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Trial of Activity for Adolescent Girls (TAAG)

This study has been completed.

Sponsored by: National Heart, Lung, and Blood Institute (NHLBI)
Information provided by: National Heart, Lung, and Blood Institute (NHLBI)
ClinicalTrials.gov Identifier: NCT00006409
  Purpose

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.


Condition Intervention Phase
Cardiovascular Diseases
Heart Diseases
Obesity
Behavioral: Exercise
Phase II

MedlinePlus related topics:   Heart Disease in Women    Heart Diseases    Obesity    Obesity in Children   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Prevention

Further study details as provided by National Heart, Lung, and Blood Institute (NHLBI):

Study Start Date:   September 2000
Study Completion Date:   August 2008
Primary Completion Date:   August 2008 (Final data collection date for primary outcome measure)

Detailed Description:

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.

  Eligibility
Ages Eligible for Study:   12 Years to 14 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Criteria

No eligibility criteria

  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00006409

Sponsors and Collaborators

Investigators
Investigator:     John Elder     San Diego State University    
Investigator:     Timothy Lohman     University of Arizona    
Investigator:     Leslie Lytle     University of Minnesota    
Investigator:     Russell Pate     University of South Carolina    
Investigator:     June Stevens     University of North Carolina    
Investigator:     Larry Webber     Tulane University School of Medicine    
Investigator:     Deborah Young     Johns Hopkins University    
  More Information


Related Info  This link exits the ClinicalTrials.gov site
 

Publications of Results:
McMurray RG, Ring KB, Treuth MS, Welk GJ, Pate RR, Schmitz KH, Pickrel JL, Gonzalez V, Almedia MJ, Young DR, Sallis JF. Comparison of two approaches to structured physical activity surveys for adolescents. Med Sci Sports Exerc. 2004 Dec;36(12):2135-43.
 
Murray DM, Catellier DJ, Hannan PJ, Treuth MS, Stevens J, Schmitz KH, Rice JC, Conway TL. School-Level Intraclass Correlation for Physical Activity in Adolescent Girls. Med Sci Sports Exerc. 2004 May;36(5):876-882.
 
Treuth MS, Schmitz K, Catellier DJ, McMurray RG, Murray DM, Almeida MJ, Going S, Norman JE, Pate R. Defining accelerometer thresholds for activity intensities in adolescent girls. Med Sci Sports Exerc. 2004 Jul;36(7):1259-66.
 
Birnbaum AS, Evenson KR, Motl RW, Dishman RK, Voorhees CC, Sallis JF, Elder JP, Dowda M. Scale development for perceived school climate for girls' physical activity. Am J Health Behav. 2005 May-Jun;29(3):250-7.
 
Catellier DJ, Hannan PJ, Murray DM, Addy CL, Conway TL, Yang S, Rice JC. Imputation of missing data when measuring physical activity by accelerometry. Med Sci Sports Exerc. 2005 Nov;37(11 Suppl):S555-62.
 
Dishman RK, Motl RW, Sallis JF, Dunn AL, Birnbaum AS, Welk GJ, Bedimo-Rung AL, Voorhees CC, Jobe JB. Self-management strategies mediate self-efficacy and physical activity. Am J Prev Med. 2005 Jul;29(1):10-8.
 
Schmitz KH, Treuth M, Hannan P, McMurray R, Ring KB, Catellier D, Pate R. Predicting energy expenditure from accelerometry counts in adolescent girls. Med Sci Sports Exerc. 2005 Jan;37(1):155-61.
 
Stevens, J., Murray, D. M., Catellier, D. J., Lytle, L. A., Elder, J. P., Young, D. R., Simons-Morton, D. G., Webber, L. S. Design of the Trial of Activity in Adolescent Girls (TAAG). Contemporary Clinical Trials. 2005;26:223-233.
 
Voorhees CC, Murray D, Welk G, Birnbaum A, Ribisl KM, Johnson CC, Pfeiffer KA, Saksvig B, Jobe JB. The role of peer social network factors and physical activity in adolescent girls. Am J Health Behav. 2005 Mar-Apr;29(2):183-90.
 
Cohen, D., Ashwood, S., Scott, M., Overton, A., Evenson, K. R., Voorhees, C. C., Bedimo-Rung, A., McKenzie, T. Proximity to School and Physical Activity Among Middle School Girls: The Trial of Activity for Adolescent Girls Study. Journal of Physical Activity and Health. 2006; 3(S1): S129-S138.
 
Cohen DA, Ashwood JS, Scott MM, Overton A, Evenson KR, Staten LK, Porter D, McKenzie TL, Catellier D. Public parks and physical activity among adolescent girls. Pediatrics. 2006 Nov;118(5):e1381-9.
 
Elder JP, Lytle L, Sallis JF, Young DR, Steckler A, Simons-Morton D, Stone E, Jobe JB, Stevens J, Lohman T, Webber L, Pate R, Saksvig BI, Ribisl K. A description of the social-ecological framework used in the trial of activity for adolescent girls (TAAG). Health Educ Res. 2007 Apr;22(2):155-65. Epub 2006 Jul 19.
 
Evenson KR, Birnbaum AS, Bedimo-Rung AL, Sallis JF, Voorhees CC, Ring K, Elder JP. Girls' perception of physical environmental factors and transportation: reliability and association with physical activity and active transport to school. Int J Behav Nutr Phys Act. 2006 Sep 14;3:28.
 
Gittelsohn J, Steckler A, Johnson CC, Pratt C, Grieser M, Pickrel J, Stone EJ, Conway T, Coombs D, Staten LK. Formative research in school and community-based health programs and studies: "state of the art" and the TAAG approach. Health Educ Behav. 2006 Feb;33(1):25-39.
 
Grieser M, Vu MB, Bedimo-Rung AL, Neumark-Sztainer D, Moody J, Young DR, Moe SG. Physical activity attitudes, preferences, and practices in African American, Hispanic, and Caucasian girls. Health Educ Behav. 2006 Feb;33(1):40-51.
 
Lohman TG, Ring K, Schmitz KH, Treuth MS, Loftin M, Yang S, Sothern M, Going S. Associations of body size and composition with physical activity in adolescent girls. Med Sci Sports Exerc. 2006 Jun;38(6):1175-81.
 
McKenzie TL, Catellier DJ, Conway T, Lytle LA, Grieser M, Webber LA, Pratt CA, Elder JP. Girls' activity levels and lesson contexts in middle school PE: TAAG baseline. Med Sci Sports Exerc. 2006 Jul;38(7):1229-35.
 
Moe SG, Pickrel J, McKenzie TL, Strikmiller PK, Coombs D, Murrie D. Using school-level interviews to develop a Multisite PE intervention program. Health Educ Behav. 2006 Feb;33(1):52-65.
 
Murray DM, Stevens J, Hannan PJ, Catellier DJ, Schmitz KH, Dowda M, Conway TL, Rice JC, Yang S. School-level intraclass correlation for physical activity in sixth grade girls. Med Sci Sports Exerc. 2006 May;38(5):926-36.
 
Saunders RP, Moody J. Community agency survey formative research results from the TAAG study. Health Educ Behav. 2006 Feb;33(1):12-24.
 
Staten LK, Birnbaum AS, Jobe JB, Elder JP. A typology of middle school girls: audience segmentation related to physical activity. Health Educ Behav. 2006 Feb;33(1):66-80.
 
Vu MB, Murrie D, Gonzalez V, Jobe JB. Listening to girls and boys talk about girls' physical activity behaviors. Health Educ Behav. 2006 Feb;33(1):81-96.
 
Young DR, Johnson CC, Steckler A, Gittelsohn J, Saunders RP, Saksvig BI, Ribisl KM, Lytle LA, McKenzie TL. Data to action: using formative research to develop intervention programs to increase physical activity in adolescent girls. Health Educ Behav. 2006 Feb;33(1):97-111.
 
Pfeiffer KA, Schmitz KH, McMurray RG, Treuth MS, Murray DM, Pate RR. Physical activities in adolescent girls: variability in energy expenditure. Am J Prev Med. 2006 Oct;31(4):328-31. Epub 2006 Aug 28.
 
Pate, R.R., Stevens, J., Pratt, C., Sallis, J., Schmitz, K.H., Webber, L.S., Welk, G., Young, D.R. Objectively Measured Physical Activity in 6th Grade Girls. Archives of Pediatrics and Adolescent Medicine 2006;160:1262-1268.
 
Rushovich BR, Voorhees CC, Davis CE, Neumark-Sztainer D, Pfeiffer KA, Elder JP, Going S, Marino VG. The relationship between unsupervised time after school and physical activity in adolescent girls. Int J Behav Nutr Phys Act. 2006 Jul 31;3:20.
 
Going, S., Nichols, J., Loftin, M., Stewart, D., Lohman, T., Tuuri, G., Ring. K., Pickrel, J., Blew, R., Stevens, J. Validation of Bioelectrical Impedance Analysis (BIA) in Black, White and Hispanic Adolescent Girls. International Journal of Body Composition Research. 2006; 4(4):161-167.
 
Nichols, J. F., Going, S., Loftin, M., Stewart, D., Nowicki, E. M., Pickrel, J. Comparison of Two Bioelectrical Impedance Analysis (BIA) Instruments for Determining Body Composition in Adolescent Girls. International Journal of Body Composition Research. 2006; 4(4):153-159.
 
Young, D. R., Felton, G. M., Grieser, M., Elder, J., Johnson, C., Lee, J., Kubik, M. Policies and Opportunities for Physical Activity in Middle School Environments. Journal of School Health. 2007;77(1):41-47.
 
Evenson, K.R., Scott, M.M., Cohen, D.A., Voorhees, C.C. Girls' Perception of Neighborhood Factors on Physical Activity, Sedentary Behavior, and Body Mass Index: The Trial of Activity for Adolescent Girls. Obesity 2007;15(2):430-445.
 
Loftin, M, Nichols, J, Going, S, Sothern, M, Schmitz, KH, Ring, K, Tuuri, G, Stevens, J. Comparison of the Validity of Anthropometric and Bioelectric Impedance Equations to Assess Body Composition in Adolescent Girls. International Journal of Body Composition Research. 2007; 5(1):1-8.
 
Treuth, M.S., Catellier, D.J., Schmitz, K. Pate, R.R., Elder, J.P., McMurray, R.G., Blew, R.M., Yang, S., Webber, L. Weekend and weekday patterns of physical activity in overweight and normal weight adolescent girls. OBESITY 2007:15 (7), 1782-88.
 
Dowda, M., McKenzie, T.L., Cohen, D.A., Scott, M.M., Evenson, K.R., Bedimo-Rung, A.L., Voorhees, C.C., Almeida, M.J.C.A. Commercial Venues as Supports for Physical Activity in Adolescent Girls. Preventive Medicine 45 (2007) 163-168.
 

Other Publications:

Publications indexed to this study:

Study ID Numbers:   934
First Received:   October 12, 2000
Last Updated:   August 20, 2008
ClinicalTrials.gov Identifier:   NCT00006409
Health Authority:   United States: Federal Government

Study placed in the following topic categories:
Body Weight
Signs and Symptoms
Obesity
Heart Diseases
Nutrition Disorders
Overweight
Overnutrition

Additional relevant MeSH terms:
Cardiovascular Diseases

ClinicalTrials.gov processed this record on December 03, 2008




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