Health Promotion in Adolescents in Ecuador (ACTIVITAL)
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Purpose
Worldwide, low-income and middle-income countries are undergoing rapid demographic and nutritional changes. Populations tend to move from their traditional food habits towards dietary patterns characterized by a more energy-dense diet, while urbanization and technology (work, transport) play a role in the reduction of their physical activity. This shift towards energy-dense diets and lower levels of physical activity are key determinants of chronic diseases. Nowadays, childhood overweight and obesity are becoming a major threat to public health all in low-income and middle-income countries. Clearly, not properly addressing this health problem will only aggravate the already enormous impact of chronic diseases on the social and economic development of these countries. This study aims to develop a culturally relevant school-based prevention intervention among Ecuadorian adolescents (11-13 years old) in Cuenca. The intervention will target behavioural nutrition and physical activity. Intervention strategies will be developed based on theoretical behavioural change models integrated in two complementary frameworks, i.e. (i) the Intervention Mapping protocol, and (ii) the Comprehensive Participatory Planning and Evaluation protocol.
The study includes two phases:
- A formative research, which will be conducted in order to understand the causality of the school environment and unhealthy eating and low physical activity levels in school-going adolescents, aged 12-13 years old.
- A paired, cluster-randomized controlled trial including 1400 adolescents (12-13 years old) from 10 pairs of schools (i.e. clusters). Within each pair of clusters, one cluster will be randomly assigned to the intervention and the other to the control group.
| Condition | Intervention |
|---|---|
|
Overweight |
Other: Experimental Other: No intervention |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Health Services Research |
| Official Title: | ACTIVITAL: Health Promotion Intervention in Ecuadorian Adolescents to Promote Healthy Dietary and Physical Activity Patterns. |
- Behavioural determinants of physical activity and nutrition by determinant questionnaire [ Time Frame: at 15 and 24 months, additionally, these will be measured 18 months after completion of the intervention ] [ Designated as safety issue: No ]
- Physical activity, physical fitness and sedentarity (questionnaire and accelerometer) [ Time Frame: at 15 and 24 months, additionally, these will be measured 18 months after completion of the intervention ] [ Designated as safety issue: No ]
- Food intake by 24h recall [ Time Frame: at 15 and 24 months, additionally, these will be measured 18 months after completion of the intervention ] [ Designated as safety issue: No ]
- Anthropometry [ Time Frame: at 15 and 24 months, additionally, these will be measured 18 months after completion of the intervention ] [ Designated as safety issue: No ]
- Blood pressure [ Time Frame: at 15 and 24 months, additionally, these will be measured 18 months after completion of the intervention ] [ Designated as safety issue: No ]
- Socio-economical questionnaire [ Time Frame: at 15 and 24 months, additionally, these will be measured 18 months after completion of the intervention ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 1400 |
| Study Start Date: | October 2009 |
| Estimated Study Completion Date: | January 2014 |
| Estimated Primary Completion Date: | January 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Environmental- and individual based components carried out in the school.
|
Other: Experimental
Environmental- and individual based components carried out in the school.
Other: No intervention
No intervention carried out in the school
|
Eligibility| Ages Eligible for Study: | 11 Years to 13 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- 11-13 years old
- school-going
- willing to participate
Exclusion Criteria:
- pregnant
- severe medical/physical disorder
Contacts and Locations| Contact: Patrick Kolsteren, MD, PhD | patrick.kolsteren@ugent.be | |
| Contact: Roosmarijn Verstraeten | roosmarijn.verstraeten@ugent.be |
| Ecuador | |
| Cuenca University | Recruiting |
| Cuenca, Ecuador | |
| Contact: Rosendo Rojas | |
| Principal Investigator: Rosendo Rojas | |
| Principal Investigator: | Patrick Kolsteren, MD, PhD | University Ghent |
More Information
No publications provided
| Responsible Party: | University Ghent |
| ClinicalTrials.gov Identifier: | NCT01004367 History of Changes |
| Other Study ID Numbers: | 2008/462 |
| Study First Received: | October 28, 2009 |
| Last Updated: | March 7, 2013 |
| Health Authority: | Belgium: Institutional Review Board |
Keywords provided by University Ghent:
|
Promoting healthy lifestyles in adolescents in Ecuador to prevent overweight |
Additional relevant MeSH terms:
|
Overweight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on June 18, 2013