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BMC Pediatrics
Published in: BMC Pediatrics 1/2013

Open Access 01-12-2013 | Research article

Changes in diet and physical activity resulting from the Shape Up Somerville community intervention

Authors: Sara C Folta, Julia F Kuder, Jeanne P Goldberg, Raymond R Hyatt, Aviva Must, Elena N Naumova, Miriam E Nelson, Christina D Economos

Published in: BMC Pediatrics | Issue 1/2013

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Abstract

Background

The purpose of this study is to describe the behavioral changes in children resulting from Shape Up Somerville (SUS), a community-based, participatory obesity prevention intervention that used a multi-level, systems-based approach. It was set in Somerville, an urban, culturally diverse community in Massachusetts, USA.

Methods

This was a non-randomized, controlled 2-year community-based intervention trial with children enrolled in grades 1 to 3 (ages 6-8 years). Overall, the SUS intervention was designed to create environmental and policy change to impact all aspects of a child’s day. Pre-post outcomes were compared between Somerville and two control communities that were chosen based on socio-demographic similarities. Behavioral outcomes were fruit and vegetable and sugar-sweetened beverage consumption; number of organized sports and physical activities per year; walking to and from school; screen and television time; television in bedroom; and dinner in room with television on. These measures were assessed by parent/caregiver report using a 68-item Family Survey Form. Data were analyzed using multiple linear regression, accounting for covariates and clustering by community.

Results

Intervention group children, compared to the control group, significantly reduced sugar-sweetened beverage consumption (-2.0 ounces per day; 95% CI -3.8 to -0.2), increased participation in organized sports and physical activities (0.20 sports or activities per year; 95% CI 0.06 to 0.33), and reduced their screen time (-0.24 hours per day; 95% CI -0.42 to -0.06).

Conclusions

Results of this study, particularly intake of sugar-sweetened beverages and screen time, are similar to others that used a multi-level approach to realize change in behavior. These results support the efficacy of a multi-level and systems-based approach for promoting the behavioral changes necessary for childhood obesity prevention. This study is registered at ClinicalTrials.gov as NCT00153322.
Appendix
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Literature
1.
Krebs-Smith S, Guenther P, Subar A, Kirkpatrick S, Dodd K: Americans do not meet federal dietary recommendations. J Nutr. 2010, 140: 1832-1838. 10.3945/jn.110.124826.CrossRefPubMedPubMedCentral
2.
Reedy J, Krebs-Smith S: Dietary sources of energy, solid fats, and added sugars among children and adolescents in the United States. J Am Diet Assoc. 2010, 110 (10): 1477-1484. 10.1016/j.jada.2010.07.010.CrossRefPubMedPubMedCentral
3.
Troiano R, Berrigan D, Dodd K, Masse L, Tilert T, McDowell M: Physical activity in the United States measured by accelerometer. Med Sci Sport Exerc. 2008, 40 (1): 181-188. 10.1249/mss.0b013e31815a51b3.CrossRef
4.
Dietz W, Gortmaker S: Do we fatten our children at the television set? Obesity and television viewing in children and adolescents. Pediatrics. 1985, 75 (5): 807-812.PubMed
5.
Gortmaker S, Must A, Sobol A, Peterson K, Colditz G, Dietz W: Television viewing as a cause of increasing obesity among children in teh United States, 1986-1990. Arch Pediatr Adolesc Med. 1996, 150 (4): 356-362. 10.1001/archpedi.1996.02170290022003.CrossRefPubMed
6.
Crespo C, Smit E, Troiano R, Bartlett S, Macera C, Anderson R: Television watching, energy intake, and obesity in US children: Results from the third National Health and Nutrition Examination Survey, 1988-1994. Arch Pediatr Adolesc Med. 2001, 155 (3): 360-365. 10.1001/archpedi.155.3.360.CrossRefPubMed
7.
Rey-Lopez J, Vicente-Rodriguez G, Biosca M, Moreno L: Sedentary behaviour and obesity development in children and adolescents. Nutr Metab Cardiovasc Dis. 2008, 18 (3): 242-251. 10.1016/j.numecd.2007.07.008.CrossRefPubMed
8.
American Academy of Pediatrics Committee on Public Education: American Academy of Pediatrics: Children, adolescents, and television. Pediatrics. 2001, 107 (2): 423-426.CrossRef
9.
Rideout V, Foehr U, Roberts D: Generation M2: Media in the Lives of 8- to 18-Year-Olds. 2010, Menlo Park, CA: Kaiser Family Foundation
10.
De Silva-Sanigorski A, Economos C: Evidence of multi-setting approaches for obesity prevention: Translation to best practice. Preventing Childhood Obesity: Evidence Policy and Practice. Edited by: Waters E, Swinburn B, Seidell J, Uauy R. 2010, Oxford: Wiley-Blackwell
11.
American Dietetic Association: Position of the American Dietetic Association: Individual-, family-, school-, and community-based interventions for pediatric overweight. J Am Diet Assoc. 2006, 106 (6): 925-945.CrossRef
12.
McLeroy K, Bibeau D, Steckler A, Glanz K: An ecological perspective on health promotion programs. Health Educ Q. 1988, 15 (4): 351-377. 10.1177/109019818801500401.CrossRefPubMed
13.
Best A: Systems thinking and health promotion. Am J Health Promot. 2011, 25: 4-CrossRef
14.
Davis S, Going S, Helitzer D, Teufel N, Snyder P, Gittlesohn J, Metcalf L, Arviso V, Evans M, Smyth M, et al: Pathways: A culturally appropriate obesity-prevention program for American Indian schoolchildren. Am J Clin Nutr. 1999, 69 (4 Suppl): 796S-802S.PubMedPubMedCentral
15.
Economos C, Hyatt R, Goldberg J, Must A, Naumova E, Collins J, Nelson M: A community intervention reduces BMI z-score in children: Shape Up Somerville first year results. Obesity. 2007, 15 (5): 1325-1336. 10.1038/oby.2007.155.CrossRefPubMed
16.
Taylor R, McAuley K, Barbezat W, Strong A, Williams S, Mann J: APPLE Project: 2-y findings of a community-based obesity prevention program in primary school-age children. Am J Clin Nutr. 2007, 86 (3): 735-742.PubMed
17.
Sanigorski A, Bell A, Kremer P, Cuttler R, Swinburn B: Reducing unhealthy weight gain in children through community capacity-building: Results of a quasi-experimental intervention program, Be Active Eat Well. Int J Obes. 2008, 32 (7): 1060-1067. 10.1038/ijo.2008.79.CrossRef
18.
Romon M, Lommez A, Tafflet M, Basdevant A, Oppert J, Bresson J, Ducimetiere P, Charles M, Borys J: Downward trends in the prevalence of childhood overweight in the setting of 12-year school- and community-based programmes. Public Health Nutr. 2009, 12 (10): 1735-1742. 10.1017/S1368980008004278.CrossRefPubMed
19.
20.
Hoelscher D, Kelder S, Perez A, Day R, Benoit J, Frankowski R, Walker J, Lee E: Changes in the regional prevalence of child obesity in 4th, 8th, and 11th grade students in Texas from 2000-2002 to 2004-2005. Obesity. 2009, 18 (7): 1360-1368.CrossRefPubMed
21.
Chomitz V, McGowan R, Wendel J, Williams S, Cabral H, King S, Olcott D, Cappello M, Breen S, Hacker K: Health Living Cambridge Kids: A community-based participatory effort to promote healthy weight and fitness. Obesity. 2010, 18 (Suppl 1): S45-S53.CrossRefPubMed
22.
23.
Leung M, Yen I, Minkler M: Community based participatory research: A promising approach for increasing epidemiology’s relevance in the 21st century. Int J Epidemiol. 2004, 33 (3): 499-506. 10.1093/ije/dyh010.CrossRefPubMed
24.
Minkler M: Comunity-based research partnerships: Challenges and opportunities. J Urban Health. 2005, 82 (2 Suppl 2): ii3-ii12.PubMedPubMedCentral
25.
Economos CD, Hyatt RR, Must A, Goldberg JP, Kuder J, Naumova EN, Collins JJ, Nelson ME: Shape Up Somerville two-year results: a community-based environmental change intervention sustains a BMI z-score decrease in children. Prev Med. 2013, 57 (4): 322-327. 10.1016/j.ypmed.2013.06.001.CrossRefPubMed
26.
State and County QuickFacts: Data derived from Population Estimates, 2000 Census of Population and Housing, 1990 Census of Population and Housing, Small Area Income and Poverty Estimates, County Business Patterns, 1997 Economic Census, Minority- and Women-Owned Business, Building Permits, Consolidated Federal Funds Report, Census of Governments. 1997, http://​quickfacts.​census.​gov/​qfd/​states/​25/​2521990.​html,
27.
28.
29.
30.
Robinson T: Reducing children’s television viewing to prevent obesity: A randomized controlled trial. JAMA. 1999, 282 (16): 1561-1567. 10.1001/jama.282.16.1561.CrossRefPubMed
31.
SAS Institute Inc: The SURVEYREG procedure. The SAS/STAT User’s Guide. 2006, Cary, NC: SAS Institute, Inc
32.
Barlow S: Expert Committee: Expert committee recommendations regarding the prevention, assessment, and treatment of childhood and adolescent overweight and obesity: Summary report. Pediatrics. 2007, 120 (Suppl 4): S164-S192.CrossRefPubMed
33.
Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR, Tudor-Locke C, Greer JL, Vezina J, Whitt-Glover MC, Leon AS: 2011 Compendium of Physical Activities: a second update of codes and MET values. Med Sci Sports Exerc. 2011, 43 (8): 1575-1581. 10.1249/MSS.0b013e31821ece12.CrossRefPubMed
34.
De Silva-Sanigorski A, Bell A, Kremer P, Nichols M, Crellin M, Smith M, Sharp S, De Groot F, Carpenter L, Boak R, et al: Reducing obesity in early childhood: Results from Romp & Chomp, an Australian community-wide intervention program. Am J Clin Nutr. 2010, 91: 831-840. 10.3945/ajcn.2009.28826.CrossRefPubMed
35.
Hoelscher D, Springer A, Ranjit N, Perry C, Evans A, Stigler M, Kelder S: Reductions in child obesity among disadvantaged school children with community involvement: The Travis County CATCH Trial. Obesity. 2010, 18 (1): S36-S44.CrossRefPubMed
36.
Taylor R, McAuley K, Barbezat W, Farmer V, Williams S, Mann J: APPLE Project: Two-year follow-up of an obesity prevention initiative in children: The APPLE Project. Am J Clin Nutr. 2008, 88 (5): 1371-1377.PubMed
37.
Chomitz V, Corliss J, Arsenault L, Chui K, Garnett B, Economos C: A Decade of Shape Up Somerville: Assessing Child Obesity Measures 2002-2011. In. 2013, Somerville, MA: City of Somerville
Metadata
Title
Changes in diet and physical activity resulting from the Shape Up Somerville community intervention
Authors
Sara C Folta
Julia F Kuder
Jeanne P Goldberg
Raymond R Hyatt
Aviva Must
Elena N Naumova
Miriam E Nelson
Christina D Economos
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2013
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/1471-2431-13-157

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