Addressing Health Disparities in Childhood Obesity, One Summer at a Time

NCT03595332 | Completed Results

• 2 other identifiers: 1193689U54MD012388
• Study Type: interventional
• Target: 222
• Locations: 1 country
• Sites: 1

Brief Summary

Almost 50% of Native American and Hispanic children are overweight or obese by the 5th grade. Research has demonstrated that the 'obesity gap' facing minority students is largely due to summer weight gain. However, very few summer programs have been tested among these populations. To encourage summer physical activity, the CDC developed a program that partners with local businesses to provide children with a 'scorecard' of subsidized or free local activities. The program has not been tested among Hispanic or Native American children. This study aims to test the impact of the scorecard program on Body Mass Index percentile, physical activity, sedentary behavior, barriers to physical activity and self-efficacy.

Conditions

Obesity, Childhood

Outcome Measures

Primary Outcomes (2)

• Body Mass Index Percentile Score Change at 10 Weeks

  Body mass index (BMI) will be calculated as kg/m2 and BMI-percentile score calculated using the L, M, S parameters published by the Centre for Disease Control and Prevention. BMI Percentile-score are measures of relative weight adjusted for child age and sex. The percentile indicates value relative to reference populations for age and sex, with at or below 5th percentile indicating the child being underweight, between 5 and 85th percentile as having a healthy weight, 85th to 95th percentile as being overweight and 95th percentile and above indicative of having obesity.

  Measured at baseline and 10-weeks after baseline

• Overweight Participants Body Mass Index Percentile Score Change

  Body mass index (BMI) will be calculated as kg/m2 and BMI percentile calculated using the L, M, S parameters published by the Centre for Disease Control and Prevention. BMI percentiles are measures of relative weight adjusted for child age and sex. This analysis includes only those children who were overweight by CDC standards (equal or greater to 85th percentile for age and sex), as they were the high-risk group of interest for the study.

  Baseline to 10 weeks

Secondary Outcomes (2)

• Body Mass Index Percentile Score Change at 1 Year

  Measured 1-year after baseline

• Change in Intention to Engage in Physical Activity From Baseline to 10 Weeks

  Measured at baseline and at 10-weeks (after summer program)

Study Arms (2)

Immediate intervention

EXPERIMENTAL

Summer activity program: Children will receive the summer scorecard program during the first summer of the 2-year study.

Other: Summer activity program

Delayed intervention

EXPERIMENTAL

Summer activity program: Children will receive the summer scorecard program during the second summer of the 2-year study.

Other: Summer activity program

Interventions

Summer activity program OTHER

Children receive a summer scorecard to facilitate access to local facilities for exercise.

Delayed intervention; Immediate intervention

Eligibility Criteria

• Age: 5 Years - 13 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Children who are enrolled in one of the 4 high-risk schools in 2nd through 5th grade, whose parents/legal guardians provide consent and provide assent.

You may not qualify if:

• Children who are not enrolled in the selected schools, or whose parents/legal guardians do not provide consent, or whom do not provide assent.

Sponsors & Collaborators

• Northern Arizona University: lead
• National Institute on Minority Health and Health Disparities (NIMHD): collaborator

Study Sites (1)

Fit kids of Arizona

Flagstaff, Arizona, 86004, United States

Location

Related Publications (2)

• Huhman ME, Potter LD, Duke JC, Judkins DR, Heitzler CD, Wong FL. Evaluation of a national physical activity intervention for children: VERB campaign, 2002-2004. Am J Prev Med. 2007 Jan;32(1):38-43. doi: 10.1016/j.amepre.2006.08.030.

  PMID: 17218189 BACKGROUND

• Huhman M, Potter LD, Wong FL, Banspach SW, Duke JC, Heitzler CD. Effects of a mass media campaign to increase physical activity among children: year-1 results of the VERB campaign. Pediatrics. 2005 Aug;116(2):e277-84. doi: 10.1542/peds.2005-0043.

  PMID: 16061581 BACKGROUND

MeSH Terms

Conditions

Pediatric Obesity

Condition Hierarchy (Ancestors)

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

Limitations and Caveats

Limitations include a specific setting in the Southwestern United States. Second, any dose-response analyses were reliant on self-report. Loss to follow-up, likely due to children moving schools, reduced the final sample from 222 to 186 with at least partial follow-up measures (178 completed). Finally, COVID-19 prevented collection of secondary outcome 1-year follow-up BMI Percentile (Apr 2020) for one group as the school district shut down (and remote for a year after reopening).

Results Point of Contact

• Title: Dr. Hendrik de Heer
• Organization: Northern Arizona University

dirk.deheer@nau.edu

9285231499

Publication Agreements

• PI is Sponsor Employee: Yes
• Restrictive Agreement: No

Study Design

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

Study Record Dates

• First Submitted: June 22, 2018
• First Posted: July 23, 2018
• Study Start: June 4, 2018
• Primary Completion: April 22, 2020
• Study Completion: April 22, 2020
• Last Updated: October 5, 2022
• Results First Posted: September 29, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)