Effect of Smart Phone Health Education on Overweight and Obese Schoolchildren's Dietary Habits and Body Composition
- Conditions
- Childhood Obesity
- Interventions
- Other: Smart Phone Education (mhealth)Other: Paper Education (conventional)
- Registration Number
- NCT06247202
- Lead Sponsor
- Universiti Sains Malaysia
- Brief Summary
The aim of this study is to investigate the effect of mobile health nutrition education intervention in the changing of dietary habits and body composition of overweight and obese 8-12 years old children in Sharjah, United Arab Emirates and to compare its effectiveness to paper educational intervention among the same age group.
The main questions it aims to answer are:
1. Are there any significant changes in dietary habits, physical activity and body composition among overweight and obese school-age children after three months of mobile health intervention?
2. Is there any significant difference between the effect of smart phone delivered and paper delivered interventions (changes in dietary habits, physical activity and body composition) among overweight and obese school-age children after three months of interventions?
3. Are there any significant changes in the obesity inflammatory panel among overweight and obese school-age children after three months of mobile health intervention?
4. Is there any significant difference in the sustainability of the outcomes between mobile health and paper delivered interventions among overweight and obese school-age children two months after the end of the intervention?
5. Are there any significant changes in nutrition related knowledge among parents of overweight and obese school-age children after three months of intervention?
Participants (children with their parents) will be randomly divided into intervention group and control group. Parents of children from the intervention group will receive two text messages/graphics per week about healthy eating and physical activity (PA) on their mobile phones during the intervention period (3 months). While parents in the control group will receive a one-time printed handout containing the same messages at the beginning of the intervention period.
Assessment of children's anthropometry, dietary intake and physical activity will be evaluated pre and post intervention and one more time after a two months period of maintenance after the end of the intervention. Parents' nutrition knowledge will be evaluated pre and post intervention only. Also, children salivary obesity markers will be measured at baseline and at the end of the intervention period to explore the effects of the intervention on inflammatory markers associated with obesity.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 146
- Overweight/obese children (over 2 SD based on the WHO Growth Reference (2007)).
- Between 8 - 12 years old.
- Attending school in Sharjah, UAE.
- Children on a specific diet.
- Children who have any chronic diseases.
Parents qualify if their children meet the inclusion criteria, they can read and speak in Arabic, they plan to stay in Sharjah for six months from the beginning of the intervention, and they own and use a smart phone.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention group Smart Phone Education (mhealth) Participants in the intervention group will receive smart phone delivered health education in the form of text messages through WhatsApp. Control group Paper Education (conventional) Participants in the control group will receive paper delivered health education in the form of a one time handout.
- Primary Outcome Measures
Name Time Method Weight 3 times: before intervention (at 0 months), after intervention (at 3 months), after maintenance (at 5 months) Will be measured using a Body Composition Analyzer, and will be measured in Kilograms
Body Mass Index 3 times: before intervention (at 0 months), after intervention (at 3 months), after maintenance (at 5 months) Will be calculated using the weight and height, and will be measured in kg/m\^2
Children's Physical Activity 3 times: before intervention (at 0 months), after intervention (at 3 months), after maintenance (at 5 months) Using a valid Physical Activity Questionnaire - no scale
Salivary C-Reactive Protein Concentration twice: before intervention (at 0 months) and after intervention (at 3 months). Concentration in saliva samples will be assessed using Luminex Performance Human Obesity Panel (10-Plex)
Salivary Monocyte Chemoattractant Protein-1 (MCP-1/CCL2) Concentration twice: before intervention (at 0 months) and after intervention (at 3 months). Concentration in saliva samples will be assessed using Luminex Performance Human Obesity Panel (10-Plex)
Salivary Complement Factor D (Adipsin) Concentration twice: before intervention (at 0 months) and after intervention (at 3 months). Concentration in saliva samples will be assessed using Luminex Performance Human Obesity Panel (10-Plex)
Salivary Leptin (OB) Concentration twice: before intervention (at 0 months) and after intervention (at 3 months). Concentration in saliva samples will be assessed using Luminex Performance Human Obesity Panel (10-Plex)
Body Fat Mass 3 times: before intervention (at 0 months), after intervention (at 3 months), after maintenance (at 5 months) Will be measured using a Body Composition Analyzer, and will be measured in Kilograms
Fat Free Mass 3 times: before intervention (at 0 months), after intervention (at 3 months), after maintenance (at 5 months) Will be measured using a Body Composition Analyzer, and will be measured in Kilograms
Parents' Knowledge twice: before intervention (at 0 months) and after intervention (at 3 months). Using a valid Nutrition Knowledge Attitude Practice Questionnaire - no scale
Salivary Tumour Necrosis Factor alpha (TNF alpha) Concentration twice: before intervention (at 0 months) and after intervention (at 3 months). Concentration in saliva samples will be assessed using Luminex Performance Human Obesity Panel (10-Plex)
Height 3 times: before intervention (at 0 months), after intervention (at 3 months), after maintenance (at 5 months) Will be measured using a standing Stadiometer, and will be measured in Centimetres
Total Body Water 3 times: before intervention (at 0 months), after intervention (at 3 months), after maintenance (at 5 months) Will be measured using a Body Composition Analyzer, and will be measured in Kilograms
Salivary Adiponectin (Acrp30) Concentration twice: before intervention (at 0 months) and after intervention (at 3 months). Concentration in saliva samples will be assessed using Luminex Performance Human Obesity Panel (10-Plex)
Salivary Interleukin 6 (IL-6) Concentration twice: before intervention (at 0 months) and after intervention (at 3 months). Concentration in saliva samples will be assessed using Luminex Performance Human Obesity Panel (10-Plex)
Children's Dietary Intake 3 times: before intervention (at 0 months), after intervention (at 3 months), after maintenance (at 5 months) Using 24 Hours' Diet recall (3 days).
Salivary Resistin Concentration twice: before intervention (at 0 months) and after intervention (at 3 months). Concentration in saliva samples will be assessed using Luminex Performance Human Obesity Panel (10-Plex)
Salivary Interleukin 10 (IL-10) Concentration twice: before intervention (at 0 months) and after intervention (at 3 months). Concentration in saliva samples will be assessed using Luminex Performance Human Obesity Panel (10-Plex)
Salivary Plasminogen Activator Inhibitor-1 (Serpin E1 / PAI-1) Concentration twice: before intervention (at 0 months) and after intervention (at 3 months). Concentration in saliva samples will be assessed using Luminex Performance Human Obesity Panel (10-Plex)
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
University of Sharjah
🇦🇪Sharjah, United Arab Emirates