Cardiovascular Diseases Clinical Trial
Official title:
Community Characteristics and Physical Activity Among Adolescent Girls
To investigate the role of community characteristics in physical activity levels of adolescent girls.
BACKGROUND:
The NHLBI-funded multi-centered Trial of Activity for Adolescent Girls (TAAG) is a group
(school)-randomized controlled intervention trial to increase physical activity among a
cohort of sixth grade girls over 2.5 years.
DESIGN NARRATIVE:
Because environmental factors can influence the likelihood that a person will engage in
physical activity, the study investigates the role of community characteristics in physical
activity levels. The research forms an ancillary study to the NHLBI-funded multi-centered
Trial of Activity for Adolescent Girls (TAAG), a group (school)-randomized controlled
intervention trial to increase physical activity among a cohort of sixth grade girls over
2.5 years. The parent TAAG study will be collecting measures of physical activity using both
self-report and CSA accelerometers, small monitors worn at the hip that record acceleration
and deceleration of movement without the need for any reporting from the participants. Using
a radius of 5 miles around each participating TAAG school and around the homes of each study
participant, the investigators plan to use geographic information systems (GIS) to gather
information documenting proximity of recreational facilities, street design, population
density, population mix (ethnic/age distribution), crime, availability of mass transit,
neighborhood socioeconomic status (SES), geographic elevations and topography and types of
land use. Using hierarchical linear modeling, with girls nested within neighborhoods, while
controlling for individual level factors such as race and socioeconomic status, they plan to
investigate the relationship of the environment to individual physical activity. In
addition, by following girls over time, they plan to investigate whether the effect of the
TAAG intervention will be modified by community characteristics. This study will be unique
in its scope of exploring the role of community environments in physical activity across six
very different urban, suburban, and rural areas: San Diego, CA, Minneapolis, MN, Baltimore,
MD, New Orleans, LA, Tucson, AZ and Columbia, SC.
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Observational Model: Cohort, Time Perspective: Prospective
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