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Effect of a Physical Activity and Nutrition Education Intervention on Obesity Prevalence in Schoolchildren

Not Applicable
Completed
Conditions
Childhood Obesity
Interventions
Behavioral: Nutrition education and Physical activity intervention
Registration Number
NCT04905966
Lead Sponsor
Patricia Celestina Ríos Mujica
Brief Summary

Childhood obesity is a major global public health problem. Several strategies have been implemented to reduce the high prevalence, the most cost-effective of which were those that focused on the school environment. Although there is vast research that focus on interventions that address obesity through interventions to improve schoolchildren diets and physical activity level in many countries of the Latin American region, there is lack of evidence of the effectiveness of multicomponent interventions that aim to reduce the prevalence of obesity among schoolchildren in the Paraguayan context.

Detailed Description

Nutritional education and physical activity. Interventions that promote healthy eating and lifelong physical activity in schoolchildren through school programs aim to equip children with knowledge, attitudes and behavioral skills to help them establish and maintain a healthy lifestyle.

Poor diet quality has been identified as one of the main factors contributing to the obesity epidemic. Research has shown that a diet that includes the recommended servings of fruits and vegetables (VF) reduces morbidity and mortality from non-communicable diseases (NCDs) and has also been linked to a lower risk of adiposity. Therefore, the need to promote the consumption of VF from an early age through effective programs.

The interventions in Physical Activity have shown effective results in the decrease of BMI, the thickness of the skin folds and the percentage of fat mass in school-age children. Taking into account that currently the schoolchildren have decreased the amount of time dedicated to games, sports or other types of movement and the hours of sedentary life and in front of the screens (computers, tablets, television, mobile phones, others) have increased.

It is necessary to promote the performance of physical activity in the school environment through permanent programs that contribute to improving the physical condition of children, complying with daily recommendations.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1568
Inclusion Criteria
  • Being public or private schools of the 22 districts of Caaguazú Department
  • Having a minimum of 100 students in each of the three grades of second level of basic school education during 2017 school year
  • Having physical education teachers
Exclusion Criteria
  • Schools that had only one school shift
  • Schools that expressed their refusal to participate

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Nutrition education + Physical activity interventionNutrition education and Physical activity interventionPhysical Activity and Nutrition Education: An additional 45 minute weekly physical education class and 5 weekly active break sessions of 10 minutes each will be added to the provisions of the children's curriculum. In addition, schools will receive high intensity nutrition education, that is, 3 weekly nutrition education classes of one hour in each session over a period of 6 months.
Primary Outcome Measures
NameTimeMethod
Skinfold thickness6 months

Continuous variable, measured in millimeters (mm)

Secondary Outcome Measures
NameTimeMethod
Nutritional status6 months

Categorical variable, measured using BMI/age an classified as undernourished, normal, overweight and obese according to WHO standards

Physical activity level6 months

Categorical variable, measured using MET in minutes/week and classified as low, medium and high intensity

Waist circumference6 months

Continuous variable, measured in centimeters (cm)

Fruit and vegetables intake6 months

Continuous variable, measured in servings per day

Trial Locations

Locations (1)

Instituto Regional de Investigacion en Salud

🇵🇾

Coronel Oviedo, Caaguazu, Paraguay

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