Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
The Effect of a Comprehensive Intervention on Anthropometric Indices, Dietary Intake, and Physical Activity of Adolescent Boys With Overweight Publisher Pubmed



Hashemi Javaheri FS1, 16 ; Mousavi Z2 ; Mohammadi S3 ; Amjadi A4 ; Mobarakeh KA5 ; Hayedeh Mousavi Shalmani S6 ; Torkaman M7 ; Mirshafaei MA8 ; Khoshdooz S9 ; Saeedirad Z10 ; Kalantari N11 ; Mirzaei P15 ; Doaei S14, 17 ; Mohammadi NK12 Show All Authors
Authors
  1. Hashemi Javaheri FS1, 16
  2. Mousavi Z2
  3. Mohammadi S3
  4. Amjadi A4
  5. Mobarakeh KA5
  6. Hayedeh Mousavi Shalmani S6
  7. Torkaman M7
  8. Mirshafaei MA8
  9. Khoshdooz S9
  10. Saeedirad Z10
  11. Kalantari N11
  12. Mirzaei P15
  13. Doaei S14, 17
  14. Mohammadi NK12
  15. Gholamalizadeh M13
Show Affiliations
Authors Affiliations
  1. 1. Department of Clinical Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  2. 2. School of Nursing and Midwifery, Shahed university, Tehran, Iran
  3. 3. Zanjan University of medical sciences, Zanjan, Iran
  4. 4. Department of Nutrition, School of Nutritional Sciences and Food Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran
  5. 5. Nutrition and Food Security Research Center, Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
  6. 6. Guilan University of Medical Sciences, Rasht, Iran
  7. 7. Department of Chemical Engineering, Science and Research Branch, Islamic Azad University, Tehran, Iran
  8. 8. Tonekabon Mazandaran Branch, Islamic Azad University, Tonekabon, Iran
  9. 9. Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran
  10. 10. Department of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  11. 11. Department of Community Nutrition, School of Nutrition and Food Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  12. 12. Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  13. 13. Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  14. 14. Department of Community Nutrition, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  15. 15. Clinical Nutrition and Dietetics, School of Nutrition and Food Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  16. 16. Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran
  17. 17. Reproductive Health Research Center, Department of Obstetrics and Gynecology, School of Medicine, Al-Zahra Hospital, Guilan University of Medical Sciences, Rasht, Iran

Source: BMC Pediatrics Published:2025


Abstract

Background: Non-communicable diseases in adulthood are reported to be strongly associated with adolescent obesity. The present study aimed to assess the effect of a comprehensive lifestyle modification intervention on the anthropometric indices, dietary intake, and physical activity of adolescent boys with overweight. Methods: This pragmatic trial was conducted on 126 adolescent boys with overweight. A comprehensive school-based intervention was carried out at two levels for four months: at the school level based on the Ottawa Charter framework and at the personal level including individualized diet and physical activity. Results: The percentage of mean difference of BMI and BF loss in the intervention group were 1.20% (P < 0.05) and 6.41% (P < 0.01), respectively. The intervention group had a lower intake of calorie (2350 ± 861 vs. 2634 ± 917 kcal/d), carbohydrate (255.68 ± 41 vs. 286.97 + 47 g/d), and fat (112.67 ± 78 vs. 217.72 ± 86 g/d) after the intervention compared to the control group (All P < 0.05). The intervention resulted in a significant increase in physical activity parameters including distance (3501 ± 287 vs. 614 ± 56 m/d), duration (203 ± 35 vs. 72 ± 10 min/d), and calorie expenditure (359.24 ± 62.4 vs. 46.74 ± 7.5 kcal/d) in the intervention group compared to the control group (P < 0.01). Conclusion: A comprehensive lifestyle modification intervention which covers both school and individual levels may positively influence BMI, body fat, calorie intake, and distance and duration of physical activity in adolescents. Thus, adopting multifaceted strategies using the Ottawa Charter framework may be considered as an effective approach to managing obesity in adolescents. © The Author(s) 2025.
Related Docs
View other Related Docs
1. The Effect of School-Based Versus Family-Based Intervention on Weight Loss and Body Mass Index in Obese and Overweight 6-12-Years-Old Boy Students in Yazd City, Iran, Journal of Isfahan Medical School (2020)
2. The Effect of Educational Intervention on Weight Loss in Adolescents With Overweight and Obesity: Application of the Theory of Planned Behavior, ARYA Atherosclerosis (2017)
3. Comparison of Dietary and Physical Activity Patterns Among Obese Children and Adolescents With or Without Metabolic Syndrome, Scientific Journal of Kurdistan University of Medical Sciences (2010)
4. Controlling Childhood Obesity: A Systematic Review on Strategies and Challenges, Journal of Research in Medical Sciences (2014)
5. The Effects of Aerobic Training, Resistance Training, Combined Training, and Healthy Eating Recommendations on Lipid Profile and Body Mass Index in Overweight and Obese Children and Adolescents: A Randomized Clinical Trial, ARYA Atherosclerosis (2020)
6. School-Based Nutrition Education Intervention Using Social Cognitive Theory for Overweight and Obese Iranian Adolescent Girls: A Cluster Randomized Controlled Trial, International Quarterly of Community Health Education (2017)
7. Effects of Tailored Health Education Program on Overweight Elementary School Students' Obesity-Related Lifestyle: A School-Based Interventional Study, Oman Medical Journal (2017)
8. Dietary Predictors of Overweight and Obesity in Iranian Adolescents, Iranian Red Crescent Medical Journal (2016)
Experts (# of related papers)
View all Related Experts
Roya Kelishadi (204)
Parvane Saneei (28)
Other Related Docs
9. Effects of the Educational Intervention on Some Health Belief Model Constructs Regarding the Prevention of Obesity in Students, International Journal of Pediatrics (2017)
10. Effect of Diverse Low Energy-Dense Versus Healthy Diet on Metabolic Outcomes in Overweight/Obese Adolescents: A Randomized Controlled Trial, Progress in Nutrition (2019)
11. Trend Analysis, Gender-Specific Patterns, and Age Dynamics of Childhood and Adolescent Obesity: Insights From the Tehran Lipid and Glucose Study, BMC Public Health (2024)
12. Effect of a Multi-Disciplinary Program on Anthropometric and Biochemical Parameters in Obese and Overweight Elementary School Girls: A Randomized Clinical Trial, Nutrition, Metabolism and Cardiovascular Diseases (2022)
13. The Effect of Mediterranean Diet on Inflammatory Biomarkers and Components of Metabolic Syndrome in Adolescent Girls, Journal of Endocrinological Investigation (2023)
14. Short-Term Effects of a Physical Activity Intervention on Obesity and Cardiovascular Fitness of 12-14-Year-Old Boy Students, International Journal of Preventive Medicine (2014)
15. Effects of a Lifestyle Modification Trial Among Phenotypically Obese Metabolically Normal and Phenotypically Obese Metabolically Abnormal Adolescents in Comparison With Phenotypically Normal Metabolically Obese Adolescents, Maternal and Child Nutrition (2010)
16. Obesity Intervention Programs Among Adolescents Using Social Cognitive Theory: A Systematic Literature Review, Health Education Research (2018)
17. Can a Trial of Motivational Lifestyle Counseling Be Effective for Controlling Childhood Obesity and the Associated Cardiometabolic Risk Factors?, Pediatrics and Neonatology (2012)
18. Short‑Term Effects of a Physical Activity Intervention on Obesity and Aerobic Fitness of Adolescent Girls, International Journal of Preventive Medicine (2014)
19. The Association of Dietary Carbohydrate Quality and Quantity With Obesity Among Iranian Adolescents: A Case-Control Study, BMC Pediatrics (2024)
20. The Prevalence of Childhood Underweight, Overweight, and Obesity Based on Four Different Criteria, Journal of Nutrition and Food Security (2020)
21. The Effects of Whole Grain Intake on Anthropometric Measures in Overweight and Obese Children: A Crossover Randomised Clinical Trial, British Journal of Nutrition (2021)
22. Association Between Major Dietary Patterns and Metabolic Health Status in Overweight and Obese Adolescents, Nutrition (2022)
23. Lifestyle Interventions and Weight Control of Adolescents With Abdominal Obesity: A Randomized Controlled Trial Based on Health Belief Model, Iranian Red Crescent Medical Journal (2017)
24. Is Single-Child Family Associated With Cardio-Metabolic Risk Factors: The Caspian-V Study, BMC Cardiovascular Disorders (2018)
25. Perceived Barriers to Healthy Lifestyle From the Parental Perspective of Overweight and Obese Students, Journal of Education and Health Promotion (2019)
26. Path Analysis on Determinants of Childhood Obesity and Associated Risk Factors of Cardiovascular, Renal, and Hepatic Diseases: The Caspian-V Study, Journal of Child Science (2020)
27. The Effect of Low Glycemic Index Diet on Body Weight Status and Blood Pressure in Overweight Adolescent Girls: A Randomized Clinical Trial, Nutrition Research and Practice (2013)
28. Dietary Approaches to Stop Hypertension Diet and Obesity: A Cross-Sectional Study of Iranian Children and Adolescents, ARYA Atherosclerosis (2017)
29. The Effect of Motivational Interviewing and Healthy Diet on Anthropometric Indices and Blood Pressure in Overweight and Obese School Children, Journal of Isfahan Medical School (2017)
30. The Link Between Breakfast Skipping and Overweigh/Obesity in Children and Adolescents: A Meta-Analysis of Observational Studies, Journal of Diabetes and Metabolic Disorders (2019)
31. Association Between Nuts Consumption and Abdominal Obesity, Overweight and Obesity in Female Adolescents: An Epidemiological Study, Iranian Journal of Endocrinology and Metabolism (2013)
32. A Review on Determinants of Nutritional Behavior in Teenagers, Iranian Journal of Pediatrics (2017)
33. Tri-Ponderal Mass Index and Body Mass Index in Prediction of Pediatric Metabolic Syndrome: The Caspian-V Study, Archives of Endocrinology and Metabolism (2020)
34. Higher Dietary Phytochemical Index Is Associated With Anthropometric Indices in Children and Adolescents: The Weight Disorders Survey of the Caspian-Iv Study, International Journal for Vitamin and Nutrition Research (2021)
35. Family-Based Intervention for Controlling Childhood Obesity: An Experience Among Iranian Children, International Journal of Preventive Medicine (2013)
36. Association of Nutrient Patterns With Anthropometric Indices in Children and Adolescents: The Weight Disorders Survey of the Caspian-Iv Study, Mediterranean Journal of Nutrition and Metabolism (2019)
37. Total Dietary Fiber Intake Is Inversely Associated With Metabolically Unhealthy Status in Adolescents With Excess Weight, Nutrition Research (2024)
38. Obesity and Associated Modifiable Environmental Factors in Iranian Adolescents: Isfahan Healthy Heart Program - Heart Health Promotion From Childhood, Pediatrics International (2003)
39. Association of Adolescents’ Weight Status With Life Satisfaction: Role of Self, Peers, Family and School Perception; the Caspian-Iv Study, Minerva Pediatrica (2019)
40. Assoziation Der Haufung Von Ungesunden Lebensgewohnheiten Mit Dem Wahrgenommenen Und Tatsachlichen Gewichtsstatus Von Kindern Und Jugendlichen; [Association of Clustering of Unhealthy Lifestyle Behaviors With Perceived and Actual Weight Status of Children and Adolescents: The Caspian-V Study], Aktuelle Ernahrungsmedizin (2021)
41. Improving Physical Activity and Metabolic Syndrome Indicators in Women: A Transtheoretical Model‑Based Intervention, International Journal of Preventive Medicine (2015)
42. Body Mass Index Percentiles and Elevated Blood Pressure Among Children and Adolescents, Journal of Human Hypertension (2020)
43. Assessment of the Efficacy of Physical Activity Level and Lifestyle Behavior Interventions Applying Social Cognitive Theory for Overweight and Obese Girl Adolescents, Journal of Research in Health Sciences (2018)
44. Association of Anthropometric Measures With Cardiovascular Risk Factors and Metabolic Syndrome in Normal-Weight Children and Adolescents: The Caspian Iii Study, Obesity Facts (2013)
45. The Effect of a Lifestyle Modification Education on Adiposity Measures in Overweight and Obese Nonalcoholic Fatty Liver Disease Patients, International Journal of Preventive Medicine (2017)
46. Childhood Overweight and Obesity and Associated Factors in Iranian Children and Adolescents: A Multilevel Analysis; the Caspian-Iv Study, Frontiers in Pediatrics (2018)
47. Association of Dietary Insulin Index and Dietary Insulin Load With Metabolic Health Status in Iranian Overweight and Obese Adolescents, Frontiers in Nutrition (2022)
48. Is Frequency of Potato and White Rice Consumption Associated With Cardiometabolic Risk Factors in Children and Adolescents: The Caspian-V Study, BMC Cardiovascular Disorders (2020)
49. Metabolic Syndrome and Associated Factors in Iranian Children and Adolescents: The Caspian-V Study, Journal of Cardiovascular and Thoracic Research (2018)
50. Adherence to Mediterranean Diet and Its Association With Metabolic Health Status in Overweight and Obese Adolescents, International Journal of Clinical Practice (2022)