Children's Healthy Living Program
| Status: | Completed |
|---|---|
| Conditions: | Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 2 - 8 |
| Updated: | 4/2/2016 |
| Start Date: | April 2011 |
| End Date: | March 2016 |
Children's Healthy Living Program for Remote Underserved Minority Populations in the Pacific Region
The goal is to build social/cultural, political/economic, and physical/built environments
that will promote active play and intake of healthy food to prevent young child obesity in
the Pacific Region. Our methods will support local culture in order to achieve this goal in
these remote, underserved native populations. CHL will engage the community, and focus on
capacity building and sustainable environmental change.
The focus of the CHL community-based program is to promote healthy eating and to increase
physical activity. In order to demonstrate effectiveness, the investigators will recruit and
measure children in six communities selected in each of our jurisdictions in the Pacific.
These represent intervention communities, comparison communities, and temporal communities.
that will promote active play and intake of healthy food to prevent young child obesity in
the Pacific Region. Our methods will support local culture in order to achieve this goal in
these remote, underserved native populations. CHL will engage the community, and focus on
capacity building and sustainable environmental change.
The focus of the CHL community-based program is to promote healthy eating and to increase
physical activity. In order to demonstrate effectiveness, the investigators will recruit and
measure children in six communities selected in each of our jurisdictions in the Pacific.
These represent intervention communities, comparison communities, and temporal communities.
The specific objectives of our study are as follows.
Objective. Decrease the prevalence of young child overweight and obesity by 5%; and its
functional outcomes (decrease acanthosis nigricans by 5%, and increase sleep by 15 min/day);
increase moderate to vigorous physical activity by 10 min/day and decrease sedentary
behavior (screen time) by 10 min/day; increase healthy eating (fruit and vegetable intake by
1 serving/day, water intake by ½ cup/day; decrease sweetened beverage intake by ½ cup/day,
through community-based primary prevention environmental interventions in PLGA regions.
Objective. Measure 2-8-year-old children at baseline, 12 months and 24 months in selected
communities to track behaviors and anthropometry that indicate healthy eating, physical
activity, and BMI.
Objective. Decrease the prevalence of young child overweight and obesity by 5%; and its
functional outcomes (decrease acanthosis nigricans by 5%, and increase sleep by 15 min/day);
increase moderate to vigorous physical activity by 10 min/day and decrease sedentary
behavior (screen time) by 10 min/day; increase healthy eating (fruit and vegetable intake by
1 serving/day, water intake by ½ cup/day; decrease sweetened beverage intake by ½ cup/day,
through community-based primary prevention environmental interventions in PLGA regions.
Objective. Measure 2-8-year-old children at baseline, 12 months and 24 months in selected
communities to track behaviors and anthropometry that indicate healthy eating, physical
activity, and BMI.
Inclusion Criteria:
- Community criteria
Four (4) communities in each of five (5) jurisdictions (Alaska, American Samoa,
Commonwealth of Northern Mariana Islands, Guam & Hawai'i) chosen for community randomized
program based on:
- 2000 U.S. Census criteria
- >1000 people
- >25% Native population,
- >10% under 5y
- CHL Staff Community Evaluation
- Sufficient Head Start/preschool, kindergarten
- Children live & go to school in area
- Separation between communities to allow testing
- Access for CHL
- Sufficient community cohesiveness
- Sufficient settings for program (community centers, parks, stores…)
- Two other communities in each jurisdiction were selected for temporal assessment of
an abbreviated set of measures
- Child criteria • 2-8 years of age
Exclusion Criteria:
- Child criteria
- Known orthopedic, psychological or neurologic impairments that prevent physical
activity
- Presence or history of any metabolic or chronic health problems known to affect
intermediary metabolism (e.g. untreated thyroid disease, cancer, hepatic
disease, renal disease, diabetes, cardiovascular disease, hypertension)
- Irregular use of prescription or over-the-counter medications known to affect
appetite, food intake or intermediary metabolism (e.g. appetite suppressants,
lithium, antidepressants, etc.)
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