Obesity
Conditions
Brief summary
In this study, we will address cost barriers to participating in summer programs and hypothesize this will lead to marked improvements in children's obesogenic behaviors and a reduction in excessive, unhealthy weight gain over summer.
Detailed description
For this study, we will rigorously test the impact of providing access to existing community-operated summer programs on weight status (i.e., BMI z-score) and obesogenic behaviors of 1st-3rd grade children from low-income households. Using a pragmatic, Type II hybrid effectiveness-implementation randomized design, we will compare changes in weight status and obesogenic behaviors of children from low-income households randomized to one of two conditions: free summer programming or comparison/control.
Interventions
BEHAVIORALFree Summer Programming
The summer day camps are not singularly focused, such as sport camps or academic only camps. Rather, the camps provide indoor and outdoor opportunities for children to be physically active each day, provide enrichment and academic programming, as well as provide breakfast, lunch, and snacks. To standardize programming, the schools operate their camps on the same daily schedules which are developed by the same district-level personnel, with identical programmatic content delivered across all schools. The schools also provide the same meals to all children enrolled. The meals adhere to the Summer Food Service Program nutrition guidelines and are reimbursed through existing federal food programs.
Sponsors
University of South Carolina
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Investigator, Outcomes Assessor)
Intervention model description
We will compare changes in weight status and obesogenic behaviors of children from low-income households randomized to one of two conditions: free summer programming or comparison/control.
Eligibility
Sex/Gender
ALL
Age
6 Years to 10 Years
Healthy volunteers
Yes
Inclusion criteria
1st through 3rd grade students in the participating schools.
Exclusion criteria
The only
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| BMI Age-Sex Specific Z-Score | Baseline and 3 months | Change in Body Mass Index age=sex specific z-score. 0 represents the 50th percentile. A reduction of 0.15 is considered clinically meaningful in an already obese population |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Moderate-to-Vigorous Physical Activity | 2 months | Accelerometer-derived moderate-to-vigorous physical activity (minutes per day) |
| Sleep | 2 months | Accelerometer-derived sleep (minutes per day) |
| Diet | 2 months | Parent report of child dietary intake |
| Screen Time | 2 months | Parent report of screen time usage (minutes per day) |
Countries
United States
Participant flow
Pre-assignment details
This number reflects the number of parents who expressed interest in participating, completed the informed consent document, but who we were never able to recontact.
Baseline characteristics
| Characteristic | — |
|---|---|
| Age, Continuous | 8.2 years STANDARD_DEVIATION 1.5 |
| BMI | .704 z-score STANDARD_DEVIATION 1.19 |
| Diet 100% Fruit Juice | .522 items consumed STANDARD_DEVIATION 0.499 |
| Diet Chips | .546 items consumed STANDARD_DEVIATION 0.498 |
| Diet Dairy | .754 items consumed STANDARD_DEVIATION 0.43 |
| Diet Desserts | .50 items consumed STANDARD_DEVIATION 0.5 |
| Diet Fast Food | .199 items consumed STANDARD_DEVIATION 0.399 |
| Diet Frozen Desserts | .243 items consumed STANDARD_DEVIATION 0.4295 |
| Diet Fruit | .78 items consumed STANDARD_DEVIATION 0.41 |
| Diet Soda | .151 items consumed STANDARD_DEVIATION 0.359 |
| Diet Uncarbonated Flavored Drink | .477 items consumed STANDARD_DEVIATION 0.499 |
| Diet Vegetables | .659 items consumed STANDARD_DEVIATION 0.473 |
| Physical Activity | 68.7 minutes per day STANDARD_DEVIATION 34.9 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants |
| Race (NIH/OMB) Black or African American | 215 Participants |
| Race (NIH/OMB) More than one race | 29 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 | 72 Participants |
| Screen Time | 123.3 minutes per day STANDARD_DEVIATION 100.9 |
| Sex: Female, Male Female | 101 Participants |
| Sex: Female, Male Male | 122 Participants |
| Sleep | 511.98 minutes per day STANDARD_DEVIATION 43.88 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 253 | 0 / 234 |
| other Total, other adverse events | 0 / 253 | 0 / 234 |
| serious Total, serious adverse events | 0 / 253 | 0 / 234 |
Outcome results
None listed