Evidence map›Paper›PMID 37622209›Full record

Trial reportPublic health nutrition2023

A randomised controlled school-based nutritional intervention in five Middle Eastern countries: Ajyal Salima improved students' dietary and physical activity habits.

Carla Habib-Mourad, Carla Maliha, Amira Kassis, Anh Thi Nguyen, Diala Ammar, Eman Haji, Lina AlTarazi, Suzanne Totah, Nahla Hwalla

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Public health nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Carla Habib-MouradDepartment of Nutrition and Food Sciences, Faculty of Agriculture and Food Sciences, American University of Beirut, Riad El-Solh, Beirut1107 2020, Lebanon.
Carla MalihaDepartment of Nutrition and Food Sciences, Faculty of Agriculture and Food Sciences, American University of Beirut, Riad El-Solh, Beirut1107 2020, Lebanon.
Amira KassisWhiteboard Nutrition Science, 142 York Road, Beaconsfield, Canada.
Anh Thi NguyenThe Association for Canadian Studies and Metropolis Institute, 50-1980 Sherbrooke, Street West Montreal, Quebec, Canada.
Diala AmmarDepartment of health and Physical Education, Mount Royal University, 4825 Mount Royal Gate, Calgary, AB, Canada.
Eman HajiMinistry of Health, Building 929, Road 1015, Sanabis410, Kingdom of Bahrain.
Lina AlTaraziRoyal Health Awareness Society, Muhammad As-Saeed Al-Batayni St., Amman11821, Jordan.
Suzanne TotahMinistry of Education, Ramallah00970, Palestine.
Nahla HwallaDepartment of Nutrition and Food Sciences, Faculty of Agriculture and Food Sciences, American University of Beirut, Riad El-Solh, Beirut1107 2020, Lebanon.ORCID 0000-0002-0685-6323

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study was to measure the impact of the Ajyal Salima school intervention on nutrition and physical activity outcomes in children aged 9–11 years.

designThe study was a 1-year cluster-randomised controlled trial. Ajyal Salima used a multi-component approach including classroom activities, family programme and food service adaptation. Outcomes included daily intake of breakfast, frequency of healthy and unhealthy food consumption, frequency of physical activity, knowledge score and self-efficacy score. Intervention and control groups were compared for all main outcomes and a post-intervention qualitative evaluation assessed strengths and limitations of the intervention components.

settingSchools in five countries – Lebanon, Jordan, Palestine, Saudi Arabia and Bahrain.

participantsSchools were selected by Ministries of Health and Education within their jurisdictions. Forty-five intervention schools (6052 students) and forty-six control schools (6200 students) were included in the analysis.

resultsThe intervention group had a significantly higher odds of consuming breakfast daily (OR 95 % CI = 1·60, 1·35, 1·90), consuming healthy foods (OR 95 % CI = 1·60, 1·39, 1·84) and a decreased odds of consuming unhealthy foods and sweetened beverages (OR, 95 % CI = 0·70, 0·60, 0·81). Additionally, school children in the intervention group, as compared with the control group, were 47 % more likely to exercise outside school hours (OR 95 % CI = 1·47, 1·23, 1·76). Lastly, children in the intervention group had a significantly improved nutritional knowledge score and improved self-efficacy by 1·3 score unit and 1·1 score unit, respectively.

conclusionsThe Ajyal Salima intervention led to significant improvements in dietary and physical activity habits among school children and increased nutritional knowledge scores.

Indexed as

DietExerciseChildEducational StatusHumansSchool Health ServicesSchoolsStudentsChildhood obesityMiddle EastNutrition educationPhysical activitySchool-based intervention

Identifiers

PMID37622209
PMCPMC10564613

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.