Effect on Physical Activity of a Randomized Afterschool Intervention for Inner City Children in 3rd to 5th Grade.

Less than 45% of U.S. children meet the 60 min·d(-1) physical activity (PA) guideline. Structured after-school PA programing is one approach to help increase activity levels. This study aimed to evaluate the feasibility and short-term impact of a supervised after-school PA and nutrition education pr...

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Main Authors: Scott E Crouter, Sarah D de Ferranti, Jessica Whiteley, Sarah K Steltz, Stavroula K Osganian, Henry A Feldman, Laura L Hayman
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4624808?pdf=render
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author Scott E Crouter
Sarah D de Ferranti
Jessica Whiteley
Sarah K Steltz
Stavroula K Osganian
Henry A Feldman
Laura L Hayman
author_facet Scott E Crouter
Sarah D de Ferranti
Jessica Whiteley
Sarah K Steltz
Stavroula K Osganian
Henry A Feldman
Laura L Hayman
author_sort Scott E Crouter
collection DOAJ
description Less than 45% of U.S. children meet the 60 min·d(-1) physical activity (PA) guideline. Structured after-school PA programing is one approach to help increase activity levels. This study aimed to evaluate the feasibility and short-term impact of a supervised after-school PA and nutrition education program on activity levels.Forty-two 3rd-5th graders from an inner-city school in Boston, MA were randomly assigned to a 10-wk after-school program of either: 1) weekly nutrition education, or 2) weekly nutrition education plus supervised PA 3 d·wk(-1) at a community-based center. At baseline and follow-up, PA was measured using accelerometry and fitness (VO2max) was estimated using the PACER 15-m shuttle run. Additional measures obtained were non-fasting finger stick total cholesterol (TC) and glucose levels, waist circumference (WC), body mass index (BMI), percent body fat (%BF), and blood pressure (BP). Values are presented as mean±SE, unless noted otherwise.Thirty-six participants completed the study (mean±SD; age 9.7±0.9 years). Participants attended >80% of the sessions. After adjusting for accelerometer wear time and other design factors, light and moderate-to-vigorous PA (MVPA) increased in the nutrition+PA group (+21.5±14.5 and +8.6±8.0 min·d(-1), respectively) and decreased in the nutrition only group (-35.2±16.3 and -16.0±9.0 min·d(-1), respectively); mean difference between groups of 56.8±21.7 min·d(-1) (light PA, p = 0.01) and 24.5±12.0 min·d(-1) (MVPA, p = 0.04). Time spent in sedentary behaviors declined in the nutrition+PA group (-14.8±20.7 min·d(-1)) and increased in the nutrition only group (+55.4±23.2 min·d(-1)); mean difference between groups of -70.2±30.9 min·d(-1) (p = 0.02). Neither group showed changes in TC, BP, WC, %BF, BMI percentile, or fitness (p>0.05).The supervised afterschool community-based nutrition and PA program was well accepted and had high attendance. The changes in light PA and MVPA has potential to promote weight maintenance in inner-city elementary school children, however longer term studies with larger samples are needed.ClinicalTrials.gov NCT01104038.
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spelling doaj.art-c2ea5967e3484c3aaed1e4fb559e16d32022-12-21T22:04:51ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-011010e014158410.1371/journal.pone.0141584Effect on Physical Activity of a Randomized Afterschool Intervention for Inner City Children in 3rd to 5th Grade.Scott E CrouterSarah D de FerrantiJessica WhiteleySarah K SteltzStavroula K OsganianHenry A FeldmanLaura L HaymanLess than 45% of U.S. children meet the 60 min·d(-1) physical activity (PA) guideline. Structured after-school PA programing is one approach to help increase activity levels. This study aimed to evaluate the feasibility and short-term impact of a supervised after-school PA and nutrition education program on activity levels.Forty-two 3rd-5th graders from an inner-city school in Boston, MA were randomly assigned to a 10-wk after-school program of either: 1) weekly nutrition education, or 2) weekly nutrition education plus supervised PA 3 d·wk(-1) at a community-based center. At baseline and follow-up, PA was measured using accelerometry and fitness (VO2max) was estimated using the PACER 15-m shuttle run. Additional measures obtained were non-fasting finger stick total cholesterol (TC) and glucose levels, waist circumference (WC), body mass index (BMI), percent body fat (%BF), and blood pressure (BP). Values are presented as mean±SE, unless noted otherwise.Thirty-six participants completed the study (mean±SD; age 9.7±0.9 years). Participants attended >80% of the sessions. After adjusting for accelerometer wear time and other design factors, light and moderate-to-vigorous PA (MVPA) increased in the nutrition+PA group (+21.5±14.5 and +8.6±8.0 min·d(-1), respectively) and decreased in the nutrition only group (-35.2±16.3 and -16.0±9.0 min·d(-1), respectively); mean difference between groups of 56.8±21.7 min·d(-1) (light PA, p = 0.01) and 24.5±12.0 min·d(-1) (MVPA, p = 0.04). Time spent in sedentary behaviors declined in the nutrition+PA group (-14.8±20.7 min·d(-1)) and increased in the nutrition only group (+55.4±23.2 min·d(-1)); mean difference between groups of -70.2±30.9 min·d(-1) (p = 0.02). Neither group showed changes in TC, BP, WC, %BF, BMI percentile, or fitness (p>0.05).The supervised afterschool community-based nutrition and PA program was well accepted and had high attendance. The changes in light PA and MVPA has potential to promote weight maintenance in inner-city elementary school children, however longer term studies with larger samples are needed.ClinicalTrials.gov NCT01104038.http://europepmc.org/articles/PMC4624808?pdf=render
spellingShingle Scott E Crouter
Sarah D de Ferranti
Jessica Whiteley
Sarah K Steltz
Stavroula K Osganian
Henry A Feldman
Laura L Hayman
Effect on Physical Activity of a Randomized Afterschool Intervention for Inner City Children in 3rd to 5th Grade.
PLoS ONE
title Effect on Physical Activity of a Randomized Afterschool Intervention for Inner City Children in 3rd to 5th Grade.
title_full Effect on Physical Activity of a Randomized Afterschool Intervention for Inner City Children in 3rd to 5th Grade.
title_fullStr Effect on Physical Activity of a Randomized Afterschool Intervention for Inner City Children in 3rd to 5th Grade.
title_full_unstemmed Effect on Physical Activity of a Randomized Afterschool Intervention for Inner City Children in 3rd to 5th Grade.
title_short Effect on Physical Activity of a Randomized Afterschool Intervention for Inner City Children in 3rd to 5th Grade.
title_sort effect on physical activity of a randomized afterschool intervention for inner city children in 3rd to 5th grade
url http://europepmc.org/articles/PMC4624808?pdf=render
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