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| Name | Class |
|---|---|
| FundaciĂłn Gonzalo RĂo Arronte | UNKNOWN |
| Instituto Nacional de Medicina Genomica | OTHER_GOV |
| University of Illinois at Urbana-Champaign | OTHER |
| Universidad Nacional Autonoma de Mexico |
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This proposal aims to enhance the well being of schoolchildren and their families through a mobile application and multidisciplinary intervention model grounded in authoritative parenting principles and social cognitive theory.
Childhood is recognized as a critical period of metabolic sensitivity, during which excess adiposity increases the likelihood of developing metabolic abnormalities in adulthood by approximately 70%, including hypertension, dyslipidemia, insulin resistance, hyperuricemia, and non-alcoholic fatty liver disease. In Mexico, overweight and obesity affect 35.5% of school-aged children, inevitably contributing to the growing prevalence of non-communicable chronic diseases. Data from ENSANUT 2018 place Sonora among the five states with the highest rates of obesity, with 22.2% of adolescents aged 12-19 years classified as obese. This epidemiological context highlights the pressing need for innovative strategies to promote prevention and early risk detection during childhood.
Evidence indicates that mobile health (mHealth) applications may effectively reduce body weight and prevent fat accumulation. Nevertheless, only a limited number of studies have applied mHealth interventions to prevent pediatric adiposity or to foster behavioral changes in comparison with conventional nutritional approaches. The proposed model incorporates a communication strategy designed to monitor participant needs, offer engagement incentives, and promote adherence to the study protocol.
The primary research question addresses whether a family-focused intervention can effectively improve eating patterns and food-related behaviors among students enrolled at "La Caridad" Educational Center in Nacozari de GarcĂa, Sonora.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| School B | Experimental | Nutritional therapy supported by a mobile application. The app integrates a multimodal approach (educational content, interactive tools, and gamification) to promote healthy eating, featuring parent-child dyad-focused resources such as recipe tutorials with family-specific adaptations. |
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| School A. | Active Comparator | Nutritional therapy will be delivered through a mobile application that will integrate a multimodal approach, including educational content, interactive tools, and gamification, to promote healthy eating. The application will incorporate parent-child dyad-focused resources, such as recipe tutorials adapted to specific family needs. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| School B | Device | Nutritional therapy supported by a mobile application. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Dietary behavior | The Children's Eating Behavior Questionnaire (CEBQ) will be administered. The responses will be scored and interpreted using standardized scales, yielding two main dimensions: overeating-related behaviors (where higher scores indicate increased risk of obesity) and undereating-related behaviors (where higher scores suggest risk of underweight or feeding difficulties). Each dimension is further divided into four subscales, allowing for a more detailed characterization of eating behavior patterns. | Six months |
| Body index mass | Measured in Kg/m2 | Six months |
| Age | Years lived reported by parents through medical records | Six months |
| Feeding practices | Comprehensive Feeding Practices Questionnaire (CFPQ). The CFPQ evaluates parental feeding behaviors across two primary domains, each comprising six subscales. The first domain encompasses health-promoting feeding practices (e.g., modeling, monitoring), while the second includes negative or problematic feeding practices (e.g., use of food as a reward, restrictive practices). Higher scores in health-promoting practices are positively associated with healthier dietary patterns in children. In contrast, higher scores in negative practices are linked to an increased risk of pediatric obesity and disordered eating behaviors. | Six months |
| Body weight | The total body weight (kg) observed in the intervention group versus the control group. | Six months |
| Phisical activity | This questionnaire assesses children's average physical activity (expressed in MET-minutes per week) and sedentary time (in hours/day) across weekdays |
| Measure | Description | Time Frame |
|---|---|---|
| Z-Score | Change in Z-score scale:
| Six months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Claudia Tovar-Palacio, Ph.D. | Contact | +52 5585341831 | claudia.tovarp@incmnsz.mx | |
| Berenice Palacios-Gonzalez, Ph.D. | Contact | 5553501900 | 1220 | bpalacios@inmegen.gob.mx |
| Name | Affiliation | Role |
|---|---|---|
| Claudia Tovar-Palacio, Ph.D. | Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| "El globo" and "Servicios de Salud Lomas Altas" | Recruiting | México | Sonora | Mexico |
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| ID | Term |
|---|---|
| D015362 | Child Nutrition Disorders |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D050177 | Overweight |
| D044343 | Overnutrition |
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| OTHER |
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| Control |
| Other |
Conventional nutritional treatment. |
|
| Six months |
| Height | Mean values of anthropometric measurements obtained using a stadiometer, expressed in centimeters. | Six months |
| Fat mass | Children's fat mass, as determined by bioelectrical impedance analysis, will be expressed as a percentage (%). | Six months |
| Fat-free mass | Children's fat-free mass, as determined by bioelectrical impedance analysis, will be expressed as a percentage (%). | Six months |
| Glucose | Change in glucose concentration will be determined by measuring capillary blood glucose levels (mg/dL) | Six months |
| Triacylglycerides | Changes in triacylglycerol concentration will be determined by measuring capillary blood triacylglycerol levels (mg/dL) | Six months |
| Total cholesterol | Changes in total cholesterol concentration will be determined by measuring capillary blood cholesterol levels (mg/dL). | Six months |
| HDL-Cholesterol | Changes in HDL-cholesterol concentration will be determined by measuring capillary blood HDL-cholesterol levels (mg/dL). | Six months |
| LDL-cholesterol | Changes in LDL-cholesterol concentration will be determined by measuring capillary blood LDL-cholesterol levels. | Six months |
| Parenting practices | The Short Parenting Practices Questionnaire is designed to identify and classify parenting styles based on two primary dimensions: warmth (affection) and control (discipline). In its abbreviated version, the questionnaire asks parents/caregivers to report on items that explore: Authoritative practices: characterized by high warmth and high control, reflected in behaviors such as providing explanations, setting clear rules, showing affection, and promoting autonomy within appropriate limits. Authoritarian practices: characterized by low warmth and high control, reflected in behaviors such as rigid discipline, imposing rules without dialogue, and lower expression of affection. In general, the questionnaire requires self-reported responses regarding the frequency with which parents engage in specific behaviors or strategies in everyday life. These responses are then grouped into the two empirically validated categories. | Six months |
| Dietary patterns | Using data collected from a food frequency questionnaire (FFQ) and a 24-hour dietary recall will be evaluated for dietary patterns | Six month |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |