The effective intervention program “Nutrition on the Go” was conducted in the state of Mexico for 1020 fifth grade school children

The effective intervention program “Nutrition on the Go” was conducted in the state of Mexico for 1020 fifth grade school children. The aims were to decrease energy content of children breakfast. In addition, encourage eating fruits, vegetables, healthy foods, physical activity, consumption of water and maintain BMI to establish public health policy in the schools and decrease obesity rates. The intervention program was lasted for 6 months.
The component of Nutrition on the go program are: gradual reduce of the energy content of breakfasts in school by decreasing the content of fat in milk, not increasing carbohydrates, reducing the sugar content of the cereals provided and including vegetables and fruits. The gradual regulation of food offered within the school, through the technical council of the State of Mexico. Gradual doing the physical activity program, according to the requirements of the Ministry of Public Education (SEP, Spanish acronym). performing an educational campaign, called “Healthy Break,” for eating healthy foods and encouraging physical activity. The aims of this program are to promote consuming one fruit and one vegetable, drinking pure water and promoting physical activity (organized games and calisthenics) during break. The campaign was developed by identifying the audience and the interests and needs of the school population regarding basic concepts related to nutrition and physical activity, and defining the materials and methods to convey the information.
First Methods for Nutrition on the go program used were studying population, designing and sample. cluster-randomized field trial was conducted with fifth grade school children. The sample was conducted for the population attending fifth grade elementary schools in the State of Mexico. The study was conducted during the 2010-2011 school year in public elementary schools in the 125 town council of the State of Mexico. Subjects were for who eat school breakfast program in both federal and state educational systems with morning and evening shifts. The baseline assessment was implemented in early November 2010; the program was conducted between November 2010 and the first half of May 2011 and the final evaluation was conducted between late May and early June 2011. Two measurements–baseline and final–were conducted during the study. Children with disabilities for whom anthropometric measurements could not be performed were excluded.
Second method was To identify the sample size, age-adjusted BMI was used as the variable of interest, based on the difference and design effects of last study with the same population. For BMI, a standard deviation of 2.79 and a design effect of 1.68 were estimated. The minimum detectable difference was considered to be 0.45 BMI units, with a 95% confidence interval (CI) and a power of 80%. A sample size of 1,000 children was calculated. Sixty schools randomly were chose, of a total of 2,969 public schools in the State of Mexico that receive school breakfasts. Thirty schools at random were assigned to the intervention group (IG) and 30 to the control group (CG). The average group sizes in schools were 40 students. Within each school, 17 fifth grade children were also selected at random, resulting in a total of 510 children per intervention group in order to have enough sample size at follow-up. The non-response rate expected in this study was ? 5%.
“Nutrition on the Go” program had a small effect but statistically positive impact on BMI and decreasing the chance of shifting from the overweight to the obesity category after 6 months of intervention. This intervention program also showed a decreasing effect on the shift from the normal to the overweight categories during 6 months of intervention. The intervention program documented improvement in diet and physical activity among children. In addition, cognitive development, self-efficacy and children’s acceptances about their own ability to perform physical activity and to eat healthy foods to prevent many diseases that results from obesity.
I think that program is possible to do it in kuwait in some schools that cares about physical activities education classes and has enough teachers, nutritionist and health professions participating in teaching children about healthy eating and physical activities.