Effectiveness of a Randomized School-Based Intervention Involving Families and Teachers to Prevent Excessive Weight Gain among Adolescents in Brazil |
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Authors: | Diana B Cunha Bárbara da S N de Souza Rosangela A Pereira Rosely Sichieri |
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Institution: | 1. Department of Social Medicine, State University of Rio de Janeiro, Rio de Janeiro, Brazil.; 2. Department of Nutrition, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.; Universidad Peruana de Ciencias Aplicadas (UPC), Peru, |
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Abstract: | ObjectiveTo evaluate the effectiveness of a school-based intervention involving the families and teachers that aimed to promote healthy eating habits in adolescents; the ultimate aim of the intervention was to reduce the increase in body mass index (BMI) of the students.DesignPaired cluster randomized school-based trial conducted with a sample of fifth graders.SettingTwenty classes were randomly assigned into either an intervention group or a control group.ParticipantsFrom a total of 574 eligible students, 559 students participated in the study (intervention: 10 classes with 277 participants; control: 10 classes with 282 participants). The mean age of students was 11 years.InterventionStudents attended 9 nutritional education sessions during the 2010 academic year. Parents/guardians and teachers received information on the same subjects.Main Outcome MeasurementChanges in BMI and percentage of body fat.ResultsIntention-to-treat analysis showed that changes in BMI were not significantly different between the 2 groups (β = 0.003; p = 0.75). There was a major reduction in the consumption of sugar-sweetened beverages and cookies in the intervention group; students in this group also consumed more fruits.ConclusionEncouraging the adoption of healthy eating habits promoted important changes in the adolescent diet, but this did not lead to a reduction in BMI gain. Strategies based exclusively on the quality of diet may not reduce weight gain among adolescents.Trial RegistrationClinicaltrials.gov {"type":"clinical-trial","attrs":{"text":"NCT01046474","term_id":"NCT01046474"}}NCT01046474. |
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