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School- and Family-Based Lifestyle Programme for Primary School Children in Punjab, Pakistan: A Feasibility Study

6 de novembro de 2026 atualizado por: Qin jiabi, Central South University

A School- and Family-Based Lifestyle Programme for Primary School Children in Punjab, Pakistan: A Feasibility Cluster Non-Randomised Controlled Trial

The goal of this feasibility study was to find out whether a larger trial of a school- and family-based lifestyle programme for primary school children in Punjab, Pakistan, can be carried out successfully. The programme aims to help children aged 7 to 11 years eat more healthily, be more physically active and sleep well, in order to prevent unhealthy weight gain.

The main questions it aimed to answer were:

  • Will schools and families agree to take part, and will children stay in the study until the end?
  • Can measurements and questionnaires be completed fully and within a reasonable time?
  • Can the programme be delivered in schools as planned, and will children and parents attend the sessions?

Ten primary schools in three districts of Punjab (Lahore, Sahiwal and Bahawalnagar) took part. Children in five schools received the 17-week programme, and children in the other five schools continued their usual school routine.

Children in the programme schools:

  • attended a weekly classroom session about healthy eating, physical activity and sleep
  • took part in extra physical activity at school
  • kept a weekly activity diary at home

Their parents were invited to group sessions and two individual meetings, and received printed guidance.

In all schools, children's height, weight, waist size and blood pressure were measured, and children and parents completed questionnaires at the start of the study and after 18 weeks.

Visão geral do estudo

Status

Concluído

Condições

Intervenção / Tratamento

Descrição detalhada

This was a feasibility cluster non-randomised controlled trial. Schools were the unit of allocation: five of the seven schools able to timetable the programme in the spring term received the intervention, and five schools served as controls. To minimise contamination, schools in different groups were at least 3 km apart, served separate catchment areas and shared no teaching staff.

The programme was grounded in the socio-ecological model and targeted children (classroom education, school physical activity and self-monitoring), families (parent group sessions, individual meetings and printed guidance) and schools (daily physical activity opportunities). During Ramadan, school physical activity was suspended and session timing was adjusted.

The standard deviation of change and the intracluster correlation coefficient of BMI-for-age z-score (WHO 2007 reference) were estimated to inform the sample size of the definitive cluster randomised trial. Initial between-group differences in weight status, blood pressure and behaviours were estimated with linear mixed models including a random intercept for school, adjusted for baseline value, age, sex and district.

Tipo de estudo

Intervencional

Inscrição (Real)

1200

Estágio

  • Não aplicável

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

      • Bahāwalnagar, Paquistão
        • Participating primary schools, Lahore
      • Lahore, Paquistão
        • Participating primary schools, Lahore
      • Sāhīwāl, Paquistão
        • Participating primary schools, Sahiwal

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

7 anos a 11 anos (Filho)

Aceita Voluntários Saudáveis

Sim

Gêneros Elegíveis para o Estudo

Tudo

Descrição

Inclusion Criteria:

  • Children enrolled in grades 3-5 (aged 7-11 years) in a participating primary school
  • Written informed consent from a parent or legal guardian
  • Verbal assent from the child

Exclusion Criteria:

  • Physical disability or chronic condition limiting growth or physical activity, as reported by parents and confirmed by teachers
  • Expected to change school before the 18-week follow-up

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Prevenção
  • Alocação: Não randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Nenhum (rótulo aberto)

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Experimental: Lifestyle programme

Children in grades 3-5 and their parents in five primary schools received the 17-week school- and family-based lifestyle programme.

A 17-week programme with two components. Child component: 16 weekly 40-minute classroom sessions on healthy eating, physical activity and sleep, each followed by a take-home task; a target of 45 minutes of school physical activity (physical education, classroom activity breaks and after-class sport) on every school day; and weekly self-monitoring with a home exercise diary and self-weighing, with private feedback every four weeks. Parent component: nine 60-minute group sessions paralleling the child curriculum, two individual meetings on the child's growth and behaviour goals, and printed guidance on screen time, family activity, healthy eating and sleep. During Ramadan, school physical activity was suspended and session timing was adjusted.

Sem intervenção: Usual practice

Children in five primary schools continued their usual school timetable, including two 35-minute physical education periods per week, and received no study activities. Programme materials were provided to these schools after the study.

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
School recruitment rate
Prazo: Baseline (before the programme started)

Proportion of eligible primary schools that agreed to participate.

Baseline (before the programme started)
Child recruitment rate
Prazo: Baseline (before the programme started)

Proportion of eligible children in grades 3-5 whose parents gave written consent.

Baseline (before the programme started)
Retention rate
Prazo: 18 weeks after baseline

Proportion of enrolled children followed up at 18 weeks.

18 weeks after baseline
Data completeness
Prazo: Baseline and 18 weeks

Proportion of enrolled children (baseline) and followed-up children (18 weeks) with complete data for each measure: anthropometry, blood pressure, child questionnaire sections and parent questionnaire.

Baseline and 18 weeks
Time needed for data collection
Prazo: Baseline and 18 weeks

Mean minutes per class required to complete the child questionnaire and to measure anthropometry and blood pressure.

Baseline and 18 weeks
Programme delivery and attendance
Prazo: During the 17-week programme

Proportion of planned child and parent sessions delivered; mean attendance (%) of children at classroom sessions and of parents at group sessions; frequency (days per week) and duration (minutes per day) of school physical activity.

During the 17-week programme
Standard deviation of change and intracluster correlation coefficient of BMI-for-age z-score
Prazo: Baseline to 18 weeks

Parameters for the sample size calculation of the definitive trial. BMI-for-age z-score was calculated from measured height and weight using the WHO 2007 growth reference.

Baseline to 18 weeks

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Change in BMI-for-age z-score
Prazo: Baseline to 18 weeks

Calculated from measured height and weight using the WHO 2007 growth reference.

Baseline to 18 weeks
Change in prevalence of overweight and obesity
Prazo: Baseline to 18 weeks

Proportion of children with overweight (BMI-for-age z-score > +1 to +2) or obesity (z-score > +2) according to WHO 2007 cut-offs.

Baseline to 18 weeks
Change in waist circumference
Prazo: Baseline to 18 weeks

Measured in centimetres midway between the lowest rib and the iliac crest.

Baseline to 18 weeks
Change in systolic and diastolic blood pressure
Prazo: Baseline to 18 weeks

Measured in mmHg with a validated oscillometric device; classified using the American Academy of Pediatrics 2017 tables.

Baseline to 18 weeks
Change in physical activity score
Prazo: Baseline to 18 weeks

Child-reported summary score (range 0-19) based on days with at least 60 minutes of activity, days walking or cycling to school, and days with physical education in the past 7 days; higher scores indicate more activity.

Baseline to 18 weeks
Change in diet score
Prazo: Baseline to 18 weeks

Child-reported dietary questionnaire on intake of fruit and vegetables, sugar-sweetened beverages and fast food in the past 7 days.

Baseline to 18 weeks
Change in screen and sedentary time score
Prazo: Child-reported score (range 0-8) from four items on screen and sedentary time, each scored 0-2 (<1 h, 1-2 h, >2 h per day); higher scores indicate more screen time.

Child-reported score (range 0-8) from four items on screen and sedentary time, each scored 0-2 (<1 h, 1-2 h, >2 h per day); higher scores indicate more screen time.

Child-reported score (range 0-8) from four items on screen and sedentary time, each scored 0-2 (<1 h, 1-2 h, >2 h per day); higher scores indicate more screen time.
Change in sleep duration
Prazo: Baseline to 18 weeks

Child-reported usual nightly sleep duration in hours.

Baseline to 18 weeks
Change in parental knowledge, attitudes and practices
Prazo: Baseline to 18 weeks

Parent questionnaire scores for knowledge, attitudes and practices regarding childhood healthy weight, diet and physical activity.

Baseline to 18 weeks

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Patrocinador

Investigadores

  • Investigador principal: Qin Jiabi, Central South University

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Real)

5 de janeiro de 2026

Conclusão Primária (Real)

21 de maio de 2026

Conclusão do estudo (Real)

21 de maio de 2026

Datas de inscrição no estudo

Enviado pela primeira vez

6 de novembro de 2026

Enviado pela primeira vez que atendeu aos critérios de CQ

6 de novembro de 2026

Primeira postagem (Real)

12 de novembro de 2026

Atualizações de registro de estudo

Última Atualização Postada (Real)

12 de novembro de 2026

Última atualização enviada que atendeu aos critérios de controle de qualidade

6 de novembro de 2026

Última verificação

1 de novembro de 2026

Mais Informações

Termos relacionados a este estudo

Outros números de identificação do estudo

  • XYGW-2026-18-FS

Plano para dados de participantes individuais (IPD)

Planeja compartilhar dados de participantes individuais (IPD)?

SIM

Descrição do plano IPD

De-identified individual participant data underlying the results reported in the publication will be shared with researchers who provide a methodologically sound proposal.

Prazo de Compartilhamento de IPD

Beginning after publication of the main results and for 5 years thereafter.

Critérios de acesso de compartilhamento IPD

Requests should be directed to the corresponding author. Data will be shared after approval of a proposal and signature of a data-sharing agreement, subject to approval by the Institutional Review Board of the Xiangya School of Public Health, Central South University.

Tipo de informação de suporte de compartilhamento de IPD

  • PROTOCOLO DE ESTUDO
  • SEIVA

Informações sobre medicamentos e dispositivos, documentos de estudo

Estuda um medicamento regulamentado pela FDA dos EUA

Não

Estuda um produto de dispositivo regulamentado pela FDA dos EUA

Não

Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .