{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T01:38:24Z","timestamp":1776217104189,"version":"3.50.1"},"reference-count":64,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2018,1,30]],"date-time":"2018-01-30T00:00:00Z","timestamp":1517270400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: The GReat-Child Trial was a quasi-experimental intervention that has emphasized whole grain as a strategy to manage childhood obesity. Methods: Two schools in Kuala Lumpur with similar demographic characteristics were assigned as intervention (IG) and control (CG). Eligibility criteria were overweight\/obese children aged 9 to 11 years who had no serious co-morbidity. Children who reported consuming wholegrain foods in their 3-day diet-recall during screening were excluded. A total of 63 children (31 IG; 32 CG) completed the entire intervention program. The IG children underwent six 30-min nutrition education lessons and had school delivery of wholegrain food on a daily basis over a 12-week period. Parents of IG children attended 1-h individual diet counseling. Anthropometric outcomes including BMI-for-age z-score (BAZ), body fat percentage and waist circumference were measured at baseline [T0], post-intervention [T1] (3rd month) and follow-up [T2] (9th month). Results: IG showed significantly lower BAZ (weighted difference: \u22120.12; 95% CI: \u22120.21, \u22120.03; p = 0.009), body fat percentage (weighted difference: \u22122.6%; 95% CI: \u22123.7, \u22121.5; p &lt; 0.001) and waist circumference (weighted difference: \u22122.4 cm; 95% CI: \u22123.8, \u22121.0; p = 0.001) compared to CG. IG reported significantly lower body fat percentage (weighted difference: \u22123.4%; 95% CI: 1.8, 5.0; p &lt; 0.001) and waist circumference (weighted difference: \u22122.1 cm; 95% CI: \u22123.7, \u22120.5; p = 0.014) at T1 compared to T0. Conclusions: The GReat-Child Trial made a positive impact in managing childhood obesity. It can be incorporated into childhood obesity intervention programs that are being implemented by the policy makers.<\/jats:p>","DOI":"10.3390\/nu10020156","type":"journal-article","created":{"date-parts":[[2018,1,30]],"date-time":"2018-01-30T12:13:37Z","timestamp":1517314417000},"page":"156","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["The GReat-Child\u2122 Trial: A Quasi-Experimental Intervention on Whole Grains with Healthy Balanced Diet to Manage Childhood Obesity in Kuala Lumpur, Malaysia"],"prefix":"10.3390","volume":"10","author":[{"given":"Hui","family":"Koo","sequence":"first","affiliation":[{"name":"Nutritional Sciences Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, 50300 Kuala Lumpur, Malaysia"},{"name":"Department of Bioscience, Faculty of Applied Sciences, Tunku Abdul Rahman University College, 50300 Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bee","family":"Poh","sequence":"additional","affiliation":[{"name":"Nutritional Sciences Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, 50300 Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruzita","family":"Abd Talib","sequence":"additional","affiliation":[{"name":"Nutritional Sciences Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, 50300 Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2018,1,30]]},"reference":[{"key":"ref_1","first-page":"19","article-title":"Childhood obesity","volume":"14","author":"Ahmad","year":"2010","journal-title":"Indian J. 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