Pacific Kids DASH for Health (PacDASH)

This study has been completed.
Sponsor:
Collaborator:
University of Hawaii
Information provided by (Responsible Party):
Kaiser Permanente
ClinicalTrials.gov Identifier:
NCT00905411
First received: May 18, 2009
Last updated: June 13, 2013
Last verified: November 2011
  Purpose

The increasing prevalence of childhood overweight has been found to be related to decreased levels of physical activity (PA) and increased energy content of the diet. Childhood offers an opportunity to develop and support health-promoting behaviors. Pacific Kids DASH for Health (PacDASH) is a community-based intervention that links food, PA, and health, and targets overweight children in Hawaii with a goal of preventing further weight gain. Components of the intervention include a food and PA prescription delivered by physicians at community-based health centers complemented with a toolbox of activities, behaviorally tailored messages, and PacDASH educational materials. This project will extend and apply the nationally recommended DASH eating pattern to children and the growing population of Asians and Pacific Islanders. The investigators will incorporate culturally preferred foods, recipes, and PA messages that meet DASH and other national guidelines. The approach will target child food behaviors and social and environmental cues that are important to making healthy food and PA choices and will provide steps to behavior change. Farmers markets at participating health centers are a support resource for activities. Providing access to, coupons for, and guidance about selecting and preparing fresh fruits and vegetables at a convenient health center farmers market will support increased intake of nutrient-rich foods among these children who are overweight and at risk for obesity.

Pacific Islanders are among the world's most obese populations while Asians, although of relatively low body mass index (BMI), carry much of their body fat in the upper body and exhibit greater health risk at the same BMI. Through this project, the investigators hope to learn more about body size and composition in children of the Pacific Region for whom there are few national data. In addition, evaluate the effectiveness of a community-based intervention within a health care system on managing overweight in children.


Condition Intervention
Overweight
Blood Pressure
Behavioral: PacDASH intervention

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single Blind (Subject)
Official Title: Pacific Kids DASH for Health

Resource links provided by NLM:


Further study details as provided by Kaiser Permanente:

Primary Outcome Measures:
  • Develop/evaluate effectiveness of a community-based intervention targets children of the Pacific Region who are overweight in order to slow and prevent further weight gain (for children to "grow into their weight") [ Time Frame: Feb 2008 - Feb 2012 ] [ Designated as safety issue: No ]

Enrollment: 88
Study Start Date: February 2008
Study Completion Date: February 2013
Primary Completion Date: December 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Attention Control / Usual Care
Experimental: Intervention Behavioral: PacDASH intervention

Effect of the PacDASH intervention on nutrition and physical activity behavior of children.

15 months study.


Detailed Description:

INTRODUCTION The ethnic groups of the Pacific Region are predominantly Pacific Islander and Asian.

Pacific Islanders (PacIsl) are among the world's most obese populations while Asians, although of relatively low body mass index (BMI), carry much of their body fat in the upper body and exhibit greater health risk at the same BMI. Childhood offers an opportunity to develop and support health-promoting behaviors. This project will extend and apply the nationally recommended DASH eating pattern 115, developed for White, African American and Hispanic adults, to children and to the growing population of Asians and PacIsl. We will incorporate culturally-preferred foods, recipes, and physical activities that meet DASH and other national guidelines, with adaptations for children. We will develop the Pacific Kids DASH for Health (PacDASH) intervention in Hawaii, where the majority is of Asian and PacIsl ancestry.

Linking food and health systems is critical to prevent obesity. The PacDASH intervention will include a food and physical activity (PA) prescription delivered by a physician at a community-based health center (HC), in partnership with farmers' markets (FM) that are based at the HC, and complemented with a toolbox of related activities. The intervention approach supports child food behaviors and social and environmental cues, which are important to making healthy food and PA choices. Linking physicians and health with farmers and food at a convenient HC FM will support increased intake of nutrient-rich, less energy dense foods among children of understudied ethnic groups who are at high risk for obesity.

Project Goal Our goal is to develop and evaluate the effectiveness of a community-based intervention that links food and health, and targets children of the Pacific Region who are overweight, in order to slow and prevent further weight gain (for children to "grow into their weight").

Specific Objectives

  1. To develop and evaluate the impact of the PacDASH intervention on preventing weight gain and improving blood pressure in children of the Pacific Region.

    1. To further develop and test the Pacific Tracker (PacTrac) dietary assessment and education tool by incorporating updated MyPyramid 112 reference data and educational output, and
    2. To enhance PacTrac with an expert system (ES) of behaviorally-tailored messages and output.
    3. To evaluate the effect of the PacDASH intervention on nutrition and physical activity behavior of children.
  2. To describe environmental, social, economic and cultural factors associated with body size and composition of children of the Pacific Region, for whom there are few national data.

    1. To examine body size and composition of children of the Pacific Region according to several measures.
    2. To examine the influence of individual PacIsl ethnic groups on body size and composition.
  Eligibility

Ages Eligible for Study:   5 Years to 8 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. Age 5 - 8 years old
  2. >85th up to 98th BMI-for-age percentile (overweight)
  3. Children with a primary care provider at MAP
  4. Lives on Oahu
  5. Due for, or scheduled for, a well-child/physical exam visit during months of the pilot study

Exclusion Criteria:

  1. Diabetes Mellitis
  2. Polycystic Ovarian Syndrome
  3. Gastroesophageal Reflux
  4. Gallbladder disease
  5. Non alcoholic fatty liver disease
  6. Pseudo Tumor cerebri
  7. Slipped capital femoral epiphysis
  8. Blount's disease
  9. Obstructive Sleep Apnea/Sleep Disturbance
  10. Other chronic disease conditions that would affect participation
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00905411

Locations
United States, Hawaii
Kaiser Permanente Center for Health Research, Hawaii
Honolulu, Hawaii, United States, 96817
Sponsors and Collaborators
Kaiser Permanente
University of Hawaii
Investigators
Principal Investigator: Rachel Novotny, PhD,RD Kaiser Permanente Center for Health Research Hawaii, University of Hawaii, Human Nutrition, Food, Animal Sciences Department
  More Information

No publications provided

Responsible Party: Kaiser Permanente
ClinicalTrials.gov Identifier: NCT00905411     History of Changes
Other Study ID Numbers: 2008-55215-18821, 2007-04557
Study First Received: May 18, 2009
Last Updated: June 13, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by Kaiser Permanente:
Overweight
blood pressure
DASH diet
Pacific
children

Additional relevant MeSH terms:
Overweight
Body Weight
Signs and Symptoms

ClinicalTrials.gov processed this record on October 21, 2014