Impact of a park-based afterschool program replicated over five years on modifiable cardiovascular disease risk factors

Sarah Messiah, Denise Vidot, Eric Hansen, Jack Kardys, M. Sunil Matthew, Maria Nardi, Kristopher Arheart

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Major challenges to the current childhood obesity epidemic include availability of prevention and/or treatment programs that are affordable and acc5essible. We evaluated the change in several modifiable, obesity-related cardiovascular disease risk factors after participation in Fit2Play™, a structured afterschool program housed in a large urban county parks system. Children ages 6–14 who participated in Fit2Play™ in one of 34 parks for one school year during a five-year period (2010–2015) had height, weight, 4-site skinfold thicknesses, systolic/diastolic blood pressure (SBP/DBP), fitness tests, and a health/wellness behavior/knowledge test collected at the beginning and end of the school year. Comparison of pre/post outcome measures were assessed via general linear mixed models for normal weight, overweight, and obese participants and both aggregate and cohort/year-specific results were generated. Aggregate (N = 1546, 51% Hispanic, 44% NHB) results showed after one year of participation (U.S. Department of Health and Human Services, 2016) both the obese and overweight groups significantly decreased their mean body mass index (BMI) percentile (98th to 95th percentile, p < 0.001; 91st percentile to 89th percentile, p < 0.001, respectively); (Ogden et al. 2015) the normal weight group maintained a healthy BMI percentile (54.6th); (Ogden et al., 2014) mean SBP and DBP significantly decreased (3.6 percentile and 6 percentile points, respectively, p < 0.001 for both). Mean number of sit-ups, push-ups, 400 meter run time, and nutrition knowledge scores improved in all participants (p < 0.001 for all). These findings suggest that parks-based afterschool health/wellness programs can be a low-cost, high value tool in both preventing and treating the current childhood obesity epidemic and among high-risk groups in particular.

Original languageEnglish (US)
Pages (from-to)66-73
Number of pages8
JournalPreventive Medicine
Volume95
DOIs
StatePublished - Feb 1 2017

Fingerprint

Cardiovascular Diseases
Pediatric Obesity
Weights and Measures
Body Mass Index
United States Dept. of Health and Human Services
Blood Pressure
Skinfold Thickness
Health
Health Promotion
Hispanic Americans
Linear Models
Obesity
Outcome Assessment (Health Care)
Costs and Cost Analysis
Therapeutics
Recreational Parks

Keywords

  • Childhood
  • Community-based
  • Ethnicity
  • Obesity
  • Park
  • Prevention
  • Replication

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Impact of a park-based afterschool program replicated over five years on modifiable cardiovascular disease risk factors. / Messiah, Sarah; Vidot, Denise; Hansen, Eric; Kardys, Jack; Sunil Matthew, M.; Nardi, Maria; Arheart, Kristopher.

In: Preventive Medicine, Vol. 95, 01.02.2017, p. 66-73.

Research output: Contribution to journalArticle

Messiah, Sarah ; Vidot, Denise ; Hansen, Eric ; Kardys, Jack ; Sunil Matthew, M. ; Nardi, Maria ; Arheart, Kristopher. / Impact of a park-based afterschool program replicated over five years on modifiable cardiovascular disease risk factors. In: Preventive Medicine. 2017 ; Vol. 95. pp. 66-73.
@article{366ac4fdce90496aab0bf52fa830de3e,
title = "Impact of a park-based afterschool program replicated over five years on modifiable cardiovascular disease risk factors",
abstract = "Major challenges to the current childhood obesity epidemic include availability of prevention and/or treatment programs that are affordable and acc5essible. We evaluated the change in several modifiable, obesity-related cardiovascular disease risk factors after participation in Fit2Play™, a structured afterschool program housed in a large urban county parks system. Children ages 6–14 who participated in Fit2Play™ in one of 34 parks for one school year during a five-year period (2010–2015) had height, weight, 4-site skinfold thicknesses, systolic/diastolic blood pressure (SBP/DBP), fitness tests, and a health/wellness behavior/knowledge test collected at the beginning and end of the school year. Comparison of pre/post outcome measures were assessed via general linear mixed models for normal weight, overweight, and obese participants and both aggregate and cohort/year-specific results were generated. Aggregate (N = 1546, 51{\%} Hispanic, 44{\%} NHB) results showed after one year of participation (U.S. Department of Health and Human Services, 2016) both the obese and overweight groups significantly decreased their mean body mass index (BMI) percentile (98th to 95th percentile, p < 0.001; 91st percentile to 89th percentile, p < 0.001, respectively); (Ogden et al. 2015) the normal weight group maintained a healthy BMI percentile (54.6th); (Ogden et al., 2014) mean SBP and DBP significantly decreased (3.6 percentile and 6 percentile points, respectively, p < 0.001 for both). Mean number of sit-ups, push-ups, 400 meter run time, and nutrition knowledge scores improved in all participants (p < 0.001 for all). These findings suggest that parks-based afterschool health/wellness programs can be a low-cost, high value tool in both preventing and treating the current childhood obesity epidemic and among high-risk groups in particular.",
keywords = "Childhood, Community-based, Ethnicity, Obesity, Park, Prevention, Replication",
author = "Sarah Messiah and Denise Vidot and Eric Hansen and Jack Kardys and {Sunil Matthew}, M. and Maria Nardi and Kristopher Arheart",
year = "2017",
month = "2",
day = "1",
doi = "10.1016/j.ypmed.2016.12.010",
language = "English (US)",
volume = "95",
pages = "66--73",
journal = "Preventive Medicine",
issn = "0091-7435",
publisher = "Academic Press Inc.",

}

TY - JOUR

T1 - Impact of a park-based afterschool program replicated over five years on modifiable cardiovascular disease risk factors

AU - Messiah, Sarah

AU - Vidot, Denise

AU - Hansen, Eric

AU - Kardys, Jack

AU - Sunil Matthew, M.

AU - Nardi, Maria

AU - Arheart, Kristopher

PY - 2017/2/1

Y1 - 2017/2/1

N2 - Major challenges to the current childhood obesity epidemic include availability of prevention and/or treatment programs that are affordable and acc5essible. We evaluated the change in several modifiable, obesity-related cardiovascular disease risk factors after participation in Fit2Play™, a structured afterschool program housed in a large urban county parks system. Children ages 6–14 who participated in Fit2Play™ in one of 34 parks for one school year during a five-year period (2010–2015) had height, weight, 4-site skinfold thicknesses, systolic/diastolic blood pressure (SBP/DBP), fitness tests, and a health/wellness behavior/knowledge test collected at the beginning and end of the school year. Comparison of pre/post outcome measures were assessed via general linear mixed models for normal weight, overweight, and obese participants and both aggregate and cohort/year-specific results were generated. Aggregate (N = 1546, 51% Hispanic, 44% NHB) results showed after one year of participation (U.S. Department of Health and Human Services, 2016) both the obese and overweight groups significantly decreased their mean body mass index (BMI) percentile (98th to 95th percentile, p < 0.001; 91st percentile to 89th percentile, p < 0.001, respectively); (Ogden et al. 2015) the normal weight group maintained a healthy BMI percentile (54.6th); (Ogden et al., 2014) mean SBP and DBP significantly decreased (3.6 percentile and 6 percentile points, respectively, p < 0.001 for both). Mean number of sit-ups, push-ups, 400 meter run time, and nutrition knowledge scores improved in all participants (p < 0.001 for all). These findings suggest that parks-based afterschool health/wellness programs can be a low-cost, high value tool in both preventing and treating the current childhood obesity epidemic and among high-risk groups in particular.

AB - Major challenges to the current childhood obesity epidemic include availability of prevention and/or treatment programs that are affordable and acc5essible. We evaluated the change in several modifiable, obesity-related cardiovascular disease risk factors after participation in Fit2Play™, a structured afterschool program housed in a large urban county parks system. Children ages 6–14 who participated in Fit2Play™ in one of 34 parks for one school year during a five-year period (2010–2015) had height, weight, 4-site skinfold thicknesses, systolic/diastolic blood pressure (SBP/DBP), fitness tests, and a health/wellness behavior/knowledge test collected at the beginning and end of the school year. Comparison of pre/post outcome measures were assessed via general linear mixed models for normal weight, overweight, and obese participants and both aggregate and cohort/year-specific results were generated. Aggregate (N = 1546, 51% Hispanic, 44% NHB) results showed after one year of participation (U.S. Department of Health and Human Services, 2016) both the obese and overweight groups significantly decreased their mean body mass index (BMI) percentile (98th to 95th percentile, p < 0.001; 91st percentile to 89th percentile, p < 0.001, respectively); (Ogden et al. 2015) the normal weight group maintained a healthy BMI percentile (54.6th); (Ogden et al., 2014) mean SBP and DBP significantly decreased (3.6 percentile and 6 percentile points, respectively, p < 0.001 for both). Mean number of sit-ups, push-ups, 400 meter run time, and nutrition knowledge scores improved in all participants (p < 0.001 for all). These findings suggest that parks-based afterschool health/wellness programs can be a low-cost, high value tool in both preventing and treating the current childhood obesity epidemic and among high-risk groups in particular.

KW - Childhood

KW - Community-based

KW - Ethnicity

KW - Obesity

KW - Park

KW - Prevention

KW - Replication

UR - http://www.scopus.com/inward/record.url?scp=85004190459&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85004190459&partnerID=8YFLogxK

U2 - 10.1016/j.ypmed.2016.12.010

DO - 10.1016/j.ypmed.2016.12.010

M3 - Article

VL - 95

SP - 66

EP - 73

JO - Preventive Medicine

JF - Preventive Medicine

SN - 0091-7435

ER -