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Evaluation of the effectiveness of Exergaming for Health, a community-based multifaceted weight management program in a randomized controlled trial (RCT). Primary objective: to assess impact of the program on BMI z-scores. Secondary objectives: to measure impact on cardiovascular fitness, self-worth, sedentary screen time, and the influence of exergaming component on attendance and participation.
Eighty-four overweight pediatric subjects will be enrolled sequentially and randomized 2:1 in experimental and control groups for six months of weight management programming. The experimental group and their parents/guardians will participate in ten weekly 2-hour sessions, comprised of 1 hour of exergaming or exergaming combined with traditional exercise and 1 hour of didactic classes focusing on nutrition and psychosocial behaviors related to weight management. Following these 10 weeks, they will attend monthly 1-hour maintenance didactic classes. The control group and their parents/guardians will participate only in the didactic portion of the curricula for the same duration of time, 10 weeks, followed by monthly maintenance classes for the remainder of the 6 month period. The control group will then be offered participation in the Exergaming for Health program upon study completion.
Comparisons between the two groups will be obtained through changes in the measurements of weight, height, BMI z-scores, shuttle run times, and responses to questionnaires about screen time, self-perception, and nutrition. Measurements of both groups will be obtained at baseline and 6 months and another set of measurements will be obtained on the experimental group at 12 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exergaming and Didactic health teaching | Experimental | Participation of child and parent/guardian in 6 months of weight management programming consisting of exergaming combined with didactic teaching. |
|
| Didactic health teaching | Active Comparator | Participation of child and parent/guardian in 6 months of weight management programming consisting only of didactic teaching. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exergaming | Behavioral | 6 months of weight management programming consisting of 10 weekly sessions:1 hour of session was spent "exergaming", which included active video game play and traditional group exercises. Some examples include: Dance, Dance, Revolution, Exerbike, Treadwall, Yoga, Spin class, etc. |
| Measure | Description | Time Frame |
|---|---|---|
| BMI Z-score Change | All subjects were asked to dress in light athletic clothing and have their weight and height measured at baseline (the first group session) and at 6 months. Research assistants were trained using guidelines from the National Health and Nutrition Examination Survey (NHANES) Anthropometry Procedures Manual and demonstrated accurate measures on 3 separate children. The Seca 217 portable stadiometer was used for all height measurements and the HealthOMeter 844 KL scale was used for all weight measurements. BMI z-scores were calculated using software available from the Children's Hospital of Philadelphia Research Institute (http://stokes.chop.edu/web/zcore). | Change from baseline at 6 months |
| BMI Z-score Change | Measure was only taken on the subjects who participated in the Intervention group (exergaming combined with didactic teaching). | Change from baseline BMI z-score at 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Waist Circumference Change | Change from baseline at 6 months | |
| Systolic Blood Pressure Change | Change from baseline Systolic BP at 6 months | |
| Heart Rate Change From Baseline to 6 Months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Amy L. Christison, MD | University of Illinois College of Medicine at Peoria | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20107463 | Background | Sacher PM, Kolotourou M, Chadwick PM, Cole TJ, Lawson MS, Lucas A, Singhal A. Randomized controlled trial of the MEND program: a family-based community intervention for childhood obesity. Obesity (Silver Spring). 2010 Feb;18 Suppl 1:S62-8. doi: 10.1038/oby.2009.433. | |
| 15013261 | Background | Vandewater EA, Shim MS, Caplovitz AG. Linking obesity and activity level with children's television and video game use. J Adolesc. 2004 Feb;27(1):71-85. doi: 10.1016/j.adolescence.2003.10.003. |
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Participants with medical, developmental or psychiatric diagnoses which precluded participation in the curriculum or those taking medication that could significantly affect weight were excluded. Eighty-four subjects, mean age 10.1 years (SD 1.3 years), participated in the study from April 2011 through September 2013.
Obese and overweight children (BMI ≥85th percentile) ages 8 through 12 years were referred to the program from their primary care practices or self-referred through advertisements distributed by the local park district and a community organization.
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| ID | Title | Description |
|---|---|---|
| FG000 | Exergaming and Didactic Health Teaching | Participation of child and parent/guardian in 6 months of weight management programming consisting of exergaming combined with didactic teaching. Exergaming and Didactic health teaching: 6 months of weight management programming consisting of 10 weekly 2- hour sessions:1 hour of exergaming and 1 hour of didactic classes teaching behavioral and dietary curricula. Followed by monthly 1-hour maintenance didactic teaching for the remainder of the 6 month period. n = 60 (71%) enrolled within 6 cohorts over the study period from April 2011 to September 2013. |
| FG001 | Didactic Health Teaching | Participation of child and parent/guardian in 6 months of weight management programming consisting only of didactic teaching. Didactic health teaching: 6 months of weight management programming consisting of 10 weekly 1-hour sessions of didactic classes teaching behavioral and dietary curricula. Followed by monthly 1-hour didactic health teaching sessions for the remainder of the 6 month period. n = 24 (29%) enrolled within 6 cohorts during the study period from April 2011 to September 2013 |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
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The subjects were enrolled sequentially and randomized 2:1 into two arms: the intervention group receiving both didactic and exergaming physical activity curriculum and the control group, who received didactic curriculum only. The control group were offered participation in the exergaming activities 6 months after randomization.
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| ID | Title | Description |
|---|---|---|
| BG000 | Exergaming and Didactic Health Teaching | Participation of child and parent/guardian in 6 months of weight management programming consisting of exergaming combined with didactic teaching. Exergaming and Didactic health teaching: 6 months of weight management programming consisting of 10 weekly 2- hour sessions:1 hour of exergaming and 1 hour of didactic classes teaching behavioral and dietary curricula. Followed by monthly 1-hour maintenance didactic teaching for the remainder of the 6 month period. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Obese and overweight children (BMI greater than or equal to 85th percentile) ages 8 years through 12 years were enrolled. |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | BMI Z-score Change | All subjects were asked to dress in light athletic clothing and have their weight and height measured at baseline (the first group session) and at 6 months. Research assistants were trained using guidelines from the National Health and Nutrition Examination Survey (NHANES) Anthropometry Procedures Manual and demonstrated accurate measures on 3 separate children. The Seca 217 portable stadiometer was used for all height measurements and the HealthOMeter 844 KL scale was used for all weight measurements. BMI z-scores were calculated using software available from the Children's Hospital of Philadelphia Research Institute (http://stokes.chop.edu/web/zcore). | Posted | Mean | Standard Deviation | z-score | Change from baseline at 6 months |
|
Adverse Event data collected throughout the length of the study for all participants (12 month participation period).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Exergaming and Didactic Health Teaching | Participation of child and parent/guardian in 6 months of weight management programming consisting of exergaming combined with didactic teaching. Exergaming and Didactic health teaching: 6 months of weight management programming consisting of 10 weekly 2- hour sessions:1 hour of exergaming and 1 hour of didactic classes teaching behavioral and dietary curricula. Followed by monthly 1-hour maintenance didactic teaching for the remainder of the 6 month period. |
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Limitations: incomplete data collection (baseline & follow-up), those lost to follow-up may have been unwilling to continue because of weight gain, low enrollment numbers, and control subjects were offered intervention activities after 6 months.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Amy L. Christison | University of Illinois College of Medicine at Peoria | 309-624-9188 | alc@uic.edu |
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| ID | Term |
|---|---|
| D063766 | Pediatric Obesity |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
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| ID | Term |
|---|---|
| D000088544 | Exergaming |
| ID | Term |
|---|---|
| D015444 | Exercise |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
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|
| Didactic health teaching | Behavioral | 6 months of weight management programming consisting of 10 weekly 1-hour sessions of didactic classes teaching behavioral and dietary curricula. Followed by monthly 1 hour didactic health teaching sessions for the remainder of the 6 month period. |
|
| Change from baseline at 6 months |
| Shuttle Run Change in Number of Shuttle Runs | The shuttle run was completed by participants at baseline (session 1) and at 6 months. The shuttle run is a standardized field assessment that requires participants to run 20 meters within sequentially shortened time frames of recorded beeps. | Change in number from baseline shuttle run at 6 months |
| After School Screen Time as Reported on Questionnaire | Change in after school screen time (reported out as fraction of 1 hour) will be measured by subject response on questionnaire taken at baseline and at 6 months for both groups. After school screen time was defined as the amount of time spent on any screen, on the average weekday afternoon/evening, including: watching television, computer use (laptop, desk top, tablet) or playing video games on the television or other hand held device. | Change from baseline at 6 months |
| Saturday Screen Time as Assessed by Questionnaire | Change in Saturday screen time (reported out as fraction of an hour) will be measured by subject response on questionnaire taken at baseline and at 6 months for both groups. Saturday screen time was defined as the amount of time spent on any screen, on an average Saturday, including: watching television, computer use (laptop, desk top, tablet) or playing video games on the television or other hand held device. | Change in hours from baseline at 6 months |
| Activity Levels Measured by Pedometers (Weekly Steps) | Activity will be measured by pedometers (number of steps) during week 1 and week 24 for both groups. Subjects used the Yamax 200 pedometer to count the steps they took over 1 weeks time. | Change from week 1 to week 24 |
| Self Perception as Assessed Using the Children and Youth Physical Self-Perception Profile (CY-PSPP): Physical Self-Worth Changes in Physical Self-worth | CY-PSPP questionnaire was completed by participants in both groups at baseline and at 6 months. Change in the Physical Self-worth scores, which was 1 of 6 sub-domains, is analyzed. This sub-domain contains 6 questions with responses ranging from 1-4 for each question with 1 being the minimum and 4 being the maximum (best) score. The sub-domain score is then calculated as the mean of the 6 responses (minimum to maximum of 1 to 4).The change in score from baseline to 6 months was compared. | Change from baseline at 6 months |
| Self Perception as Assessed Using the Children and Youth Physical Self-Perception Profile (CY-PSPP): Global Self-Worth Score | CY-PSPP questionnaire was completed by participants in both groups at baseline and at 6 months. Change in the Global Self-worth scores, which was 1 of 6 sub-domains, is analyzed. This sub-domain contains 6 questions with responses ranging from 1-4 for each question with 1 being the minimum and 4 being the maximum (best) score. The sub-domain score is then calculated as the mean of the 6 responses (minimum to maximum of 1 to 4).The change in score from baseline to 6 months was compared. | Change from baseline to 6 months |
| Dietary Change:Total Calorie Intake (kcal/Day) (Block Alive FFQ) | The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total kcal/kg/day is then estimated based upon participant responses. | Change from baseline at 6 months |
| Change in Dietary Intake: % Fat (Block Alive FFQ) | The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total %dietary fat intake per day is then estimated based upon participant responses. | Change from baseline at 6 months |
| Change in Dietary Intake: % Carbohydrates (Block Alive FFQ) | The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total % dietary carbohydrates is then estimated based upon participant responses. | Change from baseline at 6 months |
| Change in Dietary Intake: Number of Vegetable Servings (Block Alive FFQ) | The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total number of vegetable servings per day is then estimated based upon participant responses. | Change from baseline at 6 months |
| Change in Dietary Intake: Number of Fruit Servings (Block Alive FFQ) | The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total number of fruit servings per day is then estimated based upon participant responses. | Change from baseline at 6 months |
| Change in Dietary Intake: Number of Sugar Sweetened Beverages (Block Alive FFQ) | The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total number of sugar sweetened beverages per day is then estimated based upon participant responses. | Change from baseline at 6 months |
| Exergaming Program Component Influence on Attendance | The experimental group will answer a questionnaire at the end of the 6 month study period, measuring the importance of specific components of the curriculum and motivators which influenced enrollment and compliance with participation. Of interest is measuring the influence of the exergaming curriculum as compared to these other factors. This is a 16-item, 3-point Likert-scale (1 = least important and 3 = most important) questionnaire created specifically for this study. Results were reported based on % of participants rating "3" ,most important, for each curriculum component. | 6 months |
| Waist Circumference Change | Change from 6 month waist circumference at 1 year |
| Systolic Blood Pressure Change | Change from 6 month Systolic BP at 1 year |
| Heart Rate Change | Change from 6 month Heart rate at 1 year |
| Shuttle Run Change in Number of Shuttle Runs | The shuttle run was completed again by participants in the Experimental group at 1 year. The shuttle run is a standardized field assessment that requires participants to run 20 meters within sequentially shortened time frames of recorded beeps. | Change in number from 6 month shuttle run at 1 year |
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| BG001 | Didactic Health Teaching | Participation of child and parent/guardian in 6 months of weight management programming consisting only of didactic teaching. Didactic health teaching: 6 months of weight management programming consisting of 10 weekly 1-hour sessions of didactic classes teaching behavioral and dietary curricula. Followed by monthly 1-hour didactic health teaching sessions for the remainder of the 6 month period. |
| BG002 | Total | Total of all reporting groups |
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| years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Baseline BMI z-score | Mean | Full Range | z-score |
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| OG001 | Didactic Health Teaching | Participation of child and parent/guardian in 6 months of weight management programming consisting only of didactic teaching. |
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| Primary | BMI Z-score Change | Measure was only taken on the subjects who participated in the Intervention group (exergaming combined with didactic teaching). | Complete data was not available for all 35 subjects for this outcome measure. BMI z-score change from baseline to 1 year was only collected on 28 of the 35 participants. | Posted | Mean | 95% Confidence Interval | z-score | Change from baseline BMI z-score at 1 year |
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| Secondary | Waist Circumference Change | Incomplete data available for analysis. Change in waist circumference from baseline to 6 month measurements was only collected on 34/35 of the Experimental group and 8/13 of the Active comparator group. The other participants did not show up for the 6 month measurements. | Posted | Mean | Standard Deviation | cm | Change from baseline at 6 months |
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| Secondary | Systolic Blood Pressure Change | Incomplete data available for analysis. Blood pressure was taken and documented at baseline and at 6 months, however, not all participants were in attendance. Complete data was only available for 33/35 Experimental group participants and 12/13 from the Active comparator group. Available data was analyzed. | Posted | Mean | Standard Deviation | mmHg | Change from baseline Systolic BP at 6 months |
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| Secondary | Heart Rate Change From Baseline to 6 Months | Missing Data: Heart rate measurements at baseline and at 6 months was only available for 33/35 Experimental group participants and 12/13 Active comparator group participants. Not all participants attended the 6 month measurement/data collection visit. | Posted | Mean | Standard Deviation | beats per minute | Change from baseline at 6 months |
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| Secondary | Shuttle Run Change in Number of Shuttle Runs | The shuttle run was completed by participants at baseline (session 1) and at 6 months. The shuttle run is a standardized field assessment that requires participants to run 20 meters within sequentially shortened time frames of recorded beeps. | Missing Data: Shuttle run was completed by participants at baseline and at 6 months to document the change in number of runs. Not all participants attended the 6 month measurement visit, therefore, complete data was only available on 24/35 of the Experimental group and 13/13 of the Active comparator group. Available data was analyzed. | Posted | Mean | Standard Deviation | number of runs | Change in number from baseline shuttle run at 6 months |
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| Secondary | After School Screen Time as Reported on Questionnaire | Change in after school screen time (reported out as fraction of 1 hour) will be measured by subject response on questionnaire taken at baseline and at 6 months for both groups. After school screen time was defined as the amount of time spent on any screen, on the average weekday afternoon/evening, including: watching television, computer use (laptop, desk top, tablet) or playing video games on the television or other hand held device. | Missing Data: Survey data regarding "after school screen time" was collected from participants at baseline and again at 6 months. Not all participants completed both surveys, therefore, analysis for this outcome measure only included 28/35 participants from the Experimental group and 8/13 participants from the Active comparator group. | Posted | Mean | Standard Deviation | hours | Change from baseline at 6 months |
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| Secondary | Saturday Screen Time as Assessed by Questionnaire | Change in Saturday screen time (reported out as fraction of an hour) will be measured by subject response on questionnaire taken at baseline and at 6 months for both groups. Saturday screen time was defined as the amount of time spent on any screen, on an average Saturday, including: watching television, computer use (laptop, desk top, tablet) or playing video games on the television or other hand held device. | Missing Data: Survey data regarding "Saturday screen time" was collected from participants at baseline and again at 6 months. Not all participants completed both surveys, therefore, analysis for this outcome measure only included 28/35 participants from the Experimental group and 8/13 participants from the Active comparator group. | Posted | Mean | Standard Deviation | hours | Change in hours from baseline at 6 months |
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| Secondary | Activity Levels Measured by Pedometers (Weekly Steps) | Activity will be measured by pedometers (number of steps) during week 1 and week 24 for both groups. Subjects used the Yamax 200 pedometer to count the steps they took over 1 weeks time. | Missing data: Data was not available from all participants from pedometer use at both the 1 week and 24 week mark, therefore, this analysis only includes 13/35 participant data from the Experimental group and 10/13 participant data collected from the Active comparator group. | Posted | Mean | Standard Deviation | steps | Change from week 1 to week 24 |
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| Secondary | Self Perception as Assessed Using the Children and Youth Physical Self-Perception Profile (CY-PSPP): Physical Self-Worth Changes in Physical Self-worth | CY-PSPP questionnaire was completed by participants in both groups at baseline and at 6 months. Change in the Physical Self-worth scores, which was 1 of 6 sub-domains, is analyzed. This sub-domain contains 6 questions with responses ranging from 1-4 for each question with 1 being the minimum and 4 being the maximum (best) score. The sub-domain score is then calculated as the mean of the 6 responses (minimum to maximum of 1 to 4).The change in score from baseline to 6 months was compared. | Missing Data: The CY-PSPP questionnaire was not completed by all participants at both the baseline visit and the 6 month mark. Therefore this analysis only includes data for participants who completed the questionnaire at both times: 26/35 from the Experimental group and 7/13 from the Active Comparator group. | Posted | Mean | Standard Deviation | scores on a scale | Change from baseline at 6 months |
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| Secondary | Self Perception as Assessed Using the Children and Youth Physical Self-Perception Profile (CY-PSPP): Global Self-Worth Score | CY-PSPP questionnaire was completed by participants in both groups at baseline and at 6 months. Change in the Global Self-worth scores, which was 1 of 6 sub-domains, is analyzed. This sub-domain contains 6 questions with responses ranging from 1-4 for each question with 1 being the minimum and 4 being the maximum (best) score. The sub-domain score is then calculated as the mean of the 6 responses (minimum to maximum of 1 to 4).The change in score from baseline to 6 months was compared. | Missing Data: The CY-PSPP questionnaire was not completed by all participants at both the baseline visit and the 6 month mark. Therefore this analysis only includes data for participants who completed the questionnaire at both times: 26/35 from the Experimental group and 7/13 from the Active Comparator group. | Posted | Mean | Standard Deviation | scores on a scale | Change from baseline to 6 months |
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| Secondary | Dietary Change:Total Calorie Intake (kcal/Day) (Block Alive FFQ) | The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total kcal/kg/day is then estimated based upon participant responses. | Missing data: Not all participants completed this survey at both time points. 28/35 from the Experimental group had complete response and 10/13 from the Active comparator group had complete response. Analysis was completed on the available data. | Posted | Mean | Standard Deviation | kcal/day | Change from baseline at 6 months |
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| Secondary | Change in Dietary Intake: % Fat (Block Alive FFQ) | The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total %dietary fat intake per day is then estimated based upon participant responses. | Missing data: Not all participants completed this survey at both time points. 28/35 from the Experimental group had complete response and 10/13 from the Active comparator group had complete response regarding the %fat in their daily diet. Analysis was completed on the available data. | Posted | Mean | Standard Deviation | percentage of fat | Change from baseline at 6 months |
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| Secondary | Change in Dietary Intake: % Carbohydrates (Block Alive FFQ) | The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total % dietary carbohydrates is then estimated based upon participant responses. | Missing data: Not all participants completed this survey at both time points. 28/35 from the Experimental group had complete response and 10/13 from the Active comparator group had complete response regarding %carbohydrates in their daily diet. Analysis was completed on the available data. | Posted | Mean | Standard Deviation | percentage of carbohydrates | Change from baseline at 6 months |
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| Secondary | Change in Dietary Intake: Number of Vegetable Servings (Block Alive FFQ) | The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total number of vegetable servings per day is then estimated based upon participant responses. | Missing data: Not all participants completed this survey at both time points. 25/35 from the Experimental group had complete response and 9/13 from the Active comparator group had complete response regarding daily vegetable intake. Analysis was completed on the available data. | Posted | Mean | Standard Deviation | servings | Change from baseline at 6 months |
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| Secondary | Change in Dietary Intake: Number of Fruit Servings (Block Alive FFQ) | The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total number of fruit servings per day is then estimated based upon participant responses. | Missing data: Not all participants completed this survey at both time points. 25/35 from the Experimental group had complete response and 9/13 from the Active comparator group had complete response regarding daily fruit intake. Analysis was completed on the available data. | Posted | Mean | Standard Deviation | Servings | Change from baseline at 6 months |
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| Secondary | Change in Dietary Intake: Number of Sugar Sweetened Beverages (Block Alive FFQ) | The Block Alive FFQ: administered at the start and at 6 months to all participants in both groups. FFQ inquires about typical dietary patterns over the previous six months. Total number of sugar sweetened beverages per day is then estimated based upon participant responses. | Missing data: Not all participants completed this survey at both time points. 27/35 from the Experimental group had complete response and 10/13 from the Active comparator group had complete response regarding sugar sweetened beverage daily intake. Analysis was completed on the available data. | Posted | Mean | Standard Deviation | servings | Change from baseline at 6 months |
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| Secondary | Exergaming Program Component Influence on Attendance | The experimental group will answer a questionnaire at the end of the 6 month study period, measuring the importance of specific components of the curriculum and motivators which influenced enrollment and compliance with participation. Of interest is measuring the influence of the exergaming curriculum as compared to these other factors. This is a 16-item, 3-point Likert-scale (1 = least important and 3 = most important) questionnaire created specifically for this study. Results were reported based on % of participants rating "3" ,most important, for each curriculum component. | Posted | Number | percentage of subjects | 6 months |
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| Secondary | Waist Circumference Change | One year data was only collected for the participants assigned to the "Exergaming and Didactic Health Teaching" group. Only 25/35 participants had waist measurements collected at both 6 months and 1 year. Available data was analyzed. | Posted | Mean | 95% Confidence Interval | cm | Change from 6 month waist circumference at 1 year |
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| Secondary | Systolic Blood Pressure Change | One year data was only collected for the participants assigned to the "Exergaming and Didactic Health Teaching" group. Systolic blood pressure was only documented at 6 months and 1 year for 27/35 of the participants. Available data is what was analyzed. | Posted | Mean | 95% Confidence Interval | mmHg | Change from 6 month Systolic BP at 1 year |
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| Secondary | Heart Rate Change | One year data was only collected for the participants assigned to the "Exergaming and Didactic Health Teaching" group. Heart rate data was collected at 6 month and 1 year for 27/35 of the participants. Available data was analyzed. | Posted | Mean | 95% Confidence Interval | beats per minute | Change from 6 month Heart rate at 1 year |
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| Secondary | Shuttle Run Change in Number of Shuttle Runs | The shuttle run was completed again by participants in the Experimental group at 1 year. The shuttle run is a standardized field assessment that requires participants to run 20 meters within sequentially shortened time frames of recorded beeps. | One year data was only collected for the participants assigned to the "Exergaming and Didactic Health Teaching" group. Shuttle run was completed by 20/35 participants in the Experimental group at both 6 months and 1 year. Available data was analyzed. | Posted | Mean | 95% Confidence Interval | number of runs | Change in number from 6 month shuttle run at 1 year |
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| 0 |
| 60 |
| 0 |
| 60 |
| EG001 | Didactic Health Teaching | Participation of child and parent/guardian in 6 months of weight management programming consisting only of didactic teaching. Didactic health teaching: 6 months of weight management programming consisting of 10 weekly 1-hour sessions of didactic classes teaching behavioral and dietary curricula. Followed by monthly 1-hour didactic health teaching sessions for the remainder of the 6 month period. | 0 | 24 | 0 | 24 |
Not provided
Not provided
| D009750 |
| Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D055687 |
| Musculoskeletal and Neural Physiological Phenomena |