Adjusted odds ratios for dietary behaviours in the five study countries
SHOP
The effect of the intervention on dietary behaviours varied amongst the five different countries. Adjusted OR as compared with control are reported per country in (Table In the total population, the Ajyal Salima group reported eating more healthy foods during the day than the control group, at the post-intervention assessment. However, the results were not statistically significant in Jordan and Lebanon.Results also show that the Ajyal Salima group was less likely to consume unhealthy foods such as chips and SSB post-intervention in all countries except for Jordan.Students from the Ajyal Salima group were more likely to consume healthy snacks between meals after the intervention than those from the control group in Saudi Arabia and Palestine. Notably, the Ajyal Salima group from Saudi Arabia reported 5·63 times higher odds to consume fruits between meals. As for unhealthy snacks including chips, chocolate, cookies, candies, cupcakes and SSB, significant differences with control were seen in Lebanon and Palestine but not in the other countries. In Lebanon, the Ajyal Salima intervention group was 71 % less likely to consume unhealthy snacks than the control group.Snack choices purchased from the school shop were improved in general as a result of the intervention as Ajyal Salima students in Lebanon, Jordan and Bahrain were less likely to buy SSB and chips than the control group. In Palestine, the reported data show a similar significant decrease; however, numbers reflect snacks bought outside school grounds since a school shop policy prohibiting the sales of SSB and chips was in effect at the time of data collection. As for Saudi Arabia, there was no significant difference between control and intervention schools in terms of SSB purchasing, and the data for purchasing chips were unavailable.Finally, the likelihood of eating out/ordering in was seen to decrease significantly as compared with control in Saudi Arabia and Palestine only.Physical activity at baseline and post-intervention There was no significant difference in baseline values for weekly frequency of physical activities between Ajyal Salima and control students. The percentage of children engaging in regular physical activity after school and on the weekends is presented in Fig. 
Prevalence of physical activity at baseline and post-intervention