Osteoporosis Clinical Trial
Official title:
Beat Osteoporosis: Nourish and Exercise Skeletons (BONES)
The Beat Osteoporosis: Nourish and Exercise Skeletons (BONES) Project is an after-school program that includes weight loading physical activity, nutrition and bone health education, and calcium-rich snacks. The program is designed to improve bone health in early elementary school children.
Osteoporosis is a serious public health concern expected to threaten 52 million Americans by
the year 2010. This debilitating disease comes at an annual cost of $17 billion. By
optimizing bone development during the growing years, individuals can lower their risk of
osteoporosis by building an adequate reserve of bone. This study will implement and evaluate
an after-school program with exercise, education, and diet components designed to improve
bone quality and muscle strength in early elementary school children.
First and second grade children from 84 after school programs in 33 diverse communities
throughout Massachusetts and Rhode Island will be enrolled in the study. After-school
programs will be randomized to either the BONES Project, to the BONES Project plus a
parent/caregiver component, or to a no-intervention control group. The BONES curriculum will
be implemented 4 days per week over a 20- to 25-week period; each after-school program will
implement the program for 2 years. Participants will be followed for an additional year,
assuming they remain in the after-school program or do not withdraw for some other reason.
All parents will be asked to complete a Child Medical History survey and a Parent Health
Survey at baseline, during the 2-year intervention, and at the end of the follow-up year.
Parents in the BONES Project plus parent/caregiver component will receive a newsletter and
worksheet 5 times per year.
Participants will be assessed by quantitative ultrasound, height, weight, and body
composition measurements, muscular strength, self competence, physical activity level, food
knowledge and preference, calcium intake, perceived parental support, and sleep habits.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Open Label, Primary Purpose: Prevention
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