Clinical trial NCT01063413: Physical Activity, Weight and Fitness Outcomes in Children in After-Care
Official title: Impact Analysis of Metro Parks' After-School Programming on Physical Activity, Weight and Fitness Outcomes
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Obesity
Exercise
Keywords: Behavioral Research
Community-Based Participatory Research
Lead sponsor: Wake Forest University Health Sciences
Sponsor class: OTHER
First posted: 2010-02-05
Enrollment: 97
Sex: ALL
Minimum age (years): 5
Maximum age (years): 15
Standard ages: CHILD
Accepts healthy volunteers: yes
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: public school students

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Physical activity measured by actigraphy
timeFrame: 3 weeks over 3 months
Secondary outcomes:
measure: Body composition measured by bioelectrical impedance
timeFrame: 3 times over 3 months
measure: Cardiovascular fitness measured by 1/2 mile run/walk
timeFrame: 3 times over 3 months
Other outcomes:
Locations:
city: Nashville
country: United States
facility: Metro Parks & Recreation - Coleman Park Regional Center
state: Tennessee
city: Nashville
country: United States
facility: YMCA Fun Company - Glencliff Elementary School
state: Tennessee
Study officials:
affiliation: Wake Forest University Health Sciences
name: Sabina B. Gesell, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Gesell SB, Tesdahl E, Ruchman E. The distribution of physical activity in an after-school friendship network. Pediatrics. 2012 Jun;129(6):1064-71. doi: 10.1542/peds.2011-2567. Epub 2012 May 28.
citation: Gesell SB, Sommer EC, Lambert EW, Vides de Andrade AR, Whitaker L, Davis L, Beech BM, Mitchell SJ, Arinze N, Neloms S, Ryan CK, Barkin SL. Comparative effectiveness of after-school programs to increase physical activity. J Obes. 2013;2013:576821. doi: 10.1155/2013/576821. Epub 2013 Aug 4.
citation: Zhang J, Shoham DA, Tesdahl E, Gesell SB. Network interventions on physical activity in an afterschool program: an agent-based social network study. Am J Public Health. 2015 Apr;105 Suppl 2(Suppl 2):S236-43. doi: 10.2105/AJPH.2014.302277. Epub 2015 Feb 17.
citation: Henry T, Gesell SB, Ip EH. Analyzing heterogeneity in the effects of physical activity in children on social network structure and peer selection dynamics. Netw Sci (Camb Univ Press). 2016 Sep;4(3):336-363. doi: 10.1017/nws.2016.2. Epub 2016 May 12.