Eating Habits and Obesity in First and Second Grade School Children

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00995267
Recruitment Status : Completed
First Posted : October 15, 2009
Last Update Posted : November 30, 2017
Information provided by (Responsible Party):
Hadassah Medical Organization

Brief Summary:

Purpose: In the framework of a randomized concurrent controlled trial, to assess the effectiveness of a feasible educational mechanism based on the principles of Alfred Adler, that focuses on the family, to improve the dietary habits of schoolchildren, to induce them to increase their physical activity, and to prevent obesity and diseases related to obesity. Primary Objectives for Children: 1.To increase intake of fruits and vegetables, to reduce intake of sweets and unhealthy snacks at home and in school, to increase exercise and to reduce sedentary activities. Primary Objective for the Parents: Increase the involvement of parents in the education of their children regarding nutrition.

Description: Study population: Approximately 600 students and 600 parents from 24 first grade classes in 4 schools. Schools are randomized into intervention and control groups. The intervention comprises a 5-session parental workshop and 5 joint parent-child school-based activities. The control group will be offered the intervention after conclusion of the trial.

Participants are recruited in first grade, anthropometrics are measured, and pupils and parents are interviewed on eating habits and exercise. Snacks are observed. The intervention takes place in the second grade, and outcome assessment is done at the end of the 2nd grade and beginning of the 3rd grade. In-depth interviews will be conducted with parents of obese children.

Significance: Most interventions geared to prevention of childhood obesity have failed dismally. A new approach that focuses on the parent-child interaction may be contributory.

Condition or disease Intervention/treatment
Childhood Obesity Behavioral: parent-child interaction/activities based on Adler's methods

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 508 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: The Influence of the Family as Agents of Change on Eating Habits and Obesity in First and Second Grade School Children in Israel.
Study Start Date : March 2008
Primary Completion Date : December 2010
Study Completion Date : February 2011

Arm Intervention/treatment
Experimental: behavioral intervention
Behavioral intervention arm comprises 5 joint parent-child school-based nutritional activities in which nutritional information was combined with Adler's behavioral concepts. and a 5-session parental workshop.
Behavioral: parent-child interaction/activities based on Adler's methods

Description of the Intervention:

5 joint classroom activities (parents and children together, involving children in food choices/food preparation-sense of belonging/decision making): 1. Healthy breakfasts and 10 o'clock snacks 2. Fats and oils in the diet, cooking methods, setting limits to oily food intake. 3. Fruit and vegetables in the daily diet, adults as role models. 4. Learning about food categories & pyramid, healthy eating and growth. 5. Limiting consumption of sweets and snacks.

Workshop for Parents: Explaining nutritional needs of children; how to encourage good eating habits, how to deal with children's manipulations, providing tools to elicit change; use of food to attract parental attention; practical tools to deal with their children's eating habits/obesity/refusal to eat/chronic health problems/failure to grow; ways to prevent use of food as an answer to childhood frustrations.

No Intervention: control arm

Primary Outcome Measures :
  1. Primary outcome: change in intake of fruits, vegetables, sweets and unhealthy snacks at home, and exercise (questionnaire-based); and observed intake in school snacks [ Time Frame: first grade to third grade ]

Secondary Outcome Measures :
  1. change in BMI and waist circumference [ Time Frame: first grade to third grade ]

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Ages Eligible for Study:   6 Years to 9 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • All children in regular first grade classes in 4 schools whose parents provided informed consent

Exclusion Criteria:

  • Schools with separate classes for boys and girls, and schools/classes for children with special needs

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00995267

Hadassah University Hospital
Jerusalem, Israel, 91120
Sponsors and Collaborators
Hadassah Medical Organization
Principal Investigator: Tori Goldstein, MSC Hebew University Faculty of Medicine
Principal Investigator: Jeremy D Kark, MD PhD Hadassah Medical Organization

Responsible Party: Hadassah Medical Organization Identifier: NCT00995267     History of Changes
Other Study ID Numbers: LBoo1-HMO-CTIL
First Posted: October 15, 2009    Key Record Dates
Last Update Posted: November 30, 2017
Last Verified: October 2009

Keywords provided by Hadassah Medical Organization:
childhood obesity
Alfred Adler
intervention study
community-based trial
parent-child interaction
nutritional behaviors

Additional relevant MeSH terms:
Pediatric Obesity
Nutrition Disorders
Body Weight
Signs and Symptoms