Foundations for Fitness: A Multi-Cohort Pediatric Weight Management Intervention

Authors

  • Kyle M. Morrison Hope College Department of Kinesiology, 222 Fairbanks Avenue, PO Box 9000, Holland, MI 49422-9000, USA
  • Steven Smith Hope College Department of Kinesiology, 222 Fairbanks Avenue, PO Box 9000, Holland, MI 49422-9000, USA

DOI:

https://doi.org/10.6000/1929-4247.2018.07.01.2

Keywords:

Obesity, Overweight, Pediatric, Physical Activity, Physical and Health Education, Nutrition, Quality of Life, Self-Efficacy, BMI, Cardio-respiratory fitness, PACER.

Abstract

This study examined the benefits of a 10-week childhood obesity intervention program on various measures of health. The program involved parents and children who met once weekly for two hours. Each session of the intervention program consisted of a structured dynamic warm-up an aerobic exercise component in a game play setting and a motor-skill specific instruction period. Subjects were recruited from pediatrician recommendation and a total of 99 subjects (n=48 boys, n=51 girls) completed both pretest and posttest intervention measures. The mean age was 9.86 (SD=0.02 years). Each of the following were assessed on pediatric assessment prior to and following the intervention program: height, weight, body mass index (BMI), waist circumference, resting heart rate, resting blood pressure, habitual physical activity, percent body fat, and quality of life. Assessment of the participant’s cardiovascular fitness and the state of home environment in regards to nutrition and physical activity were completed as part of the first and tenth (final) intervention program sessions. Results indicated that the changes observed that were statistically significant included the categories of systolic blood pressure, height, weight, quality of life, habitual physical activity, FNPA score, and PACER scores. Improvements in outcomes measured were modest but this result was expected due to the short intervention program of only ten-weeks duration. Recommendations include increasing the length of the intervention and conducting follow-up assessment to determine long-term impact.

References

Morrison KM. The inter-relationships among physical activity, motor performance and perceived athletic competence in normal and overweight/obese children (Doctoral dissertation) 2015. Avaiable from Proquest. https://d.lib.msu.edu/etd/3563

Centers for Disease Control and Prevention. Prevalence of childhood obesity in the United States, 2011-2014 Available from: https://www.cdc.gov/obesity/data/childhood.html

Stice E, Shaw H, Marti N. A Meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work. Psychological Bulletin 2006; 132: 667-691. https://doi.org/10.1037/0033-2909.132.5.667 DOI: https://doi.org/10.1037/0033-2909.132.5.667

Reinehr T, Temmesfeld M, Kersting M, deSousa G, Toschke AM. Four-year follow-up of children and adolescents participating in an obesity intervention program. International Journal of Obesity 2007; 31: 1074-1077. https://doi.org/10.1038/sj.ijo.0803637 DOI: https://doi.org/10.1038/sj.ijo.0803637

Hughes AR, McLaughlin R, Mckay J, Lafferty K. McKay T, Mutrie N. The B’Active programme for overweight primary school children in Glasgow: determining the prevalence of overweight and obesity and piloting an activity intervention. British Journal of Nutrition 2007; 97: 204-209. https://doi.org/10.1017/S0007114507257769 DOI: https://doi.org/10.1017/S0007114507257769

Kowalski KC, Crocker P, Faulkner RA. Validation of the physical activity questionnaire for older children. Pediatric Exercise Science 1997; 9: 174-186. https://doi.org/10.1123/pes.9.2.174 DOI: https://doi.org/10.1123/pes.9.2.174

Ellert U, Erhart M, Kurth BM. Determinants of agreement between self-reported and parent-assessed quality of life for children in Germany - Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Health and Quality of Life Outcomes 2011; 9: 102. https://doi.org/10.1186/1477-7525-9-102 DOI: https://doi.org/10.1186/1477-7525-9-102

Ihmels MA, Welk GJ, Eisenmann JC, Nusser SM, Myers EF. Prediction of BMI change in young children with the family nutrition and physical activity (FNPA) screening tool. Ann Behav Med 2009; 38: 60-68. https://doi.org/10.1007/s12160-009-9126-3 DOI: https://doi.org/10.1007/s12160-009-9126-3

Cureton KJ, Plowman SA, Mahar MT. Aerobic capacity assessments. In Plowman SA & Meredith MD (Eds.), Fitnessgram/Activitygram Reference Guide (4th Edition) Dallas, TX: The Cooper Institute, 8: 1-55. Available from: https://www.cooperinstitute.org/vault/2440/web/files/662.pdf

Kelley GA, Kelley KS, Tran ZV. The effects of exercise on resting blood pressure in children and adolescents: A meta-analysis of randomized controlled trials. Prev Cardiol 2003; 6: 8-16. https://doi.org/10.1111/j.1520-037X.2003.01224.x DOI: https://doi.org/10.1111/j.1520-037X.2003.01224.x

Kuczmarski RJ, Ogden C, Grummer-Strawn L, et al. CDC Growth Charts: United States. Advance Data Report No. 314. NCHS. 2000.

Kelley GA, Kelley KS. Effects of exercise in the treatment of overweight and obese children and adolescents: A systematic review of meta-analyses. J Obes 2013; 2013: 783103. Published online 2013 Dec 24. Available from: https://www.hindawi.com/journals/jobe/2013/783103/ DOI: https://doi.org/10.1155/2013/783103

Doyle-Baker PK, Venner AA, Lyon ME, Fung T. Impact of a combined diet and progressive exercise intervention for overweight and obese children: the B.E. H.I.P. study. Appl Physiol Nutr Metab 2011; 36: 515-25. https://doi.org/10.1139/h11-042 DOI: https://doi.org/10.1139/h11-042

Finne E, Reinehr T, Schaefer A, Winkel K, Kolip P. Changes in self-reported and parent-reported health-related quality of life in overweight children and adolescents participating in an outpatient training: Findings from a 12-month follow-up study. Health Qual Life Outcomes 2013; 11: 1. https://doi.org/10.1186/1477-7525-11-1 DOI: https://doi.org/10.1186/1477-7525-11-1

Van Allen J, Borner KB, Gayes LA, Steele RG. Weighing physical activity: The impact of a family-based group lifestyle intervention for pediatric obesity on participants’ physical activity. Journal of Pediatric Psychology 2015; 40: 193-202. https://doi.org/10.1093/jpepsy/jsu077 DOI: https://doi.org/10.1093/jpepsy/jsu077

Tucker JM, Eisenmann JC, Howard K, Guseman EH, Yee KE, DeLaFuente K, Graybill J, Roberts M, Murphy M, Saturley H, Peterson T. FitKids360: Design, conduct, and outcomes of a stage 2 pediatric obesity program. Journal of Obesity 2014; Article ID 370403, 9 pages. DOI: https://doi.org/10.1155/2014/370403

Welk GJ, Meredith MD. Fitnessgram/Activitygram Reference Guide. Dallas, TX: The Cooper Institute, 2008. Available from: https://classroom.kleinisd.net/users/0274/docs/ fitnessgram_referenceguide.pdf

Hutchens JG, Caputo JL, Colson JM, Farley RS, Renfrow MS, Seguin EP. The impact of a pilot community intervention on health-related fitness measures in overweight children. Int J Exerc Sci 2010; 3: 150-156.

Braun HA, Kay CM, Cheung P, Weiss PS, Gazmararian JA. Impact of an elementary school-based Intervention on physical activity time and aerobic capacity, Georgia, 2013-2014. Public Health Rep 2017; 132(2_suppl): 24S-32S. DOI: https://doi.org/10.1177/0033354917719701

Skelton JA, Beech BM. Attrition in pediatric weight management: A review of the literature and new directions. Obesity Reviews 2011; 12: e273-e281. https://doi.org/10.1111/j.1467-789X.2010.00803.x DOI: https://doi.org/10.1111/j.1467-789X.2010.00803.x

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Published

2021-12-21

How to Cite

Morrison, K. M., & Smith, S. (2021). Foundations for Fitness: A Multi-Cohort Pediatric Weight Management Intervention. International Journal of Child Health and Nutrition, 7(1), 9–14. https://doi.org/10.6000/1929-4247.2018.07.01.2

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General Articles