Mokhtar Abdul Halim, Ishak Zahari, Zain Fuziah Md, Selamat Rusidah, Yahya Abqariyah, Jalaludin Muhammad Yazid
Department of Sports Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, 50603, Malaysia.
Faculty for Sports and Exercise Science, Universiti Malaya, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, 50603, Malaysia.
BMC Public Health. 2025 Jan 14;24(Suppl 1):3628. doi: 10.1186/s12889-025-21382-7.
Obesity trend among Malaysian children is on the rise. Noting that the tendency for them to grow into obese adults and the relationship of obesity to many non-communicable diseases, the My Body is Fit and Fabulous at School (MyBFF@school program) was designed to combat obesity among the schoolchildren. The program was piloted in 2014 in Putrajaya, Malaysia. There were several challenges during the pilot study which included strain in manpower, limited variation of physical activity, nutrition, and psychology modules, time-constraint after school hours, co-curriculum marks, contamination effect, and school selection. The main MyBFF@school in 2016 addressed the challenges and improvised the design which were elaborated in subsequent articles in this supplement. This cluster randomized controlled trial was conducted in three states; Federal Territory of Kuala Lumpur, Selangor and Negeri Sembilan in 23 primary and 15 secondary schools were selected through proportionate random sampling. The MyBFF@school intervention package consisted of physical activity, nutrition and psychology components were carried out for six months. Data were collected at baseline, mid (month-3) and end (month-6) of the study period. The effects of the program on body composition, clinical, physical fitness, nutrition, and psychology were assessed in primary schoolchildren aged 9 to 11 years old (children age group) and secondary schoolchildren (adolescent) aged 13 to 16 years old. The prevalence of overweight and obesity at screening (N=22,816) were 29.4% in primary and 26.8% in secondary schoolchildren. Outcomes of the trial is presented in this supplement. In summary, the MyBFF@school program is a school-based intervention for overweight and obese children and adolescent. It is a combination of physical activity, nutrition and psychology components. We present in this supplement, the rationale, methodology and the outcomes of this randomized control trial of the MyBFF@school program.
马来西亚儿童的肥胖趋势呈上升态势。鉴于他们有成长为肥胖成年人的倾向以及肥胖与多种非传染性疾病的关联，“我的身体在学校健康又出色”（MyBFF@school项目）旨在应对学童肥胖问题。该项目于2014年在马来西亚布城进行试点。试点研究期间存在若干挑战，包括人力紧张、体育活动、营养和心理模块的变化有限、课后时间限制、课外活动成绩、污染效应以及学校选择等。2016年的主要MyBFF@school项目应对了这些挑战并改进了设计，本增刊后续文章对此进行了详细阐述。这项整群随机对照试验在三个州开展；通过按比例随机抽样，在吉隆坡联邦直辖区、雪兰莪州和森美兰州选择了23所小学和15所中学。MyBFF@school干预方案包括体育活动、营养和心理部分，实施为期六个月。在研究期的基线、中期（第3个月）和末期（第6个月）收集数据。该项目对9至11岁小学生（儿童年龄组）和13至16岁中学生（青少年）的身体成分、临床、体能、营养和心理方面的影响进行了评估。筛查时（N = 22,816）超重和肥胖的患病率在小学生中为29.4%，在中学生中为26.8%。试验结果在本增刊中呈现。总之，MyBFF@school项目是一项针对超重和肥胖儿童及青少年的校内干预措施。它是体育活动、营养和心理部分的结合。我们在本增刊中介绍了MyBFF@school项目这项随机对照试验的基本原理、方法和结果。
