School-Based Intervention to Improve Healthy Eating Practices Among Malaysian Adolescents: A Feasibility Study Protocol
Introduction: School environments can influence students' dietary habits. Hence, implementing a healthy canteen intervention programme in schools is a recommended strategy to improve students' dietary intake. This study will evaluate the feasibility of providing healthier food and beverage...
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Frontiers Media S.A.
2020-09-01
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Online Access: | https://www.frontiersin.org/article/10.3389/fpubh.2020.549637/full |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shooka Mohammadi Tin Tin Su Tin Tin Su Muhammad Yazid Jalaludin Maznah Dahlui Mohd Nahar Azmi Mohamed Angeliki Papadaki Russell Jago Zoi Toumpakari Hazreen A. Majid Hazreen A. Majid |
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Shooka Mohammadi Tin Tin Su Tin Tin Su Muhammad Yazid Jalaludin Maznah Dahlui Mohd Nahar Azmi Mohamed Angeliki Papadaki Russell Jago Zoi Toumpakari Hazreen A. Majid Hazreen A. Majid School-Based Intervention to Improve Healthy Eating Practices Among Malaysian Adolescents: A Feasibility Study Protocol Frontiers in Public Health Malaysian adolescents school canteen dietary habits eating practices school-based |
author_facet |
Shooka Mohammadi Tin Tin Su Tin Tin Su Muhammad Yazid Jalaludin Maznah Dahlui Mohd Nahar Azmi Mohamed Angeliki Papadaki Russell Jago Zoi Toumpakari Hazreen A. Majid Hazreen A. Majid |
author_sort |
Shooka Mohammadi |
title |
School-Based Intervention to Improve Healthy Eating Practices Among Malaysian Adolescents: A Feasibility Study Protocol |
title_short |
School-Based Intervention to Improve Healthy Eating Practices Among Malaysian Adolescents: A Feasibility Study Protocol |
title_full |
School-Based Intervention to Improve Healthy Eating Practices Among Malaysian Adolescents: A Feasibility Study Protocol |
title_fullStr |
School-Based Intervention to Improve Healthy Eating Practices Among Malaysian Adolescents: A Feasibility Study Protocol |
title_full_unstemmed |
School-Based Intervention to Improve Healthy Eating Practices Among Malaysian Adolescents: A Feasibility Study Protocol |
title_sort |
school-based intervention to improve healthy eating practices among malaysian adolescents: a feasibility study protocol |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Public Health |
issn |
2296-2565 |
publishDate |
2020-09-01 |
description |
Introduction: School environments can influence students' dietary habits. Hence, implementing a healthy canteen intervention programme in schools is a recommended strategy to improve students' dietary intake. This study will evaluate the feasibility of providing healthier food and beverage options in selected secondary schools in Malaysia by working with canteen vendors. It also will assess the changes in food choices before and after the intervention.Methods: A feasibility cluster randomised controlled study will be conducted in six secondary schools (intervention, n = 4; control, n = 2) comprising of rural and urban schools located in Selangor and Perak states in Malaysia. Four weeks of intervention will be conducted among Malaysian adolescents aged 15 years old. Two interventions are proposed that will focus on providing healthier food options in the canteen and convenience shops in the selected schools. Interventions 1 and 2 will entail training the canteen and school convenience shop operators. Intervention 2 will be applied to subsidise the cost of low energy-dense kuih (traditional cake), vegetables, and fruits. The control group will continue to sell the usual food. Trained dietitians will audit the canteen menu and food items sold by the school canteen and convenience shops in all schools. Anthropometric measurements, blood pressure and dietary assessment will be collected at baseline and at the end of 4-week intervention. Focus group discussions with students and in-depth interviews with headmasters, teachers, and school canteen operators will be conducted post-intervention to explore intervention acceptability. Under this Healthy School Canteen programme, school canteens will be prohibited from selling “red flag” foods. This refers to foods which are energy-dense and not nutritious, such as confectionery and deep-fried foods. They will also be prohibited from selling soft drinks, which are sugar-rich. Instead, the canteens will be encouraged to sell “green flag” food and drinks, such as fruits and vegetables.Conclusion: It is anticipated that this feasibility study can provide a framework for the conception and implementation of nutritional interventions in a future definitive trial at the school canteens in Malaysia. |
topic |
Malaysian adolescents school canteen dietary habits eating practices school-based |
url |
https://www.frontiersin.org/article/10.3389/fpubh.2020.549637/full |
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doaj-e276e366fab44508aa44fd1511ba29fa2020-11-25T03:23:24ZengFrontiers Media S.A.Frontiers in Public Health2296-25652020-09-01810.3389/fpubh.2020.549637549637School-Based Intervention to Improve Healthy Eating Practices Among Malaysian Adolescents: A Feasibility Study ProtocolShooka Mohammadi0Tin Tin Su1Tin Tin Su2Muhammad Yazid Jalaludin3Maznah Dahlui4Mohd Nahar Azmi Mohamed5Angeliki Papadaki6Russell Jago7Zoi Toumpakari8Hazreen A. Majid9Hazreen A. Majid10Department of Social and Preventive Medicine, Faculty of Medicine, Centre of Population Health, University of Malaya, Kuala Lumpur, MalaysiaDepartment of Social and Preventive Medicine, Faculty of Medicine, Centre of Population Health, University of Malaya, Kuala Lumpur, MalaysiaSouth East Asia Community Observatory (SEACO), Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Subang Jaya, MalaysiaDepartment of Paediatrics, Faculty of Medicine, University of Malaya, Kuala Lumpur, MalaysiaDepartment of Social and Preventive Medicine, Faculty of Medicine, Centre of Population Health, University of Malaya, Kuala Lumpur, MalaysiaDepartment of Sports Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, MalaysiaCentre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, Bristol, United KingdomCentre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, Bristol, United KingdomCentre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, Bristol, United KingdomDepartment of Social and Preventive Medicine, Faculty of Medicine, Centre of Population Health, University of Malaya, Kuala Lumpur, MalaysiaDepartment of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, IndonesiaIntroduction: School environments can influence students' dietary habits. Hence, implementing a healthy canteen intervention programme in schools is a recommended strategy to improve students' dietary intake. This study will evaluate the feasibility of providing healthier food and beverage options in selected secondary schools in Malaysia by working with canteen vendors. It also will assess the changes in food choices before and after the intervention.Methods: A feasibility cluster randomised controlled study will be conducted in six secondary schools (intervention, n = 4; control, n = 2) comprising of rural and urban schools located in Selangor and Perak states in Malaysia. Four weeks of intervention will be conducted among Malaysian adolescents aged 15 years old. Two interventions are proposed that will focus on providing healthier food options in the canteen and convenience shops in the selected schools. Interventions 1 and 2 will entail training the canteen and school convenience shop operators. Intervention 2 will be applied to subsidise the cost of low energy-dense kuih (traditional cake), vegetables, and fruits. The control group will continue to sell the usual food. Trained dietitians will audit the canteen menu and food items sold by the school canteen and convenience shops in all schools. Anthropometric measurements, blood pressure and dietary assessment will be collected at baseline and at the end of 4-week intervention. Focus group discussions with students and in-depth interviews with headmasters, teachers, and school canteen operators will be conducted post-intervention to explore intervention acceptability. Under this Healthy School Canteen programme, school canteens will be prohibited from selling “red flag” foods. This refers to foods which are energy-dense and not nutritious, such as confectionery and deep-fried foods. They will also be prohibited from selling soft drinks, which are sugar-rich. Instead, the canteens will be encouraged to sell “green flag” food and drinks, such as fruits and vegetables.Conclusion: It is anticipated that this feasibility study can provide a framework for the conception and implementation of nutritional interventions in a future definitive trial at the school canteens in Malaysia.https://www.frontiersin.org/article/10.3389/fpubh.2020.549637/fullMalaysian adolescentsschool canteendietary habitseating practicesschool-based |