Evaluating the Safety and Efficacy of a Non–Weight-Centric Approach to Obesity Prevention in Rural and Urban Female Adolescents: Quasi-Experimental Study

The Green Apple program is a culturally tailored, weight-neutral intervention that improves metabolic health literacy and reduces sedentary behavior among Saudi female adolescents without harming body image or eating behaviors. By focusing on an underserved subgroup, it addresses a key gap in health promotion and aligns with global calls for stigma-free approaches. Broader regional studies are needed to assess its long-term impact.