Obese Adolescents, Overweight Adolescents, Underweight
Conditions
Keywords
nutrition, multicomponent nutrition intervention, co-creation, adolescent, low resource settings, Poor nutrition
Brief summary
The goal of this clinical trial is to learn if a multicomponent nutrition program developed together with the students, parents, teachers and canteen operators will improve nutrition status of adolescents. It will also learn about the acceptability and feasibility of implementing the program in the school settings. The main questions it aims to answer are: What is the effect of co-created multicomponent intervention promoting healthy food behavior and environment in schools on the proportion of normal weight adolescents? What proportion of the target adolescents and teachers does the intervention reach? What proportion of the schools are willing to implement the intervention? What was the level of fidelity of implementation of all components of the intervention and the barriers and facilitators to implementation? What is the cost for maintenance, and facilitators and barriers of sustainment? School going adolescents studying in grades 7 to 9 from 26 schools in India and 26 schools in Nepal will be enrolled in the trial and their height, weight, dietary behavior, mental well-being and physical activity will be measured at baseline and at 12 months follow up. After the baseline assessment the school community (students, school environment, parents, teachers, canteen operators) will receive the intervention.
Interventions
OTHERMulticomponent school nutrition intervention
The intervention will include innovative components that aims to change school food environment, nutrition education to promote healthy eating and community and parental involvement. This section will be completed after the intervention package is finalized during the co-creation phase.
OTHERUsual nutrition program
Usual nutrition program that is being implemented, no any additional active intervention
Sponsors
Institute for Implementation Science and Health
Public Health Foundation of India
University of Birmingham
Norwegian University of Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
We will utilise a hybrid type II approach to assess effectiveness and implementation using a parallel arm cluster RCT design with 12 months follow up
Eligibility
Sex/Gender
ALL
Age
11 Years to 15 Years
Healthy volunteers
Yes
Inclusion criteria
* Adolescents studying in grade 7 to 9 (aged 11-15 years)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of healthy weight adolescents and body mass index for age | At enrollment and at 12 months follow up | Height and weight of the adolescents will be measured to calculate body mass index using age and sex specific charts and categorize them as Underweight: Less than the 5th percentile, Healthy weight: 5th percentile up to the 85th percentile , Overweight: 85th percentile to less than the 95th percentile, Obesity: 95th percentile or higher |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total intake of fruits and vegetables, dairy products, meat and beans (protein), whole grains, sugar-sweetened beverages, fast food, and salty snacks | At enrollment and at 12 months follow up | A 24 hour dietary recall will be taken (two times during week days and weekends) |
| Total metabolic equivalent per day (MET per day) | At enrollment and at 12 months follow up | Use International Physical activity questionnaire for adolescent to measure specific types, frequency and duration across different domains. |
| Mental wellbeing | At enrollment and at 12 months follow up | Measured using Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) |
Countries
India, Nepal
Contacts
Primary ContactAbhijit Sen, PhD
Outcome results
None listed