Childhood Obesity Clinical Trial
Official title:
Increasing Breakfast Consumption and Decreasing Childhood Obesity Among Low-income, Ethnically Diverse Youth.
The purpose of this study is to develop and evaluate the effects of a school breakfast policy initiative (SBPI) on the incidence of overweight and obesity as well as breakfast patterns (both inside and outside of school) among 4th-6th grade children. The study integrates research, education and extension to promote healthy breakfast consumption among low-income children in urban schools and will leverage ongoing SNAP-Ed and the School Breakfast Program efforts.
Policy makers have promoted school breakfast participation as a tool to help prevent
childhood obesity. No randomized controlled trials have examined the effects of a school
breakfast feeding program on obesity. We propose to develop and evaluate a School Breakfast
Policy Initiative (SBPI) that combines classroom feeding, in-school nutrition education,
social marketing and parent outreach. Specifically, we will promote the benefits of a
healthy breakfast at school or home and deter buying "breakfast" at corner stores where
purchases are high in energy, solid fats and added sugars. This intervention will be
evaluated in the "real world" of urban schools that make frequent use of the SNAP-Ed and the
School Breakfast Program. The specific aims are:
1. To develop the SBPI intervention within the context of SNAP Ed and the National School
Breakfast Program in the School District of Philadelphia.
2. To conduct a pilot feasibility study among 4 schools (2 intervention and 2 control) to
assess feasibility and acceptability.
3. To compare participants in the intervention (n=8) and comparison schools (n=8) on the
incidence of overweight and obesity. We predict that intervention schools, compared to
the comparison schools, will have a significantly lower incidence rate of overweight
and obesity over a 2 y period.
4. To compare participants in the intervention (n=8) and comparison schools (n=8) on
eating one breakfast. We predict that intervention schools, compared to the comparison
schools, will have significantly greater percentage of children eating one breakfast
per day over a 2 y period.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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