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

December 9, 2013 updated by: University of Wisconsin, Madison
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.

Study Overview

Status

Completed

Conditions

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.

Study Type

Observational

Enrollment (Actual)

214

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Wisconsin
      • Milwaukee and Madison, Wisconsin, United States, 53204
        • United Community Center/Bruce Guadalupe Community School and Cherokee Middle School

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

12 years to 17 years (Child)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Middle - school age children in grades 5-8

Description

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

    -

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
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

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)?
9/2010 to 3/5/13

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Assess the impact of children's social environment on movement and nutrition choices within the built environment.
Time Frame: 9/2013-3/5/2013
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.
9/2013-3/5/2013

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Conduct a quantitative assessment of children's fitness, obesity, and indicators of metabolic health.
Time Frame: 9/2013 -03-5/2013
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.
9/2013 -03-5/2013

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Aaron Carrel, MD, UW - Madison - Department of Pediatrics

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

August 1, 2010

Primary Completion (Actual)

March 1, 2013

Study Completion (Actual)

March 1, 2013

Study Registration Dates

First Submitted

August 11, 2010

First Submitted That Met QC Criteria

August 11, 2010

First Posted (Estimate)

August 13, 2010

Study Record Updates

Last Update Posted (Estimate)

December 10, 2013

Last Update Submitted That Met QC Criteria

December 9, 2013

Last Verified

October 1, 2012

More Information

Terms related to this study

Other Study ID Numbers

  • M-2010-1159

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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