Participatory Intervention to Improve Nutrition and Physical Activity in Schoolchildren From Acatlán de Juárez, Jalisco
NCT ID: NCT04679246
Last Updated: 2020-12-22
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
3000 participants
INTERVENTIONAL
2015-05-01
2018-11-01
Brief Summary
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Detailed Description
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The strategies will be implemented in collaboration with the authorities of the Acatlán de Juárez community, the school authorities, ITESO staff, CUTonalá, CUCS, and AJANUT. Key actors from both the school and community levels will be involved through the study to adapt the strategies socially and culturally to promote community project ownership. An initial study of the viability of the project and the current conditions of food and physical activity in school facilities will be carried out, as well as the perception of the community. The research team will design the contents and materials of the intervention taking into account the opinions and suggestions of the community and the results of the initial study. The schools of the control group will be chosen from the municipality of Villa Corona, Jalisco, which is similar to Acatlán de Juárez.
The strategies proposed for intervention by the research team, which will be agreed with the community, including the following:
* Surveillance in compliance with the regulation of the sale of food in school buildings, according to official guidelines
* Sensitization of children, parents, teachers (especially those in charge of the physical education class) and personnel in charge of the food supply (school cooperative), to improve acceptance and commitment to the regulation of the sale of food
* Training for the preparation of hygienic and healthy food for the personnel in charge of food sale
* Promotion of the consumption of simple water and healthy foods
* Rescue and promotion of the consumption of regional foods
* Reconditioning of the infrastructure for the consumption of simple water, free and healthy food, and the realization of physical activity
* Organization of events and support in the coordination of groups that promote physical activity at the community level
* Optimization of physical education classes at school sites
* Implementation of health promotion and care actions in the school context
* Development of skills in the school community for health care and generation of healthy school environments
* Creation and strengthening of health and nutrition committees in schools, with the participation of directors, teachers and parents to generate necessary and permanent conditions that favor healthy environments
To achieve a greater rapprochement with the population, qualitative instruments will also be implemented before the intervention, such as focus groups and in-depth interviews, which allow the identification of barriers and possible solutions to improve eating habits and promote physical activity in the population. Likewise, during the intermediate and final measurement phases, similar qualitative strategies will be applied to rescue successes and points for improvement of the intervention.
During the implementation of the strategies, meticulous monitoring of the localities will be carried out to identify significant changes that may affect the eating habits and physical activity in either of the two groups (intervention and control).
Conditions
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Keywords
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Study Design
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NON_RANDOMIZED
PARALLEL
In the measurement periods, the body composition of the children from 1st to 4th grade will be obtained, and they will be followed up for two years; The dynamics of water and food consumption, physical activity, functional physical capacities, as well as availability and accessibility of food in schools will be identified. In addition, from a sub-sample of the study subjects, questionnaires on the frequency of food consumption, additional anthropometric measurements, and venous blood will be obtained to determine glucose and blood lipid levels.
PREVENTION
NONE
Study Groups
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General Intervention
The strategies will be implemented in the three intervention elementary schools. The schools were conveniently chosen for the size of the student population. In addition to having a sufficient population, it was important that the authorities of each school site agreed to participate.
Participatory intervention
Surveillance in compliance with the regulation of the sale of food in school buildings, according to official guidelines Training for the preparation of hygienic and healthy food for the personnel in charge of food sale Promotion of the consumption of simple water and healthy foods Reconditioning of the infrastructure for the consumption of simple water, free and healthy food, and the realization of physical activity Organization of events and support in the coordination of groups that promote physical activity at the community level Optimization of physical education classes at school sites Implementation of health promotion and care actions in the school context Development of skills in the school community for health care and generation of healthy school environments Creation and strengthening of health and nutrition committees in schools, with the participation of directors, teachers and parents to generate necessary and permanent conditions that favor healthy environments
Subsample intervention
A group will be randomly selected from each school grade from the intervention schools, and within each chosen group 12 children will be randomly selected per group (48 children in total per school).
Participatory intervention
Surveillance in compliance with the regulation of the sale of food in school buildings, according to official guidelines Training for the preparation of hygienic and healthy food for the personnel in charge of food sale Promotion of the consumption of simple water and healthy foods Reconditioning of the infrastructure for the consumption of simple water, free and healthy food, and the realization of physical activity Organization of events and support in the coordination of groups that promote physical activity at the community level Optimization of physical education classes at school sites Implementation of health promotion and care actions in the school context Development of skills in the school community for health care and generation of healthy school environments Creation and strengthening of health and nutrition committees in schools, with the participation of directors, teachers and parents to generate necessary and permanent conditions that favor healthy environments
Control
Three primary schools were selected from a close locality (Villa Corona, Jalisco). This was chosen because it is similar in relation to the social, economic, and geographical context to the locality of intervention. The schools were selected for the similarity in the size of the student population of the intervention schools.
No interventions assigned to this group
Interventions
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Participatory intervention
Surveillance in compliance with the regulation of the sale of food in school buildings, according to official guidelines Training for the preparation of hygienic and healthy food for the personnel in charge of food sale Promotion of the consumption of simple water and healthy foods Reconditioning of the infrastructure for the consumption of simple water, free and healthy food, and the realization of physical activity Organization of events and support in the coordination of groups that promote physical activity at the community level Optimization of physical education classes at school sites Implementation of health promotion and care actions in the school context Development of skills in the school community for health care and generation of healthy school environments Creation and strengthening of health and nutrition committees in schools, with the participation of directors, teachers and parents to generate necessary and permanent conditions that favor healthy environments
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Mothers and fathers of school-age children.
* Responsible for cooperatives and school canteens.
* Key actors and members of the different groups involved in the implementation of the strategies.
Exclusion Criteria
* Physical limitations that could affect development and normal eating patterns.
* Use of medications that can influence energy consumption and expenditure (for example, antidepressant drugs, antipsychotics, steroids).
* Children who are or were in a weight reduction program in the last year.
* Use of medications or confirmed diagnosis of diseases that could alter laboratory values.
5 Years
12 Years
ALL
Yes
Sponsors
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University of Guadalajara
OTHER
Mexican National Institute of Public Health
OTHER_GOV
Instituto Tecnológico y de Estudios Superiores de Occidente
OTHER
Iberoamerican Institute of Sports Science and Human Movement
OTHER
Responsible Party
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Cesar Octavio Ramos Garcia, PhD
Head of Research and Development
Principal Investigators
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Laura Patricia Arellano Gomez, PhD
Role: PRINCIPAL_INVESTIGATOR
Instituto Tecnologico y de Estudios Superiores de Occidente
Clio Chavez Palencia, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Guadalajara
Hector Ochoa Gonzalez, MSc
Role: STUDY_DIRECTOR
Instituto Tecnologico y de Estudios Superiores de Occidente
Oscar Loreto Garibay, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Guadalajara
Locations
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Iberoamerican Institute of Sports Science and Human Movement
Zapopan, Jalisco, Mexico
Countries
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References
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Valencia-Sosa E, Chavez-Palencia C, Romero-Velarde E, Larrosa-Haro A, Vasquez-Garibay EM, Ramos-Garcia CO. Neck circumference as an indicator of elevated central adiposity in children. Public Health Nutr. 2019 Jul;22(10):1755-1761. doi: 10.1017/S1368980019000454. Epub 2019 Apr 2.
Ramos García, C. O., Loreto Garibay, O., & Ochoa González, H. (2017). Diagnostic precision of the submandibular skinfold, minimum waist circumference and minimum waist to height ratio, as adipose overweight and obesity indicators in children. Nutricion Clinica y Dietetica Hospitalaria, 37(2). https://doi.org/10.12873/372cesarramos
Provided Documents
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Document Type: Study Protocol
Document Type: Informed Consent Form
Other Identifiers
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IICDEM-ID-001-2015
Identifier Type: -
Identifier Source: org_study_id