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01-04-2020 | Obesity | Original Paper

Club Fit: Development of a Physical Activity and Healthy Eating Intervention at a Boys & Girls Club After School Program

Authors: Mark L. Wieland, Bridget K. Biggs, Tabetha A. Brockman, Amy Johnson, Sonja J. Meiers, Leslie A. Sim, Ellen Tolleson, Marcelo M. Hanza, Jennifer A. Weis, Jane R. Rosenman, Paul J. Novotny, Christi A. Patten, Matthew M. Clark, Jodi Millerbernd, Irene G. Sia

Published in: Journal of Prevention | Issue 2/2020

Abstract

Children and adolescents from minority and low income backgrounds face social and environmental challenges to engaging in physical activity and healthy eating to maintain a healthy weight. In this study, we present pilot work to develop and implement a multi-component physical activity and healthy eating intervention at a Boys & Girls Club (BGC) afterschool program. Using a community-based participatory approach, BGC staff and academic researchers developed intervention components informed by formative studies and based on a Social Ecological Theory framework. Components included healthy eating and physical activity policy implementation, staff training, a challenge and self-monitoring program for healthy behaviors, a peer-coaching program for healthy behaviors, and a social marketing campaign. We assessed pilot feasibility through a single group, pre-post study design with measures collected at baseline and 6 months. The sample included 61 children with a mean age of 10.4 years. Mean (SD) body mass index (BMI) percentile was 72.8 (28.9); 47.5% were in the healthy weight range for their age. We found statistically significant improvements of self-efficacy and motivation for physical activity. Self-efficacy and motivation for fruit and vegetable consumption, sugary beverage consumption, and screen time improved but were not statistically different from baseline. We found no improvements of perceived social support, objectively measured physical activity, or self-reported dietary quality. Though BMI did not improve overall, a dose effect was observed such that attendance in Club Fit specific programming was significantly correlated with decreased BMI z scores. Processes and products from this study may be helpful to other communities aiming to address childhood obesity prevention through afterschool programs.

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Title: Club Fit: Development of a Physical Activity and Healthy Eating Intervention at a Boys & Girls Club After School Program
Authors: Mark L. Wieland
Bridget K. Biggs
Tabetha A. Brockman
Amy Johnson
Sonja J. Meiers
Leslie A. Sim
Ellen Tolleson
Marcelo M. Hanza
Jennifer A. Weis
Jane R. Rosenman
Paul J. Novotny
Christi A. Patten
Matthew M. Clark
Jodi Millerbernd
Irene G. Sia
Publication date: 01-04-2020
Publisher: Springer US
Keywords: Obesity
Obesity
Published in: Journal of Prevention / Issue 2/2020
Print ISSN: 2731-5533
Electronic ISSN: 2731-5541
DOI: https://doi.org/10.1007/s10935-020-00582-4

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Club Fit: Development of a Physical Activity and Healthy Eating Intervention at a Boys & Girls Club After School Program

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