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. 2025 Sep 2;27:e70886. doi: 10.2196/70886

Table 3.

Summary of generalized estimating equations (n=237).a

Variables Within-group changes, adjusted mean difference (95% CI) Group ⨯ time interaction effect

Posttest vs baseline P value Follow-up vs baseline P value P value
Light physical activity (minutes/7 days) .006

Intervention –1003.38 (–1150.10 to –856.66) <.001 –214.82 (–349.85 to 79.78) .10

Control –745.95 (–936.82 to –555.09) <.001 –107.03 (–251.27 to 37.20) .44
MPA ( minutes /7 days)
.059

Intervention –255.34 (–330.57 to –180.10) <.001 –49.53 (–125.08 to 26.03) .81

Control –156.10 (–256.44 to –55.76) <.001 –21.55 (–104.80 to 61.71) .10
VPA ( minutes /7 days)
.02

Intervention 1174.72 (1008.57 to 1340.86) <.001 10.04 (–19.20 to 39.27) .10

Control 1030.86 (809.58 to 1252.13) <.001 0.03 (–0.18 to –0.24) .10
Total moderate-to-vigorous physical activity ( minutes /7 days)
.67

Intervention 920.26 (754.76 to 1085.77) <.001 12.34 (–7.98 to 104.66) >.99

Control 870.85 (673.25 to 1068.45) <.001 –21.53 (–104.21 to 61.15) >.99
Average moderate-to-vigorous physical activity ( minutes /day)
.36

Intervention 164.48 (142.50 to 186.45) <.001 12.65 (–1.80 to 23.49) .09

Control 150.19 (119.67 to 180.71) <.001 7.34 (–3.33 to 18.01) .65
Average length of sedentary bouts ( minutes /bout)
.68

Intervention 0.02 (–0.58 to 0.61) .33 –0.59 (–1.30 to 0.12) .22

Control 0.07 (–0.55 to 0.68) >.99 -.302 (–0.98 to 0.37) >.99
Daily average sedentary bouts ( minutes /day)
.27

Intervention –8.70 (–32.85 to 15.44) >.99 –16.41 (–40.37 to 7.54) .66

Control –1.19 (–24.80 to 22.42) >.99 0.739 (–19.48 to 20.96) >.99
Sedentary ( minutes /7 days)
.40

Intervention –1030.08 (–1403.58 to –656.58) <.001 –626.89 (–1026.67 to –227.11) <.001

Control –836.77 (–1207.94 to –465.61) <.001 –388.06 (–770.28 to –5.84) .04
Enjoyment of food (Questionnaire score)
.38

Intervention 0.12 (0.10 to 0.34) .049 0.21 (0.02 to 0.41) .02

Control 0.07 (–0.17 to 0.30) .43 0.07 (–0.14 to 0.29) .48
Emotional overeating (Questionnaire score)
.58

Intervention 0.17 (–0.04 to 0.37) .25 0.08 (–1.00 to 0.26) .09

Control 0.08 (–0.17 to 0.32) >.99 –0.01 (–0.23 to 0.20) >.99
Satiety responsiveness (Questionnaire score)
.74

Intervention –0.21 (–0.39 to –0.01) .03 –0.21 (–0.40 to –0.03) .007

Control 0.02 (–0.19 to 0.26) .73 –0.01 (–0.20 to 0.17) .38
Slowness in eating (Questionnaire score)
.23

Intervention –0.11 (–0.32 to 0.09) .22 –0.18 (–0.39 to 0.04) .22

Control 0.12 (–0.16 to 0.40) >.99 0.14 (–0.07 to 0.36) .76
Desire to drink (Questionnaire score)
.61

Intervention –0.02 (–0.30 to 0.24) >.99 0.04 (–0.23 to 0.30) >.99

Control –0.06 (–0.38 to 0.26) >.99 –0.09 (–0.38 to 0.19) >.99
Food fussiness (Questionnaire score)
.22

Intervention 0.03 (–0.18 to 0.24) >.99 –0.07 (–0.28 to 0.14) >.99

Control 0.13 (–0.10 to 0.37) >.99 0.10 (–0.09 to 0.28) >.99
Emotional undereating (Questionnaire score)
.14

Intervention –0.29 (–0.73 to 0.15) .82 –0.22 (–0.65 to 0.20) >.99

Control 0.03 (–0.23 to 0.28) >.99 –0.09 (–0.35 to 0.17) >.99
Food responsiveness (Questionnaire score)
.50

Intervention –0.02 (–0.24 to 0.19) >.99 –0.03 (–0.23 to 0.16) >.99

Control 0.02 (–0.21 to 0.26) >.99 –0.02 (–0.32 to 0.09) >.99
Sleep problems (score)
.67

Intervention –2.38 (–4.76 to –0.0006) .049 –1.41 (–3.38 to 0.56) .53

Control –3.27 (–5.42 to –1.12) <.001 –2.05 (–4.14 to 0.03) .06
Sleep latency ( minutes /day)
.004

Intervention –27.80 (–33.07 to –22.53) <.001 –26.63 (–32.05 to –21.20) <.001

Control –6.05 (–31.22 to –20.89) <.001 –18.43 (–25.65 to –11.20) <.001
Sleep efficiency (%)b
.002

Intervention 8.37 (0.54 to 5.73) .006 6.89 (4.32 to 9.47) <.001

Control 3.87 (1.47 to 6.27) <.001 2.94 (0.79 to 5.08) .001
Sleep duration ( minutes /day)
.12

Intervention –2.61 (–26.20 to 20.98) >.99 4.93 (–14.59 to 24.45) >.99

Control –17.71 (–36.07 to 0.64) .069 –13.38 (–33.10 to 6.34) .70
Screen time on weekdays ( minutes /day)
<.001

Intervention –17.23 (–33.44 to –1.02) .027 –4.52 (–20.82 to 11.78) >.99

Control 0.01 (–15.34 to 15.36) >.99 3.96 (–14.28 to 22.20) >.99
Screen time on weekends ( minutes /day)
<.001

Intervention –60.72 (–89.23 to –32.20) <.001 –9.86 (–36.79 to 17.08) .55

Control –0.19 (–29.85 to 29.48) >.99 4.36 (–29.72 to 38.44) .78

aGeneralized estimating equations were conducted, adjusting for covariates, including preschoolers’ gender, age, height, weight, number of children with overweight or obesity, as well as parents’ age, height, weight, gender, educational level, income range, marital status, number of children in the household, and number of parents with overweight or obesity.

bSleep efficiency refers to the percentage of time spent asleep while in bed. It is calculated by dividing total sleep time (in minutes) by total time in bed (in minutes). A sleep efficiency of 85% or higher is generally considered normal.