NCT06409962

Brief Summary

Childhood obesity is a global public health issue, with rising prevalence rates. In Spain, the problem is significant, particularly in the southern regions. Factors contributing to childhood obesity include dietary habits, lack of physical activity, and socioeconomic influences. Efforts to address childhood obesity in Spain include various programs focusing on dietary modification, increased physical activity, and family involvement. Despite these initiatives, there is a need for continued intervention, as changing dietary and lifestyle patterns have led to reduced fruit and vegetable consumption and increased sedentary behavior among children. Childhood obesity has concerning health implications, including heart-related issues. Echocardiography plays a vital role in early detection. Given the limited research on the impact of childhood obesity on musculoskeletal development and mobility, a comprehensive study is needed to analyze its prevalence and associated factors. The study aims to assess the effectiveness of nutritional interventions administered by school nurses. In summary, childhood obesity in Spain is a growing concern, with multifaceted causes and health implications. Ongoing efforts are required to combat this issue and promote healthier lifestyles among children.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
215

participants targeted

Target at P75+ for not_applicable

Timeline
8mo left

Started May 2024

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress75%
May 2024Dec 2026

First Submitted

Initial submission to the registry

April 17, 2024

Completed
23 days until next milestone

First Posted

Study publicly available on registry

May 10, 2024

Completed
20 days until next milestone

Study Start

First participant enrolled

May 30, 2024

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 12, 2026

Expected
19 days until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2026

Last Updated

June 11, 2024

Status Verified

June 1, 2024

Enrollment Period

2.5 years

First QC Date

April 17, 2024

Last Update Submit

June 10, 2024

Conditions

Keywords

pediatricbody mass indexinterventionanthopometricblood pressure

Outcome Measures

Primary Outcomes (12)

  • Weight (kg)

    Weight, as a pivotal anthropometric measure, will be quantified using a validated weight machine, alongside a body composition monitor such as the BF511. The validated weight machine adheres to established calibration standards, ensuring precision and consistency in measurements. It employs advanced technology to accurately assess an individual's weight in kilograms (kg), providing reliable data for scientific analyses.

    From 12 weeks (1st measurement) up 15th months (6th measurement)

  • Height (m2)

    Height will be registered in meters squared (m\^2) for its precise evaluation. Employing a validated tachymeter, a specialized instrument designed for accurate measurements, ensures meticulous assessment of height.

    From 12 weeks (1st measurement) up 15th months (6th measurement)

  • Percentage Lean Mass (LM) (%)

    The lean fat, calculated in percentage, will be obtained using a validated weight machine, alongside a body composition monitor such as the BF511.

    From 12 weeks (1st measurement) up 15th months (6th measurement)

  • Percentage Fat Mass (FM) (%)

    The lean fat, calculated in percentage, will be obtained using a validated weight machine, alongside a body composition monitor such as the BF511.

    1st month, 3 month, 6 month, 9 month, 12th and 15th month

  • Body Mass Index (kg/m2)

    The Body Mass Index will be calculated using the percentiles according to age group and sex.

    From 12 weeks (1st measurement) up 15th months (6th measurement)

  • Waist circumference (cm)

    The waist circumference (cm) of the children will be measured via an inextensible measuring tape at the initial visit (1st month or V0) and at the last visit (15th month or V6).The measurement follows the recommendations of the International Standards for Anthropometric Assessment

    From 12 weeks (1st measurement) up 15th months (6th measurement)

  • Hip circumference(cm)

    The Hip circumference(cm) of the children will be measured via an inextensible measuring tape at the initial visit (1st month or V0) and at the last visit (15th month or V6).The measurement follows the recommendations of the International Standards for Anthropometric Assessment

    From 12 weeks (1st measurement) up 15th months (6th measurement)

  • Arm circumference (cm)

    The arm circumference (cm) of the children will be measured via an inextensible measuring tape at the initial visit (1st month or V0) and at the last visit (15th month or V6).The measurement follows the recommendations of the International Standards for Anthropometric Assessment

    From 12 weeks (1st measurement) up 15th months (6th measurement)

  • Calf circumference (cm)

    The arm circumference (cm) of the children will be measured via an inextensible measuring tape at the initial visit (1st month or V0) and at the last visit (15th month or V6).The measurement follows the recommendations of the International Standards for Anthropometric Assessment

    From 12 weeks (1st measurement) up 15th months (6th measurement)

  • Validated nutritional assessment questionnaire: adherence to the Mediterranean diet (KIDMED)

    he KIDMED will be used to determine adherence to the change in diet from the initial visit (V0) and the final visit (V6). This questionnaire is formed by 16 questions related to adherence to the Mediterranean diet, in addition to 7 items complementary to the test. All questions were answered positively or negatively. Of the 16 main questions, questions number 6, 11, 14, and 16, in their affirmative answers had a negative meaning, so they were worth (-1), on the other hand, the remaining questions whose affirmative answers represented a positive value concerning the Mediterranean diet were scored with (+1). Negative responses do not score (0). According to the test, the results are grouped into different levels of adherence to the Mediterranean diet, low (score 0 to 3), medium (score 4-7), and high (8 to 12).

    From 12 weeks (1st measurement) up 15th months (6th measurement)

  • Food Consumption Frequency

    Food Frequency Questionnaire (FFQ) will be used to determine the consumption of food and the change in diet from the initial visit (V0) and the final visit (V6). Energy and nutrient intakes were calculated using Spanish food composition tables Food consumption frequency refers to the rate at which individuals consume different types of food within a specific time frame, typically measured over a day, week, or month. This variable captures the frequency with which individuals consume various food groups, such as fruits, vegetables, grains, proteins, and processed foods. It provides insight into dietary patterns and habits, indicating how often individuals incorporate different foods into their regular eating routines.

    From 12 weeks (1st measurement) up 15th months (6th measurement)

  • Blood pressure

    The systolic and diastolic blood pressure will be taken using an Omron-validated tensiometer with two measurements between 15 minutes each measurement from the 1st visit (v0) to the last (v6).

    From 12 weeks (1st measurement) up 15th months (6th measurement)

Secondary Outcomes (1)

  • 3D avatar system for anthropometric measures

    From 12 weeks (1st measurement) up 15th months (6th measurement)

Study Arms (2)

Technological intervention

EXPERIMENTAL

The experimental arm integrates technology-based interventions-podcasts, gamification, and virtual reality-to promote nutritional education and healthy behaviors. Tailored podcasts cover topics like healthy eating habits and balanced nutrition, while gamification enhances motivation. Virtual reality offers immersive environments for exploring healthy choices. Both experimental and control groups enable a comprehensive evaluation, collecting data through measurements, biometrics, and activity records.

Other: Technological combination

No-technological intervention: traditional brochure

NO INTERVENTION

The control arm will focus on a non-technological intervention, specifically utilizing traditional brochures. Participants in this arm will receive printed materials containing information on basic nutritional guidelines, healthy eating habits, and the importance of balanced nutrition. The brochure-based intervention aims to provide essential information in a straightforward format, emphasizing key messages related to healthy eating practices. Participants will have access to pamphlets outlining dietary recommendations, portion control, and tips for making nutritious food choices.

Interventions

The intervention comprises workshops, individualized counseling, cooking classes, and physical activity promotion. It emphasizes nutritional education, hands-on cooking, and behavioral modification techniques. Participants receive personalized guidance and resources to make sustainable dietary and lifestyle changes. Social support networks foster motivation and accountability. By combining these components, the intervention aims to empower participants with the knowledge, skills, and support needed for long-term health improvements.

Also known as: Impact of technology on healthy lifestyle
Technological intervention

Eligibility Criteria

Age6 Years - 16 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Students from the school
  • Pediatric from age 6 to 16
  • Students from the school that confirmed approval
  • Signed informed consent by the minor
  • Signed informed consent by the minor's parents or guardians.

You may not qualify if:

  • Presence of HbA1c levels below 5.7%
  • Presence of HbA1c levels above 6.4%
  • Presence of pathological metabolic diseases, such as diabetes or metabolic syndrome
  • Presence of other diseases related to intestinal integrity or skin issues.
  • Lack of the signed informed consent by the minor and legal guardian

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Colegio Virgen del Carmen

Córdoba, 14011, Spain

RECRUITING

Related Publications (1)

  • Blancas-Sanchez IM, Del Rosal Jurado M, Aparicio-Martinez P, Quintana Navarro G, Vaquero-Abellan M, Castro Jimenez RA, Fonseca Pozo FJ. A Mediterranean-Diet-Based Nutritional Intervention for Children with Prediabetes in a Rural Town: A Pilot Randomized Controlled Trial. Nutrients. 2022 Sep 1;14(17):3614. doi: 10.3390/nu14173614.

MeSH Terms

Conditions

Body WeightDyslipidemiasMusculoskeletal Diseases

Condition Hierarchy (Ancestors)

Signs and SymptomsPathological Conditions, Signs and SymptomsLipid Metabolism DisordersMetabolic DiseasesNutritional and Metabolic Diseases

Study Officials

  • Manuel Vaquero Abellan, MD, Msc, PhD

    Universidad de Córdoba

    STUDY DIRECTOR
  • Manuel Vaquero Alvárez, MD, Msc, PhD

    Maimónides Biomedical Research Institute of Córdoba

    PRINCIPAL INVESTIGATOR
  • Isabel Blancas Sanchez, MD, Msc, PhD

    Primary Care, Jaen

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Masking Details
The randomisation will be conducted based on an artificial model, utilising a coding system that assigns numerical identifiers to names, postal codes, and grade levels. This approach ensures a systematic and unbiased selection process, allowing for a fair representation of participants across various demographic factors. The sampling has been estimaited by Epidat program. The experimental group, receiving nutritional intervention, will consist of approximately 50% of the total sample, equivalent to 215 participants. Meanwhile, the control group, not receiving the intervention, will comprise the remaining 50% of the sample, also around 215 participants. This distribution will enable an effective comparison of results between the two groups and assess the effectiveness of the nutritional intervention.
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: Our proposed intervention, which integrates nutritional intervention with the use of innovative technologies, holds significant potential for yielding tangible outcomes in the prevention and management of this condition within the region. By doing so, it mitigates the risk of overweight and obesity-related pathologies in adulthood. The inclusion of both experimental and control groups in the sample distribution will facilitate an effective evaluation of the nutritional intervention, offering concrete data on the efficacy of the implemented strategies. Furthermore, the comprehensive assessment encompassing anthropometric measurements, biometric data, and physical activity records will provide a detailed understanding of the intervention's effects on the school population.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

April 17, 2024

First Posted

May 10, 2024

Study Start

May 30, 2024

Primary Completion (Estimated)

December 12, 2026

Study Completion (Estimated)

December 31, 2026

Last Updated

June 11, 2024

Record last verified: 2024-06

Data Sharing

IPD Sharing
Will not share

The data of the participants will be made available to other researchers under consideration and analysis of the research committee.

Locations