Nutritional Sciences Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, 50300 Kuala Lumpur, Malaysia.
Department of Bioscience, Faculty of Applied Sciences, Tunku Abdul Rahman University College, 50300 Kuala Lumpur, Malaysia.
Nutrients. 2018 Jan 30;10(2):156. doi: 10.3390/nu10020156.
The GReat-Child Trial was a quasi-experimental intervention that has emphasized whole grain as a strategy to manage childhood obesity. Two schools in Kuala Lumpur with similar demographic characteristics were assigned as intervention (IG) and control (CG). Eligibility criteria were overweight/obese children aged 9 to 11 years who had no serious co-morbidity. Children who reported consuming wholegrain foods in their 3-day diet-recall during screening were excluded. A total of 63 children (31 IG; 32 CG) completed the entire intervention program. The IG children underwent six 30-min nutrition education lessons and had school delivery of wholegrain food on a daily basis over a 12-week period. Parents of IG children attended 1-h individual diet counseling. Anthropometric outcomes including BMI-for-age z-score (BAZ), body fat percentage and waist circumference were measured at baseline [T0], post-intervention [T1] (3rd month) and follow-up [T2] (9th month). IG showed significantly lower BAZ (weighted difference: -0.12; 95% CI: -0.21, -0.03; = 0.009), body fat percentage (weighted difference: -2.6%; 95% CI: -3.7, -1.5; < 0.001) and waist circumference (weighted difference: -2.4 cm; 95% CI: -3.8, -1.0; = 0.001) compared to CG. IG reported significantly lower body fat percentage (weighted difference: -3.4%; 95% CI: 1.8, 5.0; < 0.001) and waist circumference (weighted difference: -2.1 cm; 95% CI: -3.7, -0.5; = 0.014) at T1 compared to T0. The GReat-Child Trial made a positive impact in managing childhood obesity. It can be incorporated into childhood obesity intervention programs that are being implemented by the policy makers.
Great-Child 试验是一项准实验干预研究，强调全谷物作为管理儿童肥胖的策略。在吉隆坡的两所具有相似人口统计学特征的学校被分配为干预组（IG）和对照组（CG）。合格标准为 9 至 11 岁的超重/肥胖儿童，且无严重合并症。在筛选期间，报告在三天饮食回忆中食用全谷物食物的儿童被排除在外。共有 63 名儿童（31 名 IG；32 名 CG）完成了整个干预计划。IG 儿童接受了 6 次 30 分钟的营养教育课程，并在 12 周内每天在学校食用全谷物食品。IG 儿童的家长参加了 1 小时的个人饮食咨询。在基线[T0]、干预后[T1]（第 3 个月）和随访[T2]（第 9 个月）时测量了包括 BMI 年龄 z 评分（BAZ）、体脂肪百分比和腰围在内的人体测量学结果。IG 组的 BAZ（加权差异：-0.12；95%CI：-0.21，-0.03； = 0.009）、体脂肪百分比（加权差异：-2.6%；95%CI：-3.7，-1.5； < 0.001）和腰围（加权差异：-2.4 厘米；95%CI：-3.8，-1.0； = 0.001）显著低于 CG 组。与 T0 相比，IG 组在 T1 时报告的体脂肪百分比（加权差异：-3.4%；95%CI：1.8，5.0； < 0.001）和腰围（加权差异：-2.1 厘米；95%CI：-3.7，-0.5； = 0.014）显著降低。Great-Child 试验在管理儿童肥胖方面产生了积极影响。它可以被纳入决策者正在实施的儿童肥胖干预计划中。
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