Abstract
Summertime has emerged as a high-risk period for weight gain among low-income minority youth who often experience a lack of resources when not attending school. Structured programming may be an effective means of reducing risk for obesity by improving obesogenic behaviors among these youth. The current multi-method study examined sedentary time, physical activity, and dietary intake among low-income urban minority girls in two contexts: an unstructured summertime setting and in the context of a structured 4-week community-based summer day camp program promoting physical activity. Data were analyzed using paired-sample t tests and repeated-measure analyses of variance with significance at the p < .05 level. Results evidenced no significant differences in total calories and fat consumed between the unstructured and structured settings. Participants exhibited significant increases in fruit consumption and physical activity and significant decreases in sedentary time of over 2 h/day and dairy consumption when engaged in structured summer programming. All improvements were independent of weight status and age, and African-American participants evidenced greater changes in physical activity during programming. The study concludes that structured, community-based summertime programming may be associated with fewer obesogenic behaviors in low-income urban youth and may be a powerful tool to address disparities in weight gain and obesity among high-risk samples.
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Ogden CL, Carroll MD, Curtin LR, et al. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006;295:1549–55.
Ogden CL, Carroll MD, Fryar CD, et al. Prevalence of obesity among adults and youth: United States, 2011–2014. NCHS Data Brief. 2015;219:1–8.
Freedman DS, Kahn HS, Mei Z, et al. Relation of body mass index and waist-to-height ratio to cardiovascular disease risk factors in children and adolescents: the Bogalusa heart study. Am J Clin Nutr. 2007;86:33–40.
Nader PR, O’Brien M, Houts R, et al. Identifying risk for obesity in early childhood. J Pediatr. 2006;118:e594–601.
Guo SS, Wu W, Chumlea WC, et al. Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence. Am J Clin Nutr. 2002;76:653–8.
Drewnowski A, Specter SE. Poverty and obesity: the role of energy density and energy costs. Am J Clin Nutr. 2004;79:6–16.
Mahoney JL. Adolescent summer care arrangements and risk for obesity the following school year. J Adolesc. 2011;34:737–49.
Von Hippel PT, Powell B, Downey DB, et al. The effect of school on overweight in childhood: gain in body mass index during the school year and during summer vacation. Am J Public Health. 2007;97:696–702.
Moreno JP, Johnston CA, Chen TA, et al. Seasonal variability in weight change during elementary school. J Obes. 2015;23:422–8.
Baranowski T, O’Connor T, Johnston C, et al. School year versus summer differences in child weight gain: a narrative review. Child Obes. 2014;10:18–24.
Franckle R, Adler R, Davison K. Accelerated weight gain among children during summer versus school year and related racial/ethnic disparities: a systematic review. Prev Chronic Dis. 2013;11:E101.
Entwisle DR, Alexander KL, Olson LS. Keep the faucet flowing summer learning and home environment. Am Educ. 2001;25:10–5.
McCue M, Marlatt K, Sirard JR, et al. Examination of changes in youth diet and physical activity over the summer vacation period. Internet Journal of Allied Health Sciences and Practice. 2013;11:1–6.
Zinkel SRJ, Moe M, Stern EA, et al. Comparison of total energy expenditure between school and summer months. J Pediatr Obes. 2013;8:404–10.
Rich C, Griffiths LJ, Dezateux C. Seasonal variation in accelerometer-determined sedentary behaviour and physical activity in children: a review. Int J Behav Nutr Phys Act. 2012;9:49.
Bronfenbrenner U, Morris PA. The bioecological model of human development. In: Lerner RM, Damon WE, editors. Handbook of child psychology: vol 1, theoretical models of human development. Hoboken, New Jersey: John Wiley & Sons Inc; 2006. p. 793–828.
Mahoney JL, Vandell DL, Simpkins S et al. Adolescent out-of-school activities. In: Lerner RM, Steinberg L (eds). Handbook of adolescent psychology, vol 2: contextual influences on adolescent development. 3rd edition. 2009.
Parente ME, Sheppard A, Mahoney JL. Parental knowledge as a mediator of the relation between adolescent summer care arrangement configurations and adjustment the following school year. Appl Dev Sci. 2012;16:84–97.
Park KS, Lee MG. Effects of summer school participation and psychosocial outcomes on changes in body composition and physical fitness during summer break. J Exerc Nutrition Biochem. 2015;19:81.
Belcher BR, Berrigan D, Dodd KW, et al. Physical activity in US youth: impact of race/ethnicity, age, gender, & weight status. Med Sci Sports Exerc. 2010;42:2211.
Kimm SY, Glynn NW, Kriska AM, et al. Decline in physical activity in black girls and white girls during adolescence. N Engl J Med. 2002;347(10):709–15.
Treuth MS, Baggett CD, Pratt CA, Going SB, Elder JP, Charneco EY, Webber LS. A longitudinal study of sedentary behavior and overweight in adolescent girls. J Obes. 2009;17:1003–8.
Bohnert AM, Ward AK, Burdette KA, et al. Active summers matter: evaluation of a community-based summertime program targeting obesogenic behaviors of low-income ethnic minority girls. New Dir Youth Dev. 2014;143:133–50.
Kuczmarski RJ, Ogden CL, Guo SS, et al. 2000 CDC growth charts for the United States: methods and development. Vital Health Stat. Series 11, data from the national health survey2002;246:1–90.
Actigraph GT3X. Pensacola, FL.
Trost SG, Mccoy TA, Vander Veur SS, et al. Physical activity patterns of inner-city elementary schoolchildren. Med Sci Sports Exerc. 2013;45:470–4.
Rice KR, Trost SG. Physical activity levels among children attending family day care. J Nutr Educ Behav. 2014;46:197–202.
US Department of Health and Human Services and US Department of Agriculture. Dietary guidelines for Americans 2015–2020.
Leung CW, Blumenthal SJ, Hoffnagle EF, Jensen HH, Foerster SB, Nestle M, et al. Associations of food stamp participation with dietary quality and obesity in children. J Pediatr 2013;131:463–72.
Mark AE, Janssen I. Influence of bouts of physical activity on overweight in youth. Am J Prev Med. 2009;36:416–21.
Centers for Disease Control. Physical activity guidelines for Americans, 2008. Washington, DC: US Department of Health and Human Services; 2008
Owen N, Bauman A, Brown W. Too much sitting: a novel and important predictor of chronic disease risk? Br J Sports Med. 2009;43:81–3.
Berkey CS, Rockett HR, Willett WC, et al. Milk, dairy fat, dietary calcium, and weight gain: a longitudinal study of adolescents. Arch Pediatr Adolesc Med. 2005;159:543–50.
Deforche BI, De Bourdeaudhuij IM, Tanghe AP. Attitude toward physical activity in normal-weight, overweight and obese adolescents. J Adolesc Health. 2006;38:560–8.
Skelton JA, Beech BM. Attrition in paediatric weight management: a review of the literature and new directions. Obes Rev. 2011;12:e273–81.
Acknowledgements
We would like to thank the leaders and staff at the Girls in the Game program and the research assistants in the Activity Matters Lab for their help with data collection. We especially would like to acknowledge and thank the adolescents and their families who participated in the project and took the time to share their perspectives with us.
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All procedures performed were in accordance with the ethical standards of the Loyola University Chicago Institutional Review Board and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all participants in the study.
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All authors declare that they have no competing conflicts of interest.
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Bohnert, A.M., Bates, C.R., Heard, A.M. et al. Improving Urban Minority Girls’ Health Via Community Summer Programming. J. Racial and Ethnic Health Disparities 4, 1237–1245 (2017). https://doi.org/10.1007/s40615-016-0333-x
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DOI: https://doi.org/10.1007/s40615-016-0333-x