Nicolas M Oreskovic1, Jonathan P Winickoff2, James M Perrin2, Alyssa I Robinson3, Elizabeth Goodman2. 1. Department of Pediatrics, Division of General Academic Pediatrics, MassGeneral Hospital for Children, Boston, Massachusetts; Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts; Department of Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts. Electronic address: noreskovic@mgh.harvard.edu. 2. Department of Pediatrics, Division of General Academic Pediatrics, MassGeneral Hospital for Children, Boston, Massachusetts; Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts. 3. Department of Pediatrics, Division of General Academic Pediatrics, MassGeneral Hospital for Children, Boston, Massachusetts.
Abstract
PURPOSE: National guidelines recommend adolescents achieve 60 minutes of moderate-to-vigorous physical activity (MVPA)/day, yet few adolescents meet these guidelines. METHODS: We piloted a novel quasi-randomized physical activity intervention to promote adolescent's use of their surrounding built environment among 30 intervention and 30 control overweight/obese adolescents aged 10-16 years living in greater Boston from 2013 to 2015. Location-specific MPVA was measured by accelerometry and global positioning system for three one-week periods (Time 1 [T1], Time 2 [T2], and Time 3 [T3]). One month after T1, intervention participants received individualized counseling on how to use their surrounding built environment to increase MVPA, and control participants received standard-of-care lifestyle modification counseling; both groups received their T1 physical activity data. T2 assessment occurred the week after the counseling visit and T3 assessment 3-4 months later. The main outcome was change in average daily minutes of MVPA; the secondary outcome was meeting national MVPA guidelines. Multivariable modeling accounted for covariates (baseline MVPA, body mass index, age, sex, race/ethnicity) and clustering by study group and town. RESULTS: Among the 60 adolescents recruited, 55 (92%) completed data collection. Short-term (T2) intervention effects included increased average MVPA of +13.9 minutes intervention versus -.6 minutes control (p < .0001). Differential increase in mean daily MVPA was sustained at T3 (9.3 minutes more in intervention group; p = .0006). The proportion of adolescents in the intervention group who achieved 60 minutes/day of MVPA increased from 11% (T1) to 21% (T2), whereas declining (7%-0%) among controls. CONCLUSIONS: Individualized counseling about the built environment can help increase MVPA among overweight and obese adolescents.
RCT Entities:
PURPOSE: National guidelines recommend adolescents achieve 60 minutes of moderate-to-vigorous physical activity (MVPA)/day, yet few adolescents meet these guidelines. METHODS: We piloted a novel quasi-randomized physical activity intervention to promote adolescent's use of their surrounding built environment among 30 intervention and 30 control overweight/obese adolescents aged 10-16 years living in greater Boston from 2013 to 2015. Location-specific MPVA was measured by accelerometry and global positioning system for three one-week periods (Time 1 [T1], Time 2 [T2], and Time 3 [T3]). One month after T1, intervention participants received individualized counseling on how to use their surrounding built environment to increase MVPA, and control participants received standard-of-care lifestyle modification counseling; both groups received their T1 physical activity data. T2 assessment occurred the week after the counseling visit and T3 assessment 3-4 months later. The main outcome was change in average daily minutes of MVPA; the secondary outcome was meeting national MVPA guidelines. Multivariable modeling accounted for covariates (baseline MVPA, body mass index, age, sex, race/ethnicity) and clustering by study group and town. RESULTS: Among the 60 adolescents recruited, 55 (92%) completed data collection. Short-term (T2) intervention effects included increased average MVPA of +13.9 minutes intervention versus -.6 minutes control (p < .0001). Differential increase in mean daily MVPA was sustained at T3 (9.3 minutes more in intervention group; p = .0006). The proportion of adolescents in the intervention group who achieved 60 minutes/day of MVPA increased from 11% (T1) to 21% (T2), whereas declining (7%-0%) among controls. CONCLUSIONS: Individualized counseling about the built environment can help increase MVPA among overweight and obese adolescents.
Authors: Michael Jerrett; Estela Almanza; Molly Davies; Jennifer Wolch; Genevieve Dunton; Donna Spruitj-Metz; Mary Ann Pentz Journal: Am J Prev Med Date: 2013-10 Impact factor: 5.043
Authors: Jason A Mendoza; Kathy Watson; Tom Baranowski; Theresa A Nicklas; Doris K Uscanga; Marcus J Hanfling Journal: Pediatrics Date: 2011-08-22 Impact factor: 7.124
Authors: Richard P Troiano; David Berrigan; Kevin W Dodd; Louise C Mâsse; Timothy Tilert; Margaret McDowell Journal: Med Sci Sports Exerc Date: 2008-01 Impact factor: 5.411
Authors: Nicolas M Oreskovic; James M Perrin; Alyssa I Robinson; Joseph J Locascio; Jeff Blossom; Minghua L Chen; Jonathan P Winickoff; Alison E Field; Chloe Green; Elizabeth Goodman Journal: BMC Public Health Date: 2015-03-15 Impact factor: 3.295
Authors: Kristin L Schneider; Ryan T Crews; Vasanth Subramanian; Elizabeth Moxley; Sungsoon Hwang; Frank E DiLiberto; Laura Aylward; Jermaine Bean; Sai Yalla Journal: J Diabetes Sci Technol Date: 2019-01-18