Europe PMC Funders Group Author Manuscript Arch Dis Child. Author manuscript; available in PMC 2017 April 12. Published in final edited form as: Arch Dis Child. 2016 January ; 101(1): 33–41. doi:10.1136/archdischild-2015-308673.

Europe PMC Funders Author Manuscripts

Effectiveness of a Five Year School-Based Intervention Programme to Reduce Adiposity and Improve Fitness and Lifestyle in Indian Children; The SYM-KEM Study Sheila Bhave, Department of Paediatrics, KEM Hospital, Pune, India Anand Pandit, Department of Paediatrics, KEM Hospital, Pune, India Rajiv Yeravdekar, Faculty of Health and Biomedical Sciences, Symbiosis International University, Pune, India Vaishali Madkaikar, Department of Paediatrics, KEM Hospital, Pune, India Trushna Chinchwade, Department of Paediatrics, KEM Hospital, Pune, India Nasreen Shaikh, Department of Statistics, ZVMU Medical College, Pune, India

Europe PMC Funders Author Manuscripts

Tasneem Shaikh, Excellentstat, Pune, India Shraddha Naik, Chandrashekhar Agashe College of Physical Education, Pune, India Ella Marley-Zagar, and MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK Caroline HD Fall MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK

Abstract Design—Non-randomised non-blinded school-based intervention study. Setting—Two schools in the cities of Pune and Nasik, India.

Author for correspondence: Dr Sheila Bhave, Department of Paediatrics, KEM Hospital, Pune, Maharashtra, India 411011; [email protected] or [email protected]; +91 9823091871. Competing interests: None declared. Author contributions: Sheila Bhave, Anand Pandit, Rajiv Yeravdekar, Shraddha Naik and Caroline Fall designed the research. Sheila Bhave, Anand Pandit, Vaishali Madkaikar and Trushna Chinchwade conducted the research. Nasreen Shaikh, Tasneem Shaikh and Ella Marley-Zagar performed the statistical analysis of the data. Sheila Bhave and Caroline Fall drafted the manuscript, and all authors contributed to and approved the final version. Sheila Bhave had primary responsibility for the final content.

Bhave et al.

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Participants—The intervention group comprised children attending one Pune school from 7-10 years until 12-15 years of age. Two controls groups comprised (1) children of the same age attending a similar school in Nasik, and (2) children in the Pune intervention school but aged 12-15 years at the start of the study.

Europe PMC Funders Author Manuscripts

Intervention—A 5-year multi-intervention programme, covering three domains: physical activity, diet and general health, and including increased extra- and intra-curricular physical activity sessions; daily yoga-based breathing exercises; making physical activity a ‘scoring’ subject; nutrition education; healthier school meals; removal of fast-food hawkers from the school environs; and health and nutrition education for teachers, pupils and families. Main outcome measures—Body mass index (BMI), waist circumference, physical fitness according to simple tests of strength, flexibility and endurance; diet; and lifestyle indicators (time watching TV, studying and actively playing). Results—After five years the intervention children were fitter than controls in running, longjump, sit-up and push-up tests (p

Effectiveness of a 5-year school-based intervention programme to reduce adiposity and improve fitness and lifestyle in Indian children; the SYM-KEM study.

Non-randomised non-blinded school-based intervention study...
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