Overweight (including obesity) Nutritional, Metabolic, Endocrine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. All children in 1st to 4th grade (aged 6-10 years), i.e. children who will be primary students for the duration of treatment at T0/baseline 2. Children attending an eligible school that must meet the following criteria (at randomization): 2.1. Entity defined as a school by school board (legal institution) 2.2. Maximum one director per school 2.3. May comprise more than one building 2.4. The water distributed within the school is deemed potable 2.5. No major renovations or construction that would likely interfere with the study foreseen prior to June 2022 2.6. No new water fountains with bottle-filling nozzle installed prior to study 2.7. Complete schools, with grades 1 through 6 2.8. Governed by one the three French language School Boards selected by the research team based on geographical proximity to research headquarters, ease of initial communications to present the project, and willingness to participate
Exclusion criteria
Exclusion criteria: Does not meet inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Child's body weight measured by bioelectrical impedance analysis (InBody 770, GE Healthcare) by trained personnel, with participants wearing light clothing and no shoes, in Autumn T1 (prior to deployment of Intervention) and Spring T1, T2 and T3 2. Child's height measured using a digital freestanding stadiometer (InBody BSM 170, GE Healthcare) by trained personnel in Autumn T1 (prior to deployment of Intervention) and Spring T1, T2 and T3 These data will be used to calculate body-mass index (BMI), which in turn will be used to determine the prevalence of overweight and obesity. Overweight status will be determined by calculating BMI from the weight and height measurements according to International Obesity Task Force (IOTF) classification and Centers for Disease Control and Prevention (CDC) systems. BMI is defined as weight (kg) divided by height squared (m2). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Water (total, non-bottled and bottled) and other beverage intake by children aged 6-12 years assessed using a 7-day beverage frequency journal. Intakes for different water and sugar-containing products will be recorded in usual portions (ml, cup) and will be reported in daily intakes (ml/day). Measurement frequency for beverage intakes will take place in Autumn T1 (prior to deployment of the Intervention), Spring T1, Autumn T2, Spring T2, Autumn T3 and Spring T3. 2. Dry lean mass assessed using bioimpedance in Autumn T1 (prior to deployment of Intervention) and Spring T1, T2 and T3 3. Body fat mass assessed using bioimpedance in Autumn T1 (prior to deployment of Intervention) and Spring T1, T2 and T3 4. Total body water assessed using bioimpedance in Autumn T1 (prior to deployment of Intervention) and Spring T1, T2 and T3 5. Waist circumference (to enable calculation of waist:height ratio) assessed using bioimpedance in Autumn T1 (prior to deployment of Intervention) and Spring T1, T2 and T3 6. Direct measurements of the general water intake assessed using water distribution data provided directly by water meters installed at drinking water faucets and all fountains. The cumulative volume measured continuously will provide objective data on the baseline volume of water drawn in schools before the intervention and the volume of drinking water drawn over time during the intervention. 7. Learnings in terms of in terms of awareness, transformative learning, and critical consciousness assessed using the last box of a comic book strip, which will be completed by children after having read several comic strips created by the project. The children will complete their own story line with the objective of relaying their main takeaway(s) on the topic of the normalization of the consumption of non-bottled water. Measurement frequency will occur three times over the course of expos | — |
Countries
Canada