A school-based comprehensive lifestyle intervention among Chinese kids against Obesity (CLICK-Obesity) in Nanjing City, China: The baseline data

Xu, Fei, Wang, Xiao-Rong, Ware, Robert S., Tse, Lap-Ah, Wang, Zhi-Yong, Hong, Xin, Chan, Emily Ying-Yang, Li, Jie-Quan and Wang, You-Fa (2014) A school-based comprehensive lifestyle intervention among Chinese kids against Obesity (CLICK-Obesity) in Nanjing City, China: The baseline data. Asia Pacific Journal of Clinical Nutrition, 23 1: 48-54. doi:10.6133/apjcn.2014.23.1.04

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Author Xu, Fei
Wang, Xiao-Rong
Ware, Robert S.
Tse, Lap-Ah
Wang, Zhi-Yong
Hong, Xin
Chan, Emily Ying-Yang
Li, Jie-Quan
Wang, You-Fa
Title A school-based comprehensive lifestyle intervention among Chinese kids against Obesity (CLICK-Obesity) in Nanjing City, China: The baseline data
Journal name Asia Pacific Journal of Clinical Nutrition   Check publisher's open access policy
ISSN 0964-7058
1440-6047
Publication date 2014
Sub-type Article (original research)
DOI 10.6133/apjcn.2014.23.1.04
Open Access Status File (Author Post-print)
Volume 23
Issue 1
Start page 48
End page 54
Total pages 7
Place of publication Southbank, VIC Australia
Publisher H E C Press
Collection year 2015
Language eng
Subject 2701 Medicine (miscellaneous)
2916 Nutrition and Dietetics
Formatted abstract
 Background: urgent development of effective interventions to prevent rapidly rising childhood obesity in China is needed.

Methods: Between May 2010 and December 2013, a cluster randomized controlled trial was conducted among 4th graders in eight urban primary schools randomly assigned to intervention or control groups in Nanjing, China. A multi-component intervention program was implemented within the treatment group, while students in the control group followed their usual health education curriculum without additional intervention.

Results: At baseline, 638 and 544 students were enrolled in the intervention and control group, respectively. The prevalence of excess body weight was 26.8%, with 27.4% in the intervention group and 26.1% in the control group (p=0.61). The mean (SD) BMI and WC was 18.7 (3.0) and 63.0 (9.2) for participants in intervention schools, and 18.5 (2.9) and 63.6 (8.7) for students in control group, separately (p=0.24 and 0.41, respectively). Compared to those who were not aware of what lifestyle/behavior factors were unhealthy, students who were aware of the unhealthy lifestyle/ behavior factors consumed fewer fried snacks (0.46±0.76 serves/week vs 0.65±0.91 serves/week; p<0.01), soft drinks (160±194 ml/week vs 199±227 ml/week; p<0.01), but larger amount of meat (502±429 g/week vs 449±344 g/week; p=0.03), and reported less screen time (214±232 minutes/week vs 252±264 minutes/week; p<0.01). Moreover, there was no difference within physical activity time between these two groups (257±341 minutes/week vs 218±324 minutes/week; p=0.13).

Conclusions: Main characteristics of participants were balanced at baseline within intervention and control schools, but a gap existed between healthy lifestyle knowledge and actual healthy behavior in students.
Keyword Children
Intervention trial
Lifestyle
Obesity
Physical activity
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Public Health Publications
 
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