ArticleBMC public health2020
A behavioural change intervention study for the prevention of childhood obesity in South Africa: protocol for a randomized controlled trial.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.
- Interventions to prevent obesity in children aged 5 to 11 years old.The Cochrane database of systematic reviews · 2024Pooled it
- Interventions to prevent obesity in children aged 12 to 18 years old.The Cochrane database of systematic reviews · 2024Pooled it
- Kindergarten-based obesity prevention trial based on self-regulation strategy: study protocol of the Wuhan preschoolers' healthy start project.Frontiers in pediatrics · 2025Article
- A school-based food and nutrition education intervention increases nutrition-related knowledge and fruit consumption among primary school children in northern Ghana.BMC public health · 2024Article
- Child-directed marketing on packaged breakfast cereals in South Africa.Public health nutrition · 2023Article
- Patients' views on health promotion and disease prevention services provided by healthcare workers in a South African tertiary hospital.BMC health services research · 2023Article
- The Multidimension of Malnutrition among School Children in a Rural Area, South Africa: A Mixed Methods Approach.Nutrients · 2022Article
- Physical activity and sedentary behaviour of primary school learners in the Eastern Cape province of South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022Article
- Adolescents' understanding of obesity: a qualitative study from rural South Africa.Global health action · 2021Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSouth Africa is currently undergoing a nutrition transition, and overweight and obesity is on the increase in South African children. Urbanization and other health determinants have led to reduced physical activity and unhealthy eating that have increased the risk of adverse chronic health conditions. This study aims to provide evidence of the effectiveness of a school-based intervention study that targets diet and physical activity for the prevention of child and adolescent overweight and/or obesity.
methodsWe will employ a mixed method study design which is divided into two phases. Phase 1, namely the qualitative elicitation research phase will inform the development of the quantitative intervention phase (phase 2), consisting of a cluster-randomized trial, based on input from key stakeholders. The study will be undertaken in 16 government-funded primary schools in the iLembe district of KwaZulu-Natal, South Africa. The study will target learners in Grades 4 and 7, their parents, Life Orientation educators, school principals and members of school governing bodies. Assessment for the primary objective (BMI Z scores), and the secondary objectives (change in knowledge, attitudes and behaviours regarding diet and physical activity) in both study arms will be conducted at baseline in March 2020 and at the end of the study in October 2020. DISCUSSION: The study will be a novel combined mixed methods/RCT design that focuses on diet, physical activity school and family-based interventions in the context of rapidly increasing overweight and obesity prevalence in KwaZulu-Natal. To encourage behaviour change and management of malnutrition, education including diet and physical activity, is an important strategy that must be considered. Nutrition education extends beyond the dissemination of food information; it includes addressing the needs of participants, empowers and encourages decision-making and choice of foods, change in nutrition attitudes, beliefs and influences based on resources available and within cultural boundaries.
trial registrationPan African Clinical Trial Registry PACTR201711002699153. Protocol registered on 16 November 2017.
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