Effects of Environmental Opportunities and Barriers on Physical Activity, Fitness, and Health in Hispanic Children in Wisconsin

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
University of Wisconsin, Madison
ClinicalTrials.gov Identifier:
NCT01180972
First received: August 11, 2010
Last updated: December 9, 2013
Last verified: October 2012
  Purpose

This is a pilot community-based research study to examine the effects of specific environmental and social factors on physical activity, fitness, and health of middle school Hispanic children living in an inner-city community.


Condition
Obesity, Diabetes, Nutrition, Physical Health

Study Type: Observational
Study Design: Observational Model: Ecologic or Community
Time Perspective: Prospective
Official Title: Effects of Environmental Opportunities and Barriers on Physical Activity, Fitness, and Health in Hispanic Children in Wisconsin

Resource links provided by NLM:


Further study details as provided by University of Wisconsin, Madison:

Primary Outcome Measures:
  • Assess the built environment for energy requirements of movement, nutrition options, suitability for outdoor physical activity, and for children's actual physical activity and energy expenditure within those environments. [ Time Frame: 9/2010 to 3/5/13 ] [ Designated as safety issue: No ]

    Assess the built environment for energy requirements of movement, nutrition options, suitability for outdoor physical activity, and for children's actual physical activity and energy expenditure within those environments.

    To address this specific aim, we attempt to answer these 2 questions through direct participation from the students and then indirectly through a geographic analysis of the area of interest:

    1. How does the built environment influence children's physical activity, access to healthy food, and individual health and fitness?
    2. Do these relationships vary spatially (e.g., across and within neighborhoods)?


Secondary Outcome Measures:
  • Assess the impact of children's social environment on movement and nutrition choices within the built environment. [ Time Frame: 9/2013-3/5/2013 ] [ Designated as safety issue: No ]
    Data collection is a three step process to analyze the built environment to determine its suitability for walking, bicycling, or other non-motorized means between children's homes, schools, and other common neighborhood destinations. This analysis does not involve direct interaction with or data collection from the students or the parents/legal guardian but will use the children's addresses, zip codes, and the data collected via GPS for Part 1 of this aim.


Other Outcome Measures:
  • Conduct a quantitative assessment of children's fitness, obesity, and indicators of metabolic health. [ Time Frame: 9/2013 -03-5/2013 ] [ Designated as safety issue: No ]
    This aim provides a quantitative assessment of adiposity, cardiovascular fitness, and insulin sensitivity (metabolic factors tied to diabetes risk). These data will be correlated with the physical and nutritional environment.


Enrollment: 214
Study Start Date: August 2010
Study Completion Date: March 2013
Primary Completion Date: March 2013 (Final data collection date for primary outcome measure)
Detailed Description:

Our primary hypothesis is that the disparity between a community's potential for physical activity and nutrition, and the realized fitness and health of its children, can be attributed to specific environmental and social factors. "Built environment" studies to date have measured potential for physical activity but have not looked at how social factors mediate an individual's activity within a particular environment. The unique aspect of this proposal is the development of a model that explains how physical, social, cultural, and nutritional SEM layers interact to create gaps between potential and realized physical activity. This project will utilize novel technologies to:

  1. identify and analyze characteristics of the social and built environment that inhibit or enhance physical activity and healthy nutrition;
  2. determine the direction and extent of influence of these variables on children's activity, nutrition, and health;
  3. gather ideas from students, parents, and school staff to inform a potential health campaign to reduce and prevent obesity in the community.

To address these goals and demonstrate a causal relationship between physical activity and the social-nutritional factors within a built environment, the following specific objectives/aims are being addressed:

Specific Aim 1: Assess the built environment for energy requirements of movement, nutrition options, suitability for outdoor physical activity, and for children's actual physical activity and energy expenditure within those environments.

Specific Aim 2: Assess the impact of children's social environment on movement and nutrition choices within the built environment.

Specific Aim 3: Conduct a quantitative assessment of children's fitness, obesity, and indicators of metabolic health.

Specific Aim 4: Develop a quantitative model from Specific Aims 1-3 that describes the causal relationships among children's physical health, community "healthfulness," and other mediating factors such as attitudes, perceptions, and behavior.

  Eligibility

Ages Eligible for Study:   12 Years to 17 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

Middle - school age children in grades 5-8

Criteria

Inclusion Criteria:

  1. The child is in academic attendance at the BGCS in Grades 5-8 and Cherokee Middle School in Grades 6-8.
  2. The child and parent or legal guardian is able to provide assent and/or consent.
  3. The child is able to understand instructions for study-related activities and comply

Exclusion Criteria:

  1. The child is not in academic attendance at the BGCS in Grades 5-8 or at Cherokeed Middle School grades 6-8
  2. The child and parent or legal guardian is not able to provide assent and/or consent.
  3. The child is able to not able to understand instructions for study-related activities and comply

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  Contacts and Locations
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01180972

Locations
United States, Wisconsin
United Community Center/Bruce Guadalupe Community School and Cherokee Middle School
Milwaukee and Madison, Wisconsin, United States, 53204
Sponsors and Collaborators
University of Wisconsin, Madison
Investigators
Principal Investigator: Aaron Carrel, MD UW - Madison - Department of Pediatrics
  More Information

No publications provided

Responsible Party: University of Wisconsin, Madison
ClinicalTrials.gov Identifier: NCT01180972     History of Changes
Other Study ID Numbers: M-2010-1159
Study First Received: August 11, 2010
Last Updated: December 9, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by University of Wisconsin, Madison:
Obesity, diabetes, hispanic, physical activity, nutrition

Additional relevant MeSH terms:
Diabetes Mellitus
Obesity
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Overnutrition
Nutrition Disorders
Overweight
Body Weight
Signs and Symptoms

ClinicalTrials.gov processed this record on July 22, 2014