Summer Weight and Environmental Assessment Trial

The consequences of childhood obesity are devastating, affecting the physical and mental
health of children. Disadvantaged school-age children are at risk for unhealthy gains in BMI
during the summer months and there is a dearth of information regarding the causal health
behaviors and environmental factors. The overall objective of this application is to provide
an in depth examination of key dietary and physical activity behaviors as well as the food,
physical activity, and social environments of low-income, racial/ethnic school-age children.
To achieve this goal, an observational study utilizing a multi-state prospective cohort
design will be conducted with the goal of examining the weight gain trajectory among a
racially and ethnically diverse convenience sample of disadvantaged school-age children who
routinely attend structured programming during the summer months and those who don't
participate in structured programming. In addition, a subset of these children will be
evaluated to learn their daily health behaviors, as well as their food, physical activity,
and social environments during the summer. Identification of determinants of program
participation and factors that may enhance the beneficial effects of program participation
will also occur. A social ecological framework approach will guide the research. This study
can be expected to have a significant positive impact by providing information on the factors
that protect disadvantaged children from unhealthy weight gain during the summer which can be
used by stakeholders at the local, state, and federal level to reform current policy that
will increase child participation in health promoting programming during the summer window of
risk.