My Body is Fit and Fabulous: an Intervention Program to Combat Obesity Among Malaysian School Children
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Overweight, Childhood
- Sponsor
- University of Malaya
- Enrollment
- 2438
- Primary Endpoint
- BMI z-score
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
"My Body is Fit and Fabulous" (MyBFF@school) program was designed specifically for overweight and obese school children in order to help them control their BMI and body fat. MyBFF@school is a multi-faceted obesity intervention program that incorporated physical activity, nutrition and psychology modules.
Detailed Description
"My Body is Fit and Fabulous" (MyBFF@school) is a school-based, cluster randomised controlled trial (C-RCT) study that primarily aimed to evaluate the effectiveness of MyBFF@school program on overweight and obese school childrens' BMI for age (BMI z-score) and body fat percentage at 3 and 6 months post intervention. Primary and secondary schools in the central region of Peninsular Malaysia were randomised to either intervention or control school via systematic random sampling method. The selected intervention schools underwent MyBFF@school programme that consisted of physical activity, nutrition and psychology modules, whereas the control schools followed the standard national school curriculum.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Give consent
- •Overweight and obese students with BMI for age (BMI z-score) more than +1SD based on WHO 2007 Growth Reference
- •Age between 9-16 years old
Exclusion Criteria
- •BMI for age below and equal +1SD
- •Physical or mental disability
- •Medical conditions that prevent him/her to participate in moderate-to-vigorous physical activity
- •Co-morbidities that may interfere with the study such as:
- •diagnosed type 2 diabetes mellitus
- •hypertension
- •nephritic syndrome
- •congenital heart disease
- •skeletal anomalies
- •On steroids
Outcomes
Primary Outcomes
BMI z-score
Time Frame: Change from Baseline BMI z-score at 3 months and change from Baseline BMI z-score at 6 months
To see changes in BMI z-score. Also called as BMI standard deviation scores, which measures relative weight adjusted for child age and sex. Weight in kilograms and height in meters will be combined to report BMI in kg/m\^2. By using the value of BMI obtained, BMI z-score was calculated using World Health Organization (WHO) AnthroPlus 2007 software, with indication of overweight \>+1.0 SD, obese \>+2.0 SD and morbidly obese \>+3.0 SD.
Percentage of Body Fat (%)
Time Frame: Change from Baseline Body Fat Percentage at 3 months and change from Baseline Body Fat Percentage at 6 months
To see changes in percentage of body fat. It is the percentage of body weight that is made up of fat. It consists of both storage body fat and essential body fat. It was measured in light clothing without shoes and socks to the nearest 0.1 kg using a pre-calibrated body impedance analyser (InBody 770, Korea)
Waist Circumference (cm)
Time Frame: Change from Baseline Waist Circumference at 3 months and change from Baseline Waist Circumference at 6 months
To see changes in Waist Circumference. Waist Circumference was measured twice to the nearest 0.1 cm over the skin midway between the tenth rib and the iliac crest at the end of normal expiration, using a non-extensible tape.
Skeletal Muscle Mass (kg)
Time Frame: Change from Baseline Skeletal Muscle Mass at 3 months and change from Baseline Skeletal Muscle Mass at 6 months
To see changes in Skeletal Muscle Mass. Skeletal Muscle Mass is the weight of muscles that connected to the bones in the body that were measured in light clothing without shoes and socks to the nearest 0.1 kg using a pre-calibrated body impedance analyser (InBody 770, Korea)
Secondary Outcomes
- HDL-C Level(Change from Baseline HDL-C Level at 6 months.)
- Fasting Insulin Level(Change from Baseline Fasting Insulin Level at 6 months.)
- Nutrition Knowledge(Change in Nutrition Knowledge from Baseline to 6 months assessment)
- Nutrition Attitude(Change in Nutrition Attitude from Baseline to 6 months assessment)
- LDL-C Level(Change from Baseline LDL-C Level at 6 months.)
- HbA1c Level(Change from Baseline HbA1c Level at 6 months.)
- Fasting Plasma Glucose(Change from Baseline Fasting Plasma Glucose at 6 months.)
- Physical Fitness Score(Change from Baseline Physical Fitness Score at 3 months and change from Baseline Physical Fitness Score at 6 months)
- Stages of Change for Fruit and Vegetable Intake (Secondary School)(Change from Baseline Stages of Change of Fruit and Vegetable Intake at 6 months)
- Emotional and Psychological Well-Being (Secondary School)(Change from Baseline Emotional and Psychological Well-Being at 6 months)
- Total Cholesterol(Change from Baseline Total Cholesterol at 6 months.)
- Triglycerides Level(Change from Baseline Triglycerides Level at 6 months.)
- HOMA-IR(Change from Baseline HOMA-IR at 6 months.)
- TG:HDL-C Ratio(Change from Baseline TG:HDL-C Ratio at 6 months.)
- Health-Related Quality of Life (Primary School)(Change in behaviour of fruit and vegetable intake from Baseline to 6 months assessment)
- Eating Attitude (Primary School)(Change from Baseline Eating Attitude at 6 months)
- Eating Attitude (Secondary School)(Change from Baseline Eating Attitude at 6 months)
- Nutrition Practice(Change in Nutrition Practice from Baseline to 6 months assessment)
- Stages of Change for Weight Management (Secondary School)(Change in behaviour of weight management from Baseline to 6 months assessment)
- Well-Being (Primary School)(Change from Baseline Well-Being at 6 months)
- Healthy Eating Behavior (Secondary School)(Change from Baseline Healthy Eating Behavior at 6 months)