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The nutrition-based comprehensive intervention study on childhood obesity in China (NISCOC): a randomised cluster controlled trial

Yanping Li1*, Xiaoqi Hu1, Qian Zhang1, Ailing Liu1, Hongyun Fang1, Linan Hao1, Yifan Duan1, Haiquan Xu1, Xianwen Shang1, Jun Ma2, Guifa Xu3, Lin Du4, Ying Li5, Hongwei Guo6, Tingyu Li7 and Guansheng Ma1*

Author Affiliations

1 National Institute For Nutrition And Food Safety, Chinese Center For Disease Control And Prevention, Beijing, China

2 Institute Of Children And Adolescent Health, Peking University Health Science Center, Beijing, China

3 Department Of Public Health, Shandong University, Shandong Province, China

4 Guangzhou Center For Disease Control And Prevention, Guangdong Province, China

5 Harbin Medical University, Heilongjiang Province, China

6 School Of Public Health, Fudan University, Shanghai, China

7 Chongqing Children's Hospital, Chongqing, China

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BMC Public Health 2010, 10:229  doi:10.1186/1471-2458-10-229

Published: 2 May 2010



Childhood obesity and its related metabolic and psychological abnormalities are becoming serious health problems in China. Effective, feasible and practical interventions should be developed in order to prevent the childhood obesity and its related early onset of clinical cardiovascular diseases. The objective of this paper is to describe the design of a multi-centred random controlled school-based clinical intervention for childhood obesity in China. The secondary objective is to compare the cost-effectiveness of the comprehensive intervention strategy with two other interventions, one only focuses on nutrition education, the other only focuses on physical activity.


The study is designed as a multi-centred randomised controlled trial, which included 6 centres located in Beijing, Shanghai, Chongqing, Shandong province, Heilongjiang province and Guangdong province. Both nutrition education (special developed carton style nutrition education handbook) and physical activity intervention (Happy 10 program) will be applied in all intervention schools of 5 cities except Beijing. In Beijing, nutrition education intervention will be applied in 3 schools and physical activity intervention among another 3 schools. A total of 9750 primary students (grade 1 to grade 5, aged 7-13 years) will participate in baseline and intervention measurements, including weight, height, waist circumference, body composition (bioelectrical impendence device), physical fitness, 3 days dietary record, physical activity questionnaire, blood pressure, plasma glucose and plasma lipid profiles. Data concerning investments will be collected in our study, including costs in staff training, intervention materials, teachers and school input and supervising related expenditure.


Present study is the first and biggest multi-center comprehensive childhood obesity intervention study in China. Should the study produce comprehensive results, the intervention strategies would justify a national school-based program to prevent childhood obesity in China.

Trial Registration

Chinese clinical trial registry (Primary registry in the WHO registry network) Identifier: ChiCTR-TRC-00000402