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| Name | Class |
|---|---|
| Peking University | OTHER |
| Central South University | OTHER |
| Tianjin Medical University | OTHER |
| Shanghai Municipal Center for Disease Control and Prevention |
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The study was designed as a national multi-centered cluster randomized controlled trial involving more than 70,000 children and adolescents aged 7-18 years from 7 provinces in China. In each center, about 12-16 primary and secondary schools, with totally at least 10000 participants were randomly selected (Primary: Secondary=1:1). All of the selected schools were randomly allocated to either intervention or control group (Intervention: Control=1:1).The multi-components school-based and family-involved scheme was conducted within the intervention group for 9 month, while students in the control group followed their usual health practice. The intervention consisted of four components: a) Create supportive school and family environment, b) Health lifestyles education and related compulsory physical activities, c) Instruct and promote school physical education, d) Self-monitor obesity related behaviors. Four types of outcomes including anthropometric, behavioral, blood chemical and physical fitness were measured to assess the effectiveness of the intervention program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The Health Lifestyles Interventions | Experimental |
|
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| Receive no intervention | No Intervention | Usual practice |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The Health Lifestyles Interventions | Behavioral |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in the prevalence of overweight and obesity | Baseline, Month 9 |
| Measure | Description | Time Frame |
|---|---|---|
| Change in obesity related anthropometric measurements (waist circumference, hip circumference, blood pressure and skin fold thickness) | Baseline, Month 9 | |
| Change in physical activity and dietary behaviors (Dietary, sedentary or physical activity behaviors and their determents, as measured by validated questionnaires (parent, children and school version) |
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Inclusion Criteria:
grade of 1 to 5 in primary schools and grade of 6 to 8 and 10 to 11 in secondary schools.
Exclusion Criteria:
Suffering or any history of disabilities, cardiovascular diseases, asthma, metabolic diseases, etc.
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| Name | Affiliation | Role |
|---|---|---|
| Jun MA, M.D | Peking University | Study Chair |
| Jiayou LUO, M.D | Central South University | Principal Investigator |
| Xin ZHANG, M.D | Tianjin Medical University | Principal Investigator |
| Chunyan LUO, M.D | Shanghai Municipal Center for Disease Control and Prevention & Shanghai Institutes of Preventive Medicine | Principal Investigator |
| Hong WANG, M.D | Chongqing Medical University | Principal Investigator |
| Haiping ZHAO, M.D | Ningxia Medical University | Principal Investigator |
| Dehong PAN, M.D | Liaoning Health Supervision Bureau | Principal Investigator |
| Jin JING, M.D | Sun Yat-sen University | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39704211 | Derived | Guo P, Zhou Y, Zou Z, Chen Y, Jing J, Ma Y, Song Y, Ling W, Ma J, Zhu Y. Effects of School-Based Lifestyle Interventions on Cardiovascular Health in Chinese Children and Adolescents: A Post Hoc Analysis of a National Multicenter Study. J Am Heart Assoc. 2025 Jan 7;14(1):e037371. doi: 10.1161/JAHA.124.037371. Epub 2024 Dec 20. | |
| 36866471 |
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| ID | Term |
|---|---|
| D063766 | Pediatric Obesity |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
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| OTHER |
| Chongqing Medical University | OTHER |
| Ningxia Medical University | OTHER |
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|
| Baseline, Month 9 |
| Change in serum lipids and fasting glucose (fasting plasma glucose, fasting triglycerides, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol) | Baseline, Month 9 |
| Change in physical fitness (standing-board jump, 50 meters speed run, 50 meters × 8 shuttle run (primary students) and run 800/1000 meters (secondary school students) | Baseline, Month 9 |
| Guo P, Zhou Y, Zhu Y. Effects of a school-based lifestyle intervention on ideal cardiovascular health in Chinese children and adolescents: a national, multicentre, cluster-randomised controlled trial. Lancet Glob Health. 2023 Mar;11 Suppl 1:S14. doi: 10.1016/S2214-109X(23)00097-9. |
| 34555181 | Derived | Neil-Sztramko SE, Caldwell H, Dobbins M. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Database Syst Rev. 2021 Sep 23;9(9):CD007651. doi: 10.1002/14651858.CD007651.pub3. |
| 34123956 | Derived | Dong Y, Zou Z, Wang H, Dong B, Hu P, Ma Y, Song Y, Ma J. National School-Based Health Lifestyles Intervention in Chinese Children and Adolescents on Obesity and Hypertension. Front Pediatr. 2021 May 28;9:615283. doi: 10.3389/fped.2021.615283. eCollection 2021. |
| 32631401 | Derived | Diao H, Wang H, Yang L, Li T. The impacts of multiple obesity-related interventions on quality of life in children and adolescents: a randomized controlled trial. Health Qual Life Outcomes. 2020 Jul 6;18(1):213. doi: 10.1186/s12955-020-01459-0. |
| 31122966 | Derived | Zou Z, Yang Z, Yang Z, Wang X, Gao D, Dong Y, Ma J, Ma Y. Association of high birth weight with overweight and obesity in Chinese students aged 6-18 years: a national, cross-sectional study in China. BMJ Open. 2019 May 22;9(5):e024532. doi: 10.1136/bmjopen-2018-024532. |
| D009750 |
| Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |