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ral Abstracts

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he ‘healthy Dads, Healthy Kids’ randomisedontrolled trial: Efficacy of a healthy lifestylerogram for overweight fathers and their chil-ren

.J. Morgan 1,∗, D.R. Lubans 1, R. Callister 2, A.D.kely 3, T.L. Burrows 2, R. Fletcher 2, C.E. Collins 2

Faculty of Education & Arts, University of New-astle, AustraliaFaculty of Health, University of Newcastle, Aus-raliaFaculty of Education, University of Wollongong,ustralia

The aim of this study was to evaluate the fea-ibility and efficacy of the ‘Healthy Dads, Healthyids’ (HDHK) program, which was designed to helpverweight fathers lose weight and role model posi-ive health behaviours to their children. Fifty-threeverweight/obese men (mean [sd] age = 40.6 [7.1]ears; BMI = 33.2 [3.9]) and their primary school-ged children (n = 71, 54% boys; mean [sd] age = 8.22.0] years) were randomly assigned (family unit)o either (i) HDHK program (n = 26 fathers, n = 39hildren) or (ii) a wait-list control group (n = 27athers, n = 32 children). Fathers in the 3-monthrogram attended eight face-to-face education ses-ions. Children attended three of these sessions.he primary outcome was fathers’ weight. Fathersnd their children were assessed at baseline, 3-nd 6-month follow-up for weight, waist circum-erence, BMI, blood pressure, resting heart rate,bjectively measured physical activity and self-eported dietary intake. Intention-to-treat analysisevealed significant between group differences at 6onths for weight loss (P < .001), with HDHK fathers

osing more weight (−7.6 kg; 95% CI −9.2, −6.0;= .54) than control group fathers (0.0 kg; 95% CI1.4, 1.6). Significant treatment effects (P < .05)ere also found for waist circumference (d = .62),MI (d = .53), blood pressure (d = .92), resting heartate (d = .60) and physical activity (d = .92) but notor dietary intake. In children, significant treatmentffects (P < .05) were found for physical activityd = .74), resting heart rate (d = .51) and dietaryntake (d = .84). The HDHK program resulted in sig-ificant weight loss and improved health-relatedutcomes in fathers and improved eating and phys-cal activity among children. This study has shownhat targeting fathers are a novel and efficacious

pproach to improving health behaviours in theirhildren.

oi:10.1016/j.orcp.2010.09.138

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ystematic review of diet and physical activityntervention aimed at reducing excess weightain in pregnancy: Outcomes and implications forublic health policy and practice

aren Campbell ∗, Kylie Hesketh, Paige Van derlight

Centre for Physical Activity and Nutritionesearch, Deakin University, Melbourne, Australia

International data suggest that the prevalence ofeight gain in excess of recommendations is com-onplace and increasing. Excess gestational weight

ain is likely to impact the health of both mothernd child. This systematic review aimed to assessnterventions targeting reductions in excess gesta-ional weight gain through lifestyle modifications.

Twelve electronic databases were searched todentify studies published from January 1990 untilctober 2009. All interventions targeting gesta-ional weight gain were included. Studies wereimited to English publications only. Two reviewersndependently extracted data and assessed studyuality.

Ten studies met the review criteria. Interven-ion design and quality varied and there wereo Australian studies published. Most (n = 8) wereonducted within maternal-health clinics and onerovided home-based support. Written education-aterials and counselling were the most commonly

tilised interventions (n = 9). Studies implement-ng a dietary intervention in addition to anxercise component were rare (n = 2). Few inter-entions involved a Dietitian (n = 4). Three studiesargeted overweight or obese pregnant womennly whilst the remaining studies (n = 7) includedither healthy-weight women or healthy-weightnd overweight women combined. The impacts ofnterventions were mixed and no economic evalua-ions were conducted.

Intervention studies aimed at reducing excessestational weight gain through diet and physicalctivity are limited and there has been no system-tic approach to testing a range of interventionypes. Given the public health impact of excessestational weight gain it will be important to bet-er understand how best, and most cost-effectively,

oi:10.1016/j.orcp.2010.09.139