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Prevention of Non Communicable Diseases

Effect of a peer-led education intervention on dietary behaviour and physical activity among adolescents in Ho Chi Minh City, Vietnam: a pilot study

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Abstract

This pilot study aimed to evaluate the effectiveness of peer-led education intervention on physical activity, sedentary behaviours, and dietary behaviours among adolescents in HCM city, Vietnam. Among students in the intervention arm after a 9-month follow-up, total energy intake was reduced by 304 kcal/day, fat by 13 g/day, carbohydrate by 39 g/day, and sweet foods by 20 g/day, compared to pre-intervention figures (p < 0.05, adjusted for age, BMI at baseline, gender, the interaction between measurement time and intervention groups, and cluster effect in schools). Only total energy intake was significantly lower in the intervention than control students (p < 0.05, after adjustment). Our pilot project has established the feasibility of a peer-led intervention to improve lifestyles among adolescents in HCM city and evidence of improvements in dietary intake. Australian New Zealand Clinical Trials Registry: ACTRN12619000421134.

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Data availability

The data that support the findings of this study are available from PEPS project but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available. Data are however available from the authors upon reasonable request and with permission of PEPS project.

References

  1. Hong TK, Dibley MJ, Sibbritt D, Binh PNT, Trang NHHD, Hanh TTM. Overweight and obesity are rapidly emerging among adolescents in Ho Chi Minh City, Vietnam, 2002–2004. Int J Pediatr Obes. 2007;2:194–201.

    Article  PubMed  Google Scholar 

  2. Nguyen PVN, Hong TK, Hoang T, Nguyen DT, Robert AR. High prevalence of overweight among adolescents in Ho Chi Minh City, Vietnam. BMC Public Health. 2013;13:141.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Phan HD, Nguyen TNP, Bui PL, Pham TT, Doan TV, Nguyen DT, et al. Overweight and obesity among Vietnamese school-aged children: National prevalence estimates based on the World Health Organization and International Obesity Task Force definition. PLoS One. 2020;15:e0240459.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Al-sheyab N, Gallagher R, Crisp J, Shah S. Peer-led education for adolescents with asthma in Jordan: a cluster-randomized controlled trial. Pediatrics. 2012;129:e106–12.

    Article  PubMed  Google Scholar 

  5. Burbank AJ, Lewis SD, Hewes M, Schellhase DE, Rettiganti M, Hall-Barrow J, et al. Mobile-based asthma action plans for adolescents. J Asthma. 2015;52:583–6.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Tang HK, Nguyen N-M, Dibley MJ, Nguyen T, Alam A. Improving the lifestyle of adolescents through peer education and support in Vietnam: protocol for a pilot cluster randomized controlled trial. JMIR Res. Protoc. 2020;9:e15930.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Nguyen NM, Dibley MJ, Tang HK, Alam A. Perceptions and practices related to obesity in adolescent students and their programmatic implications: qualitative evidence from Ho Chi Minh City, Vietnam. Matern Child Health J. 2017;21:2199–208.

    Article  PubMed  Google Scholar 

  8. Hong TK, Dibley MJ, Sibbritt D. Validity and reliability of an FFQ for use with adolescents in Ho Chi Minh City, Vietnam. Public Health Nutr. 2010;13:368–75.

    Article  PubMed  Google Scholar 

  9. Hong TK, Trang N, van der Ploeg HP, Hardy LL, Dibley MJ. Validity and reliability of a physical activity questionnaire for Vietnamese adolescents. Int J Behav Nutr Phys Act. 2012;9:93.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Xuan-Ngoc Thi Tran. The current status and the effectiveness of the nutrition-educational intervention program preventing overweight and obesity in children from 6 to 14 years old in Hanoi. [PhD thesis]. Nutrition Institute, Ha Noi; 2012.

  11. Biddle SJ, Petrolini I, Pearson N. Interventions designed to reduce sedentary behaviours in young people: a review of reviews. Br J Sports Med. 2014;48:182–6.

    Article  PubMed  Google Scholar 

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Acknowledgements

We gratefully acknowledge the contribution provided by School Principals, Class Teachers, Participants of all schools who agreed and help to arrange favourable conditions for the research study. We also appreciate M.D. Tam Minh Do, M.D. Thanh Van Kim, and our students, the peer educators, in the faculty of public health, Pham Ngoc Thach University of Medicine, who helped us carry out the educational programme at schools. We would like to offer our special thanks to Dr Tanvir M Huda, who gave us helpful advice to solve the problem in data analysis.

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Each author has contributed, edited and approved the contents of the submitted paper. MJD, NAA, MNN and HKT designed the trial study, NTTN carried out the trial and conducted the data collection, data analysis, data interpretation, literature search, generation of figures. All authors were involved in writing the paper and had final approval of the submitted and published versions.

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Correspondence to Ngoc-Trinh Thi Nguyen.

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Thi Nguyen, NT., Tang, H.K., Nguyen, M.N. et al. Effect of a peer-led education intervention on dietary behaviour and physical activity among adolescents in Ho Chi Minh City, Vietnam: a pilot study. Eur J Clin Nutr 76, 1590–1593 (2022). https://doi.org/10.1038/s41430-022-01140-3

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