Fruit and vegetable intake among overweight and obese school children: a cluster randomised control trial

Rusidah Selamat, . and W Nurul Ashikin W Mohamad, . and Zahari Ishak, . and Abdul Halim Mokhtar, . and Ainan Nasrina Ismail, . and Nur Azlina Abdul Aziz, . and Junidah Raib, . and Abqariyah Yahya, . and Muhammad Yazid Jalaludin, . and Fuziah Md Zain, . and Norlida Zulkafly, . Fruit and vegetable intake among overweight and obese school children: a cluster randomised control trial. pp. 67-79. ISSN 1394–035X

Introduction: Adequate daily intake of fruits and vegetables is crucial for the prevention of chronic diseases. This study aimed to determine the effects of My Body is Fit and Fabulous at School (MyBFFschool) with nutrition education intervention (NEI) on the stages of change for fruit and vegetable intake among overweight and obese secondary school children based on the trans-theoretical model (TTM). Methods: This was a cluster randomised controlled trial involving 15 out of 415 eligible government secondary schools in central Peninsular Malaysia which were randomly assigned into intervention (six schools; 579 school children) and control (nine schools; 462 school children). The intervention group was given NEI for 24 weeks while the control group followed the existing school programme by the Ministry of Education. Results: There was no significant difference between the intervention and control groups for the stages of change with majority at the maintenance stage after six months (intervention: 34.9; control: 39.0). The within group analysis showed a significant reduction after six months for those at the action stage (action and maintenance stage) from 68.0 to 60.4 in the intervention group and from 71.4 to 65.6 in the control group. However there was a significant increase among those with adequate fruit and vegetable intake in the intervention group and no significant increase in the control group. Conclusion: MyBFFschool with NEI based on TTM provided acceptable changes in fruit and vegetable intake among overweight and obese secondary school children.

Full text available from: Official URL: https://nutriweb.org.my/mjn/publication/27-1/Vol%2...

Abstract

Introduction: Adequate daily intake of fruits and vegetables is crucial for the prevention of chronic diseases. This study aimed to determine the effects of My Body is Fit and Fabulous at School (MyBFFschool) with nutrition education intervention (NEI) on the stages of change for fruit and vegetable intake among overweight and obese secondary school children based on the trans-theoretical model (TTM). Methods: This was a cluster randomised controlled trial involving 15 out of 415 eligible government secondary schools in central Peninsular Malaysia which were randomly assigned into intervention (six schools; 579 school children) and control (nine schools; 462 school children). The intervention group was given NEI for 24 weeks while the control group followed the existing school programme by the Ministry of Education. Results: There was no significant difference between the intervention and control groups for the stages of change with majority at the maintenance stage after six months (intervention: 34.9; control: 39.0). The within group analysis showed a significant reduction after six months for those at the action stage (action and maintenance stage) from 68.0 to 60.4 in the intervention group and from 71.4 to 65.6 in the control group. However there was a significant increase among those with adequate fruit and vegetable intake in the intervention group and no significant increase in the control group. Conclusion: MyBFFschool with NEI based on TTM provided acceptable changes in fruit and vegetable intake among overweight and obese secondary school children.

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Item Type:	Article
AGROVOC Term:	Food intake
AGROVOC Term:	Fruits
AGROVOC Term:	Vegetables
AGROVOC Term:	School children
AGROVOC Term:	Obesity
AGROVOC Term:	Overweight
AGROVOC Term:	Data collecting
AGROVOC Term:	Cluster sampling
AGROVOC Term:	Nutrition education
AGROVOC Term:	Environmental factors
Depositing User:	Mr. AFANDI ABDUL MALEK
Last Modified:	24 Apr 2025 00:55
URI:	http://webagris.upm.edu.my/id/eprint/9856

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