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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.
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:
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.
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| 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. | 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:
| 9/2010 to 3/5/13 |
| Measure | Description | Time Frame |
|---|---|---|
| Assess the impact of children's social environment on movement and nutrition choices within the built environment. | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Conduct a quantitative assessment of children's fitness, obesity, and indicators of metabolic health. | 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 |
Inclusion Criteria:
Exclusion Criteria:
The child is not in academic attendance at the BGCS in Grades 5-8 or at Cherokeed Middle School grades 6-8
The child and parent or legal guardian is not able to provide assent and/or consent.
The child is able to not able to understand instructions for study-related activities and comply
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Middle - school age children in grades 5-8
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| Name | Affiliation | Role |
|---|---|---|
| Aaron Carrel, MD | UW - Madison - Department of Pediatrics | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| United Community Center/Bruce Guadalupe Community School and Cherokee Middle School | Milwaukee and Madison | Wisconsin | 53204 | United States |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D003920 | Diabetes Mellitus |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| 9/2013-3/5/2013 |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D001519 | Behavior |