Miss Li Chai
School of Medicine and Public Health
- Phone:(02) 4921 5355
Li is an Accredited Practicing Dietitian and a PhD candidate (Nutrition & Dietetics) at the University of Newcastle. She has sought experience from a variety of disciplines including clinical dietetics, nutrition research, community health promotion and education, and undergraduate teaching and supervision.
Li’s PhD centres around the international issue of childhood obesity, one of the primary modifiable risk factors for chronic diseases, such as cardiovascular diseases, diabetes, and stroke, and aims to answer clinical research questions by providing solutions to extensive clinical waiting lists. Forming collaboration with academics and hospital-based clinicians, Li explores the use of innovative clinical telehealth in child weight management.
Li is a strong advocate for children’s health and nutrition. Her current research focuses on using technology to develop, deliver and evaluate nutrition and lifestyle interventions to improve children’s health and diet quality, and to prevent and manage obesity in children. Li is fluent in 5 languages which adds to her strengths in fostering international research collaborations and joint-publications with international experts.
- Bachelor of Nutrition and Dietetics (Honours), University of Newcastle
- English (Fluent)
- Chinese, nec (Fluent)
- Cantonese (Fluent)
- Malay (Fluent)
- Hakka (Fluent)
- Mandarin (Fluent)
Fields of Research
|111799||Public Health and Health Services not elsewhere classified||30|
|111199||Nutrition and Dietetics not elsewhere classified||70|
|Dates||Title||Organisation / Department|
|1/11/2014 - 31/12/2015||Research Assistant||Hunter New England Population Health
Good for Kids. Good for Life
|1/09/2014 - 28/02/2015||Clinical dietitian||Nutrition Care Services
|1/08/2014 - 31/12/2015||Casual Research Assistant||PRC in Physical Activity and Nutrition, University of Newcastle
|1/04/2014 - 31/12/2014||Casual Research Assistant||University of Newcastle - Faculty of Health and Medicine
School of Health Sciences
Dietitians Association of Australia Emerging Researcher Award
Dietitians Association of Australia
2016 Best Higher Degree Research Confirmation
University of Newcastle - School of Health Sciences
Emlyn and Jennie Thomas Postgraduate Medical Research Scholarship
Hunter Medical Research Institute (HMRI)
The Barker PhD Award Top Up Scholarship
University of Newcastle
University of Newcastle International Postgraduate Research Scholarship
University of Newcastle
University of Newcastle Research Scholarship Central
Univeristy of Newcastle
|Year||Title / Rationale|
|2017||Systematic Review Workshop: 50 Shades of Review – Umbrella Review. University of Newcastle School of Health Sciences Research Day|
|2017||Nutrition and Dietetics Research Day: Dietary intake of children in relation to the AGHE|
|2017||NEXUS Worksop: How to use NEXUS to boost online researcher profile.|
Independent Professional Practice
University of Newcastle - School of Health Sciences
|Placement supervisor||9/01/2017 - 10/02/2017|
Food Science 1
The University of Newcastle - Faculty of Health and Medicine
|Tutor||26/07/2016 - 25/10/2016|
Community Nutrition Practice
University of Newcastle - School of Health Sciences
|Placement supervisor||21/09/2015 - 23/10/2015|
For publications that are currently unpublished or in-press, details are shown in italics.
Journal article (12 outputs)
Chai LK, May C, Collins CE, Burrows TL, 'Development of text messages targeting healthy eating for children in the context of parenting partnerships', Nutrition and Dietetics, (2018)
© 2018 Dietitians Association of Australia Aim: There has been an increase in the use of text messaging to deliver and support health interventions. The aim was to develop a bank ... [more]
© 2018 Dietitians Association of Australia Aim: There has been an increase in the use of text messaging to deliver and support health interventions. The aim was to develop a bank of text messages targeting healthy eating for children in the context of parenting partnerships that could be used in a family intervention. Methods: Text messages were developed using the Theoretical Domains Framework and Behaviour Change Wheel COM-B model by study investigators using a three-phase approach: (i) initial development of a message bank; (ii) messages were reviewed and evaluated by experts and parents on their clarity, usefulness, and relevance using a 5-point Likert scale and open text spaces for additional feedback and (iii) refinement of messages content and finalised the message bank. Results: Messages were reviewed for ¿clarity¿, ¿usefulness¿ and ¿relevance¿ by 20 parents and 28 health experts, who were predominantly female (92%), parents of primary school age children (33%), of low to middle socioeconomic status (78%), with a mean age of 39 years (SD ± 9.87). From an initial set of 97 messages developed, 48 messages were retained through consultation. Messages were designed to complement the intervention, while engaging both parents. Conclusions: The three-phase development created a set of text messages acceptable to experts and parents that aim to support improvement in child eating behaviours. The process provides a template and practical guide for researchers and health providers looking to apply a systematic approach to text messages development. Future research should investigate acceptability and impact of these messages as a component of family-based nutrition intervention.
Shrewsbury VA, Burrows T, Ho M, Jensen M, Garnett SP, Stewart L, et al., 'Update of the best practice dietetic management of overweight and obese children and adolescents: A systematic review protocol', JBI Database of Systematic Reviews and Implementation Reports, 16 1495-1502 (2018)
© 2018 THE JOANNA BRIGGS INSTITUTE. Review question/objective: To update an existing systematic review series1,2 of randomized controlled trials (RCT) that include a dietary inter... [more]
© 2018 THE JOANNA BRIGGS INSTITUTE. Review question/objective: To update an existing systematic review series1,2 of randomized controlled trials (RCT) that include a dietary intervention for the management of overweight or obesity in children or adolescents. Specifically, the review questions are: In randomized controlled trials of interventions which include a dietary intervention for the management of overweight or obesity in children or adolescents: ¿ What impact do these interventions have on participants' adiposity and dietary outcomes? ¿ What are the characteristics or intervention components that predict adiposity reduction or improvements in dietary outcomes?
Yoong SL, Stockings E, Chai LK, Tzelepis F, Wiggers J, Oldmeadow C, et al., 'Prevalence of electronic nicotine delivery systems (ENDS) use among youth globally: A systematic review and meta-analysis of country level data', Australian and New Zealand Journal of Public Health, 42 303-308 (2018) [C1]
© 2018 The Authors. Objective: To describe the prevalence and change in prevalence of electronic nicotine delivery systems (ENDS) use in youth by country and combustible smoking s... [more]
© 2018 The Authors. Objective: To describe the prevalence and change in prevalence of electronic nicotine delivery systems (ENDS) use in youth by country and combustible smoking status. Methods: Databases and the grey literature were systematically searched to December 2015. Studies describing the prevalence of ENDS use in the general population aged =20 years in a defined geographical region were included. Where multiple estimates were available within countries, prevalence estimates of ENDS use were pooled for each country separately. Results: Data from 27 publications (36 surveys) from 13 countries were included. The prevalence of ENDS ever use in 2013¿2015 among youth were highest in Poland (62.1%; 95%CI: 59.9-64.2%), and lowest in Italy (5.9%; 95%CI: 3.3-9.2%). Among non-smoking youth, the prevalence of ENDS ever use in 2013¿2015 varied, ranging from 4.2% (95%CI: 3.8-4.6%) in the US to 14.0% in New Zealand (95%CI: 12.7-15.4%). The prevalence of ENDS ever use among current tobacco smoking youth was the highest in Canada (71.9%, 95%CI: 70.9-72.8%) and lowest in Italy (29.9%, 95%CI: 18.5-42.5%). Between 2008 and 2015, ENDS ever use among youth increased in Poland, Korea, New Zealand and the US; decreased in Italy and Canada; and remained stable in the UK. Conclusions: There is considerable heterogeneity in ENDS use among youth globally across countries and also between current smokers and non-smokers. Implications for public health: Population-level survey data on ENDS use is needed to inform public health policy and messaging globally.
Brain K, Burrows TL, Rollo ME, Chai LK, Clarke ED, Hayes C, et al., 'A systematic review and meta-analysis of nutrition interventions for chronic noncancer pain.', J Hum Nutr Diet, (2018)
McFadyen T, Chai LK, Wyse R, Kingsland M, Yoong SL, Clinton-McHarg T, et al., 'Strategies to improve the implementation of policies, practices or programmes in sporting organisations targeting poor diet, physical inactivity, obesity, risky alcohol use or tobacco use: a systematic review', BMJ open, 8 (2018) [C1]
May C, Chai LK, Burrows T, 'Parent, Partner, Co-Parent or Partnership ? The Need for Clarity as Family Systems Thinking Takes Hold in the Quest to Motivate Behavioural Change', CHILDREN-BASEL, 4 (2017) [C1]
Nathan N, Yoong SL, Sutherland R, Reilly K, Delaney T, Janssen L, et al., 'Effectiveness of a multicomponent intervention to enhance implementation of a healthy canteen policy in Australian primary schools: a randomised controlled trial', INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 13 (2016) [C1]
Wolfenden L, Milat AJ, Lecathelinais C, Skelton E, Clinton-McHarg T, Williams C, et al., 'A bibliographic review of public health dissemination and implementation research output and citation rates', Preventive Medicine Reports, 4 441-443 (2016) [C1]
© 2016 The Authors The aim of this study was to describe the research output and citation rates (academic impact) of public health dissemination and implementation research accord... [more]
© 2016 The Authors The aim of this study was to describe the research output and citation rates (academic impact) of public health dissemination and implementation research according to research design and study type. A cross sectional bibliographic study was undertaken in 2013. All original data-based studies and review articles focusing on dissemination and implementation research that had been published in 10 randomly selected public health journals in 2008 were audited. The electronic database ¿Scopus¿ was used to calculate 5-year citation rates for all included publications. Of the 1648 publications examined, 216 were original data-based research or literature reviews focusing on dissemination and implementation research. Of these 72% were classified as descriptive/epidemiological, 26% were intervention and just 1.9% were measurement research. Cross-sectional studies were the most common study design (47%). Reviews, randomized trials, non-randomized trials and decision/cost-effectiveness studies each represented between 6 and 10% of all output. Systematic reviews, randomized controlled trials and cohort studies were the most frequently cited study designs. The study suggests that publications that had the greatest academic impact (highest citation rates) made up only a small proportion of overall public health dissemination and implementation research output.
Yoong SL, Chai LK, Williams CM, Wiggers J, Finch M, Wolfenden L, 'Systematic review and meta-analysis of interventions targeting sleep and their impact on child body mass index, diet, and physical activity', Obesity, 24 1140-1147 (2016) [C1]
© 2016 The Obesity Society. Objective This review aimed to examine the impact of interventions involving an explicit sleep component on child body mass index (BMI), diet, and phys... [more]
© 2016 The Obesity Society. Objective This review aimed to examine the impact of interventions involving an explicit sleep component on child body mass index (BMI), diet, and physical activity. Methods A systematic search was undertaken in six databases to identify randomized controlled trials examining the impact of interventions with a sleep component on child BMI, dietary intake, and/or physical activity. A random effects meta-analysis was conducted assessing the impact of included interventions on child BMI. Results Of the eight included trials, three enforced a sleep protocol and five targeted sleep as part of multicomponent behavioral interventions either exclusively or together with nutrition and physical activity. Meta-analysis of three studies found that multicomponent behavioral interventions involving a sleep component were not significantly effective in changing child BMI (n = 360,-0.04 kg/m2 [-0.18, 0.11], I2 = 0%); however, only one study included in the meta-analysis successfully changed sleep duration in children. There were some reported improvements to adolescent diet, and only one trial examined the impact on child physical activity, where a significant effect was observed. Conclusions Findings from the included studies suggest that where improvements in child sleep duration were achieved, a positive impact on child BMI, nutrition, and physical activity was also observed.
Chai LK, Macdonald-Wicks L, Hure AJ, Burrows TL, Blumfield ML, Smith R, Collins CE, 'Disparities exist between the Australian Guide to Healthy Eating and the dietary intakes of young children aged two to three years', Nutrition and Dietetics, 73 312-320 (2016) [C1]
© 2015 Dietitians Association of Australia Aim: To compare dietary intakes of young children to the Australian Guide to Healthy Eating (AGHE) and Nutrient Reference Values (NRVs).... [more]
© 2015 Dietitians Association of Australia Aim: To compare dietary intakes of young children to the Australian Guide to Healthy Eating (AGHE) and Nutrient Reference Values (NRVs). Methods: Dietary intakes of 54 children (50% girls) aged two to three years (mean 2.7 years) from the Women and Their Children's Health (WATCH) study were reported by mothers using a validated 120-item food frequency questionnaire. Daily consumption of AGHE food group servings, macronutrients, and micronutrients were compared to the AGHE and NRVs using t-test with significance set at P < 0.05. Results: No child achieved all AGHE targets, with the majority consuming less breads/cereals (1.9 vs 4.0 servings/day), vegetables (1.3 vs 2.5), and meat/alternatives (0.7 vs 1.0), all P < 0.0001. Adequate servings were observed for dairy (2.2 vs 1.5) and fruit (1.3 vs 1.0). Macronutrients were within recommended ranges, although 96% exceeded saturated fatty acid recommendations. Children who met selected NRVs consumed more fruit (1.4 vs 1.0; P < 0.0086), dairy (2.2 vs 1.5; P < 0.0001) and discretionary foods (2.6 vs =1.0; P < 0.0001) but less breads/cereals (2.0 vs 4.0; P < 0.0001) and vegetables (1.3 vs 2.5; P < 0.0001) servings, compared to the AGHE recommended servings. Conclusions: Child dietary intakes did not align with AGHE, while adequate nutrient profiles were achieved by various dietary patterns. Future studies involving data from larger, representative samples of children are warranted.
Burrows T, Hutchesson M, Chai LK, Rollo M, Skinner G, Collins C, 'Nutrition interventions for prevention and management of childhood obesity: What do parents want from an ehealth program?', Nutrients, 7 10469-10479 (2015) [C1]
© 2015 by the authors; licensee MDPI, Basel, Switzerland. With the growth of Internet technologies, offering interventions for child and family weight management in an online form... [more]
© 2015 by the authors; licensee MDPI, Basel, Switzerland. With the growth of Internet technologies, offering interventions for child and family weight management in an online format may address barriers to accessing services. This study aimed to investigate (i) whether an eHealth family healthy lifestyle program would be of interest to parents; and (ii) preferences and/or expectations for program components and features. Parents of children aged four to18 years were recruited through social media and completed an online survey (54 items) including closed and open-ended questions. Responses were collated using descriptive statistics and thematic analysis. Seventy-five participants were included (92% mothers, mean age 39.1 ± 8.6 years, mean BMI 27.6 ± 6.3 kg/m2). The index child had a mean age of 11 ± 6.2 years with 24% overweight/obese. The majority of parents (90.3%) reported interest in an online program, with preference expressed for a non-structured program to allow flexibility users to log-on and off as desired. Parents wanted a program that was easy to use, practical, engaging, endorsed by a reputable source, and able to provide individual tailoring and for their children to be directly involved. The current study supports the need for online delivery of a healthy lifestyle program that targets greater parental concerns of diet rather than child weight.
|Show 9 more journal articles|
Conference (5 outputs)
Chai LK, Collins C, May C, Burrows T, 'A randomised controlled pilot study of a tailored web-based nutrition intervention to support parents in child weight management', Hong Kong (2018)
Chai LK, May C, Collins C, Burrows T, 'Development of text messages with a focus on healthy eating that target both mothers and fathers.', Sydney, Australia (2018)
Chai LK, Burrows T, May C, Brain K, Wong See D, Collins C, 'Effectiveness of Family-based Childhood Obesity Interventions with Parental Involvement: An Umbrella Review.', Victoria, Canada (2017)
Chai LK, MacDonald-Wicks L, Hure AJ, Burrows T, Collins C, 'Disparities exist between the Australian Guide to Healthy Eating and the dietary patterns of Australian pre-schoolers', ISBNPA 2014 Abstract Book, San Diego, USA (2014) [E3]
|Show 2 more conferences|
Grants and Funding
|Number of grants||1|
Click on a grant title below to expand the full details for that specific grant.
20161 grants / $4,000
Funding body: University of Newcastle - Faculty of Health and Medicine
|Funding body||University of Newcastle - Faculty of Health and Medicine|
May C, Burrows T, Collins C, Wong See D, Chai LK
|Type Of Funding||Internal|
The map is a representation of a researchers co-authorship with collaborators across the globe. The map displays the number of publications against a country, where there is at least one co-author based in that country. Data is sourced from the University of Newcastle research publication management system (NURO) and may not fully represent the authors complete body of work.
|Country||Count of Publications|
July 26, 2017
May 20, 2016
Miss Li Chai
PRC Physical Activity and Nutrition
School of Medicine and Public Health
Faculty of Health and Medicine