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. 2021 Sep 23;2021(9):CD007651. doi: 10.1002/14651858.CD007651.pub3

Friedrich 2015.

Methods Type of trial: efficacy trial
Allocation: cluster‐randomised
Intervention model: parallel assignment
Masking: single‐blind (participants)
Participants Estimated number of schools: 12
Estimated number of participants: 1041
Inclusion criteria (schools): primary municipal schools in the city of Porto Alegre/RS
Exclusion criteria (schools): schools that did not offer afternoon classes for all grades, night schools, schools catering exclusively to special needs students
Inclusion criteria (students): children of both genders enrolled in first through fourth grades who attended afternoon classes
Exclusion criteria (students): students who were unable to undergo anthropometric assessment, who had special needs, or who were absent from school on the 2 occasions on which anthropometric measurements were taken
Interventions Intervention: TriAtiva Program: Education, Nutrition and Physical Activity, was a year‐long initiative that aimed to implement educational activities about healthy eating and physical activity, so as to develop a favourable environment for student health. Nutrition education and physical activity interventions involved in the programme were developed and implemented by a research team of nutritionists, physical education teachers, and professors of nutrition and physical education. All interventions were adapted to each school year based on a participative and playful approach. TriAtiva Program activities were performed every 15 days during school hours, and physical activity interventions were alternated with nutrition education initiatives, for a total of 6 months of activities. At the end of each TriAtiva event at school, extracurricular activities related to the topic of discussion were planned
Comparator: followed regular curriculum of twice‐weekly physical education classes of 50 minutes each
Outcomes Primary outcome: body mass
Secondary outcomes: waist circumference; percent body fat; blood pressure; behavioural variables such as eating habits and physical activity levels; prevalence, incidence, and remission rates of obesity
Relevant proposed outcome measures for SoF table: physical activity duration, BMI
Reason for awaiting classification Protocol paper published, but no results
Stated aim of study Quote: "the aim of the present study was to assess the effects of an intervention program involving nutrition education and physical activity ‐ namely, the TriAtiva Program: education, nutrition and physical activity ‐ on the prevention and control of obesity in public primary school children in the city of Porto Alegre/Brazil using a randomised controlled trial"
Notes