An introduction to MyBFF@school, a school-based childhood obesity intervention program: a cluster randomized controlled trial

Abstract Obesity trend among Malaysian children is on the rise. Noting that the tendency for them to grow into obese adults and the relationship of obesity to many non-communicable diseases, the My Body is Fit and Fabulous at School (MyBFF@school program) was designed to combat obesity among the sch...

Full description

Saved in:
Bibliographic Details
Main Authors: Abdul Halim Mokhtar, Zahari Ishak, Fuziah Md. Zain, Rusidah Selamat, Abqariyah Yahya, Muhammad Yazid Jalaludin
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-025-21382-7
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832594361340133376
author Abdul Halim Mokhtar
Zahari Ishak
Fuziah Md. Zain
Rusidah Selamat
Abqariyah Yahya
Muhammad Yazid Jalaludin
author_facet Abdul Halim Mokhtar
Zahari Ishak
Fuziah Md. Zain
Rusidah Selamat
Abqariyah Yahya
Muhammad Yazid Jalaludin
author_sort Abdul Halim Mokhtar
collection DOAJ
description Abstract Obesity trend among Malaysian children is on the rise. Noting that the tendency for them to grow into obese adults and the relationship of obesity to many non-communicable diseases, the My Body is Fit and Fabulous at School (MyBFF@school program) was designed to combat obesity among the schoolchildren. The program was piloted in 2014 in Putrajaya, Malaysia. There were several challenges during the pilot study which included strain in manpower, limited variation of physical activity, nutrition, and psychology modules, time-constraint after school hours, co-curriculum marks, contamination effect, and school selection. The main MyBFF@school in 2016 addressed the challenges and improvised the design which were elaborated in subsequent articles in this supplement. This cluster randomized controlled trial was conducted in three states; Federal Territory of Kuala Lumpur, Selangor and Negeri Sembilan in 23 primary and 15 secondary schools were selected through proportionate random sampling. The MyBFF@school intervention package consisted of physical activity, nutrition and psychology components were carried out for six months. Data were collected at baseline, mid (month-3) and end (month-6) of the study period. The effects of the program on body composition, clinical, physical fitness, nutrition, and psychology were assessed in primary schoolchildren aged 9 to 11 years old (children age group) and secondary schoolchildren (adolescent) aged 13 to 16 years old. The prevalence of overweight and obesity at screening (N=22,816) were 29.4% in primary and 26.8% in secondary schoolchildren. Outcomes of the trial is presented in this supplement. In summary, the MyBFF@school program is a school-based intervention for overweight and obese children and adolescent. It is a combination of physical activity, nutrition and psychology components. We present in this supplement, the rationale, methodology and the outcomes of this randomized control trial of the MyBFF@school program.
format Article
id doaj-art-b6933a7290ef4831b61f1cd93ab0e40f
institution Kabale University
issn 1471-2458
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj-art-b6933a7290ef4831b61f1cd93ab0e40f2025-01-19T12:42:29ZengBMCBMC Public Health1471-24582025-01-0124S11610.1186/s12889-025-21382-7An introduction to MyBFF@school, a school-based childhood obesity intervention program: a cluster randomized controlled trialAbdul Halim Mokhtar0Zahari Ishak1Fuziah Md. Zain2Rusidah Selamat3Abqariyah Yahya4Muhammad Yazid Jalaludin5Department of Sports Medicine, Faculty of Medicine, Universiti MalayaFOSSLA, UCSI UniversityDepartment of Pediatrics, Putrajaya Hospital, Ministry of HealthNutrition Division, Ministry of HealthDepartment of Social and Preventive Medicine, Faculty of Medicine, Universiti MalayaDepartment of Pediatrics, Faculty of Medicine, Universiti MalayaAbstract Obesity trend among Malaysian children is on the rise. Noting that the tendency for them to grow into obese adults and the relationship of obesity to many non-communicable diseases, the My Body is Fit and Fabulous at School (MyBFF@school program) was designed to combat obesity among the schoolchildren. The program was piloted in 2014 in Putrajaya, Malaysia. There were several challenges during the pilot study which included strain in manpower, limited variation of physical activity, nutrition, and psychology modules, time-constraint after school hours, co-curriculum marks, contamination effect, and school selection. The main MyBFF@school in 2016 addressed the challenges and improvised the design which were elaborated in subsequent articles in this supplement. This cluster randomized controlled trial was conducted in three states; Federal Territory of Kuala Lumpur, Selangor and Negeri Sembilan in 23 primary and 15 secondary schools were selected through proportionate random sampling. The MyBFF@school intervention package consisted of physical activity, nutrition and psychology components were carried out for six months. Data were collected at baseline, mid (month-3) and end (month-6) of the study period. The effects of the program on body composition, clinical, physical fitness, nutrition, and psychology were assessed in primary schoolchildren aged 9 to 11 years old (children age group) and secondary schoolchildren (adolescent) aged 13 to 16 years old. The prevalence of overweight and obesity at screening (N=22,816) were 29.4% in primary and 26.8% in secondary schoolchildren. Outcomes of the trial is presented in this supplement. In summary, the MyBFF@school program is a school-based intervention for overweight and obese children and adolescent. It is a combination of physical activity, nutrition and psychology components. We present in this supplement, the rationale, methodology and the outcomes of this randomized control trial of the MyBFF@school program.https://doi.org/10.1186/s12889-025-21382-7ObesityOverweightSchoolchildrenChildrenAdolescentIntervention
spellingShingle Abdul Halim Mokhtar
Zahari Ishak
Fuziah Md. Zain
Rusidah Selamat
Abqariyah Yahya
Muhammad Yazid Jalaludin
An introduction to MyBFF@school, a school-based childhood obesity intervention program: a cluster randomized controlled trial
BMC Public Health
Obesity
Overweight
Schoolchildren
Children
Adolescent
Intervention
title An introduction to MyBFF@school, a school-based childhood obesity intervention program: a cluster randomized controlled trial
title_full An introduction to MyBFF@school, a school-based childhood obesity intervention program: a cluster randomized controlled trial
title_fullStr An introduction to MyBFF@school, a school-based childhood obesity intervention program: a cluster randomized controlled trial
title_full_unstemmed An introduction to MyBFF@school, a school-based childhood obesity intervention program: a cluster randomized controlled trial
title_short An introduction to MyBFF@school, a school-based childhood obesity intervention program: a cluster randomized controlled trial
title_sort introduction to mybff school a school based childhood obesity intervention program a cluster randomized controlled trial
topic Obesity
Overweight
Schoolchildren
Children
Adolescent
Intervention
url https://doi.org/10.1186/s12889-025-21382-7
work_keys_str_mv AT abdulhalimmokhtar anintroductiontomybffschoolaschoolbasedchildhoodobesityinterventionprogramaclusterrandomizedcontrolledtrial
AT zahariishak anintroductiontomybffschoolaschoolbasedchildhoodobesityinterventionprogramaclusterrandomizedcontrolledtrial
AT fuziahmdzain anintroductiontomybffschoolaschoolbasedchildhoodobesityinterventionprogramaclusterrandomizedcontrolledtrial
AT rusidahselamat anintroductiontomybffschoolaschoolbasedchildhoodobesityinterventionprogramaclusterrandomizedcontrolledtrial
AT abqariyahyahya anintroductiontomybffschoolaschoolbasedchildhoodobesityinterventionprogramaclusterrandomizedcontrolledtrial
AT muhammadyazidjalaludin anintroductiontomybffschoolaschoolbasedchildhoodobesityinterventionprogramaclusterrandomizedcontrolledtrial
AT abdulhalimmokhtar introductiontomybffschoolaschoolbasedchildhoodobesityinterventionprogramaclusterrandomizedcontrolledtrial
AT zahariishak introductiontomybffschoolaschoolbasedchildhoodobesityinterventionprogramaclusterrandomizedcontrolledtrial
AT fuziahmdzain introductiontomybffschoolaschoolbasedchildhoodobesityinterventionprogramaclusterrandomizedcontrolledtrial
AT rusidahselamat introductiontomybffschoolaschoolbasedchildhoodobesityinterventionprogramaclusterrandomizedcontrolledtrial
AT abqariyahyahya introductiontomybffschoolaschoolbasedchildhoodobesityinterventionprogramaclusterrandomizedcontrolledtrial
AT muhammadyazidjalaludin introductiontomybffschoolaschoolbasedchildhoodobesityinterventionprogramaclusterrandomizedcontrolledtrial