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

NCT06671964 | Completed

• 1 other identifier: ERSC_2022_744
• Study Type: interventional
• Target: 403
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Overweight Children; Obese Children and Adolescents

Keywords

Overnutrition; Nutrition Disorders; Body Weight; Overweight; SchoolChildren; peer pressure

Outcome Measures

Primary Outcomes (2)

• Nutrition Knowledge and Self-Efficacy

  \- Change in students' knowledge and self-efficacy scores from baseline values in overweight and obese UAE students aged 9-13 using a validated questionnaire(Arab Teens Lifestyle Questionnaire). The statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS) software, and the IBM, USA computer software (version 29). Likert scales, were expressed as weighted mean ± SD. An independent t-test (parametric test) was used to analyze the effect of 2-level qualitative variables on quantitative variables, and one way ANOVA (parametric test) was used to analyze the effect of \>2-level qualitative variables on quantitative variables in each questionnaire section

  6 months

• Nutrition Knowledge and Self-Efficacy

  \- Change in the percentage of children consuming at least five servings of fruits and vegetables and using a validated questionnaire(Arab Teens Lifestyle Questionnaire). The statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS) software, and the IBM, USA computer software (version 29). Likert scales, were expressed as weighted mean ± SD. An independent t-test (parametric test) was used to analyze the effect of 2-level qualitative variables on quantitative variables, and one way ANOVA (parametric test) was used to analyze the effect of \>2-level qualitative variables on quantitative variables in each questionnaire section

  6 months

Secondary Outcomes (4)

• Anthropometric Data

  6 months

• Anthropometric Data

  6 months

• Anthropometric Data

  6 months

• Anthropometric Data

  6 months

Study Arms (4)

students one-one

OTHER

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

Other: Anthropometric measurements; Other: Questionnaire; Other: Educational sessions

Peers

OTHER

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,

Other: Educational sessions

Control group

NO INTERVENTION

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.

parents

OTHER

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.

Other: Educational sessions

Interventions

Anthropometric measurements 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

students one-one

Questionnaire 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

students one-one

Educational sessions 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; parents; students one-one

Eligibility Criteria

• Age: 9 Years - 13 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• 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

You may not qualify if:

• 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)

Sponsors & Collaborators

• United Arab Emirates University: lead

Study Sites (1)

United Arab Emarites University

Al Ain City, Ain, United Arab Emirates

Location

Related Publications (1)

• Hwalla N, Chehade L, O'Neill LM, Kharroubi S, Kassis A, Cheikh Ismail L, Al Dhaheri AS, Ali HI, Ibrahim S, Chokor FAZ, Mohamad MN, Ayesh W, Nasreddine L, Naja F. Total Usual Nutrient Intakes and Nutritional Status of United Arab Emirates Children (4 Years-12.9 Years): Findings from the Kids Nutrition and Health Survey (KNHS) 2021. Nutrients. 2023 Jan 2;15(1):234. doi: 10.3390/nu15010234.

  PMID: 36615891 BACKGROUND

MeSH Terms

Conditions

Overnutrition; Nutrition Disorders; Body Weight; Overweight

Interventions

Surveys and Questionnaires

Condition Hierarchy (Ancestors)

Nutritional and Metabolic Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Habiba Ali

  UAEU

  STUDY DIRECTOR

• ESE Research Office

  Emarites School Establishment

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: 1. Educational sessions 2. Anthropometric measurements 3. Questionnaire

Study Record Dates

• First Submitted: August 29, 2024
• First Posted: November 4, 2024
• Study Start: August 27, 2021
• Primary Completion: March 19, 2022
• Study Completion: February 28, 2023
• Last Updated: November 4, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

AE (1)