Study on the Tailored Intervention Strategy of Childhood Obesity Based on Monitoring Physical Activities and Dietary Behaviors

Study Overview
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Brief Summary
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The project aims at developing the tailored intervention strategy of childhood obesity based on monitoring physical activities with accelerometer and dietary behaviors using diary. It probably raise the passion of obese children to control weight, form healthy life style, be effective in sustaining weight loss and early prevent adulthood diseases.

Detailed Description
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The overweight and obese primary school students from 1-5 grades will be recruited according to Body Mass Index Reference for Screening Overweight and Obesity in Chinese School-age Children. The participants with will be allocated with schools as the unit to four groups: tailored intervention based on monitoring physical activity and dietary behaviors, exercise intervention group based on the Happy 10 program, nutrition education intervention group. The three intervention groups received the designed interventions for the duration of 1 year. Before and after the intervention, we will carry out a questionnaire survey, a physical measurement, a fitness test, and a metabolic markers detection

Official Title
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Study on the Tailored Intervention Strategy of Childhood Obesity Based on Monitoring Physical Activities and Dietary Behaviors

Conditions
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Pediatric Obesity

Intervention / Treatment
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* Behavioral: Monitoring and Tailored prescription
* Behavioral: Happy 10 program
* Behavioral: Specified nutrition education
* Behavioral: General Health Education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Overweight and obese children from grade 1-5 primary schools Exclusion Criteria: Students with any contraindication or physical diseases (heart, Lung, liver, kidney, other vital organs, endocrine diseases and drug side effects et al.) and psychological illnesses that may prevent them from participating in physical activity and eating a normal diet were excluded

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Tailored intervention group<br>For the monitoring session, physical activity was assessed by accelerometer and dietary was assessed by diary. Based on the monitoring information, the individual tailored prescription, including the normative feedback and process feedback, were formed and delivered to children and parents. Children were encouraged to modify the behaviors according to the prescription. Then, next monitoring circle was followed. In total, 7 monitoring round were completed. | Behavioral: Monitoring and Tailored prescription<br> <br> * Other names: ZhiJi accelerometer UX-02 as physical activity monitor;Behavioral: General Health Education<br> <br> |
| Experimental: Happy 10 exercise group<br>All the schools participating in this group were encouraged to take two Happy 10 sessions on each school day. | Behavioral: Happy 10 program<br> <br> * Other names: happy 10 program developed by Center for Disease Control and Prevention, China;Behavioral: General Health Education<br> <br> |
| Experimental: Nutrition education group<br>The nutrition intervention was mainly conducted based on the nutrition knowledge through health education lectures given by researchers. The lectures were given for eight times to students and twice to parents. Each lecture session lasted no less than 40 min. | Behavioral: Specified nutrition education<br> <br> Behavioral: General Health Education<br> <br> |
| No Intervention: Control group<br>Receive no intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in body mass index |  | Baseline, 1-year post-intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in obesity-related anthropometric measurements |  | Baseline, 1-year post-intervention | 
| Change of blood pressure |  | Baseline, 1-year post-intervention | 
| Change of biomarkers for disease risk |  | Baseline, 1-year post-intervention | 
| Change of attitude, knowledge, and behaviors on dietary and physical activity |  | Baseline, 1-year post-intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Childhood obesity, intervention, effectiveness, comparison