This study was carried out to evaluate the effectiveness of a focused nutrition education intervention to reduce the components of metabolic syndrome by using the Health Belief Model (HBM) among obese adolescents in Iran. In this Randomized controlled trial, an educational intervention program was conducted among 90 adolescents, living in Isfahan province of Iran. The inclusion criteria were as follows: age between 12–18 years, being overweight or obese. These participants were selected among obese adolescents who were referred from healthcare centers and schools to the Childhood Obesity Research Clinic of Pediatric Preventive Cardiology Department at Isfahan Cardiovascular Research Center.
Participants were randomly assigned into intervention and control groups by simple randomization based on coin toss. The intervention group (n=46) participated in 12 educational sessions (one session/week) including educational lecture, group discussion, question-answer, pamphlet, booklet, power-point slide show on physical activity and its advantages, obesity and its consequences, susceptibility of obese people to cardiovascular disease and diabetes and healthy eating key-points based on the food guide pyramid. The control group (n=44) was assigned a usual program. Anthropometric, biochemical, dietary and blood pressure measurements were collected before the intervention at baseline (T0), at 3 months after the intervention (T1) and 3 months after the end of the intervention (T2) in order to evaluate the effectiveness of the nutrition education intervention program. All persons collecting information were unaware from the placement of adolescents in the case and control groups.