Effect of a park-based after-school program on participant obesity-related health outcomes

Sarah Messiah, Allison Diego, Jack Kardys, Kevin Kirwin, Eric Hanson, Renae Nottage, Shawn Ramirez, Kristopher Arheart

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Purpose. The objective of this study was to examine the effect of a structured after-school program housed in a large county parks system on participant health and wellness outcomes. Design. Longitudinal cohort study over one school year (fall 2011-spring 2012). Setting. A total of 23 county parks in Florida. Subjects. Children ages 5 to 16 (N=349, 55% non-Hispanic black, 40% Hispanic, mean age 8.9 years). Intervention. An after-school program called Fit-2-Play that integrates daily standardized physical activity and health and wellness education components. Measures. Preintervention (August/September 2011) and postintervention (May/June 2012) anthropometric, systolic/diastolic blood pressure, fitness, and health and wellness knowledge measurements were collected. Analysis. Comparison of pre-post outcome measure means were assessed via general linear mixed models for normal-weight (body mass index [BMI] ,85th percentile for age and sex) and overweight/obese (BMI ≥85th percentile for age and sex) participants. Results. The overweight/obese group significantly decreased their mean (1) BMI z score (2.0 to 1.8, p < .01) and (2) subscapular skinfold measurements (19.4 to 17.5 mm, p < .01) and increased (1) mean laps on the Progressive Aerobic Cardiovascular Endurance Run test (10.8 to 12.5, p=.04) and (2) percentage with normal systolic blood pressure (58.1% to 71.0%, p =.03) from pretest to posttest. On average, participants significantly improved their health and wellness knowledge over the school year (p < .01). Normal-weight participants maintained healthy BMI ranges and significantly increased fitness levels. Conclusion. Findings suggest that the Fit-2-Play after-school programs can be a significant resource for combating childhood obesity and instilling positive physical health in children, particularly among ethnic and socioeconomically diverse communities.

Original languageEnglish (US)
Pages (from-to)217-225
Number of pages9
JournalAmerican Journal of Health Promotion
Volume29
Issue number4
DOIs
StatePublished - Mar 1 2015

Fingerprint

Obesity
Body Mass Index
Health
Blood Pressure
health
fitness
Weights and Measures
endurance
Pediatric Obesity
body weight
Health Education
Hispanic Americans
school
Longitudinal Studies
Linear Models
Healthy Volunteers
Cohort Studies
childhood
Outcome Assessment (Health Care)
Exercise

Keywords

  • Adolescents
  • Children
  • Fitness
  • Obesity
  • Overweight
  • Physical Activity
  • Prevention
  • Prevention Research
  • Youth

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Effect of a park-based after-school program on participant obesity-related health outcomes. / Messiah, Sarah; Diego, Allison; Kardys, Jack; Kirwin, Kevin; Hanson, Eric; Nottage, Renae; Ramirez, Shawn; Arheart, Kristopher.

In: American Journal of Health Promotion, Vol. 29, No. 4, 01.03.2015, p. 217-225.

Research output: Contribution to journalArticle

Messiah, S, Diego, A, Kardys, J, Kirwin, K, Hanson, E, Nottage, R, Ramirez, S & Arheart, K 2015, 'Effect of a park-based after-school program on participant obesity-related health outcomes', American Journal of Health Promotion, vol. 29, no. 4, pp. 217-225. https://doi.org/10.4278/ajhp.120705-QUAN-327
Messiah, Sarah ; Diego, Allison ; Kardys, Jack ; Kirwin, Kevin ; Hanson, Eric ; Nottage, Renae ; Ramirez, Shawn ; Arheart, Kristopher. / Effect of a park-based after-school program on participant obesity-related health outcomes. In: American Journal of Health Promotion. 2015 ; Vol. 29, No. 4. pp. 217-225.
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