Juara Sihat

Assessing the sustained impact of a school-based obesity intervention

Wilfred Kok Hoe Mok, Bee Koon Poh, Lei Hum Wee, Dewi Gunasekaran Devanthini, Ruzita Abd. Talib

Research output: Contribution to journalArticle

Abstract

Introduction: Obesity and physical inactivity among school children are among themost challenging health problems in Malaysia. The present study aimed to evaluate the sustained impact of Juara Sihat programme on physical activity level and anthropometric status at 18-month post-intervention. Method: Participants of Juara Sihat (n=55) were followed-up at 18 months after completion of the intervention. Juara Sihat intervention was implemented over 12 weeks and focused on four key components: (i) five one-hour nutrition education classes, (ii) four one-hour physical activity education sessions, (iii) family involvement, and (iv) empowerment of Parents and Teachers Association. Anthropometric variables (body mass index, body fat percentage and waist circumference) were measured and physical activity level was evaluated by using Physical Activity Questionnaire for Children (PAQ-C) at baseline (P0), immediately upon completion of intervention (P1), at three-month post-intervention (P2), and at 18-month post-intervention (P3). Analyses of repeated measures analysis of covariance (ANCOVA) with intention-to-treat principle were applied. Results: Sustained effects were found in BMI-for-age z-score which showed a reduction (P0 2.41±0.84 vs P3 2.27±0.81) and physical activity level which showed positive improvements (P0 2.46±0.62 vs P3 2.87±0.76) at 18 months after intervention was completed. Body fat and waist circumference had increased over the same time period. Conclusion: Overall, this study successfully demonstrated sustained intervention effects of Juara Sihat intervention on BMI-for-age z-score and physical activity, but not on body fat percentage and waist circumference.

Original languageEnglish
Pages (from-to)100-105
Number of pages6
JournalMedical Journal of Malaysia
Volume73
Issue number2
Publication statusPublished - 1 Apr 2018

Fingerprint

Obesity
Exercise
Waist Circumference
Adipose Tissue
Physical Education and Training
Malaysia
Body Mass Index
Parents
Education
Health

Keywords

  • Anthropometry
  • Nutrition education
  • Obesity
  • Overweight
  • Physical activity
  • School-based intervention
  • Sustainability

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Juara Sihat : Assessing the sustained impact of a school-based obesity intervention. / Mok, Wilfred Kok Hoe; Poh, Bee Koon; Wee, Lei Hum; Devanthini, Dewi Gunasekaran; Abd. Talib, Ruzita.

In: Medical Journal of Malaysia, Vol. 73, No. 2, 01.04.2018, p. 100-105.

Research output: Contribution to journalArticle

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