Arellano-Gómez Laura Patricia, Chávez-Palencia Clío, Ramos-García César Octavio, Orozco-Hernández Roberto Paulo, Rodríguez-Preciado Salvador Iván, Ochoa-González Héctor, Balderas-Arteaga Nydia, González-Rocha Alejandra, Denova-Gutiérrez Edgar
Departamento de Psicología, Educación y Salud. Instituto Tecnológico de Estudios Superiores de Occidente (ITESO), Universidad Jesuita de Guadalajara, Anillo Periférico Sur Manuel Gómez Morín 8585, San Pedro Tlaquepaque, Jalisco 45604, Mexico.
División de Ciencias de la Salud, Centro Universitario de Tonalá, Universidad de Guadalajara, Av. Nuevo Periférico 555 Ejido San José Tatepozco, Tonalá, Jalisco 45425, Mexico.
Contemp Clin Trials. 2023 Apr;127:107138. doi: 10.1016/j.cct.2023.107138. Epub 2023 Mar 1.
Obesity is one of the major public health problems of the 21st century, affecting every country in the world. In Mexico, the prevalence of overweight and obesity in children (5 to 11 years) was 35.5%. Childhood obesity is a chronic disease itself; and is associated with other chronic conditions.
To assess the effect and feasibility of a participatory intervention to improve nutrition and physical activity within the school environment in children in public elementary schools in Mexico.
The present study is a cluster trial. The intervention focused on; changes in food offered, training the schools' food service staff, promoting water consumption and physical activity at the community level, implementing healthy spaces inside the school, improving the quality of physical education within schools, among others. The main outcomes will focus on rate of weight gain, time devoted to physical activity, sedentary behaviors, diet quality and response feeding behaviors. We also will assess the time and personnel involved in the intervention development, maintenance, and dissemination.
Findings from this trial will generate new translational knowledge in Mexico; if the results are positive, this participatory intervention could serve as a basis for designing multidimensional interventions that could be scaled up at the national level.
肥胖是21世纪主要的公共卫生问题之一，影响着世界上每个国家。在墨西哥，5至11岁儿童超重和肥胖的患病率为35.5%。儿童肥胖本身就是一种慢性病，并且与其他慢性病有关。
评估一项参与性干预措施在墨西哥公立小学儿童的学校环境中改善营养和身体活动的效果及可行性。
本研究为整群试验。干预措施集中在：提供的食物变化、培训学校餐饮服务人员、在社区层面促进水的摄入和身体活动、在学校内设置健康空间、提高学校体育教育质量等。主要结果将集中在体重增加率、用于身体活动的时间、久坐行为、饮食质量和反应性喂养行为。我们还将评估干预措施开发、维持和推广所涉及的时间和人员。
该试验的结果将在墨西哥产生新的转化知识；如果结果是积极的，这种参与性干预措施可作为设计可在国家层面扩大规模的多维干预措施的基础。
