Physical Activity and Nutritional Education as School-based Interventions to Control Obesity in Children and Adolescents (PANE)

March 14, 2014 updated by: Paulo Henrique de Araujo Guerra, University of Sao Paulo General Hospital

Physical Activity and Nutritional Education as School-based Interventions to Control Overweight in Children and Adolescents: a Systematic Review (Project PANE)

The aim of this study focuses on obtaining accurate information on the effectiveness of interventions involving physical activity and/or nutrition education developed in the school environment. This study is intended to assist in future assembly and development of effective school practices related to preventing and reducing levels of overweight in children and adolescents.

Updated data from the systematic review:

5,899 studies were retrieved in 14 databases (Assia, Central Cochrane, CINAHL, EMBASE, ERIC, ISI, LILACS, Physical Education Index, PsycINFO, PubMed, Social Care Online, Social Services Abstracts, Sociological Abstracts, SPORTDiscus)

1,228 were excluded as duplicates by Eppi Reviewer

4,678 studies referred for evaluation by title and abstracts (4,671 by systematic searches, 7 by cross-references list)

211 full text papers reviewed by EPHPP and GRADE tools

140 studies with data extracted

Body Mass Index Results:

  1. Guerra PH, Nobre MRC, Silveira JAC, Taddei JAAC. The effect of school-based physical activity interventions on body mass index: a meta-analysis of randomized trials. Clinics (Sao Paulo). 2013 Sep;68(9):1263-1273 - Isolated Physical Activity interventions: 0.02 (95%CI: -0.13, 0.17; 11 trials; n=4,273; I2=77%)
  2. Silveira JA, Taddei JA, Guerra PH, Nobre MR. The effect of participation in school-based nutrition education interventions on body mass index: a meta-analysis of randomized controlled community trials. Prev Med. 2013 Mar;56(3-4):237-43 - Isolated Nutrition Education interventions: -0.33 (95%CI: -0.55, -0.11; 8 trials; n=8,491; I2=95%)
  3. Guerra PH, Nobre MRC, Silveira JAC, Taddei JAAC. School-based physical activity and nutritional education interventions on body mass index: a meta-analysis of randomized community trials - Project PANE (manuscript under review) - Combined Physical Activity and Nutrition Education interventions: -0.03 (-0.09, 0.04; 38 trials; n=28,870; I2=83%) / All interventions included: -0.03 (95%CI: -0.09, 0.03; 55 trials n=41,634; I2=87%)

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The inordinate increase in the prevalence of overweight and obesity at the international level today is one of the targets of concern the department of public health, and gradually has been the focus of many studies and interventions which emphasize the need for more evidence to clear and effective its prevention and reduction. Obesity can affect the short or long term health of individuals, through problems such as left ventricular hypertrophy in young-adult and atherosclerosis, which is due to the formation of plaques of fat in the arterial wall and may lead to coronary artery disease , cerebrovascular disease and peripheral vascular disease.

The promotion of regular practice of physical activity through physical education school can be an effective way to prevent obesity among children, especially girls. There is an inverse relationship between physical activity and incidence of hypertension. The earlier the entrance to the practice of physical activities, there will be more effective in combating the increase in body mass index (BMI).

Nutrition Education is to extend the knowledge on nutrition and the ability to understand the practices and eating behavior, improving the relationship of the individual in the environment which is introduced, allowing the taking of decisions under the situation presented.

Study Type

Observational

Enrollment (Actual)

41634

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Brazil
      • Sao Paulo, Brazil
        • Heart Institute, General Hospital of Faculty of Medicine of University of Sao Paulo (InCor HCFMUSP)

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

6 years to 18 years (Child, Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Sampling Method

Probability Sample

Study Population

Children and adolescents aged 6 to 18 years of age included in the school environment, regardless of their ethnicity, social condition and weight range.

Description

Inclusion Criteria:

  • Randomized clinical / community trials whose main objective is the focus on control and / or reduction of body weight of the participants, conducted by a program developed in the scholar environment that promotes the practice of physical activity and healthy eating through nutrition education.
  • Studies that include participants aged 6 to 18 years of age, regardless of the range of weight.
  • There is no restriction ethnic, social, gender, nutritional status and physical fitness.
  • There is no limitation of language for critical evaluation of studies.

Exclusion Criteria:

  • Studies making use of pharmacological agents
  • Studies with participants who suffer from diseases, or specific clinical conditions, except obesity
  • Studies not conducted in the school environment
  • The duplicated data will be excluded.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Intervention
Groups of school intervention that involves a combination of the physical activity and nutrition education in subjects 6 to 18 years of age
Behavioral: Physical Activity and Nutrition Education
School-based interventions involving Physical Activity or/and Nutrition Education.
Control
Groups included in the same school communities that serve as reference for individuals involved in intervention.
Behavioral: Physical Activity and Nutrition Education
School-based interventions involving Physical Activity or/and Nutrition Education.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Body Mass Index (BMI)
Time Frame: Assessments results should at least monitor the execution time of the intervention studies, with a minimum of two assessments: pre-and post-intervention. This requirement depends directly on the studies to be extracted in the systematic search.
Assessments results should at least monitor the execution time of the intervention studies, with a minimum of two assessments: pre-and post-intervention. This requirement depends directly on the studies to be extracted in the systematic search.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Body Weight
Time Frame: requirement for pre and post-intervention assessments
requirement for pre and post-intervention assessments
Blood Pressure
Time Frame: requirement for pre and post-intervention assessments
Systolic and Diastolic blood pressure
requirement for pre and post-intervention assessments

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Sao Paulo General Hospital

Investigators

  • Principal Investigator: Moacyr MR Nobre, PhD, University of São Paulo, Faculty of Medicine, Heart Institute (InCor), Clinical Epidemiology Unit
  • Principal Investigator: Paulo Henrique A Guerra, DSc, University of São Paulo, Faculty of Medicine, Heart Institute (InCor), Clinical Epidemiology Unit
  • Principal Investigator: Jonas A Silveira, MSc, Federal University of São Paulo, Department of Pediatrics

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

June 1, 2009

Primary Completion (Actual)

December 1, 2010

Study Completion (Actual)

September 1, 2013

Study Registration Dates

First Submitted

September 23, 2009

First Submitted That Met QC Criteria

September 28, 2009

First Posted (Estimate)

September 29, 2009

Study Record Updates

Last Update Posted (Estimate)

March 17, 2014

Last Update Submitted That Met QC Criteria

March 14, 2014

Last Verified

March 1, 2014

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • PANE0575-08

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Subscribe