Evidence map›Paper›PMID 39789494›Full record

Trial reportBMC public health2025

Effects of the MyBFF@school obesity intervention program with nutrition education intervention on nutrition knowledge and attitude of secondary schoolchildren: a cluster randomized controlled trial.

Rusidah Selamat, Junidah Raib, Nur Azlina Abdul Aziz, Norlida Zulkafly, Ainan Nasrina Ismail, W Nurul Ashikin W Mohamad, Ainol Aizuddin Zulkiply, Muhammad Yazid Jalaludin, Fuziah Md Zain, Zahari Ishak and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04155255 (My Body is Fit and Fabulous), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04155255 nacompletednot on this map

My Body is Fit and Fabulous: an Intervention Program to Combat Obesity Among Malaysian School Children

TypeinterventionalSponsorUniversity of MalayaRan2016 to 2016Enrolled2,438ConditionsOverweight, ChildhoodArmsMyBFF@school
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Rusidah SelamatNutrition Division, Federal Government Administrative Centre, Ministry of Health Malaysia, Level 1, Block E3, Complex E, Putrajaya, 62590, Malaysia. rusidah.s@moh.gov.my.
Junidah RaibNutrition Division, Federal Government Administrative Centre, Ministry of Health Malaysia, Level 1, Block E3, Complex E, Putrajaya, 62590, Malaysia.
Nur Azlina Abdul AzizNutrition Division, Federal Government Administrative Centre, Ministry of Health Malaysia, Level 1, Block E3, Complex E, Putrajaya, 62590, Malaysia.
Norlida ZulkaflyNutrition Division, Federal Government Administrative Centre, Ministry of Health Malaysia, Level 1, Block E3, Complex E, Putrajaya, 62590, Malaysia.
Ainan Nasrina IsmailNutrition Division, Federal Government Administrative Centre, Ministry of Health Malaysia, Level 1, Block E3, Complex E, Putrajaya, 62590, Malaysia.
W Nurul Ashikin W MohamadNutrition Division, Federal Government Administrative Centre, Ministry of Health Malaysia, Level 1, Block E3, Complex E, Putrajaya, 62590, Malaysia.
Ainol Aizuddin ZulkiplyNutrition Division, Federal Government Administrative Centre, Ministry of Health Malaysia, Level 1, Block E3, Complex E, Putrajaya, 62590, Malaysia.
Muhammad Yazid JalaludinDepartment of Pediatrics, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, 50603, Malaysia.
Fuziah Md ZainPediatric Department, Putrajaya Hospital, Precinct 7, Putrajaya, 62250, Malaysia.
Zahari IshakFOSSLA, UCSI University, Kuala Lumpur, 56000, Malaysia.
Abqariyah YahyaDepartment of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, 50603, Malaysia.
Abdul Halim MokhtarDepartment of Sports Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, 50603, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increasing global and national prevalence of childhood obesity particularly among schoolchildren has warranted a more viable school-based obesity intervention. Apart from physical activity, nutrition is important in any obesity intervention package. This study examined the effects of the MyBFF@school program with nutrition education intervention (NEI) on nutrition knowledge and attitude of overweight and obese secondary schoolchildren.

methodsThis is a cluster randomized controlled trial which involved schoolchildren aged 13, 14 and 16 years old from 15 out of 415 government secondary schools in central Peninsular Malaysia which were randomly assigned into six intervention (N = 579 schoolchildren) and nine control (N = 462 schoolchildren). The intervention group was given NEI consisting of a nutrition education module carried out by trained personnel for 24 weeks on top of the existing curriculum while the control group only followed the existing school curriculum by the Ministry of Education. The primary outcomes were the nutrition knowledge and attitude score. The mixed effect model taking into consideration the cluster effect was used to assess the changes of nutrition knowledge and attitude scores from baseline until 6 months.

resultsOverall, there was no significant increase in the adjusted mean difference (AMD) of nutrition knowledge score (AMD = 0.33%, Confident Interval (95 CI): -4.35% to 5.01) between the intervention and control group after 6 months of intervention after controlling for nutrition knowledge score at baseline, gender, location and ethnicity. Similarly, after controlling for the nutrition attitude score at baseline, ethnicity, location and gender as well as taking into account the cluster effects, there was no significant increase on the AMD of nutrition attitude score in the overall (AMD = 0.194, (95 CI): -1.17 to 1.56) and also among girls, location (urban vs rural) and Malays. There was also no significant reduction of AMD in the nutrition attitude score among boys and non-Malays.

conclusionMyBFF@school with NEI resulted with no significant improvement for nutrition knowledge and attitude among older schoolchildren. Therefore, to effectively impart the nutrition knowledge and change their nutrition attitude requires an in-depth study and multi-pronged and customized approach.

trial registrationClinical trial number: NCT04155255, November 7, 2019 (Retrospective registered). National Medical Research Register: NMRR-13-439-16563. Registered July 23, 2013. The intervention program was approved by the Medical Research and Ethics Committee (MREC), Ministry of Health Malaysia and Educational Planning and Research Division (EPRD), Ministry of Education Malaysia. It was funded by the Ministry of Health Malaysia.

Indexed as

Health EducationHealth Knowledge, Attitudes, PracticePediatric ObesitySchool Health ServicesAdolescentCluster AnalysisFemaleHumansMalaysiaMaleProgram EvaluationChildhood obesityCluster randomized controlled trialNutrition education interventionSchool-based interventionSecondary schoolchildren

Identifiers

PMID39789494
PMCPMC11714800

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.