The GReat-Child™ Trial: A Quasi-Experimental Intervention on Whole Grains with Healthy Balanced Diet to Manage Childhood Obesity in Kuala Lumpur, Malaysia
Koo HC, Koo HC, Poh BK, Abd Talib R
Nutrients · 29 citations
How it was studied
- Design
- Controlled clinical trial (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
- Intake measured by
- Food diaries or recalls
Who paid for it
- Funding
- Independent funding
Based on full-text disclosure statement.
Publication
- Published
- 2018-01-30 · Nutrients · vol. 10 · issue 2 · p. 156
- Publisher
- Multidisciplinary Digital Publishing Institute
- Cited
- 45 citations · more than 92% of similar papers · 3.3× the field average
- Impact
- Top 10% most cited in its field
- References
- 71 works
- Access
- Open access (journal) · CC-BY
- Research areas
- Obesity, Physical Activity, Diet · Consumer Attitudes and Food Labeling · Nutritional Studies and Diet
- Keywords
- Medicine, Waist, Overweight, Anthropometry, Obesity, Kuala lumpur, Childhood obesity, Body fat percentage, Circumference, Randomized controlled trial, Physical therapy, Pediatrics, Internal medicine
- MeSH
- humans, body mass index, combined modality therapy, exercise, follow-up studies, feasibility studies, parents, health transition, developing countries, schools, food services, child, malaysia, adiposity, overweight, child nutrition sciences, patient education as topic, waist circumference, child nutritional physiological phenomena, pediatric obesity, whole grains, cognitive behavioral therapy, diet, healthy
3 authors
From MY
- Hui Chin KooNational University of Malaysia; Tunku Abdul Rahman University of Management and Technology
- Bee Koon PohNational University of Malaysia
- Ruzita Abd Talib · correspondingNational University of Malaysia
Abstract
Background: The GReat-Child Trial was a quasi-experimental intervention that has emphasized whole grain as a strategy to manage childhood obesity. Methods: Two schools in Kuala Lumpur with similar demographic characteristics were assigned as intervention (IG) and control (CG). Eligibility criteria were overweight/obese children aged 9 to 11 years who had no serious co-morbidity. Children who reported consuming wholegrain foods in their 3-day diet-recall during screening were excluded. A total of 63 children (31 IG; 32 CG) completed the entire intervention program. The IG children underwent six 30-min nutrition education lessons and had school delivery of wholegrain food on a daily basis over a 12-week period. Parents of IG children attended 1-h individual diet counseling. Anthropometric outcomes including BMI-for-age z-score (BAZ), body fat percentage and waist circumference were measured at baseline [T0], post-intervention [T1] (3rd month) and follow-up [T2] (9th month). Results: IG showed significantly lower BAZ (weighted difference: -0.12; 95% CI: -0.21, -0.03; p = 0.009), body fat percentage (weighted difference: -2.6%; 95% CI: -3.7, -1.5; p p = 0.001) compared to CG. IG reported significantly lower body fat percentage (weighted difference: -3.4%; 95% CI: 1.8, 5.0; p p = 0.014) at T1 compared to T0. Conclusions: The GReat-Child Trial made a positive impact in managing childhood obesity. It can be incorporated into childhood obesity intervention programs that are being implemented by the policy makers.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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