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

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 (MyBFF@school) with nutrition education intervention (NEI) on the stages of change for fruit and vegetabl...

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Main Authors: Selamat, R., Raib, J., Aziz, N.A.A., Zulkafly, N., Ismail, A.N., Mohamad, W.N.A.W., Jalaludin, Muhammad Yazid, Zain, F.M., Ishak, Z., Yahya@Ahmad Noor, 'Abqariyah, Mokhtar, Abdul Halim
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Published: Persatuan Pemakanan Malaysia 2021
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Online Access:http://eprints.um.edu.my/35714/
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85104027869&doi=10.31246%2fMJN-2020-0023&partnerID=40&md5=7d7230f214905cf0f89b07b3c1faf8f7
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spelling my.um.eprints.357142023-11-29T03:35:12Z http://eprints.um.edu.my/35714/ Fruit and vegetable intake among overweight and obese school children: A cluster randomised control trial Selamat, R. Raib, J. Aziz, N.A.A. Zulkafly, N. Ismail, A.N. Mohamad, W.N.A.W. Jalaludin, Muhammad Yazid Zain, F.M. Ishak, Z. Yahya@Ahmad Noor, 'Abqariyah Mokhtar, Abdul Halim R Medicine (General) Child health. Child health services 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 (MyBFF@school) 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: MyBFF@school with NEI based on TTM provided acceptable changes in fruit and vegetable intake among overweight and obese secondary school children. © 2021. All rights reserved. Persatuan Pemakanan Malaysia 2021 Article PeerReviewed Selamat, R. and Raib, J. and Aziz, N.A.A. and Zulkafly, N. and Ismail, A.N. and Mohamad, W.N.A.W. and Jalaludin, Muhammad Yazid and Zain, F.M. and Ishak, Z. and Yahya@Ahmad Noor, 'Abqariyah and Mokhtar, Abdul Halim (2021) Fruit and vegetable intake among overweight and obese school children: A cluster randomised control trial. Malaysian Journal of Nutrition, 27 (1). pp. 67-79. ISSN 1394035X, DOI https://doi.org/10.31246/MJN-2020-0023 <https://doi.org/10.31246/MJN-2020-0023>. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85104027869&doi=10.31246%2fMJN-2020-0023&partnerID=40&md5=7d7230f214905cf0f89b07b3c1faf8f7 10.31246/MJN-2020-0023
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine (General)
Child health. Child health services
spellingShingle R Medicine (General)
Child health. Child health services
Selamat, R.
Raib, J.
Aziz, N.A.A.
Zulkafly, N.
Ismail, A.N.
Mohamad, W.N.A.W.
Jalaludin, Muhammad Yazid
Zain, F.M.
Ishak, Z.
Yahya@Ahmad Noor, 'Abqariyah
Mokhtar, Abdul Halim
Fruit and vegetable intake among overweight and obese school children: A cluster randomised control trial
description 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 (MyBFF@school) 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: MyBFF@school with NEI based on TTM provided acceptable changes in fruit and vegetable intake among overweight and obese secondary school children. © 2021. All rights reserved.
format Article
author Selamat, R.
Raib, J.
Aziz, N.A.A.
Zulkafly, N.
Ismail, A.N.
Mohamad, W.N.A.W.
Jalaludin, Muhammad Yazid
Zain, F.M.
Ishak, Z.
Yahya@Ahmad Noor, 'Abqariyah
Mokhtar, Abdul Halim
author_facet Selamat, R.
Raib, J.
Aziz, N.A.A.
Zulkafly, N.
Ismail, A.N.
Mohamad, W.N.A.W.
Jalaludin, Muhammad Yazid
Zain, F.M.
Ishak, Z.
Yahya@Ahmad Noor, 'Abqariyah
Mokhtar, Abdul Halim
author_sort Selamat, R.
title Fruit and vegetable intake among overweight and obese school children: A cluster randomised control trial
title_short Fruit and vegetable intake among overweight and obese school children: A cluster randomised control trial
title_full Fruit and vegetable intake among overweight and obese school children: A cluster randomised control trial
title_fullStr Fruit and vegetable intake among overweight and obese school children: A cluster randomised control trial
title_full_unstemmed Fruit and vegetable intake among overweight and obese school children: A cluster randomised control trial
title_sort fruit and vegetable intake among overweight and obese school children: a cluster randomised control trial
publisher Persatuan Pemakanan Malaysia
publishDate 2021
url http://eprints.um.edu.my/35714/
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85104027869&doi=10.31246%2fMJN-2020-0023&partnerID=40&md5=7d7230f214905cf0f89b07b3c1faf8f7
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score 13.211869