Effectiveness of a school-based intervention on knowledge, attitude and practice on healthy lifestyle and body composition in Malaysian adolescents
Abstract Background The ‘Eat Right, Be Positive About Your Body and Live Actively’ (EPaL) intervention programme was developed to prevent overweight and disordered eating in Malaysian adolescents. This study aimed to evaluate the effectiveness of the EPaL programme on knowledge, attitudes and practi...
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| Format: | Article |
| Language: | English |
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BMC
2020-03-01
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| Series: | BMC Pediatrics |
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| Online Access: | http://link.springer.com/article/10.1186/s12887-020-02023-x |
| _version_ | 1818283138792554496 |
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| author | Sharifah Intan Zainun Sharif Ishak Yit Siew Chin Mohd. Nasir Mohd. Taib Yoke Mun Chan Zalilah Mohd. Shariff |
| author_facet | Sharifah Intan Zainun Sharif Ishak Yit Siew Chin Mohd. Nasir Mohd. Taib Yoke Mun Chan Zalilah Mohd. Shariff |
| author_sort | Sharifah Intan Zainun Sharif Ishak |
| collection | DOAJ |
| description | Abstract Background The ‘Eat Right, Be Positive About Your Body and Live Actively’ (EPaL) intervention programme was developed to prevent overweight and disordered eating in Malaysian adolescents. This study aimed to evaluate the effectiveness of the EPaL programme on knowledge, attitudes and practices on healthy lifestyle and body composition (body mass index z-score [zBMI], waist circumference [WC] and body fat percentage [BF%]) among adolescents. Methods All measures were taken at three time points: before intervention (Pre), after intervention (Post I) and 3 months after intervention (Post II). The intervention group (IG) participated in the EPaL programme for 16 weeks, whereas the comparison group (CG) received no intervention. Seventy-six adolescents (IG: n = 34; CG: n = 42) aged 13–14 years were included in the final analysis. Repeated measures analysis of covariance (ANCOVA) was used to assess the impact of the EPaL intervention programme on the measures between groups (IG and CG) at Post I and Post II. Results The IG reported significantly higher knowledge scores at both Post I (adjusted mean difference = 3.34; 95% confidence interval [CI] = 0.99, 5.69; p = 0.006) and Post II (adjusted mean difference = 2.82; 95% CI = 0.86, 4.78; p = 0.005) compared with the CG. No significant differences between the IG and CG were found at either Post I or Post II in attitudes, practices, zBMI, WC and BF%. The proportion of participants who were overweight or obese was consistent from Pre to Post II in the IG (35.3%) and increased from 26.2% at Pre to 28.5% at Post II in the CG, but the difference was not statistically significant. The proportion of participants who had abdominal obesity in the IG decreased from 17.6% at Pre to 14.7% at Post II and increased from 16.7% at Pre to 21.4% at Post II in the CG, but the differences were not statistically significant. Conclusion Despite no significant reduction of body composition, this programme shows the positive effect on the adolescents’ knowledge regarding healthy lifestyle. This study contributes to the evidence on the effectiveness of school-based health interventions in Malaysian adolescents. Trial registration UMIN Clinical Trial Registration UMIN000024349 . Registered 11 October 2016. |
| first_indexed | 2024-12-13T00:32:09Z |
| format | Article |
| id | doaj.art-80399c39755449438f67a188fe3d0f06 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-12-13T00:32:09Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-80399c39755449438f67a188fe3d0f062022-12-22T00:05:18ZengBMCBMC Pediatrics1471-24312020-03-0120111210.1186/s12887-020-02023-xEffectiveness of a school-based intervention on knowledge, attitude and practice on healthy lifestyle and body composition in Malaysian adolescentsSharifah Intan Zainun Sharif Ishak0Yit Siew Chin1Mohd. Nasir Mohd. Taib2Yoke Mun Chan3Zalilah Mohd. Shariff4Department of Healthcare Professional, Faculty of Health and Life Sciences, Management and Science UniversityDepartment of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra MalaysiaDepartment of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra MalaysiaDepartment of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra MalaysiaDepartment of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra MalaysiaAbstract Background The ‘Eat Right, Be Positive About Your Body and Live Actively’ (EPaL) intervention programme was developed to prevent overweight and disordered eating in Malaysian adolescents. This study aimed to evaluate the effectiveness of the EPaL programme on knowledge, attitudes and practices on healthy lifestyle and body composition (body mass index z-score [zBMI], waist circumference [WC] and body fat percentage [BF%]) among adolescents. Methods All measures were taken at three time points: before intervention (Pre), after intervention (Post I) and 3 months after intervention (Post II). The intervention group (IG) participated in the EPaL programme for 16 weeks, whereas the comparison group (CG) received no intervention. Seventy-six adolescents (IG: n = 34; CG: n = 42) aged 13–14 years were included in the final analysis. Repeated measures analysis of covariance (ANCOVA) was used to assess the impact of the EPaL intervention programme on the measures between groups (IG and CG) at Post I and Post II. Results The IG reported significantly higher knowledge scores at both Post I (adjusted mean difference = 3.34; 95% confidence interval [CI] = 0.99, 5.69; p = 0.006) and Post II (adjusted mean difference = 2.82; 95% CI = 0.86, 4.78; p = 0.005) compared with the CG. No significant differences between the IG and CG were found at either Post I or Post II in attitudes, practices, zBMI, WC and BF%. The proportion of participants who were overweight or obese was consistent from Pre to Post II in the IG (35.3%) and increased from 26.2% at Pre to 28.5% at Post II in the CG, but the difference was not statistically significant. The proportion of participants who had abdominal obesity in the IG decreased from 17.6% at Pre to 14.7% at Post II and increased from 16.7% at Pre to 21.4% at Post II in the CG, but the differences were not statistically significant. Conclusion Despite no significant reduction of body composition, this programme shows the positive effect on the adolescents’ knowledge regarding healthy lifestyle. This study contributes to the evidence on the effectiveness of school-based health interventions in Malaysian adolescents. Trial registration UMIN Clinical Trial Registration UMIN000024349 . Registered 11 October 2016.http://link.springer.com/article/10.1186/s12887-020-02023-xOverweightObesityAdolescentInterventionPeer-ledMalaysia |
| spellingShingle | Sharifah Intan Zainun Sharif Ishak Yit Siew Chin Mohd. Nasir Mohd. Taib Yoke Mun Chan Zalilah Mohd. Shariff Effectiveness of a school-based intervention on knowledge, attitude and practice on healthy lifestyle and body composition in Malaysian adolescents BMC Pediatrics Overweight Obesity Adolescent Intervention Peer-led Malaysia |
| title | Effectiveness of a school-based intervention on knowledge, attitude and practice on healthy lifestyle and body composition in Malaysian adolescents |
| title_full | Effectiveness of a school-based intervention on knowledge, attitude and practice on healthy lifestyle and body composition in Malaysian adolescents |
| title_fullStr | Effectiveness of a school-based intervention on knowledge, attitude and practice on healthy lifestyle and body composition in Malaysian adolescents |
| title_full_unstemmed | Effectiveness of a school-based intervention on knowledge, attitude and practice on healthy lifestyle and body composition in Malaysian adolescents |
| title_short | Effectiveness of a school-based intervention on knowledge, attitude and practice on healthy lifestyle and body composition in Malaysian adolescents |
| title_sort | effectiveness of a school based intervention on knowledge attitude and practice on healthy lifestyle and body composition in malaysian adolescents |
| topic | Overweight Obesity Adolescent Intervention Peer-led Malaysia |
| url | http://link.springer.com/article/10.1186/s12887-020-02023-x |
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