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Randomized Controlled Trial
. 2016 Aug 17;16(1):809.
doi: 10.1186/s12889-016-3473-3.

PAAPPAS community trial protocol: a randomized study of obesity prevention for adolescents combining school with household intervention

Michele R Sgambato  1 , Diana B Cunha  2 , Viviana T Henriques  2 , Camilla C P Estima  2 , Bárbara S N Souza  3 , Rosangela A Pereira  4 , Edna M Yokoo  3 , Vitor B Paravidino  2   5 , Rosely Sichieri  2
Affiliations
Randomized Controlled Trial

PAAPPAS community trial protocol: a randomized study of obesity prevention for adolescents combining school with household intervention

Michele R Sgambato et al. BMC Public Health. .

Abstract

Background: The prevalence of childhood obesity is increasing at a high rate in Brazil, making prevention a health priority. Schools are the central focus of interventions aiming the prevention and treatment of childhood obesity, however, randomized trials and cohort studies have not yet provided clear evidence of strategies to reduce prevalence of obesity. The aim of this study is to present a protocol to evaluate the efficacy of combining school and household level interventions to reduce excessive weight gain among students.

Methods: The intervention target fifth and sixth graders from 18 public schools (9 interventions and 9 controls) in the municipality of Duque de Caxias, metropolitan area of Rio de Janeiro, Brazil. A sample size of 2500 students will be evaluated at school for their weight status and those from the intervention group who are overweight or obese will be followed monthly at home by community health agents. Demographic, socioeconomic, anthropometric, eating behavior and food consumption data will be collected at school using a standardized questionnaire programmed in personal digital assistant. At school, all students from the intervention group will be encouraged to change eating habits and food consumption and to increase physical activity and reducing sedentary behavior.

Discussion: This study will provide evidence whether integration of school with primary health care can prevent excessive weight gain among adolescents. Positive results will inform a sustainable strategy to be disseminated in the health care system in Brazil.

Trial registration: ClinicalTrials.gov, NCT02711488 . Date of registration: March 11, 2016.

Keywords: Adolescents; Intervention; Obesity prevention.

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Study design
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References

    1. Ng M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:766–81. doi: 10.1016/S0140-6736(14)60460-8. - DOI - PMC - PubMed
    1. Instituto Brasileiro de Geografia e Estatística . Pesquisa de Orçamentos familiares 2002–2003: Antropometria e estado nutricional de crianças, adolescentes e adultos no Brasil. Rio de Janeiro: IBGE; 2011.
    1. Lopes TS, Sichieri R, Salles-Costa R, Veiga GV, Pereira RA. Family food insecurity and nutritional risk in adolescents from a low-income area of Rio de Janeiro, Brazil. J Biosoc Sci. 2013;45(5):661–74. doi: 10.1017/S0021932012000685. - DOI - PubMed
    1. Lins AP, Sichieri R, Coutinho WF, Ramos EG, Peixoto MV, Fonseca VM. Healthy eating, schooling and being overweight among low-income women. Ciênc Saúde Colet. 2013;18(2):357–66. doi: 10.1590/S1413-81232013000200007. - DOI - PubMed
    1. Hoelscher DM, Kirk S, Ritchie L, Cunningham-Sabo L. Academy Positions Committee. Position of the Academy of Nutrition and Dietetics: interventions for the prevention and treatment of pediatric overweight and obesity. J Acad Nutr Diet. 2013;113(10):1375–94. doi: 10.1016/j.jand.2013.08.004. - DOI - PubMed

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