Effect of the Enhanced Summer Food Service Program on Schoolchildren

NCT03118635 | Completed

• 1 other identifier: GFT640211
• Study Type: interventional
• Target: 85
• Locations: 1 country
• Sites: 1

Brief Summary

Convergent findings from several studies document that children, especially those who are already overweight or obese or from racial / ethnic minority groups, are at risk for accelerated weight gain during the summer months. Therefore, this project is comprised of three separate community-based interventions designed to increase access to healthy meals and physical activity opportunities to minimize excess summer weight gain in elementary school children from a diverse, low-income Rhode Island community. Specifically, we will complete a quasi-experimental study in which we will design and deliver a physical activity intervention in conjunction with the Summer Food Service Program (SFSP) to 50 children living in a low-income, urban community. We anticipate that the addition of physical activity programming to the SFSP, a federal program funded by the USDA which reimburses states for serving lunch meals to children during the summer in communities where at least 50% of students are eligible for free or reduced-price school meals, will increase both the acceptability and effectiveness of the SFSP and affect 1) physical activity levels, 2) sedentary behavior, and 3) diet quality. The primary outcome (change in BMI z-score) will be compared between the 50 kids enrolled in the active intervention and 50 children enrolled in the control condition, both recruited from the same community.

Conditions

Pediatric Obesity

Keywords

Summer; Diet; Physical Activity; Sedentary behavior; Low-income

Outcome Measures

Primary Outcomes (1)

• Change in BMI z-score over the summer

  BMI was measured at the baseline visit (early June 2016) and three months later at the end of the summer (late August, 2016). Outcome of interest was change (BMIz at f/u - BMIz at baseline)

  Three months (summer)

Secondary Outcomes (3)

• Physical Activity

  Cross-sectional measure taken for 7 days during the window of weeks 4-6 of the 8 week intervention

• Sedentary Behavior

  Cross-sectional measure taken for 7 days during the window of weeks 4-6 of the 8 week intervention

• Energy intake

  Cross-sectional measure taken for 7 days during the window of weeks 4-6 of the 8 week intervention

Study Arms (2)

Intervention

EXPERIMENTAL

Daily, four-hour physical activity intervention

Behavioral: Intervention

Control

NO INTERVENTION

No treatment control

Interventions

Intervention BEHAVIORAL

Physical activity programming in accordance with the SPARK - After School curriculum as well as engaging activities provided by local community partners. The intervention proceeded the SFSP lunch meal service, so that children received approximately three hours of physical activity programming daily.

Intervention

Eligibility Criteria

• Age: 6 Years - 12 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Low-income (defined as qualifying for free or reduced-price meals as part of the National School Lunch Program)
• Ages 6-12 years
• Ability of child to speak, read and write English (for purposes of assessment and intervention)
• Parent/guardian involvement
• Agreement to study participation
• Intent to participate in the SFSP in the upcoming summer

You may not qualify if:

• Medical condition that would interfere with participation in physical activity
• Enrolled in a camp or other physical activity based summer program.

Sponsors & Collaborators

• The Miriam Hospital: lead
• Brown University: collaborator

Study Sites (1)

The Miriam Hospital

Providence, Rhode Island, 02906, United States

Location

Related Publications (1)

• Evans EW, Bond DS, Pierre DF, Howie WC, Wing RR, Jelalian E. Promoting health and activity in the summer trial: Implementation and outcomes of a pilot study. Prev Med Rep. 2018 Feb 16;10:87-92. doi: 10.1016/j.pmedr.2018.02.008. eCollection 2018 Jun.

  PMID: 29868357 DERIVED

MeSH Terms

Conditions

Pediatric Obesity; Motor Activity; Sedentary Behavior

Interventions

Methods

Condition Hierarchy (Ancestors)

Obesity; Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Investigative Techniques

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 4, 2017
• First Posted: April 18, 2017
• Study Start: June 15, 2016
• Primary Completion: September 1, 2016
• Study Completion: September 1, 2016
• Last Updated: September 4, 2019

Record last verified: 2017-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)