1
|
Alalawi A, Blank L, Goyder E. School-based physical activity interventions among children and adolescents in the Middle East and Arabic speaking countries: A systematic review. PLoS One 2023; 18:e0288135. [PMID: 37399200 DOI: 10.1371/journal.pone.0288135] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Accepted: 06/20/2023] [Indexed: 07/05/2023] Open
Abstract
BACKGROUND It is widely recognised that noncommunicable diseases are on the rise worldwide, partly due to insufficient levels of physical activity (PA). It is a particularly concerning health issue among children and adolescents in Arabic countries where cultural and environmental factors may limit their opportunity for engaging in physical activities. AIM This review sought to assess the effectiveness of school-based PA interventions for increasing PA among schoolchildren aged six to 18 years in Middle Eastern and Arabic-speaking countries. METHODS A systematic literature search was developed to identify studies reporting the evaluation of school-based PA interventions in Arabic-speaking countries. Four different databases were searched from January 2000 to January 2023: PubMed/MEDLINE, Web of Science, Scopus and CINAHL. Article titles and abstracts were screened for relevance. Full article scrutiny of retrieved shortlisted articles was undertaken. After citation searches and reference checking of included papers, full data extraction, quality assessment and narrative synthesis was undertaken for all articles that met the inclusion criteria. This review adhered to PRISMA guidelines for conducting systematic reviews. RESULTS Seventeen articles met the inclusion criteria. Eleven articles reported statistically significant improvements in the levels of PA among their participants. Based largely on self-reported outcomes, increases in PA between 58% and 72% were reported. The studies with a follow-up period greater than three months reported sustained PA levels. There are a limited range of types of programmes evaluated and evaluations were only identified from 30% of the countries in the region. Relatively few studies focused solely on PA interventions and most of the interventions were multi-component (lifestyle, diet, education). CONCLUSIONS This review adds to the existing body of research about the efficacy of school-based interventions to increase physical activity levels. To date, few evaluations assess PA specific interventions and most of the interventions were multi-component including education components on lifestyle and diet. Long-term school-based interventions combined with rigorous theoretical and methodological frameworks are necessary to develop, implement and evaluate PA interventions for children and adolescents in Arabic-speaking countries. Also, future work in this area must also consider the complex systems and agents by which physical activity is influenced.
Collapse
Affiliation(s)
- Abdullah Alalawi
- Health and Related Research, University of Sheffield, Sheffield, United Kingdom
| | - Lindsay Blank
- School of Health and Related Research, University of Sheffield, Sheffield, United Kingdom
| | - Elizabeth Goyder
- School of Health and Related Research, University of Sheffield, Sheffield, United Kingdom
| |
Collapse
|
2
|
Bouamra M, Zouhal H, Ratel S, Makhlouf I, Bezrati I, Chtara M, Behm DG, Granacher U, Chaouachi A. Concurrent Training Promotes Greater Gains on Body Composition and Components of Physical Fitness Than Single-Mode Training (Endurance or Resistance) in Youth With Obesity. Front Physiol 2022; 13:869063. [PMID: 35669575 PMCID: PMC9164296 DOI: 10.3389/fphys.2022.869063] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Accepted: 04/19/2022] [Indexed: 12/24/2022] Open
Abstract
The prevalence of obesity in the pediatric population has become a major public health issue. Indeed, the dramatic increase of this epidemic causes multiple and harmful consequences, Physical activity, particularly physical exercise, remains to be the cornerstone of interventions against childhood obesity. Given the conflicting findings with reference to the relevant literature addressing the effects of exercise on adiposity and physical fitness outcomes in obese children and adolescents, the effect of duration-matched concurrent training (CT) [50% resistance (RT) and 50% high-intensity-interval-training (HIIT)] on body composition and physical fitness in obese youth remains to be elucidated. Thus, the purpose of this study was to examine the effects of 9-weeks of CT compared to RT or HIIT alone, on body composition and selected physical fitness components in healthy sedentary obese youth. Out of 73 participants, only 37; [14 males and 23 females; age 13.4 ± 0.9 years; body-mass-index (BMI): 31.2 ± 4.8 kg·m-2] were eligible and randomized into three groups: HIIT (n = 12): 3-4 sets×12 runs at 80–110% peak velocity, with 10-s passive recovery between bouts; RT (n = 12): 6 exercises; 3–4 sets × 10 repetition maximum (RM) and CT (n = 13): 50% serial completion of RT and HIIT. CT promoted significant greater gains compared to HIIT and RT on body composition (p < 0.01, d = large), 6-min-walking test distance (6 MWT-distance) and on 6 MWT-VO2max (p < 0.03, d = large). In addition, CT showed substantially greater improvements than HIIT in the medicine ball throw test (20.2 vs. 13.6%, p < 0.04, d = large). On the other hand, RT exhibited significantly greater gains in relative hand grip strength (p < 0.03, d = large) and CMJ (p < 0.01, d = large) than HIIT and CT. CT promoted greater benefits for fat, body mass loss and cardiorespiratory fitness than HIIT or RT modalities. This study provides important information for practitioners and therapists on the application of effective exercise regimes with obese youth to induce significant and beneficial body composition changes. The applied CT program and the respective programming parameters in terms of exercise intensity and volume can be used by practitioners as an effective exercise treatment to fight the pandemic overweight and obesity in youth.
Collapse
Affiliation(s)
- Marwa Bouamra
- Tunisian Research Laboratory “Sports Performance Optimization”, National Center of Medicine and Science in Sports (CNMSS), Tunis, Tunisia
- High Institute of Sport and Physical Education, Ksar-Saïd, Manouba University, Tunis, Tunisia
| | - Hassane Zouhal
- M2S (Laboratoire Mouvement, Sport, Santé) EA 1274, University of Rennes, Rennes, France
- Institut International des Sciences du Sport (2I2S), Irodouer, France
- *Correspondence: Urs Granacher, ; Hassane Zouhal,
| | - Sébastien Ratel
- AME2P, EA 3533, Clermont-Auvergne University, Clermont-Ferrand, France
| | - Issam Makhlouf
- Tunisian Research Laboratory “Sports Performance Optimization”, National Center of Medicine and Science in Sports (CNMSS), Tunis, Tunisia
- High Institute of Sport and Physical Education, Ksar-Saïd, Manouba University, Tunis, Tunisia
| | - Ikram Bezrati
- Tunisian Research Laboratory “Sports Performance Optimization”, National Center of Medicine and Science in Sports (CNMSS), Tunis, Tunisia
| | - Mokhtar Chtara
- Tunisian Research Laboratory “Sports Performance Optimization”, National Center of Medicine and Science in Sports (CNMSS), Tunis, Tunisia
| | - David G. Behm
- School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John’s, NL, Canada
| | - Urs Granacher
- Division of Training and Movement Sciences, University of Potsdam, Potsdam, Germany
- *Correspondence: Urs Granacher, ; Hassane Zouhal,
| | - Anis Chaouachi
- Tunisian Research Laboratory “Sports Performance Optimization”, National Center of Medicine and Science in Sports (CNMSS), Tunis, Tunisia
- High Institute of Sport and Physical Education, Sfax University, Sfax, Tunisia
- Sports Performance Research Institute New Zealand, AUT University, Auckland, New Zealand
| |
Collapse
|
3
|
Charles Shapu R, Ismail S, Ahmad N, Lim PY, Abubakar Njodi I. Systematic Review: Effect of Health Education Intervention on Improving Knowledge, Attitudes and Practices of Adolescents on Malnutrition. Nutrients 2020; 12:E2426. [PMID: 32823548 PMCID: PMC7469070 DOI: 10.3390/nu12082426] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Revised: 07/30/2020] [Accepted: 08/04/2020] [Indexed: 01/22/2023] Open
Abstract
Adolescence is a phase in the life cycle of human beings. Adequate knowledge, attitudes and practices towards malnutrition are necessary for proper growth and development and for their future children. This systematic review aimed to determine the effect of health education intervention to improve the knowledge, attitudes and practices of adolescents on malnutrition. PubMed, Scopus, clinical trials, CINAHL, SAGE, Science Direct and Medline were searched according to Preferred Reporting Item for Systematic Reviews and Meat-analysis (PRISMA) guidelines to identified published studies from January 2013 to December 2019 based on the inclusion and exclusion criteria. A total of eight studies were included in this review. Data extraction was done based on randomized controlled trial only. Three out of the eight studies had low risk of bias, the overall evidence of the study was moderate. Findings from this study suggest that health education intervention among adolescents have significantly improved their knowledge, attitudes and practices. More specific interventions should be conducted in low and middle income countries since they bear more of the burden of malnutrition globally.
Collapse
Affiliation(s)
- Ruth Charles Shapu
- Department of Community Health, Faculty of Medicine and Health Science, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia; (R.C.S.); (S.I.); (P.Y.L.)
- College of Nursing and Midwifery, Damboa Road, Maiduguri, Maiduguri 600252, Borno State, Nigeria
| | - Suriani Ismail
- Department of Community Health, Faculty of Medicine and Health Science, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia; (R.C.S.); (S.I.); (P.Y.L.)
| | - Norliza Ahmad
- Department of Community Health, Faculty of Medicine and Health Science, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia; (R.C.S.); (S.I.); (P.Y.L.)
| | - Poh Ying Lim
- Department of Community Health, Faculty of Medicine and Health Science, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia; (R.C.S.); (S.I.); (P.Y.L.)
| | - Ibrahim Abubakar Njodi
- Department of Physical and Health Education, University of Maiduguri, Maiduguri 600230, Borno State, Nigeria;
| |
Collapse
|
4
|
Benajiba N, Mahrous L, Janah K, Alqabbani SF, Chavarria EA, Aboul-Enein BH. Physical activity interventions promoted in the Arabic-speaking region: A review of the current literature. Obes Rev 2020; 21:e13032. [PMID: 32297459 DOI: 10.1111/obr.13032] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 03/26/2020] [Accepted: 03/26/2020] [Indexed: 11/30/2022]
Abstract
The Arabic-speaking region suffers from insufficient levels of physical activity (PA). Assessing the effectiveness of PA interventions presents a scientifically evaluated method to reduce and prevent the current high burden of noncommunicable diseases affecting this region. This review examined implemented PA interventions and corresponding measured health outcomes in this region. The review was limited to studies prior to January 2020 using nine electronic academic databases. Only intervention-focused articles incorporating PA as the primary intervention or as a component of a multibehavioural intervention were included. Thirty-nine PA intervention studies were identified. Published PA interventions were implemented among 50% of the countries in the region. Seventy percent of the studies were conducted in the Gulf region and 25% in North Africa. A third of the studies was designed for children and adolescents. Accordingly, 40% of interventions were for patients living with comorbidities. Seventy percent of the studies included PA as part of a multidisciplinary intervention. Most studies included body mass index as an outcome parameter. Significant improvement (P < .05) in measured health outcomes was seen in 97% of studies. Thorough analysis includes social and culturally congruent aspects of the PA interventions and discussion of resultant health outcomes. This information furthers the understanding of effective PA interventions that can be adapted to target sedentary lifestyle behaviours in this region.
Collapse
Affiliation(s)
- Nada Benajiba
- Department of Health Sciences/Clinical Nutrition Program, College of Health and Rehabilitation, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Lana Mahrous
- Department of Health Sciences/Clinical Nutrition Program, College of Health and Rehabilitation, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Kaoutar Janah
- Faculty of Health Sciences, Department of Nutrition and Dietetics, International University of Casablanca, Casablanca, Morocco
| | - Samiah F Alqabbani
- Department of Rehabilitation Sciences, College of Health and Rehabilitation, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Enmanuel A Chavarria
- School of Public Health, Department of Health Promotion and Behavioral Sciences, Brownsville Regional Campus, University of Texas Health Science Center at Houston, Brownsville, TX, USA
| | - Basil H Aboul-Enein
- Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK
| |
Collapse
|
5
|
Ghammam R, Maatoug J, Zammit N, Kebaili R, Boughammoura L, Al'Absi M, Lando H, Ghannem H. Long term effect of a school based intervention to prevent chronic diseases in Tunisia, 2009-2015. Afr Health Sci 2017; 17:1137-1148. [PMID: 29937886 PMCID: PMC5870284 DOI: 10.4314/ahs.v17i4.23] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND & OBJECTIVES We aimed to evaluate the long term effect of school based intervention to prevent non- communicable disease risk factors. METHODS It was a quasi experimental study conducted during the period of 2009-2015. We involved school children aged from 11 to 16 years old. For the assessment of the program's effectiveness, subjects in both groups were examined at baseline, at the end of the 3-year intervention period and at the follow-up, one year after program's cessation. RESULTS In the intervention group, the prevalence of school children who reported to be eating 5 fruits and vegetable sdaily increased significantly from 30.0% at pre-assessment to 33.2% at post-assessment, one year after (p=0.02, p=0.41 respectively). For the control group, this prevalence had significantly decreased from 40.2% at baseline to 35.0% at post-intervention, at the follow up, this proportion increased to 44.5%(p=0.001, p<10-3 respectively). Concerning smoking habits, we observed a decreasing trend in the intervention group from 5.7% at pre-assessment, to 4.8% at post-assessment and to 3.4% at the follow-up (p=0.19 and p=0.25 respectively). There was also a significant decrease in school children who did recommended physical activity in the same group. CONCLUSION The present work showed that interventions promoting healthy lifestyles should be maintained. Developing countries should be encouraged and supported to design, conduct, and evaluate robust preventive interventions.
Collapse
Affiliation(s)
- Rim Ghammam
- Department of Epidemiology, University Hospital Farhat Hached, Sousse Tunisia
| | - Jihen Maatoug
- Department of Epidemiology, University Hospital Farhat Hached, Sousse Tunisia
| | - Nawel Zammit
- Department of Epidemiology, University Hospital Farhat Hached, Sousse Tunisia
| | - Raoudha Kebaili
- Department of Pediatrics, University Hospital Farhat Hached , Sousse Tunisia
| | - Lamia Boughammoura
- Department of Pediatrics, University Hospital Farhat Hached , Sousse Tunisia
| | - Mustafa Al'Absi
- Duluth Medical Research Institute, University of Minnesota, USA
| | - Harry Lando
- Department of epidemiology & Community Health University of Minnesota, USA
| | - Hassen Ghannem
- Department of Epidemiology, University Hospital Farhat Hached, Sousse Tunisia
| |
Collapse
|
6
|
Prevalence of overweight and obesity and possible effect of intervention program: Tunisian children as model. SPORT SCIENCES FOR HEALTH 2015. [DOI: 10.1007/s11332-015-0224-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|