The Svendborg-project (CHAMPS-DK)

The Childhood Health, Activity, and Motor Performance School Study Denmark

The main aim of this study is to describe differences in development of health and motor performance over time in relation to type of school and other background variables.

Study Overview

• Status: Completed
• Conditions: Physical Activity; Risk Factor, Cardiovascular; Obesity, Childhood; Motor Activity; Sports Injury
• Intervention / Treatment: Behavioral: Augmented physical education program

• Study Type: Interventional
• Enrollment (Actual): 1209
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Denmark
  • Odense, Denmark, 5230
    • University of Southern Denmark

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 5 years to 11 years (Child)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Enrolled at school participating in study
• Grade 0 - 4
• written, informed consent provided by parent or legal guardian

Exclusion Criteria:

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention; Trebling of weekly curricular physical education (270 minutes per week)	Behavioral: Augmented physical education program; Augmented physical education program
No Intervention: Control; Standard curriculum physical education (90 minutes per week)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Body weight (kilograms)	Standardized assessments performed by trained personal using an electronic scale.	Change over 2 years
Dual-energy X-ray absorptiometry (DXA) determined bone mineral content (grams)	Standardized assessments performed by trained personal.	Change over 2 years
Musculoskeletal problems (injuries, defined as inability to participate in sports)	Weekly short-message-service tracking of participants to determine severity, frequency and nature (acute/overuse) of injuries.	Total incidence of musculoskeletal problems across 2.5 years
Height (centimeters)	Standardized assessments performed by trained personal using a stadiometer.	Change over 2 years
Body-mass index (kg/m^2)	Calculated from measured height and weight	Change over 2 years
Waist circumference (centimeters)	Standardized assessments performed by trained personal at the level of the umbilical cord	Change over 2 years
DXA determined body fat (%)	In subcohort only. Standardized assessments performed by trained personal.	Change over 2 years
Serum fasting insulin (IU/l)	Standardized assessments performed by trained biomedical laboratory technicians. Fasting status affirmed verbally.	Change over 2 years
Serum fasting glucose (mmol/l)	Standardized assessments performed by trained biomedical laboratory technicians. Fasting status affirmed verbally.	Change over 2 years
Serum fasting triglycerides (mmol/l)	Standardized assessments performed by trained biomedical laboratory technicians. Fasting status affirmed verbally.	Change over 2 years
Serum fasting total cholesterol (mmol/l)	Standardized assessments performed by trained biomedical laboratory technicians. Fasting status affirmed verbally.	Change over 2 years
Serum fasting low-density lipoprotein cholesterol (mmol/l)	Standardized assessments performed by trained biomedical laboratory technicians. Fasting status affirmed verbally.	Change over 2 years
Serum fasting high-density lipoprotein cholesterol (mmol/l)	Standardized assessments performed by trained biomedical laboratory technicians. Fasting status affirmed verbally.	Change over 2 years
Serum fasting C-reactive protein (mg/l)	Standardized assessments performed by trained biomedical laboratory technicians. Fasting status affirmed verbally.	Change over 2 years
Homeostasis model assessment of insulin resistance (HOMA-IR)	Calculated as fasting insulin (IU/l) x fasting glucose (mmol/l))/ 22.5	Change over 2 years
Resting systolic blood pressure (mmHg)	Standardized assessments performed by trained personal	Change over 2 years
Resting diastolic blood pressure (mmHg)	Standardized assessments performed by trained personal	Change over 2 years
Composite risk factor score (z-scores)	Standardized (z-scores) values of HOMA-IR, triglycerides, cholesterol-fractions, systolic blood pressure, and cardiorespiratory fitness	Change over 2 years
Cardiorespiratory fitness (meters)	Performance on indirect cardiorespiratory fitness test (Andersen-test). Standardized assessments performed by trained personal	Change over 2 years
Handgrip strength (kg)	Maximal strength measured by a dynamometer. Standardized assessments performed by trained personal	Change over 2.5 years
Agility (seconds)	Measured by the 50 meter short-shuttle test. Standardized assessments performed by trained personal	Change over 2.5 years
Backward balance (0-72 points)	From the "Korperkoordinations Test fur Kinder". Standardized assessments performed by trained personal	Change over 2.5 years
Maximal vertical jump performance (centimeters)	Standardized assessments performed by trained personal	Change over 2.5 years
Precision throw (0-30 points)	From ''Der Allgemeiner Sportmotorischer Test fur Kinder von 6-11 Jahren''	Change over 2.5 years

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Physical activity determined objectively using waist-worn accelerometry. Participants will be asked to wear the monitors for at least one week.	Physical activity outcomes include; mean count/min, light-physical activity, moderate-physical activity, vigorous-physical activity. First physical activity assessment made during year 1 of the intervention	Non-specific follow-up duration as multiple time-points are considered (follow-up at 2, 3.5 and 6.5 years)

Collaborators and Investigators

• Sponsor: University of Southern Denmark
• Collaborators: University College Lillebælt
• Investigators: Principal Investigator: Niels Wedderkopp, Prof, University of Southern Denmark

Publications and helpful links

General Publications

• Wedderkopp N, Jespersen E, Franz C, Klakk H, Heidemann M, Christiansen C, Moller NC, Leboeuf-Yde C. Study protocol. The Childhood Health, Activity, and Motor Performance School Study Denmark (The CHAMPS-study DK). BMC Pediatr. 2012 Aug 20;12:128. doi: 10.1186/1471-2431-12-128.
• Cheron C, Leboeuf-Yde C, Le Scanff C, Jespersen E, Rexen CT, Franz C, Wedderkopp N. Leisure-time sport and overuse injuries of extremities in children age 6-13, a 2.5 years prospective cohort study: the CHAMPS-study DK. BMJ Open. 2017 Jan 13;7(1):e012606. doi: 10.1136/bmjopen-2016-012606.
• Huang T, Gejl AK, Tarp J, Andersen LB, Peijs L, Bugge A. Cross-sectional associations of objectively measured physical activity with brain-derived neurotrophic factor in adolescents. Physiol Behav. 2017 Mar 15;171:87-91. doi: 10.1016/j.physbeh.2016.12.026. Epub 2016 Dec 24.
• Hebert JJ, Moller NC, Andersen LB, Wedderkopp N. Organized Sport Participation Is Associated with Higher Levels of Overall Health-Related Physical Activity in Children (CHAMPS Study-DK). PLoS One. 2015 Aug 11;10(8):e0134621. doi: 10.1371/journal.pone.0134621. eCollection 2015.
• Heidemann M, Holst R, Schou AJ, Klakk H, Husby S, Wedderkopp N, Molgaard C. The influence of anthropometry and body composition on children's bone health: the childhood health, activity and motor performance school (the CHAMPS) study, Denmark. Calcif Tissue Int. 2015 Feb;96(2):97-104. doi: 10.1007/s00223-014-9941-9. Epub 2014 Dec 25.
• Larsen LR, Kristensen PL, Junge T, Rexen CT, Wedderkopp N. Motor Performance as Predictor of Physical Activity in Children: The CHAMPS Study-DK. Med Sci Sports Exerc. 2015 Sep;47(9):1849-56. doi: 10.1249/MSS.0000000000000604.
• Klakk H, Grontved A, Moller NC, Heidemann M, Andersen LB, Wedderkopp N. Prospective association of adiposity and cardiorespiratory fitness with cardiovascular risk factors in healthy children. Scand J Med Sci Sports. 2014 Aug;24(4):e275-82. doi: 10.1111/sms.12163. Epub 2014 Jan 8.
• Moller NC, Tarp J, Kamelarczyk EF, Brond JC, Klakk H, Wedderkopp N. Do extra compulsory physical education lessons mean more physically active children--findings from the childhood health, activity, and motor performance school study Denmark (The CHAMPS-study DK). Int J Behav Nutr Phys Act. 2014 Sep 24;11:121. doi: 10.1186/s12966-014-0121-0.
• Heidemann M, Jespersen E, Holst R, Schou AJ, Husby S, Molgaard C, Wedderkopp N. The impact on children's bone health of a school-based physical education program and participation in leisure time sports: the Childhood Health, Activity and Motor Performance School (the CHAMPS) study, Denmark. Prev Med. 2013 Aug;57(2):87-91. doi: 10.1016/j.ypmed.2013.04.015. Epub 2013 Apr 30.
• Klakk H, Chinapaw M, Heidemann M, Andersen LB, Wedderkopp N. Effect of four additional physical education lessons on body composition in children aged 8-13 years--a prospective study during two school years. BMC Pediatr. 2013 Oct 17;13:170. doi: 10.1186/1471-2431-13-170.
• Klakk H, Andersen LB, Heidemann M, Moller NC, Wedderkopp N. Six physical education lessons a week can reduce cardiovascular risk in school children aged 6-13 years: a longitudinal study. Scand J Public Health. 2014 Mar;42(2):128-36. doi: 10.1177/1403494813505726. Epub 2013 Sep 20.
• Jespersen E, Rexen CT, Franz C, Moller NC, Froberg K, Wedderkopp N. Musculoskeletal extremity injuries in a cohort of schoolchildren aged 6-12: a 2.5-year prospective study. Scand J Med Sci Sports. 2015 Apr;25(2):251-8. doi: 10.1111/sms.12177. Epub 2014 Jan 29.
• Tarp J, Jespersen E, Moller NC, Klakk H, Wessner B, Wedderkopp N, Bugge A. Long-term follow-up on biological risk factors, adiposity, and cardiorespiratory fitness development in a physical education intervention: a natural experiment (CHAMPS-study DK). BMC Public Health. 2018 May 9;18(1):605. doi: 10.1186/s12889-018-5524-4.

Study record dates

Study Major Dates

• Study Start (Actual): August 1, 2008
• Primary Completion (Actual): June 1, 2015
• Study Completion (Actual): June 1, 2015

Study Registration Dates

• First Submitted: April 12, 2018
• First Submitted That Met QC Criteria: April 26, 2018
• First Posted (Actual): April 27, 2018

Study Record Updates

• Last Update Posted (Actual): April 27, 2018
• Last Update Submitted That Met QC Criteria: April 26, 2018
• Last Verified: April 1, 2018

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries; Overnutrition; Nutrition Disorders; Overweight; Body Weight; Obesity; Pediatric Obesity; Athletic Injuries
• Other Study ID Numbers: S-20080047

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: Data are available upon request from the CHAMPS Study Steering Committee due to legal and ethical restrictions. Interested parties may contact Dr Niels Wedderkopp (nwedderkopp@health.sdu.dk), and the following information will be required at the time of application: a description of how the data will be used, securely managed, and permanently deleted.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No