Childhood obesity is a major global public health problem. Several strategies have been implemented to reduce the high prevalence, the most cost-effective of which were those that focused on the school environment. Although there is vast research that focus on interventions that address obesity through interventions to improve schoolchildren diets and physical activity level in many countries of the Latin American region, there is lack of evidence of the effectiveness of multicomponent interventions that aim to reduce the prevalence of obesity among schoolchildren in the Paraguayan context.
Nutritional education and physical activity. Interventions that promote healthy eating and lifelong physical activity in schoolchildren through school programs aim to equip children with knowledge, attitudes and behavioral skills to help them establish and maintain a healthy lifestyle. Poor diet quality has been identified as one of the main factors contributing to the obesity epidemic. Research has shown that a diet that includes the recommended servings of fruits and vegetables (VF) reduces morbidity and mortality from non-communicable diseases (NCDs) and has also been linked to a lower risk of adiposity. Therefore, the need to promote the consumption of VF from an early age through effective programs. The interventions in Physical Activity have shown effective results in the decrease of BMI, the thickness of the skin folds and the percentage of fat mass in school-age children. Taking into account that currently the schoolchildren have decreased the amount of time dedicated to games, sports or other types of movement and the hours of sedentary life and in front of the screens (computers, tablets, television, mobile phones, others) have increased. It is necessary to promote the performance of physical activity in the school environment through permanent programs that contribute to improving the physical condition of children, complying with daily recommendations.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
1,568
Schools randomized to the experimental group received nutrition education sessions and physical activity classes.
Instituto Regional de Investigacion en Salud
Coronel Oviedo, Caaguazú Department, Paraguay
Skinfold thickness
Continuous variable, measured in millimeters (mm)
Time frame: 6 months
Fruit and vegetables intake
Continuous variable, measured in servings per day
Time frame: 6 months
Physical activity level
Categorical variable, measured using MET in minutes/week and classified as low, medium and high intensity
Time frame: 6 months
Nutritional status
Categorical variable, measured using BMI/age an classified as undernourished, normal, overweight and obese according to WHO standards
Time frame: 6 months
Waist circumference
Continuous variable, measured in centimeters (cm)
Time frame: 6 months
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