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Not yet recruitingNCT07332676Updated Jan 12, 2026

Building Healthy Food Environment in Schools: Evaluating Co-created Interventions in Low Resource Settings. #BetterNutrition4Adolescent

An interventional study of Multicomponent school nutrition intervention and Usual nutrition program in Overweight Adolescents, Underweight and Obese Adolescents, sponsored by Norwegian University of Science and Technology. Not yet recruiting at 2 sites in 2 countries. Open to participants aged 11 Years to 15 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-12.

Sponsored by Norwegian University of Science and Technology · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
2,600
Allocation
Randomized
Ages
11 Years to 15 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn if a multicomponent nutrition program developed together with the students, parents, teachers and canteen operators will improve nutrition status of adolescents. It will also learn about the acceptability and feasibility of implementing the program in the school settings. The main questions it aims to answer are:

What is the effect of co-created multicomponent intervention promoting healthy food behavior and environment in schools on the proportion of normal weight adolescents? What proportion of the target adolescents and teachers does the intervention reach? What proportion of the schools are willing to implement the intervention? What was the level of fidelity of implementation of all components of the intervention and the barriers and facilitators to implementation? What is the cost for maintenance, and facilitators and barriers of sustainment? School going adolescents studying in grades 7 to 9 from 26 schools in India and 26 schools in Nepal will be enrolled in the trial and their height, weight, dietary behavior, mental well-being and physical activity will be measured at baseline and at 12 months follow up. After the baseline assessment the school community (students, school environment, parents, teachers, canteen operators) will receive the intervention.

02

Conditions studied

  • Overweight Adolescents
  • Underweight
  • Obese Adolescents

Keywords

  • nutrition
  • multicomponent nutrition intervention
  • co-creation
  • adolescent
  • low resource settings
  • Poor nutrition
03

In context

Thinness

66 studies on the registry are indexed under Thinness; 11 are open to participants now.

This study's planned enrollment of 2,600 is above the median of 287 across 43 interventional studies indexed under Thinness.

Browse Thinness studies →

Lead sponsor

Norwegian University of Science and Technology is the lead sponsor of 495 studies on the registry; 48 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
11 Years to 15 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adolescents studying in grade 7 to 9 (aged 11-15 years) Exclusion criteria:

Exclusion criteria

Exclusion Criteria:

  • Adolescents with siblings enrolled in schools assigned to a different trial arm to avoid clustering, with underlying medical conditions and those who plan to change school within one year of enrollment (during follow up period) will be excluded.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
2,600 participants (estimated)

Study arms

  • Experimental
    Receive co-created multicomponent school nutrition intervention and usual nutrition program

    Other: Multicomponent school nutrition intervention

  • Active comparator
    Usual nutrition program

    Other: Usual nutrition program

Interventions

  • OtherMulticomponent school nutrition intervention

    The intervention will include innovative components that aims to change school food environment, nutrition education to promote healthy eating and community and parental involvement. This section will be completed after the intervention package is finalized during the co-creation phase.

  • OtherUsual nutrition program

    Usual nutrition program that is being implemented, no any additional active intervention

06

What researchers measure

Primary outcomes

  1. Proportion of healthy weight adolescents and body mass index for age

    Height and weight of the adolescents will be measured to calculate body mass index using age and sex specific charts and categorize them as Underweight: Less than the 5th percentile, Healthy weight: 5th percentile up to the 85th percentile , Overweight: 85th percentile to less than the 95th percentile, Obesity: 95th percentile or higher

    Time frame: At enrollment and at 12 months follow up

Secondary outcomes

  1. Total intake of fruits and vegetables, dairy products, meat and beans (protein), whole grains, sugar-sweetened beverages, fast food, and salty snacks

    A 24 hour dietary recall will be taken (two times during week days and weekends)

    Time frame: At enrollment and at 12 months follow up

  2. Total metabolic equivalent per day (MET per day)

    Use International Physical activity questionnaire for adolescent to measure specific types, frequency and duration across different domains.

    Time frame: At enrollment and at 12 months follow up

  3. Mental wellbeing

    Measured using Warwick-Edinburgh Mental Well-Being Scale (WEMWBS)

    Time frame: At enrollment and at 12 months follow up

07

Study locations

2 sites
  • Delhi
    Delhi, India
  • Budhanilakantha Municipality
    Budhanilakantha, Bagmati, Nepal
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Oct 2026; primary completion for Dec 2027, 14 months later.

Of 22 interventional studies with no phase under Thinness, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 30. This study's planned 14 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 30, 2025
First posted
Jan 12, 2026
StartEst.
Oct 2026
Primary completionEst.
Dec 2027
CompletionEst.
Dec 2027
Last update
Jan 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07332676
Collaborators
Institute for Implementation Science and Health, Public Health Foundation of India, University of Birmingham
Responsible party
Sponsor
First posted
Jan 12, 2026
Start date
Oct 2026 (estimated)
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Jan 12, 2026

Study contacts

Abhijit Sen, PhD
Contact
abhijit.sen@ntnu.no
+4773412950
Archana Shrestha, PhD
principal investigator · Institute for Implementation Science and Health
Monica Arora, PhD
principal investigator · Public Health Foundation India

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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