Selamat, Rusidah and Raib, Junidah and Aziz, Nur Azlina Abdul and Zulkafly, Norlida and Ismail, Ainan Nasrina and Mohamad, W. Nurul Ashikin W. and Zulkiply, Ainol Aizuddin and Jalaludin, Muhammad Yazid and Zain, Fuziah Md. and Ishak, Zahari and Yahya, Abqariyah and Mokhtar, Abdul Halim (2025) Effects of the MyBFF@school obesity intervention program with nutrition education intervention on nutrition knowledge and attitude of secondary schoolchildren: a cluster randomized controlled trial. BMC Public Health, 24 (SUPPL1). p. 3624. ISSN 1471-2458, DOI https://doi.org/10.1186/s12889-024-21090-8.
Full text not available from this repository.Abstract
BackgroundThe increasing global and national prevalence of childhood obesity particularly among schoolchildren has warranted a more viable school-based obesity intervention. Apart from physical activity, nutrition is important in any obesity intervention package. This study examined the effects of the MyBFF@school program with nutrition education intervention (NEI) on nutrition knowledge and attitude of overweight and obese secondary schoolchildren.MethodsThis is a cluster randomized controlled trial which involved schoolchildren aged 13, 14 and 16 years old from 15 out of 415 government secondary schools in central Peninsular Malaysia which were randomly assigned into six intervention (N = 579 schoolchildren) and nine control (N = 462 schoolchildren). The intervention group was given NEI consisting of a nutrition education module carried out by trained personnel for 24 weeks on top of the existing curriculum while the control group only followed the existing school curriculum by the Ministry of Education. The primary outcomes were the nutrition knowledge and attitude score. The mixed effect model taking into consideration the cluster effect was used to assess the changes of nutrition knowledge and attitude scores from baseline until 6 months.ResultsOverall, there was no significant increase in the adjusted mean difference (AMD) of nutrition knowledge score (AMD = 0.33%, Confident Interval (95 CI): -4.35% to 5.01) between the intervention and control group after 6 months of intervention after controlling for nutrition knowledge score at baseline, gender, location and ethnicity. Similarly, after controlling for the nutrition attitude score at baseline, ethnicity, location and gender as well as taking into account the cluster effects, there was no significant increase on the AMD of nutrition attitude score in the overall (AMD = 0.194, (95 CI): -1.17 to 1.56) and also among girls, location (urban vs rural) and Malays. There was also no significant reduction of AMD in the nutrition attitude score among boys and non-Malays.ConclusionMyBFF@school with NEI resulted with no significant improvement for nutrition knowledge and attitude among older schoolchildren. Therefore, to effectively impart the nutrition knowledge and change their nutrition attitude requires an in-depth study and multi-pronged and customized approach.Trial registrationClinical trial number: NCT04155255, November 7, 2019 (Retrospective registered). National Medical Research Register: NMRR-13-439-16563. Registered July 23, 2013. The intervention program was approved by the Medical Research and Ethics Committee (MREC), Ministry of Health Malaysia and Educational Planning and Research Division (EPRD), Ministry of Education Malaysia. It was funded by the Ministry of Health Malaysia.
| Item Type: | Article |
|---|---|
| Funders: | Ministry of Education, Tahir Bin Aris as the coordinator of MyBFF@school project |
| Uncontrolled Keywords: | Nutrition education intervention; Childhood obesity; Secondary schoolchildren; School-based intervention; Cluster randomized controlled trial |
| Subjects: | R Medicine > RA Public aspects of medicine |
| Divisions: | Faculty of Medicine > Paediatrics Department Faculty of Medicine > Social & Preventive Medicine Faculty of Medicine > Sport Medicine Department Faculty of Sports and Exercise Science (formerly known as Centre for Sports & Exercise Sciences) |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 14 Mar 2025 00:44 |
| Last Modified: | 14 Mar 2025 00:50 |
| URI: | http://eprints.um.edu.my/id/eprint/47729 |
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