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Cited by 20Obesity, Physical Activity, DietSchool Health and Nursing EducationObesity and Health Practices

The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.

Adolescent Obesity Prevention in Saudi Arabia: Co-identifying Actionable Priorities for Interventions

Open access
Almughamisi, Manal, O'Keeffe, Majella, Harding, Seeromanie·2022·Frontiers in Public Health
DOI 10.3389/fpubh.2022.863765PMC PMC9128526
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Abstract

Background: Childhood obesity is a serious issue in the Kingdom of Saudi Arabia, but there is no known community intervention. The aim of the study was to use a participatory approach to obtain the perspectives of students, school staff and Ministry of Education (MoE) representatives and parents on important and feasible intervention opportunities for school-based obesity prevention for adolescent girls. Method: The study was conducted in two intermediate schools for girls (13–15 years old) in Jeddah that were purposefully identified with the support of the MoE. Group concept mapping, a mixed method approach, was conducted with 19 adults which included staff from the MoE and schools, school canteen suppliers and mothers. Adults generated statements in response to two prompts (P); P1 “The factors influencing adolescent obesity in Saudi are...” and P2 “The content of school-based programmes should focus on....” Photovoice-enhanced concept mapping was used with students (n = 15 students) to capture adolescent perspectives on what influences their dietary and physical activity habits. Students generated statements' using their own photographs. Stakeholders, both adult and students, sorted the statements into themes and rated each statement for relative importance and feasibility. Multidimensional scaling and hierarchical cluster analyses were used to produce concept maps with the input from students and adults. Result: Adults generated 35 statements in response to P1 and identified five themes that influenced adolescent obesity including “Home Environment,” “Lifestyle,” “School Environment,” “Community,” “Biology.” They generated 42 statements in relation to P2 and identified four themes including “Ministry of Education Support,” “School Environment,” “Public health programmes” and “Wider environmental influences.” Students generated 42 statements from 39 pictures. They identified five themes that influenced their dietary and physical activity habits—“Role of Government,” “School Environment,” “Home Environment,” “Retail Environment” and “Cultural Practices.” Both groups identified several common important and feasible actions with a strong emphasis on improving the school environment, in particular food provision, with MoE support. Exemplar corresponding statements from adults were “Offer healthy foods in the canteen,” “Remove chocolates and sweets” and “Educate children about healthy foods” and from students were “Offer fruit and vegetables in the canteen,” “Remove chocolates from the canteen,” “Healthy meals should not expensive.” Lack of correspondence related to students' emphasis on access to both healthy foods and physical activity in schools and the wider environment (e.g. retail environments), while adults emphasized school-based education and food provision. After further consultations, both stakeholder groups agreed on improving access to healthy foods in the canteen. Conclusions: Students and school and MoE staff jointly agreed that a canteen-based intervention was important and feasible to improve dietary habits and thus help to prevent obesity among adolescent girls. This was the first time a participatory approach was used with students for intervention development in Saudi Arabia. A co-development approach may have value to improve their school food environments.

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  • Engaging key stakeholders, including adolescents, parents, teachers, and policy experts, in intervention design ensures tailoring to adolescents' needs, feasibility, and successful implementation.

    “Empirical evidence suggests that engaging key stakeholders, including adolescents, parents, teachers, and policy experts, in intervention design ensures tailoring to adolescents’ needs, feasibility, and successful implementation [57–59].”

    From School-based healthy eating interventions for adolescents aged 10–19 years: an umbrella review (2024) · cites this paper as [59]

    The Introduction (page unavailable) says students’ perspectives should be integrated with those of education policy actors, parents, and teachers when planning school-based interventions. The Conclusion (page unavailable) reports that participants identified a feasible intervention, but says only that co-development may have value; it does not show that stakeholder engagement ensures successful implementation. The study also included only one mother. (LLM, conf=0.87)

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Research works printed but not linked: 4

  1. Almughamisi, 2021, The Co-development of a School-Based Nutrition Intervention to Prevent Childhood Obesity in Jeddah, Saudi Arabia
  2. Farr, 2020, A Map of Resources for Co-producing Research in Health and Social Care.
  3. AlshanbriAM 10.1186/s12961-017-0231-728784177Fayetteville, AR, United StatesUniversity of ArkansasEmpowering positive youth development in Saudi Arabia: youth civic engagement, Agenda setting and policy formulation2014 · DOI
  4. Alkathiri, 2020, The Relationship Between Saudi Citizen Perceptions Of Vision 2030 And Saudi Government Social Media Use To Promote Vision 2030

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Metadata

Authors
Almughamisi, M., O'Keeffe, M., & Harding, S.
Affiliations
King's College London (GB)
Corresponding author
Harding, Seeromanie
ORCID
Venue
Frontiers in Public Health
Publisher
Frontiers Media SA
Published
2022-05-10
Volume
10
Pages
863765-863765
ISSN
2296-2565 (ISSN-L)
DOI
10.3389/fpubh.2022.863765
PMC
PMC9128526
OpenAlex
W4229442774
Cited by
20
References
39
Citations by year
2026: 2 · 2025: 5 · 2024: 8 · 2023: 5
FWCI
3.97
Type
journal article
Language
en
Open access
Licence
Locations
  • Frontiers in Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • Lenus, The Irish Health Repository (Dr Steevens Hospital Library) (submittedVersion, cc-by)
Funders
Medical Research Council (MR/R022739/1, MR/S009035/1, MR/N015959/1)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
Keywords
adolescent obesity, obesity prevention, school-based intervention, adolescent girls, participatory approach, stakeholder perspectives, school food environment, school canteens, dietary habits, physical activity, family environment, retail environment, cultural practices, intervention prioritization, Saudi Arabia, Jeddah, Ministry of Education, photovoice, concept mapping, healthy eating education, school health policy
MeSH terms
Adolescent, Adult, Child, Feeding Behavior, Female, Humans, Saudi Arabia, Schools, Students, Pediatric Obesity

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