Effectiveness of a school-based intervention to manage overweight and obesity among adolescents in Seremban, Malaysia: a cluster randomized controlled trial
The aim of the study was to evaluate the effectiveness of a school-based intervention programme among overweight and obese adolescents in Seremban, Negeri Sembilan, Malaysia. A cluster randomised controlled trial was conducted to evaluate the effect of the intervention (n = 200) and compared with co...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023
|
| Online Access: | http://psasir.upm.edu.my/id/eprint/107453/ http://psasir.upm.edu.my/id/eprint/107453/1/Effectiveness%20of%20a%20school-based%20intervention%20to%20manage%20overweight%20and%20obesity%20among%20adolescents%20in%20Seremban%2C%20Malaysia.pdf |
| _version_ | 1848864901157617664 |
|---|---|
| author | Lai, Wai Kent Mohd Sidik, Sherina Rampal, Lekhraj Gan, Wan Ying Ismail, Siti Irma Fadhilah |
| author_facet | Lai, Wai Kent Mohd Sidik, Sherina Rampal, Lekhraj Gan, Wan Ying Ismail, Siti Irma Fadhilah |
| author_sort | Lai, Wai Kent |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | The aim of the study was to evaluate the effectiveness of a school-based intervention programme among overweight and obese adolescents in Seremban, Negeri Sembilan, Malaysia. A cluster randomised controlled trial was conducted to evaluate the effect of the intervention (n = 200) and compared with control group (n = 200). The intervention was developed based on social cognitive theory, conducted in a group based, five-session of face-to-face, bi-weekly for 10 weeks. The primary outcomes were body mass index (BMI) and BMI-for-age z-scores (BAZ), whereas the secondary outcomes were breakfast consumption, physical activity level, self-efficacy, and body satisfaction. T-tests and generalized linear mixed model analysis were used to examine the effectiveness of the intervention at baseline, immediate post-intervention, and 3-month post-intervention, while controlling for covariates. A significant intervention effect was found in reducing BMI and BAZ. BMI of the participants in the intervention group was reduced from 28.10 kg/m2 to 27.93 kg/m2, and further decreased to 27.80 kg/m2, while BAZ was reduced from 2.19 to 2.12, and further decreased to 2.07, from baseline to immediate post-intervention, and 3-month follow-up, respectively. Furthermore, there was significant improvement in breakfast consumption frequency, physical activity scores, healthy eating and weight self-efficacy scores, perceived physical activity self-efficacy scores, and body discrepancy scores as compared with the control group. The integrated school-based intervention programme was effective in reducing BMI and BAZ among overweight and obese participants. The results suggested that this programme could be integrated as one of the regular school co-curricular programmes. |
| first_indexed | 2025-11-15T13:56:10Z |
| format | Article |
| id | upm-107453 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T13:56:10Z |
| publishDate | 2023 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1074532024-10-21T01:26:04Z http://psasir.upm.edu.my/id/eprint/107453/ Effectiveness of a school-based intervention to manage overweight and obesity among adolescents in Seremban, Malaysia: a cluster randomized controlled trial Lai, Wai Kent Mohd Sidik, Sherina Rampal, Lekhraj Gan, Wan Ying Ismail, Siti Irma Fadhilah The aim of the study was to evaluate the effectiveness of a school-based intervention programme among overweight and obese adolescents in Seremban, Negeri Sembilan, Malaysia. A cluster randomised controlled trial was conducted to evaluate the effect of the intervention (n = 200) and compared with control group (n = 200). The intervention was developed based on social cognitive theory, conducted in a group based, five-session of face-to-face, bi-weekly for 10 weeks. The primary outcomes were body mass index (BMI) and BMI-for-age z-scores (BAZ), whereas the secondary outcomes were breakfast consumption, physical activity level, self-efficacy, and body satisfaction. T-tests and generalized linear mixed model analysis were used to examine the effectiveness of the intervention at baseline, immediate post-intervention, and 3-month post-intervention, while controlling for covariates. A significant intervention effect was found in reducing BMI and BAZ. BMI of the participants in the intervention group was reduced from 28.10 kg/m2 to 27.93 kg/m2, and further decreased to 27.80 kg/m2, while BAZ was reduced from 2.19 to 2.12, and further decreased to 2.07, from baseline to immediate post-intervention, and 3-month follow-up, respectively. Furthermore, there was significant improvement in breakfast consumption frequency, physical activity scores, healthy eating and weight self-efficacy scores, perceived physical activity self-efficacy scores, and body discrepancy scores as compared with the control group. The integrated school-based intervention programme was effective in reducing BMI and BAZ among overweight and obese participants. The results suggested that this programme could be integrated as one of the regular school co-curricular programmes. Elsevier 2023-12 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/107453/1/Effectiveness%20of%20a%20school-based%20intervention%20to%20manage%20overweight%20and%20obesity%20among%20adolescents%20in%20Seremban%2C%20Malaysia.pdf Lai, Wai Kent and Mohd Sidik, Sherina and Rampal, Lekhraj and Gan, Wan Ying and Ismail, Siti Irma Fadhilah (2023) Effectiveness of a school-based intervention to manage overweight and obesity among adolescents in Seremban, Malaysia: a cluster randomized controlled trial. Human Nutrition and Metabolism, 34. art. no. 200229. ISSN 2666-1497 https://www.sciencedirect.com/science/article/pii/S2666149723000464?via%3Dihub 10.1016/j.hnm.2023.200229 |
| spellingShingle | Lai, Wai Kent Mohd Sidik, Sherina Rampal, Lekhraj Gan, Wan Ying Ismail, Siti Irma Fadhilah Effectiveness of a school-based intervention to manage overweight and obesity among adolescents in Seremban, Malaysia: a cluster randomized controlled trial |
| title | Effectiveness of a school-based intervention to manage overweight and obesity among adolescents in Seremban, Malaysia: a cluster randomized controlled trial |
| title_full | Effectiveness of a school-based intervention to manage overweight and obesity among adolescents in Seremban, Malaysia: a cluster randomized controlled trial |
| title_fullStr | Effectiveness of a school-based intervention to manage overweight and obesity among adolescents in Seremban, Malaysia: a cluster randomized controlled trial |
| title_full_unstemmed | Effectiveness of a school-based intervention to manage overweight and obesity among adolescents in Seremban, Malaysia: a cluster randomized controlled trial |
| title_short | Effectiveness of a school-based intervention to manage overweight and obesity among adolescents in Seremban, Malaysia: a cluster randomized controlled trial |
| title_sort | effectiveness of a school-based intervention to manage overweight and obesity among adolescents in seremban, malaysia: a cluster randomized controlled trial |
| url | http://psasir.upm.edu.my/id/eprint/107453/ http://psasir.upm.edu.my/id/eprint/107453/ http://psasir.upm.edu.my/id/eprint/107453/ http://psasir.upm.edu.my/id/eprint/107453/1/Effectiveness%20of%20a%20school-based%20intervention%20to%20manage%20overweight%20and%20obesity%20among%20adolescents%20in%20Seremban%2C%20Malaysia.pdf |