The Fano Intervention Study – Intervention on obesity and physical inactivity among children in 5th Classes in Odense Municipality
The purpose of The Fano Intervention Study is to examine the sustained effects of an intensive 6-week stay in a lifestyle intervention camp, with family-based follow-up in the subsequent 46 weeks, on the development of overweight and risk factors for metabolic diseases in overweight and obese children in the 5th grade in Odense Municipality.
We hypothesized that an intensive lifestyle intervention with complete change in environment where participants are living away from their parents during 6 weeks with a follow up intervention targeting both diet and physical activity would improve the metabolic risk profile in overweigth and obese children.
In May-November 2006, the municipality of Odense in collaboration with the Institute of Sports and Biomechanics, University of Southern initiated a 6-week pilot project in which dietary and physical activity behavior was changed intensively. The effort was very effective since all children had a significant decrease in BMI after six weeks (BMI =- 3.4 p <0.01 (n = 31)), but a slight increase in average BMI six months after inclusion. The following year the project was extended with a follow up intervention program for the entire family. Both metabolic risk factors and the degree of overweight decreased significantly over the initial 6 weeks. The metabolic profile and the degree of overweight was still improved at 1 year follow up despite the influences of natural growth. The pilot and the follow up study both suffered from methodological weaknesses. This study needs to be replicated as a randomized controlled trial with sufficient statistical power, possible selection bias and confounding by puberty and natural growth.
The primary measures are BMI and insulin resistance (HOMA-IR). Additionally we measured waist circumference, blood pressure, Total Cholesterol, HDL, LDL, Triacylglycerol.
Physical activity / inactivity objectively measured with an accelerometer (MTI Actigraph model 7164), supplemented by questionnaires to parents and child about the child's daily time usage of TV and computer, transportation to and from school and possible participation in voluntary sport.
Measurement of maximum iltoptagelseshastighed carried out by a test on the treadmill, where the pitch and speed gradually increased until exhaustion.
Contact: Karsten Froberg
Link to the abridged version of Mathias Ried-Larsen's thesis on Fano project (. Pdf)