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The GReat-Child™ Trial: A Quasi-Experimental Intervention on Whole Grains with Healthy Balanced Diet to Manage Childhood Obesity in Kuala Lumpur, Malaysia.
- Source :
-
Nutrients [Nutrients] 2018 Jan 30; Vol. 10 (2). Date of Electronic Publication: 2018 Jan 30. - Publication Year :
- 2018
-
Abstract
- Background: The GReat-Child Trial was a quasi-experimental intervention that has emphasized whole grain as a strategy to manage childhood obesity. Methods: Two schools in Kuala Lumpur with similar demographic characteristics were assigned as intervention (IG) and control (CG). Eligibility criteria were overweight/obese children aged 9 to 11 years who had no serious co-morbidity. Children who reported consuming wholegrain foods in their 3-day diet-recall during screening were excluded. A total of 63 children (31 IG; 32 CG) completed the entire intervention program. The IG children underwent six 30-min nutrition education lessons and had school delivery of wholegrain food on a daily basis over a 12-week period. Parents of IG children attended 1-h individual diet counseling. Anthropometric outcomes including BMI-for-age z-score (BAZ), body fat percentage and waist circumference were measured at baseline [T0], post-intervention [T1] (3rd month) and follow-up [T2] (9th month). Results: IG showed significantly lower BAZ (weighted difference: -0.12; 95% CI: -0.21, -0.03; p = 0.009), body fat percentage (weighted difference: -2.6%; 95% CI: -3.7, -1.5; p < 0.001) and waist circumference (weighted difference: -2.4 cm; 95% CI: -3.8, -1.0; p = 0.001) compared to CG. IG reported significantly lower body fat percentage (weighted difference: -3.4%; 95% CI: 1.8, 5.0; p < 0.001) and waist circumference (weighted difference: -2.1 cm; 95% CI: -3.7, -0.5; p = 0.014) at T1 compared to T0. Conclusions: The GReat-Child Trial made a positive impact in managing childhood obesity. It can be incorporated into childhood obesity intervention programs that are being implemented by the policy makers.<br />Competing Interests: All authors declare that they have no conflict of interest.
- Subjects :
- Adiposity
Body Mass Index
Child
Child Nutrition Sciences education
Combined Modality Therapy
Developing Countries
Exercise
Feasibility Studies
Follow-Up Studies
Humans
Malaysia
Overweight diet therapy
Overweight ethnology
Overweight prevention & control
Overweight therapy
Parents education
Patient Education as Topic
Pediatric Obesity ethnology
Pediatric Obesity prevention & control
Pediatric Obesity therapy
Schools
Waist Circumference
Child Nutritional Physiological Phenomena ethnology
Cognitive Behavioral Therapy
Diet, Healthy ethnology
Food Services
Health Transition
Pediatric Obesity diet therapy
Whole Grains
Subjects
Details
- Language :
- English
- ISSN :
- 2072-6643
- Volume :
- 10
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Nutrients
- Publication Type :
- Academic Journal
- Accession number :
- 29385769
- Full Text :
- https://doi.org/10.3390/nu10020156