TY - JOUR
T1 - A school-based comprehensive lifestyle intervention among chinese kids against obesity (CLICK-Obesity)
T2 - Rationale, design and methodology of a randomized controlled trial in Nanjing city, China
AU - Xu, Fei
AU - Ware, Robert S.
AU - Tse, Lap Ah
AU - Wang, Zhiyong
AU - Hong, Xin
AU - Song, Aiju
AU - Li, Jiequan
AU - Wang, Youfa
N1 - Funding Information:
The study was supported by Nanjing Municipal Science and Technique Foundation (200901088) and Medical Science and Technique Development Foundation (2009-ZKX09034) and the Nanjing CDC. FX was also supported by The Jiangsu Provincial Government Scholarship for Overseas Studies (JS-2010-109). YW’s related effort is supported by research grants from The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK, R01 DK63383) and The Nestle Foundation and a Research and Training Center grant (U54HD070725) from the Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD), which is co-funded by the NICHD and the Behavioral and Social Sciences Research (OBSSR). The content is solely the responsibility of the authors and does not necessarily represent the official views of the funders. Our special thanks go to the following people for their support: Zhou Jiandong (Nanhu No.3 Primary School), Li Lixin (Nanhu No.1 Primary School), Wang Kerong (Mochouhu Primary School), Du Wenyan (Aoti Primary School), Zhou Jie (Jiangdongmen Primary School), Gai Jingsong (Nanhu No. 2 Primary School), Jiang Haihong (Xiaozhuang No.1 Experimental Primary School), Lou Wei (Zhiyuan Foreign Language Primary School), all the students and their parents/guardians.
PY - 2012
Y1 - 2012
N2 - Background: The prevalence of childhood obesity among adolescents has been rapidly rising in Mainland China in recent decades, especially in urban and rich areas. There is an urgent need to develop effective interventions to prevent childhood obesity. Limited data regarding adolescent overweight prevention in China are available. Thus, we developed a school-based intervention with the aim of reducing excess body weight in children. This report described the study design. Methods/design: We designed a cluster randomized controlled trial in 8 randomly selected urban primary schools between May 2010 and December 2013. Each school was randomly assigned to either the intervention or control group (four schools in each group). Participants were the 4th graders in each participating school. The multi-component program was implemented within the intervention group, while students in the control group followed their usual health and physical education curriculum with no additional intervention program. The intervention consisted of four components: a) classroom curriculum, (including physical education and healthy diet education), b) school environment support, c) family involvement, and d) fun programs/events. The primary study outcome was body composition, and secondary outcomes were behaviour and behavioural determinants. Discussion: The intervention was designed with due consideration of Chinese cultural and familial tradition, social convention, and current primary education and exam system in Mainland China. We did our best to gain good support from educational authorities, school administrators, teachers and parents, and to integrate intervention components into schools' regular academic programs. The results of and lesson learned from this study will help guide future school-based childhood obesity prevention programs in Mainland China.
AB - Background: The prevalence of childhood obesity among adolescents has been rapidly rising in Mainland China in recent decades, especially in urban and rich areas. There is an urgent need to develop effective interventions to prevent childhood obesity. Limited data regarding adolescent overweight prevention in China are available. Thus, we developed a school-based intervention with the aim of reducing excess body weight in children. This report described the study design. Methods/design: We designed a cluster randomized controlled trial in 8 randomly selected urban primary schools between May 2010 and December 2013. Each school was randomly assigned to either the intervention or control group (four schools in each group). Participants were the 4th graders in each participating school. The multi-component program was implemented within the intervention group, while students in the control group followed their usual health and physical education curriculum with no additional intervention program. The intervention consisted of four components: a) classroom curriculum, (including physical education and healthy diet education), b) school environment support, c) family involvement, and d) fun programs/events. The primary study outcome was body composition, and secondary outcomes were behaviour and behavioural determinants. Discussion: The intervention was designed with due consideration of Chinese cultural and familial tradition, social convention, and current primary education and exam system in Mainland China. We did our best to gain good support from educational authorities, school administrators, teachers and parents, and to integrate intervention components into schools' regular academic programs. The results of and lesson learned from this study will help guide future school-based childhood obesity prevention programs in Mainland China.
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U2 - 10.1186/1471-2458-12-316
DO - 10.1186/1471-2458-12-316
M3 - Article
C2 - 22545755
AN - SCOPUS:84862557770
SN - 1471-2458
VL - 12
JO - BMC public health
JF - BMC public health
IS - 1
M1 - 316
ER -