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Feasibility of the Camp Power Up Program on Children's Body Weight and Quality of Life

Examination of the Acceptance and Feasibility of Implementing the American Diabetes Association's Camp Power Up Program on Changes in Body Weight and Quality of Life Measures in Children

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03235440
Acronym
CampPowerUp
Enrollment
27
Registered
2017-08-01
Start date
2017-06-19
Completion date
2018-06-15
Last updated
2024-12-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Obesity, Childhood, Quality of Life, Weight Change, Body

Brief summary

This study will evaluate the effects of a one week weight management summer camp on children's weight, quality of life, mood and feelings, self-esteem, weight management efficacy, enjoyment of physical activity, and body image.

Detailed description

Obesity affects 17% of children and adolescents in the U.S. Children are entrenched in an obesogenic environment, often with little support in the home, school, or medical environment to make healthy choices. Obesity is increasingly common in underserved communities that lack access and resources for physical activity and healthy eating. Louisiana is a prime example of the need for effective obesity treatment, ranking 1st nationally for adult obesity and 4th for adolescent obesity with the highest obesity prevalence among African American adolescents. We urgently need evidence-based programs to help children and families change lifestyle behaviors, achieve clinically significant weight loss, and thereby reduce the prevalence of pediatric obesity. The U.S. Preventive Services Task Force identifies behavioral treatment including dietary, physical activity, and behavioral counseling components as a viable option for pediatric obesity treatment, yet a key challenge is how to implement these programs to maximize access and participation. Summer (between school years) represents an opportunity for intensive intervention to change health behaviors and help children to lose weight. During the summer months, children gain weight at a more rapid pace and spend more time engaged in sedentary behavior compared to the school year. The American Diabetes Association launched Camp Power Up as a summer week-long day camp for youth who are obese and/or at high risk for developing type 2 diabetes. The camp will focus on wellness education, nutrition, physical activity, and obesity prevention. The purpose of the proposed study is to examine effects of Camp Power Up on children's weight status and their psycho-social health.

Interventions

BEHAVIORALKids N Fitness Program

Participants will engage in a one-week weight-management summer camp consisting of different activities related to moderate-vigorous physical activity (MVPA) and healthy eating. MVPA will consist of modifiable games and activities using a variety of equipment familiar to children of this age, such as balls, hula-hoops, Frisbees, etc., in both competitive and cooperative formats that keep participants moving at all times, and emphasize a feeling of play as opposed to a feeling of exercise. Healthy eating activities are composed of varying classroom-style learning and practical application of knowledge to topics such as recommendations from the MyPlate.gov website, the different types of food groups, and caloric intake and portion sizes, among other various topics.

Sponsors

American Diabetes Association
CollaboratorOTHER
Louisiana State University, Baton Rouge
CollaboratorOTHER
American Council on Exercise
CollaboratorOTHER
Pennington Biomedical Research Center
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
6 Years to 14 Years
Healthy volunteers
Yes

Inclusion criteria

* Aged 6 to 14 years * Enrolled in the American Diabetes Association (ADA) Camp Power Up

Exclusion criteria

\-

Design outcomes

Primary

MeasureTime frameDescription
Change in Body Weight1 monthWeight measurement (kg) using a standard scale following the Pennington Biomedical Standard Operating Procedure for weight measurements.

Secondary

MeasureTime frameDescription
Impact of Weight on Quality of Life (IWQOL): IWQOL-Kids5 DaysThe Impact of Weight on Quality of Life-Kids (IWQOL-Kids) is a validated self-report measure designed to assess weight-related quality of life in adolescents aged 11-19. It includes four subscales-physical comfort, body esteem, social life, and family relations-along with a total score, all of which show strong psychometric properties. Response options range from always true (1) to never true (5). Total scores range from 0-135, where higher scores represent better health-related quality of life.
Pediatric Quality of Life Inventory - PedsQLFirst day and final day of camp (day 1 and day 5)A method of measuring health-related quality of life (HRQOL) in children between ages 2-18 years that are either healthy or have health conditions. They are flexible in use and are multidimensional, covering physical, emotional, social, and school functioning. The measure consists of four core scales (physical, emotional, social, and school), two broad domain scores (physical and psychosocial functioning), and a total score. The PedsQL uses a 5-point Likert scale for responses (Never a problem, Almost never a problem, Sometimes a problem, Often a problem, and Almost always a problem). Scales are standardized, and scores range from 0 to 100, with higher scores representing better quality of life.
Weight Efficacy Lifestyle Questionnaire (WEL)First day and final day of camp (day 1 and day 5)A self-report measure designed to assess an individual's confidence in their ability to control eating behavior in various situations, such as during negative emotions, social pressures, or availability of food. Subjects were asked to rate their confidence on being able to resist the urge to eat using a Likert scale ranging from 0 (not confident) to 9 (very confident); the total score for the WEL is the sum of all 20 items, giving a range of 0 to 180. Higher total scores (closer to the maximum of 180) and higher subscale scores reflect a greater sense of confidence in one's ability to resist eating in challenging situations. Lower total scores (closer to the minimum of 0) and lower subscale scores indicate less confidence in resisting eating in challenging situations.
Physical Activity Enjoyment Scale (PACES)First day and final day of camp (day 1 and day 5)A self-report tool used to measure an individual's enjoyment of physical activity. It assesses the positive feelings and overall satisfaction associated with engaging in exercise. Respondents are asked to rate how you feel at the moment about the physical activity you have been doing using a 7-point bipolar rating scale (1-7) on 18 items. Eleven items are reverse scored where the score values are flipped (i.e., 1=7, 2=6, …). Higher total PACES scores demonstrate greater levels of enjoyment. The lowest possible score is 18 while the highest is 126.
Body Image Assessment of Children (BIA-C):First day and final day of camp (day 1 and day 5)A tool used to evaluate children's perceptions of their body size and shape. It helps identify body image concerns by comparing their self-perceived body figure with a body figure that represents their ideal figure. The scale ranges from 1 to 9, each number representing a body size. A body dysphoria score is derived from the difference between the current body state and ideal body state (CBS - IBS) the participant chooses. Positive scores (where the current size is larger than the ideal) may indicate a desire to be thinner, while negative scores (where the current size is smaller than the ideal) may indicate a desire to be larger. Scores range from -5 to +5. Negative scores indicate a preference for a larger body size than the perceived size. Positive scores indicate a preference for a smaller body size than the perceived size. Scale numbers were combined based on the average total score.

Countries

United States

Participant flow

Participants by arm

ArmCount
Kids N Fitness
Participants will engage in a one-week weight-management summer camp consisting of different activities related to moderate-vigorous physical activity (MVPA) and healthy eating. MVPA will consist of modifiable games and activities using a variety of equipment familiar to children of this age, such as balls, hula-hoops, Frisbees, etc., in both competitive and cooperative formats that keep participants moving at all times, and emphasize a feeling of play as opposed to a feeling of exercise. Healthy eating activities are composed of varying classroom-style learning and practical application of knowledge to topics such as recommendations from the MyPlate.gov website, the different types of food groups, and caloric intake and portion sizes, among other various topics.
27
Total27

Baseline characteristics

CharacteristicKids N Fitness
Age, Categorical
<=18 years
27 Participants
Age, Categorical
>=65 years
0 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
2 Participants
Race (NIH/OMB)
Black or African American
7 Participants
Race (NIH/OMB)
More than one race
5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
13 Participants
Sex: Female, Male
Female
13 Participants
Sex: Female, Male
Male
14 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 27
other
Total, other adverse events
0 / 27
serious
Total, serious adverse events
0 / 27

Outcome results

Primary

Change in Body Weight

Weight measurement (kg) using a standard scale following the Pennington Biomedical Standard Operating Procedure for weight measurements.

Time frame: 1 month

ArmMeasureValue (MEAN)Dispersion
Kids N FitnessChange in Body Weight.3 kgStandard Deviation 0.5
Secondary

Body Image Assessment of Children (BIA-C):

A tool used to evaluate children's perceptions of their body size and shape. It helps identify body image concerns by comparing their self-perceived body figure with a body figure that represents their ideal figure. The scale ranges from 1 to 9, each number representing a body size. A body dysphoria score is derived from the difference between the current body state and ideal body state (CBS - IBS) the participant chooses. Positive scores (where the current size is larger than the ideal) may indicate a desire to be thinner, while negative scores (where the current size is smaller than the ideal) may indicate a desire to be larger. Scores range from -5 to +5. Negative scores indicate a preference for a larger body size than the perceived size. Positive scores indicate a preference for a smaller body size than the perceived size. Scale numbers were combined based on the average total score.

Time frame: First day and final day of camp (day 1 and day 5)

ArmMeasureGroupValue (MEAN)Dispersion
Kids N FitnessBody Image Assessment of Children (BIA-C):Pre (day 1)2.3 score on a scaleStandard Deviation 1.8
Kids N FitnessBody Image Assessment of Children (BIA-C):Post (day 5)1.9 score on a scaleStandard Deviation 1.9
Secondary

Impact of Weight on Quality of Life (IWQOL): IWQOL-Kids

The Impact of Weight on Quality of Life-Kids (IWQOL-Kids) is a validated self-report measure designed to assess weight-related quality of life in adolescents aged 11-19. It includes four subscales-physical comfort, body esteem, social life, and family relations-along with a total score, all of which show strong psychometric properties. Response options range from always true (1) to never true (5). Total scores range from 0-135, where higher scores represent better health-related quality of life.

Time frame: 5 Days

ArmMeasureGroupValue (MEAN)Dispersion
Kids N FitnessImpact of Weight on Quality of Life (IWQOL): IWQOL-KidsPre (day 1)123.7 score on a scaleStandard Deviation 12.2
Kids N FitnessImpact of Weight on Quality of Life (IWQOL): IWQOL-KidsPost (day 5)128.6 score on a scaleStandard Deviation 13.7
Secondary

Pediatric Quality of Life Inventory - PedsQL

A method of measuring health-related quality of life (HRQOL) in children between ages 2-18 years that are either healthy or have health conditions. They are flexible in use and are multidimensional, covering physical, emotional, social, and school functioning. The measure consists of four core scales (physical, emotional, social, and school), two broad domain scores (physical and psychosocial functioning), and a total score. The PedsQL uses a 5-point Likert scale for responses (Never a problem, Almost never a problem, Sometimes a problem, Often a problem, and Almost always a problem). Scales are standardized, and scores range from 0 to 100, with higher scores representing better quality of life.

Time frame: First day and final day of camp (day 1 and day 5)

ArmMeasureGroupValue (MEAN)Dispersion
Kids N FitnessPediatric Quality of Life Inventory - PedsQLPre (day 1)80.5 score on a scaleStandard Deviation 16.9
Kids N FitnessPediatric Quality of Life Inventory - PedsQLPost (day 5)84.3 score on a scaleStandard Deviation 13.7
Secondary

Physical Activity Enjoyment Scale (PACES)

A self-report tool used to measure an individual's enjoyment of physical activity. It assesses the positive feelings and overall satisfaction associated with engaging in exercise. Respondents are asked to rate how you feel at the moment about the physical activity you have been doing using a 7-point bipolar rating scale (1-7) on 18 items. Eleven items are reverse scored where the score values are flipped (i.e., 1=7, 2=6, …). Higher total PACES scores demonstrate greater levels of enjoyment. The lowest possible score is 18 while the highest is 126.

Time frame: First day and final day of camp (day 1 and day 5)

ArmMeasureGroupValue (MEAN)Dispersion
Kids N FitnessPhysical Activity Enjoyment Scale (PACES)Pre (day 1)47.8 score on a scaleStandard Deviation 13.7
Kids N FitnessPhysical Activity Enjoyment Scale (PACES)Post (day 5)52.6 score on a scaleStandard Deviation 7.4
Secondary

Weight Efficacy Lifestyle Questionnaire (WEL)

A self-report measure designed to assess an individual's confidence in their ability to control eating behavior in various situations, such as during negative emotions, social pressures, or availability of food. Subjects were asked to rate their confidence on being able to resist the urge to eat using a Likert scale ranging from 0 (not confident) to 9 (very confident); the total score for the WEL is the sum of all 20 items, giving a range of 0 to 180. Higher total scores (closer to the maximum of 180) and higher subscale scores reflect a greater sense of confidence in one's ability to resist eating in challenging situations. Lower total scores (closer to the minimum of 0) and lower subscale scores indicate less confidence in resisting eating in challenging situations.

Time frame: First day and final day of camp (day 1 and day 5)

ArmMeasureGroupValue (MEAN)Dispersion
Kids N FitnessWeight Efficacy Lifestyle Questionnaire (WEL)Pre (day 1)52.0 score on a scaleStandard Deviation 21.2
Kids N FitnessWeight Efficacy Lifestyle Questionnaire (WEL)Post (day 5)48.3 score on a scaleStandard Deviation 24.9

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026