A National School-based Health Lifestyles Interventions Among Chinese Children and Adolescents Against Obesity
Development and Application of Appropriate Technology for Obesity Prevention and Control in Seven Centers in China
1 other identifier
interventional
70,000
0 countries
N/A
Brief Summary
The study was designed as a national multi-centered cluster randomized controlled trial involving more than 70,000 children and adolescents aged 7-18 years from 7 provinces in China. In each center, about 12-16 primary and secondary schools, with totally at least 10000 participants were randomly selected (Primary: Secondary=1:1). All of the selected schools were randomly allocated to either intervention or control group (Intervention: Control=1:1).The multi-components school-based and family-involved scheme was conducted within the intervention group for 9 month, while students in the control group followed their usual health practice. The intervention consisted of four components: a) Create supportive school and family environment, b) Health lifestyles education and related compulsory physical activities, c) Instruct and promote school physical education, d) Self-monitor obesity related behaviors. Four types of outcomes including anthropometric, behavioral, blood chemical and physical fitness were measured to assess the effectiveness of the intervention program.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2013
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2015
CompletedFirst Submitted
Initial submission to the registry
January 7, 2015
CompletedFirst Posted
Study publicly available on registry
January 22, 2015
CompletedJanuary 26, 2015
January 1, 2015
9 months
January 7, 2015
January 22, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in the prevalence of overweight and obesity
Baseline, Month 9
Secondary Outcomes (4)
Change in obesity related anthropometric measurements (waist circumference, hip circumference, blood pressure and skin fold thickness)
Baseline, Month 9
Change in physical activity and dietary behaviors (Dietary, sedentary or physical activity behaviors and their determents, as measured by validated questionnaires (parent, children and school version)
Baseline, Month 9
Change in serum lipids and fasting glucose (fasting plasma glucose, fasting triglycerides, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol)
Baseline, Month 9
Change in physical fitness (standing-board jump, 50 meters speed run, 50 meters Ă— 8 shuttle run (primary students) and run 800/1000 meters (secondary school students)
Baseline, Month 9
Study Arms (2)
The Health Lifestyles Interventions
EXPERIMENTAL1. Creating a supportive school, family and community environment; 2. Health lifestyles educational strategies; 3. Instruct and promote school physical education; 4. The monitoring and instruction of obesity related behaviors (focus group)
Receive no intervention
NO INTERVENTIONUsual practice
Interventions
1. Creating supportive school and family environment, whole intervention periods; 2. Health lifestyles educational strategies, 30min/week for education lessons and six times education activities; 3. Instruct and promote school physical education, whole intervention periods; 4. The monitoring and instruction of obesity related behaviors, once a week for physical activity and dietary behavioral log and once a month for parental monitor
Eligibility Criteria
You may qualify if:
- grade of 1 to 5 in primary schools and grade of 6 to 8 and 10 to 11 in secondary schools.
You may not qualify if:
- Suffering or any history of disabilities, cardiovascular diseases, asthma, metabolic diseases, etc.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sun Yat-sen Universitylead
- Peking Universitycollaborator
- Central South Universitycollaborator
- Tianjin Medical Universitycollaborator
- Shanghai Municipal Center for Disease Control and Preventioncollaborator
- Chongqing Medical Universitycollaborator
- Ningxia Medical Universitycollaborator
Related Publications (6)
Guo P, Zhou Y, Zou Z, Chen Y, Jing J, Ma Y, Song Y, Ling W, Ma J, Zhu Y. Effects of School-Based Lifestyle Interventions on Cardiovascular Health in Chinese Children and Adolescents: A Post Hoc Analysis of a National Multicenter Study. J Am Heart Assoc. 2025 Jan 7;14(1):e037371. doi: 10.1161/JAHA.124.037371. Epub 2024 Dec 20.
PMID: 39704211DERIVEDGuo P, Zhou Y, Zhu Y. Effects of a school-based lifestyle intervention on ideal cardiovascular health in Chinese children and adolescents: a national, multicentre, cluster-randomised controlled trial. Lancet Glob Health. 2023 Mar;11 Suppl 1:S14. doi: 10.1016/S2214-109X(23)00097-9.
PMID: 36866471DERIVEDNeil-Sztramko SE, Caldwell H, Dobbins M. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Database Syst Rev. 2021 Sep 23;9(9):CD007651. doi: 10.1002/14651858.CD007651.pub3.
PMID: 34555181DERIVEDDong Y, Zou Z, Wang H, Dong B, Hu P, Ma Y, Song Y, Ma J. National School-Based Health Lifestyles Intervention in Chinese Children and Adolescents on Obesity and Hypertension. Front Pediatr. 2021 May 28;9:615283. doi: 10.3389/fped.2021.615283. eCollection 2021.
PMID: 34123956DERIVEDDiao H, Wang H, Yang L, Li T. The impacts of multiple obesity-related interventions on quality of life in children and adolescents: a randomized controlled trial. Health Qual Life Outcomes. 2020 Jul 6;18(1):213. doi: 10.1186/s12955-020-01459-0.
PMID: 32631401DERIVEDZou Z, Yang Z, Yang Z, Wang X, Gao D, Dong Y, Ma J, Ma Y. Association of high birth weight with overweight and obesity in Chinese students aged 6-18 years: a national, cross-sectional study in China. BMJ Open. 2019 May 22;9(5):e024532. doi: 10.1136/bmjopen-2018-024532.
PMID: 31122966DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Jun MA, M.D
Peking University
- PRINCIPAL INVESTIGATOR
Jiayou LUO, M.D
Central South University
- PRINCIPAL INVESTIGATOR
Xin ZHANG, M.D
Tianjin Medical University
- PRINCIPAL INVESTIGATOR
Chunyan LUO, M.D
Shanghai Municipal Center for Disease Control and Prevention & Shanghai Institutes of Preventive Medicine
- PRINCIPAL INVESTIGATOR
Hong WANG, M.D
Chongqing Medical University
- PRINCIPAL INVESTIGATOR
Haiping ZHAO, M.D
Ningxia Medical University
- PRINCIPAL INVESTIGATOR
Dehong PAN, M.D
Liaoning Health Supervision Bureau
- PRINCIPAL INVESTIGATOR
Jin JING, M.D
Sun Yat-sen University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
January 7, 2015
First Posted
January 22, 2015
Study Start
September 1, 2013
Primary Completion
June 1, 2014
Study Completion
January 1, 2015
Last Updated
January 26, 2015
Record last verified: 2015-01