A school-based comprehensive lifestyle intervention among chinese kids against obesity (CLICK-Obesity): rationale, design and methodology of a randomized controlled trial in Nanjing city, China

Xu, Fei, Ware, Robert S., Tse, Lap Ah, Wang, Zhiyong, Hong, Xin, Song, Aiju, Li, Jiequan and Wang, Youfa (2012) A school-based comprehensive lifestyle intervention among chinese kids against obesity (CLICK-Obesity): rationale, design and methodology of a randomized controlled trial in Nanjing city, China. Bmc Public Health, 12 1 Article No. 316: 316-1-316-8. doi:10.1186/1471-2458-12-316


Author Xu, Fei
Ware, Robert S.
Tse, Lap Ah
Wang, Zhiyong
Hong, Xin
Song, Aiju
Li, Jiequan
Wang, Youfa
Title A school-based comprehensive lifestyle intervention among chinese kids against obesity (CLICK-Obesity): rationale, design and methodology of a randomized controlled trial in Nanjing city, China
Journal name Bmc Public Health   Check publisher's open access policy
ISSN 1471-2458
Publication date 2012-04
Sub-type Article (original research)
DOI 10.1186/1471-2458-12-316
Open Access Status DOI
Volume 12
Issue 1 Article No. 316
Start page 316-1
End page 316-8
Total pages 8
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2013
Language eng
Formatted abstract
Background: The prevalence of childhood obesity among adolescents has been rapidly rising in Mainland China in recent decades, especially in urban and rich areas. There is an urgent need to develop effective interventions to prevent childhood obesity. Limited data regarding adolescent overweight prevention in China are available. Thus, we developed a school-based intervention with the aim of reducing excess body weight in children. This report described the study design.
Methods/design: We designed a cluster randomized controlled trial in 8 randomly selected urban primary schools between May 2010 and December 2013. Each school was randomly assigned to either the intervention or control group (four schools in each group). Participants were the 4th graders in each participating school. The multi-component program was implemented within the intervention group, while students in the control group followed their usual health and physical education curriculum with no additional intervention program. The intervention consisted of four components: a) classroom curriculum, (including physical education and healthy diet education), b) school environment support, c) family involvement, and d) fun programs/events. The primary study outcome was body composition, and secondary outcomes were behaviour and behavioural determinants.
Discussion: The intervention was designed with due consideration of Chinese cultural and familial tradition, social convention, and current primary education and exam system in Mainland China. We did our best to gain good support from educational authorities, school administrators, teachers and parents, and to integrate intervention components into schools' regular academic programs. The results of and lesson learned from this study will help guide future school-based childhood obesity prevention programs in Mainland China
Keyword Childhood Overweight
Reduce Overweight
Physical activity
Chronic Disease
Mainland China
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Public Health Publications
 
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Created: Thu, 13 Dec 2012, 13:13:35 EST by Geraldine Fitzgerald on behalf of School of Public Health