Physical Activity, Weight and Fitness Outcomes in Children in After-Care

Study Overview
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Brief Summary
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The purpose of this study is to compare the effect of two after-school programs on children's physical activity, fitness, body composition, and academic performance.

Detailed Description
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Tennessee ranks 4th for the highest prevalence of adult obesity in the nation (30.2%), and ranks 5th for the highest rate of youth obesity (36.5%). The Division of General Pediatrics at Vanderbilt has a specific research focus to develop community engagement projects that measurably reduce childhood obesity. Metro Parks and Recreation has been showcased by the National Recreation and Parks Association (NRPA) as a national model for its leadership role in community health and wellness. The two have created a unique academic-community partnership, guided by principals of community-based participatory research (CBPR), that is working to test and disseminate effective Metro Parks-based programs to reduce pediatric obesity. The proposed study will examine the impact of the Coleman Community Center after-school program on routine physical activity, weight and fitness outcomes in children who belong to the low-income and racial and ethnic minority populations at highest risk for childhood obesity. This study was requested by Metro Parks and has significant policy implications: If the program is deemed effective in improving daily physical activity, weight and/or fitness outcomes in students, the proposed study will serve as the rationale to expand the program to Metro Parks' 22 community centers, all of which are located in under-resourced neighborhoods.

Official Title
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Impact Analysis of Metro Parks' After-School Programming on Physical Activity, Weight and Fitness Outcomes

Conditions
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Obesity, Exercise

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 5 - 15 years enrolled in public school district parental permission to access school records Exclusion Criteria: under 5 or over 15 no parental permission to access school records

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 15 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Coleman Afterschool Program<br>Children enrolled in a community center-based after-school program. | |
| YMCA Fun Company<br>Children enrolled in a school-based after-school program. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Physical activity measured by actigraphy |  | 3 weeks over 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Body composition measured by bioelectrical impedance |  | 3 times over 3 months | 
| Cardiovascular fitness measured by 1/2 mile run/walk |  | 3 times over 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Behavioral Research, Community-Based Participatory Research