Obesity, Overweight
Conditions
Keywords
Obesity, Overweight, Physical Activity, Built Environment, counseling
Brief summary
The study aims are to develop and test the feasibility of a pediatric physical activity intervention that incorporates personal information on use of the built environment, and test the intervention's preliminary efficacy at increasing physical activity. The investigators hypothesize that it will be feasible to incorporate and measure changes in empiric GIS (geographic information system), GPS (global positioning system), and accelerometer feedback in the office setting as demonstrated by: i) Completeness of GPS and accelerometer data collection (primary measure of feasibility), ii) Participation rates among adolescents in the intervention group compared to the control group, and iii) Acceptability to patients as measured by adolescent satisfaction.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Adolescents ages 10-16 years * BMI \> 85th percentile for age and sex
Exclusion criteria
* Physical conditions impairing ambulation * Adolescents who do not speak English * Adolescents who have missed more than 2 scheduled doctor's appointments during the past 5 years * Adolescents who are receiving any other form of physical activity counseling/intervention at the time of enrollment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Moderate to Vigorous Physical Activity (MVPA) | Immediately post-intervention | Short-term change in MVPA from baseline to post-intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sedentary Time | Immediately post-intervention | Short-term change in sedentary (non-active) time from baseline to post-intervention, objectively measured using accelerometers |
| Moderate-to-Vigorous Physical Activity (MVPA) | 4 months from baseline | Longer term change in MVPA from baseline to 3-4 months post intervention |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Standard Physical Activity Counseling standard pediatric physical activity counseling | 30 |
| Built Environment Use Counseling personalized counseling on active use of the built environment
built environment use counseling | 30 |
| Total | 60 |
Baseline characteristics
| Characteristic | Standard Physical Activity Counseling | Built Environment Use Counseling | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 30 Participants | 30 Participants | 60 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Continuous | 11.6 years STANDARD_DEVIATION 1 | 12.2 years STANDARD_DEVIATION 1.6 | 11.9 years STANDARD_DEVIATION 1.4 |
| BMI percentile | 94 BMI percentile STANDARD_DEVIATION 3.9 | 94 BMI percentile STANDARD_DEVIATION 3.9 | 94 BMI percentile STANDARD_DEVIATION 3.9 |
| parental education Associates degree or College | 16 Participants | 18 Participants | 34 Participants |
| parental education Graduate Education | 4 Participants | 1 Participants | 5 Participants |
| parental education High School or less | 9 Participants | 11 Participants | 20 Participants |
| parental education missing | 1 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Race/Ethnicity Asian | 2 Participants | 1 Participants | 3 Participants |
| Race/Ethnicity, Customized Race/Ethnicity Black | 3 Participants | 1 Participants | 4 Participants |
| Race/Ethnicity, Customized Race/Ethnicity Hispanic | 8 Participants | 10 Participants | 18 Participants |
| Race/Ethnicity, Customized Race/Ethnicity Multi/Other | 2 Participants | 5 Participants | 7 Participants |
| Race/Ethnicity, Customized Race/Ethnicity White | 15 Participants | 13 Participants | 28 Participants |
| Region of Enrollment United States | 30 participants | 30 participants | 60 participants |
| Sex: Female, Male Female | 14 Participants | 14 Participants | 28 Participants |
| Sex: Female, Male Male | 16 Participants | 16 Participants | 32 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 0 | 0 / 0 |
| other Total, other adverse events | 0 / 0 | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 | 0 / 0 |
Outcome results
Moderate to Vigorous Physical Activity (MVPA)
Short-term change in MVPA from baseline to post-intervention
Time frame: Immediately post-intervention
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Standard Physical Activity Counseling | Moderate to Vigorous Physical Activity (MVPA) | -1.9 minutes |
| Built Environment Use Counseling | Moderate to Vigorous Physical Activity (MVPA) | 1.07 minutes |
Moderate-to-Vigorous Physical Activity (MVPA)
Longer term change in MVPA from baseline to 3-4 months post intervention
Time frame: 4 months from baseline
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Standard Physical Activity Counseling | Moderate-to-Vigorous Physical Activity (MVPA) | 0.5 minutes |
| Built Environment Use Counseling | Moderate-to-Vigorous Physical Activity (MVPA) | 6.3 minutes |
Sedentary Time
Short-term change in sedentary (non-active) time from baseline to post-intervention, objectively measured using accelerometers
Time frame: Immediately post-intervention
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| Standard Physical Activity Counseling | Sedentary Time | 11.1 minutes | Standard Deviation 73.9 |
| Built Environment Use Counseling | Sedentary Time | 5.8 minutes | Standard Deviation 86.3 |
Sedentary Time
Longer-term change in sedentary (non-active) time from baseline to 3-4 months post-intervention, objectively measured using accelerometers.
Time frame: 4 months from baseline
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| Standard Physical Activity Counseling | Sedentary Time | -22.9 minutes | Standard Deviation 75.6 |
| Built Environment Use Counseling | Sedentary Time | -4.4 minutes | Standard Deviation 91.3 |