The Impact of School-Based Intervention for 9-13-year-old School Children with Overweight and Obesity

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

403 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-27

Study Completion Date

2023-02-28

Brief Summary

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Childhood obesity is a major issue for the United Arab Emirates (UAE). Interventions modifying people's nutritional behavior and changing their dietary habits can potentially address this problem. This study assessed the effectiveness of the 6-month school-based nutritional educational intervention on fruit and vegetable intake, nutrition knowledge, anthropometric measures, and practice, attitude, and self-efficacy measures.

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Detailed Description

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The problem of childhood obesity is a critical issue for the UAE. Findings of recent studies illustrate that nutritional interventions seeking to modify people's nutritional behavior and change their dietary habits have the potential to address this problem. This article reports the results of the study that was dedicated to the influence of the school-based nutritional educational intervention on fruit and vegetable intake, anthropometric measures, practice, attitude, self-efficacy, and knowledge scores of schoolchildren. The intervention was carried out among 9-13-year-old schoolchildren at public schools from Dubai and Sharjah (n=403). The sample included three groups, including the control group (n=114), Intervention Group 1 (n=148), and Intervention Group 2 (n=141). The control group was exposed to a conventional curriculum on healthy nutrition. Group 1 participated in the intervention involving children, and Group 2 participated in the intervention involving students, peers, and parents.

Conditions

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Overweight Children Obese Children and Adolescents

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

1. Educational sessions
2. Anthropometric measurements
3. Questionnaire

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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students one-one

1. During the intervention, 30-minute in person sessions and lectures are held on a one-on-one basis .
2. Lectures were conducted daily for five days during the first month of the intervention
3. The students were exposed to the school nutrition education curriculum, which may also be considered an intervention as it introduced students to new nutrition knowledge. The school nutrition education curriculum presented general information about nutrition in accordance with official guidelines issued by the UAE Ministry of Education. Topics covered included the dangers of obesity, the prevalence of obesity in the UAE, and potentially effective ways to prevent this problem, the information in this program was broad and did not provide practical recommendations to students except for a set of general suggestions.
4. The topics covered included a healthy eating lifestyle, energy balance, food portion control, healthy snacking, the importance of physical activity and healthy eating, dietary

Group Type OTHER

Anthropometric measurements

Intervention Type OTHER

Anthropometric measurements of the students, including weight, height, muscle mass, fat quantity, and waist circumference, were measured. The WHO BMI charts were utilized for classification. Stratified Random selection

Questionnaire

Intervention Type OTHER

The collection of data was performed using the "Atlas questionnaire" (Al-Hazzaa et al., 2011) and "nutrition knowledge and healthy lifestyle behavior" questionnaire (Kalender et al., 2011) with additional questions related to self-efficacy and dietary practices adapted from the literature (Becher, 2009; Voss et al., 2017; Kowalski et al., 2004). Stratified Random selection

Educational sessions

Intervention Type OTHER

The topics that covered included a healthy eating lifestyle, energy balance, food portion control, healthy snacking, the importance of physical activity and healthy eating, dietary practices, and nutrition-related self-efficacy.

Peers

1. 30-minute in person sessions were introduced to all the school children, and 10-minute question-and-answer sections were held at the end of each lesson to support knowledge acquisition.
2. Lectures were conducted daily for five days in the first month of the study.
3. The students were exposed to the school nutrition education curriculum, which may also be considered an intervention as it introduced students to new nutrition knowledge. The school nutrition education curriculum presented general information about nutrition in accordance with official guidelines issued by the UAE Ministry of Education. Topics covered included the dangers of obesity, the prevalence of obesity in the UAE, and potentially effective ways to prevent this problem, the information in this program was broad and did not provide practical recommendations to students except for a set of general suggestions.
4. The topics covered included a healthy eating lifestyle,

Group Type OTHER

Educational sessions

Intervention Type OTHER

The topics that covered included a healthy eating lifestyle, energy balance, food portion control, healthy snacking, the importance of physical activity and healthy eating, dietary practices, and nutrition-related self-efficacy.

Control group

The students in the control group did not receive any nutrition intervention except for the usual school curriculum-based nutrition education program. Participants in the intervention and control groups were recruited from different sections of the same schools.

Group Type NO_INTERVENTION

No interventions assigned to this group

parents

1. 30-minute in person sessions and 10-minute question-and-answer sections were held at the end of each lesson to support knowledge acquisition.
2. Lectures were conducted daily for five days in the first month of the study.

Group Type OTHER

Educational sessions

Intervention Type OTHER

The topics that covered included a healthy eating lifestyle, energy balance, food portion control, healthy snacking, the importance of physical activity and healthy eating, dietary practices, and nutrition-related self-efficacy.

Interventions

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Anthropometric measurements

Anthropometric measurements of the students, including weight, height, muscle mass, fat quantity, and waist circumference, were measured. The WHO BMI charts were utilized for classification. Stratified Random selection

Intervention Type OTHER

Questionnaire

The collection of data was performed using the "Atlas questionnaire" (Al-Hazzaa et al., 2011) and "nutrition knowledge and healthy lifestyle behavior" questionnaire (Kalender et al., 2011) with additional questions related to self-efficacy and dietary practices adapted from the literature (Becher, 2009; Voss et al., 2017; Kowalski et al., 2004). Stratified Random selection

Intervention Type OTHER

Educational sessions

The topics that covered included a healthy eating lifestyle, energy balance, food portion control, healthy snacking, the importance of physical activity and healthy eating, dietary practices, and nutrition-related self-efficacy.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* WHO BMI-for-age growth charts, Students with BMI from the 85th to the 95th percentile were categorized as "overweight," and those who were above the 95th percentile were categorized as "obese"
* Attending Government school.
* Within Grades 6-9.
* Live in Dubai or Sharjah
* Female and male students

Exclusion Criteria

* Students with BMI below the 85th percentile for the WHO BMI-for-age growth charts.
* Not attending a government school
* Living in another emirate (not Dubai or Sharjah)

Minimum Eligible Age

9 Years

Maximum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes