 0000-0002-0174-5958 ; 0000-0002-2236-6447 ; 0000-0001-6207-3377</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Foby.23165$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Foby.23165$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34533295$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peña, Sebastián</creatorcontrib><creatorcontrib>Carranza, Macarena</creatorcontrib><creatorcontrib>Cuadrado, Cristóbal</creatorcontrib><creatorcontrib>Parra, Diana C.</creatorcontrib><creatorcontrib>Villalobos Dintrans, Pablo</creatorcontrib><creatorcontrib>Castillo, Cecilia</creatorcontrib><creatorcontrib>Cortinez‐O’Ryan, Andrea</creatorcontrib><creatorcontrib>Espinoza, Paula</creatorcontrib><creatorcontrib>Müller, Valeska</creatorcontrib><creatorcontrib>Rivera, Cristián</creatorcontrib><creatorcontrib>Genovesi, Romina</creatorcontrib><creatorcontrib>Riesco, Juan</creatorcontrib><creatorcontrib>Kontto, Jukka</creatorcontrib><creatorcontrib>Cerda, Ricardo</creatorcontrib><creatorcontrib>Zitko, Pedro</creatorcontrib><title>Effectiveness of a Gamification Strategy to Prevent Childhood Obesity in Schools: A Cluster Controlled Trial</title><title>Obesity (Silver Spring, Md.)</title><addtitle>Obesity (Silver Spring)</addtitle><description>Objective
The aim of this study was to examine the effectiveness of a school‐based gamification strategy to prevent childhood obesity.
Methods
Schools were randomized in Santiago, Chile, between March and May 2018 to control or to receive a nutrition and physical activity intervention using a gamification strategy (i.e., the use of points, levels, and rewards) to achieve healthy challenges. The intervention was delivered for 7 months and participants were assessed at 4 and 7 months. Primary outcomes were mean difference in BMI z score and waist circumference (WC) between trial arms at 7 months. Secondary outcomes were mean difference in BMI and systolic and diastolic blood pressure between trial arms at 7 months.
Results
A total of 24 schools (5 controls) and 2,197 students (653 controls) were analyzed. Mean BMI z score was lower in the intervention arm compared with control (adjusted mean difference −0.133, 95% CI: −0.25 to −0.01), whereas no evidence of reduction in WC was found. Mean BMI and systolic blood pressure were lower in the intervention arm compared with control. No evidence of reduction in diastolic blood pressure was found.
Conclusions
The multicomponent intervention was effective in preventing obesity but not in reducing WC. Gamification is a potentially powerful tool to increase the effectiveness of school‐based interventions to prevent obesity.</description><subject>Blood pressure</subject><subject>Body Mass Index</subject><subject>Child</subject><subject>Clinical trials</subject><subject>Data collection</subject><subject>Design</subject><subject>Education</subject><subject>Gamification</subject><subject>Health care</subject><subject>Health Promotion</subject><subject>Humans</subject><subject>Intervention</subject><subject>Nutrition</subject><subject>Obesity</subject><subject>Parents & parenting</subject><subject>Participation</subject><subject>Pediatric Obesity - prevention & control</subject><subject>School Health Services</subject><subject>Schools</subject><subject>Students</subject><issn>1930-7381</issn><issn>1930-739X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp1kUFPGzEQha0KVCDtgT9QWeJSDgn2ep1d95auAkVCClJTqT2tvPYYHDnr1PYW7b_HEMoBidM8jT69eZqH0CklM0pIceG7cVYwOucf0DEVjEwrJn4fvOqaHqGTGDeElHPC6Ud0xErOWCH4MXJLY0Al-w96iBF7gyW-kltrrJLJ-h7_TEEmuBtx8vg2QOYSbu6t0_fea7zqINo0YptBlTcufsML3LghJgi48X0K3jnQeB2sdJ_QoZEuwueXOUG_Lpfr5sf0ZnV13SxuporVNZ-WQMuKUSOrGiqhFFcFk9wwLWpdC0Oy7rTuKqqoVFyUeU8KMpea16oriWQT9HXvuwv-7wAxtVsbFTgne_BDbAtelfkSq1lGz96gGz-EPqfLlJiLnCNnmaDzPaWCjzGAaXfBbmUYW0rapwraXEH7XEFmv7w4Dt0W9Cv5_-cZuNgDD9bB-L5Tu_r-Z2_5CJdNkFs</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Peña, Sebastián</creator><creator>Carranza, Macarena</creator><creator>Cuadrado, Cristóbal</creator><creator>Parra, Diana C.</creator><creator>Villalobos Dintrans, Pablo</creator><creator>Castillo, Cecilia</creator><creator>Cortinez‐O’Ryan, Andrea</creator><creator>Espinoza, Paula</creator><creator>Müller, Valeska</creator><creator>Rivera, Cristián</creator><creator>Genovesi, Romina</creator><creator>Riesco, Juan</creator><creator>Kontto, Jukka</creator><creator>Cerda, Ricardo</creator><creator>Zitko, Pedro</creator><general>Blackwell Publishing Ltd</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2555-4179</orcidid><orcidid>https://orcid.org/0000-0002-9797-6231</orcidid><orcidid>https://orcid.org/0000-0003-1162-4591</orcidid><orcidid>https://orcid.org/0000-0002-0174-5958</orcidid><orcidid>https://orcid.org/0000-0002-2236-6447</orcidid><orcidid>https://orcid.org/0000-0001-6207-3377</orcidid></search><sort><creationdate>202111</creationdate><title>Effectiveness of a Gamification Strategy to Prevent Childhood Obesity in Schools: A Cluster Controlled Trial</title><author>Peña, Sebastián ; Carranza, Macarena ; Cuadrado, Cristóbal ; Parra, Diana C. ; Villalobos Dintrans, Pablo ; Castillo, Cecilia ; Cortinez‐O’Ryan, Andrea ; Espinoza, Paula ; Müller, Valeska ; Rivera, Cristián ; Genovesi, Romina ; Riesco, Juan ; Kontto, Jukka ; Cerda, Ricardo ; Zitko, Pedro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3885-4e14731fa78e79cc5c23a5f3d98d89f0a5fbddb71c1ac594d980206ad58cb40a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Blood pressure</topic><topic>Body Mass Index</topic><topic>Child</topic><topic>Clinical trials</topic><topic>Data collection</topic><topic>Design</topic><topic>Education</topic><topic>Gamification</topic><topic>Health care</topic><topic>Health Promotion</topic><topic>Humans</topic><topic>Intervention</topic><topic>Nutrition</topic><topic>Obesity</topic><topic>Parents & parenting</topic><topic>Participation</topic><topic>Pediatric Obesity - prevention & control</topic><topic>School Health Services</topic><topic>Schools</topic><topic>Students</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peña, Sebastián</creatorcontrib><creatorcontrib>Carranza, Macarena</creatorcontrib><creatorcontrib>Cuadrado, Cristóbal</creatorcontrib><creatorcontrib>Parra, Diana C.</creatorcontrib><creatorcontrib>Villalobos Dintrans, Pablo</creatorcontrib><creatorcontrib>Castillo, Cecilia</creatorcontrib><creatorcontrib>Cortinez‐O’Ryan, Andrea</creatorcontrib><creatorcontrib>Espinoza, Paula</creatorcontrib><creatorcontrib>Müller, Valeska</creatorcontrib><creatorcontrib>Rivera, Cristián</creatorcontrib><creatorcontrib>Genovesi, Romina</creatorcontrib><creatorcontrib>Riesco, Juan</creatorcontrib><creatorcontrib>Kontto, Jukka</creatorcontrib><creatorcontrib>Cerda, Ricardo</creatorcontrib><creatorcontrib>Zitko, Pedro</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity (Silver Spring, Md.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peña, Sebastián</au><au>Carranza, Macarena</au><au>Cuadrado, Cristóbal</au><au>Parra, Diana C.</au><au>Villalobos Dintrans, Pablo</au><au>Castillo, Cecilia</au><au>Cortinez‐O’Ryan, Andrea</au><au>Espinoza, Paula</au><au>Müller, Valeska</au><au>Rivera, Cristián</au><au>Genovesi, Romina</au><au>Riesco, Juan</au><au>Kontto, Jukka</au><au>Cerda, Ricardo</au><au>Zitko, Pedro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of a Gamification Strategy to Prevent Childhood Obesity in Schools: A Cluster Controlled Trial</atitle><jtitle>Obesity (Silver Spring, Md.)</jtitle><addtitle>Obesity (Silver Spring)</addtitle><date>2021-11</date><risdate>2021</risdate><volume>29</volume><issue>11</issue><spage>1825</spage><epage>1834</epage><pages>1825-1834</pages><issn>1930-7381</issn><eissn>1930-739X</eissn><abstract>Objective
The aim of this study was to examine the effectiveness of a school‐based gamification strategy to prevent childhood obesity.
Methods
Schools were randomized in Santiago, Chile, between March and May 2018 to control or to receive a nutrition and physical activity intervention using a gamification strategy (i.e., the use of points, levels, and rewards) to achieve healthy challenges. The intervention was delivered for 7 months and participants were assessed at 4 and 7 months. Primary outcomes were mean difference in BMI z score and waist circumference (WC) between trial arms at 7 months. Secondary outcomes were mean difference in BMI and systolic and diastolic blood pressure between trial arms at 7 months.
Results
A total of 24 schools (5 controls) and 2,197 students (653 controls) were analyzed. Mean BMI z score was lower in the intervention arm compared with control (adjusted mean difference −0.133, 95% CI: −0.25 to −0.01), whereas no evidence of reduction in WC was found. Mean BMI and systolic blood pressure were lower in the intervention arm compared with control. No evidence of reduction in diastolic blood pressure was found.
Conclusions
The multicomponent intervention was effective in preventing obesity but not in reducing WC. Gamification is a potentially powerful tool to increase the effectiveness of school‐based interventions to prevent obesity.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>34533295</pmid><doi>10.1002/oby.23165</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-2555-4179</orcidid><orcidid>https://orcid.org/0000-0002-9797-6231</orcidid><orcidid>https://orcid.org/0000-0003-1162-4591</orcidid><orcidid>https://orcid.org/0000-0002-0174-5958</orcidid><orcidid>https://orcid.org/0000-0002-2236-6447</orcidid><orcidid>https://orcid.org/0000-0001-6207-3377</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Blood pressure Body Mass Index Child Clinical trials Data collection Design Education Gamification Health care Health Promotion Humans Intervention Nutrition Obesity Parents & parenting Participation Pediatric Obesity - prevention & control School Health Services Schools Students |
| title | Effectiveness of a Gamification Strategy to Prevent Childhood Obesity in Schools: A Cluster Controlled Trial |
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