title: Intervention of childhood and adolescents obesity in Shantou city.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the effects of multicomponent school based intervention constituted of diet modification, regular exercise and psychosocial consultation on body status in overweight and obese children and adolescents. And to come up with an appropriate intervention protocol for controlling children and adolescents obesity in Shantou city.
  
  
  METHODS
  Two schools were randomised to intervention group and control group respectively. A total of 41 students enrolled were diagnosed as overweight or obese. Twenty-six students of the intervention group completed the one-year intervention programme consisted of diet modification, regular exercise and psychological consultation except two of them were transferred to another school. The differences of BMI, anthropometric measures, metabolic profile and the scores of questionnaire and the scale were compared to evaluate the effects of the intervention programme.
  
  
  RESULTS
  After one-year intervention, it observed in the intervention group that BMI-Z score, WHR and WHtR had significant improvements, and there was a nonsignificant trend (P=0.053) for a decrease in BMI-P. Fasting plasma glucose, cholesterol (CH) and low-density-lipoprotein cholesterol (LDL-C) levels in the intervention group showed nonsignificant trend for a decrease (PFPG=0.084, PCH=0.057, PLDLC=0.098), compared with a significant increase of triglycerides (TG) and LDL-C levels in the control group (PTG=0.041, PLDL-C=0.038). There were some positive dietary, physical activity, or sedentary behaviour changes found in the students of the intervention group as the scores of the questionnaire got significant improvement (P=0.04).
  
  
  CONCLUSIONS
  Our one-year multicomponent school-based intervention programme did have positive effects to some extents on health state and lifestyle behaviour of overweight and obese children and adolescents, which indicated that it is feasible and important to implement such a school-based intervention programme in Shantou city.
authors.affiliation: Department of Endocrinology, The 2nd Affiliated Hospital of SUMC, Shantou, Guangdong Province 515043, China; Shantou University Medical College, Shantou, Guangdong Province 515043, China.
authors.forename: Haiting
authors.initials: H
authors.lastname: Guo
authors.affiliation: Shantou University Medical College, Shantou, Guangdong Province 515043, China; Shantou Central Hospital, Shantou, Guangdong Province 515043, China.
authors.forename: Xiaoshan
authors.initials: X
authors.lastname: Zeng
authors.affiliation: Department of Endocrinology, The 2nd Affiliated Hospital of SUMC, Shantou, Guangdong Province 515043, China.
authors.forename: Qiaoyu
authors.initials: Q
authors.lastname: Zhuang
authors.affiliation: Shantou University Medical College, Shantou, Guangdong Province 515043, China; Yue Bei People's Hospital, Shaoguan, Guangdong Province 512026, China.
authors.forename: Yubin
authors.initials: Y
authors.lastname: Zheng
authors.affiliation: Department of Endocrinology, The 2nd Affiliated Hospital of SUMC, Shantou, Guangdong Province 515043, China. Electronic address: chen-shenren@163.com.
authors.forename: Shenren
authors.initials: S
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D001786:Blood Glucose / Q000378:metabolism; D015992:Body Mass Index; D002648:Child; D002681:China / Q000453:epidemiology; D002784:Cholesterol / Q000097:blood; D015444:Exercise; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008019:Life Style; D050356:Lipid Metabolism; D008297:Male; D017063:Outcome Assessment, Health Care; D063766:Pediatric Obesity / Q000097:blood / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D012572:School Health Services / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D014280:Triglycerides / Q000097:blood; D055105:Waist Circumference
chemical_list: D001786:Blood Glucose; D014280:Triglycerides; D002784:Cholesterol
keywords: Adolescents; Children; Intervention; Obesity