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School-Based Intervention as a Component of a Comprehensive Community Program for Overweight and Obesity Prevention, Sousse, Tunisia, 2009-2014.

Maatoug J, Msakni Z, Zammit N, Bhiri S, Harrabi I, Boughammoura L, Slama S, Larbi C, Ghannem H - Prev Chronic Dis (2015)

Bottom Line: Descriptive statistics and multivariate analysis were used to determine the effect of the intervention on risk of excess weight.Results showed a significant increase in fruit and vegetable intake by the intervention group (P = .04).This study showed that a school-based intervention is successful in increasing healthy dietary habits and in reducing risk of excess weight.

View Article: PubMed Central - PubMed

Affiliation: University Hospital Farhat Hached, Sousse 4000, Tunisia. Email: jihenmaatoug3107@gmail.com.

ABSTRACT

Introduction: Combating obesity at an early age, by improving physical activity and nutrition-related behaviors, is vital to the prevention of more critical health concerns in adulthood. This intervention study evaluated the effectiveness of a school-based component of a community behavioral intervention on overweight and obesity rates of adolescents in Sousse, Tunisia.

Methods: A quasi-experimental school-based intervention was conducted with an intervention group (in Sousse Jawhara and Sousse Riadh) and a control group (in Sousse Msaken). The intervention (which was a physical activity and nutrition program) lasted 3 years, with data at preintervention collected during the 2009-2010 school year and at postintervention collected during the 2013-2014 school year. Descriptive statistics and multivariate analysis were used to determine the effect of the intervention on risk of excess weight.

Results: Results showed a significant increase in fruit and vegetable intake by the intervention group (P = .04). The intervention group had an increase in students in the normal weight category (P = .03) and a decrease in students in the overweight category (P = .03).The intervention effect was a protective factor against excess weight for the participating schoolchildren (OR, 0.84; P = .02).

Conclusion: This study showed that a school-based intervention is successful in increasing healthy dietary habits and in reducing risk of excess weight. It also showed the importance of a multisectoral approach to provide an environment conducive to healthy behaviors for adolescents.

No MeSH data available.


Related in: MedlinePlus

Timeline of quasi-experimental study (preintervention and postintervention assessment with control group) of an intervention program that is a component of a comprehensive community program for overweight and obesity prevention, Sousse, Tunisia, 2009–2014.
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Figure 1: Timeline of quasi-experimental study (preintervention and postintervention assessment with control group) of an intervention program that is a component of a comprehensive community program for overweight and obesity prevention, Sousse, Tunisia, 2009–2014.

Mentions: A school-based intervention (a physical activity and nutrition program) was conducted in Sousse using a quasi-experimental design with 2 groups: an intervention group comprised of all middle schools in the regions of Jawhara and Riadh, which have 62,663 and 65,333 inhabitants, respectively, and a control group that included all middle schools in the delegation of Msaken, which has 85,380 inhabitants. The distance between intervention and control groups is approximately 14 km. The data for this study were collected both preintervention and postintervention. Preintervention assessment was done during the 2009–2010 school year and postintervention assessment was completed during the 2013–2014 school year. The intervention lasted 3 years with a behavior modification program conducted for the intervention group, and no behavior modification program (usual intervention) for the control group (Figure).


School-Based Intervention as a Component of a Comprehensive Community Program for Overweight and Obesity Prevention, Sousse, Tunisia, 2009-2014.

Maatoug J, Msakni Z, Zammit N, Bhiri S, Harrabi I, Boughammoura L, Slama S, Larbi C, Ghannem H - Prev Chronic Dis (2015)

Timeline of quasi-experimental study (preintervention and postintervention assessment with control group) of an intervention program that is a component of a comprehensive community program for overweight and obesity prevention, Sousse, Tunisia, 2009–2014.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4584471&req=5

Figure 1: Timeline of quasi-experimental study (preintervention and postintervention assessment with control group) of an intervention program that is a component of a comprehensive community program for overweight and obesity prevention, Sousse, Tunisia, 2009–2014.
Mentions: A school-based intervention (a physical activity and nutrition program) was conducted in Sousse using a quasi-experimental design with 2 groups: an intervention group comprised of all middle schools in the regions of Jawhara and Riadh, which have 62,663 and 65,333 inhabitants, respectively, and a control group that included all middle schools in the delegation of Msaken, which has 85,380 inhabitants. The distance between intervention and control groups is approximately 14 km. The data for this study were collected both preintervention and postintervention. Preintervention assessment was done during the 2009–2010 school year and postintervention assessment was completed during the 2013–2014 school year. The intervention lasted 3 years with a behavior modification program conducted for the intervention group, and no behavior modification program (usual intervention) for the control group (Figure).

Bottom Line: Descriptive statistics and multivariate analysis were used to determine the effect of the intervention on risk of excess weight.Results showed a significant increase in fruit and vegetable intake by the intervention group (P = .04).This study showed that a school-based intervention is successful in increasing healthy dietary habits and in reducing risk of excess weight.

View Article: PubMed Central - PubMed

Affiliation: University Hospital Farhat Hached, Sousse 4000, Tunisia. Email: jihenmaatoug3107@gmail.com.

ABSTRACT

Introduction: Combating obesity at an early age, by improving physical activity and nutrition-related behaviors, is vital to the prevention of more critical health concerns in adulthood. This intervention study evaluated the effectiveness of a school-based component of a community behavioral intervention on overweight and obesity rates of adolescents in Sousse, Tunisia.

Methods: A quasi-experimental school-based intervention was conducted with an intervention group (in Sousse Jawhara and Sousse Riadh) and a control group (in Sousse Msaken). The intervention (which was a physical activity and nutrition program) lasted 3 years, with data at preintervention collected during the 2009-2010 school year and at postintervention collected during the 2013-2014 school year. Descriptive statistics and multivariate analysis were used to determine the effect of the intervention on risk of excess weight.

Results: Results showed a significant increase in fruit and vegetable intake by the intervention group (P = .04). The intervention group had an increase in students in the normal weight category (P = .03) and a decrease in students in the overweight category (P = .03).The intervention effect was a protective factor against excess weight for the participating schoolchildren (OR, 0.84; P = .02).

Conclusion: This study showed that a school-based intervention is successful in increasing healthy dietary habits and in reducing risk of excess weight. It also showed the importance of a multisectoral approach to provide an environment conducive to healthy behaviors for adolescents.

No MeSH data available.


Related in: MedlinePlus