Obesity Clinical Trial
Official title:
Trial of Activity for Adolescent Girls (TAAG)
To test the effectiveness of a multicomponent school-based and community-linked intervention in preventing the decline in physical activity levels and cardiovascular fitness in girls in grades 6-8.
BACKGROUND:
The Report of the Surgeon General on Physical Activity and Health (USDHHS, 1996) emphasized
that regular physical activity has important health benefits including reducing the risk of
heart disease, and helping to treat and prevent high blood pressure, high cholesterol, and
diabetes, and to prevent osteoporosis and colon cancer. In addition, physical activity helps
control weight, reduces feelings of depression and anxiety, and promotes psychological well
being. Inactivity increases with age and is more common among women than men and among those
with lower income, less education, and in minorities (USDHHS, 1996). Even though adolescents
are more active than adults, many do not engage in recommended levels of physical activity,
and participation declines with age throughout adolescence, especially in girls (USDHHS,
1996; CDC, 1997). Fourteen percent of teenage girls get no regular exercise, twice the
percentage as for boys. The proportion of adolescent girls who participate in regular
vigorous physical activity declines dramatically each year they are in high school, from 61
percent among 9th graders to 41percent among 12th grade girls. In high school, enrollment
for girls in daily physical education classes dropped from 41 percent in 1991 to 25 percent
in 1995. Both the CDC report (1997) and the Surgeon General's Report (USDHHS, 1996)
recommended the need for research testing the effectiveness of a coordinated school-based
physical activity intervention linked to community agency programs to increase physical
activity by adolescent girls.
The study is the result of a Request for Applications released in January, 2000. Awards were
made in September 2000.
DESIGN NARRATIVE:
The purpose of the multicenter randomized trial is to test the effectiveness of a
multicomponent school-based and community-linked intervention in preventing the decline in
physical activity levels and cardiovascular fitness in middle school girls (i.e., in grades
6-8). The interventions will provide skills-building, supportive environments, and
opportunities for participation in physical activity during and outside of the school day.
Phase 1 will be 24 months for protocol development and pilot work, Phase II is 44 months for
two years of intervention and one year of follow-up, and Phase III is 4 months for close out
of the Study Centers, and 16 months for the Coordinating Center to collaboratively analyze
and report the results.
The randomized trial of 36 middle schools (6 per field site) will collect data by two-cross
sectional samples, one taken at the sixth grade (at least 1,728 girls) in the Spring of 2003
and the other taken at the eighth grade (at least 3,456 girls) in the Spring of 2005.
Follow-up data collection will also occur at the eighth grade in the Spring of 2006.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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