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Table 3 Description of sample size calculation

From: The conceptual framework for a combined food literacy and physical activity intervention to optimize metabolic health among women of reproductive age in urban Uganda

\(\boldsymbol{m}=\frac{{\left({\boldsymbol{Z}}_{\mathbf{1}-\boldsymbol{\alpha} /\mathbf{2}}+{\boldsymbol{Z}}_{\mathbf{1}-\boldsymbol{\beta}}\right)}^{\mathbf{2}}\ \mathbf{2}{\boldsymbol{\sigma}}^{\mathbf{2}}}{{\boldsymbol{\Delta}}^{\mathbf{2}}}\left(\mathbf{1}+\left(\boldsymbol{n}-\mathbf{1}\right)\boldsymbol{\rho} \right)\)

where?

m = sample size per study arm

= 1.96 at the type 1 error of 5%

= 0.842 at 80% power

σ = the standard deviation of primary outcome in the population

• Based on Uganda STEP survey [2], the standard deviation of waist circumference for women aged 18 to 49 years = 13.73.

= effect size = 7.4cm.

• Effect size was calculated based on Bendall, Mayr [41] , impact of the Mediterranean diet on central obesity.

• Only studies with a duration below 12 months were included in the calculation as the proposed study duration is below 12 months.

(1 + (n − 1)ρ)= design effect (DE) to compensate for cluster randomisation.

▪ n = number of individuals per cluster

▪ ρ = Intra-Cluster Correlation coefficient

• For our intervention, n = 27

• ρ = 0.001

▪ There is no data available on the intra-Cluster Correlation coefficient of waist circumference across villages for communities within Kampala. A range of 0.001 to 0.10 is demonstrated as a cost - effective and safe choice to account for the variability.

  1. m = (1.96 + 0.842)2 *2*13.732/7.42) * (1 + (27-1) *0.001)
  2. m = 55 participants
  3. To cover for dropouts, m is increased by 20%, to make 66 participants.
  4. Hence, the project aims to include 132 women in the trial, 66 in the treatment arm and 66 in the control arm