Children’s Changes in Perceptions and Body Composition Following a Family-Based Fitness Intervention

in Journal of Motor Learning and Development

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Alexandra V. Carroll School of Kinesiology, Auburn University, Auburn, AL, USA

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Shelby J. Foote School of Kinesiology, Auburn University, Auburn, AL, USA

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Christopher K. Wirth Movement Sciences and Health, University of West Florida, Pensacola, FL, USA

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Sheri J. Brock School of Kinesiology, Auburn University, Auburn, AL, USA

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Danielle D. Wadsworth School of Kinesiology, Auburn University, Auburn, AL, USA

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DOI:
https://doi.org/10.1123/jmld.2020-0051
Keywords:
youth; obesity; overweight; exercise program; physical activity
First Published Online:
24 Sep 2021
In Print:
Volume 9: Issue 3
Page Range:
422–437
Restricted access

Physical fitness is associated with decreased weight in children, which helps improve youth obesity rates. Family programs can provide practical approaches to improving physical fitness for children. The purpose of this study was to assess the influence of a family-based fitness intervention on changes in body composition, fitness status, and perceptions of obese children. Families attended exercise and education sessions for 60–90 min once per week for 10 weeks. Participants consisted of 10 children who participated in semi-structured interviews, body composition, and fitness assessments at pre- and posttest. Following the intervention, results showed that children had a significant increase in sit-ups (p = .03, effect size = 0.79), lean mass (p < .001, Cohen’s d = 1.95), and bone mineral content (p < .001, Cohen’s d = 0.46). Using thematic analysis, four main themes emerged from the pre- and postintervention interviews: an increase in after-school and weekend intentional physical fitness, rules regarding sedentary behavior and screen time, more prevalent physical fitness reinforcements, and a shift in perception of exercise. Results from this study indicate a family-based intervention had an influence on children’s appreciation for and engagement in physical fitness, as well as healthy body composition and fitness outcomes.

Carroll (apv0004@auburn.edu) is corresponding author, https://orcid.org/0000-0003-0027-7766

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  • Agha, M., & Agha, R. (2017). The rising prevalence of obesity: Part A: Impact on public health. International Journal of Surgery Oncology, 2(7), 17. https://doi.org/10.1097/IJ9.0000000000000017

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Arredondo, E.M., Morello, M., Holub, C., & Haughton, J. (2014). Feasibility and preliminary findings of a church-based mother-daughter pilot study promoting physical activity among young Latinas. Family & Community Health, 37(1), 6–18. https://doi.org/10.1097/fch.0000000000000015

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Baranowski, T, Anderson, C, & Carmack, C. (1998). Mediating variable framework in physical activity interventions. How are we doing? How might we do better? American Journal of Preventive Medicine, 15(4), 266–297. https://doi.org/10.1016/S0749-3797(98)00080-4

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Beck, A.R. (2016). Psychosocial aspects of obesity. NASN School Nurse, 31(1), 23–27. https://doi.org/10.1177/1942602X15619756

  • Beets, M.W., Banda, J.A., Erwin, H.E., & Beighle, A. (2011). A pictorial view of the physical activity socialization of young adolescents outside of school. Research Quarterly for Exercise and Sport, 82(4), 769–778. https://doi.org/10.1080/02701367.2011.10599813

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Binkovitz, L.A., Sparke, P., & Henwood, M.J. (2007). Pediatric DXA: Clinical applications. Pediatric Radiology, 37(7), 625–635. https://doi.org/10.1007/s00247-007-0450-0

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Braaksma, P., Stuive, I., Garst, R.M., Wesselink, C.F., Van der Sluis, C.K., Dekker, R., & Schoemaker, M.M. (2018). Characteristics of physical activity interventions and effects on cardiorespiratory fitness in children aged 6–12 years—A systematic review. Journal of Science and Medicine in Sport, 21(3), 296–306. https://doi.org/10.1016/j.jsams.2017.07.015

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Canadian Society for Exercise Physiology. (2002). PAR-Q & You. Retrieved from https://www2.fgcu.edu/mariebcollege/RS/files/EIM_PAR_Q1.pdf

    • Search Google Scholar
    • Export Citation

  • Caspersen, C.J., Powell, K.E., & Christenson, G.M. (1985). Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Reports, 100(2), 126–131.

    • Search Google Scholar
    • Export Citation

  • Centers for Disease Control and Prevention. (2019a). Childhood obesity facts. Retrieved from https://www.cdc.gov/obesity/data/childhood.html

    • Search Google Scholar
    • Export Citation

  • Centers for Disease Control and Prevention. (2019b). Disability and obesity. Retrieved from https://www.cdc.gov/ncbddd/disabilityandhealth/obesity.html

    • Search Google Scholar
    • Export Citation

  • Centers for Disease Control and Prevention. (2020). CDC overweight & obesity. Retrieved from https://www.cdc.gov/obesity/index.html

  • Corbin, C., Welk, G.J., Corbin, W., & Welk, K. (2008). Concepts of physical fitness: Active lifestyles for wellness. McGraw-Hill Humanities/Social Sciences/Languages.

    • Search Google Scholar
    • Export Citation

  • Cote, A.T., Harris, K.C., Panagiotopoulos, C., Sandor, G.G., & Devlin, A.M. (2013). Childhood obesity and cardiovascular dysfunction. Journal of the American College of Cardiology, 62(15), 1309–1319. https://doi.org/10.1016/j.jacc.2013.07.042

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Data Resource Center for Child and Adolescent Health. (2020, May 8). 2016 National survey of children’s health. Retrieved from https://www.childhealthdata.org

    • Search Google Scholar
    • Export Citation

  • Deforche, B., Lefevre, J., De Bourdeaudhuij, I., Hills, A.P., Duquet, W., & Bouckaert, J. (2003). Physical fitness and physical activity in obese ad nonobese Flemish youth. Obesity Research, 11(3), 434–441. https://doi.org/10.1038/oby.2003.59

    • Crossref
    • Search Google Scholar
    • Export Citation

  • De Lepeleere, S., De Bourdeaudhuij, I., Cardon, G., & Verloigne, M. (2017). The effect of an online video intervention ‘Movie models’ on specific parenting practices and parental self-efficacy related to children’s physical activity, screen-time and healthy diet: A quasi experimental study. BMC Public Health, 17(1), 366. https://doi.org/10.1186/s12889-017-4264-1

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Dorn, L.D., Dahl, R.E., Woodward, H.R., & Biro, F. (2006). Defining the boundaries of early adolescence: A user’s guide to assessing pubertal status and pubertal timing in research with adolescents. Applied Developmental Science, 10(1), 30–56. https://doi.org/10.1207/s1532480xads1001_3

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Dumith, S.C., Ramires, V.V., Souza, M.A., Moraes, D.S., Petry, F.G., Oliveira, E.S., Ramires, S.V., & Hallal, P.C. (2010). Overweight/obesity and physical fitness among children and adolescents. Journal of Physical Activity and Health, 7(5), 641–648. https://doi.org/10.1123/jpah.7.5.641

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Edwardson, C.L., & Gorely, T. (2010). Parental influences on different types and intensities of physical activity in youth: A systematic review. Psychology of Sport and Exercise, 11(6), 522–535. https://doi.org/10.1016/j.psychsport.2010.05.001

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Eliakim, A., Kaven, G., Berger, I., Friedland, O., Wolach, B., & Nemet, D. (2002). The effect of a combined intervention on body mass index and fitness in obese children and adolescents—A clinical experience. European Journal of Pediatrics, 161(8), 449–454. https://doi.org/10.1007/s00431-002-0980-2

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Foote, S.J., & Wadsworth, D.D. (2017). Altering the family structure to increase child physical activity: Methods and design. International Journal of Clinical and Health Psychology, 5(2), 1–8.

    • Search Google Scholar
    • Export Citation

  • Freedman, D.S., Wang, J., Thornton, J.C., Mei, Z., Sopher, A.B., Pierson, R.N., Dietz, W.H., & Horlick, M. (2009). Classification of body fatness by body mass index-for-age categories among children. Archives of Pediatrics & Adolescent Medicine, 163(9), 805. https://doi.org/10.1001/archpediatrics.2009.104

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Girelli, L., Manganelli, S., Alivernini, F., & Lucidi, F. (2016). A self-determination theory based intervention to promote healthy eating and physical activity in school-aged children. Cuadernos de Psicologia del Deporte, 16(3), 13–20.

    • Search Google Scholar
    • Export Citation

  • Goldberg, B. (Ed.). (1995). Sports and exercise for children with chronic health conditions (pp. 335–353). Human Kinetics.

  • Guedes, D.P., & Guedes, J.E.R.P. (2001). Physical efforts during school physical education programs. Revista Paulista de Educacao Fisica, 15(1), 33–44. https://doi.org/10.11606/issn.2594-5904.rpef.2001.139483

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Hales, C.M., Carroll, M.D., Fryar, C.D., & Ogden, C.L. (2017). Prevalence of obesity among adults and youth: United States, 2015–2016. Centers for Disease Control and Prevention, 288, 1–8. Retrieved from https://www.cdc.gov/nchs/data/databriefs/db288.pdf

    • Search Google Scholar
    • Export Citation

  • Hill, J.O., & Melanson, E.L. (1999). Overview of the determinants of overweight and obesity: Current evidence and research issues. Medicine & Science in Sports & Exercise, 31(Suppl. 1), S515–S521. https://doi.org/10.1097/00005768-199911001-00005

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Holm, K., Wyatt, H., Murphy, J., Hill, J., & Odgen, L. (2012). Parental influence on child change in physical activity during a family-based intervention for child weight gain prevention. Journal of Physical Activity and Health, 9(5), 661–669. https://doi.org/10.1123/jpah.9.5.661

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Hopper, C.A., Munoz, K.D., Gruber, M.B., & Nguyen, K.P. (2005). The effects of a family fitness program on the physical activity and nutrition behaviors of third-grade children. Research Quarterly for Exercise and Sport, 76(2), 130–139. https://doi.org/10.1080/02701367.2005.10599275

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Horodynski, M.A., Hoerr, S., & Coleman, G. (2004). Nutrition education aimed at toddlers. Family & Community Health, 27(2), 103–113. https://doi.org/10.1097/00003727-200404000-00003

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Kader, M., Sundblom, E., & Elinder, L.S. (2015). Effectiveness of universal parental support interventions addressing children’s dietary habits, physical activity and bodyweight: A systematic review. Preventive Medicine, 77, 52–67. https://doi.org/10.1016/j.ypmed.2015.05.005

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Kalakanis, L.E., Goldfield, G.S., Paluch, R.A., & Epstein, L.H. (2001). Parental activity as a determinant of activity level and patterns of activity in obese children. Research Quarterly for Exercise and Sport, 72(3), 202–209. https://doi.org/10.1080/02701367.2001.10608953

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Lazzer, S., Boirie, Y., Poissonnier, C., Petit, I., Duché, P., Taillardat, M., Meyer, M., & Vermorel, M. (2005). Longitudinal changes in activity patterns, physical capacities, energy expenditure, and body composition in severely obese adolescents during a multidisciplinary weight-reduction program. International Journal of Obesity, 29(1), 37–46. https://doi.org/10.1038/sj.ijo.0802845

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Lee, I., Shiroma, E.J., Lobelo, F., Puska, P., Blair, S.N., & Katzmarzyk, P.T. (2012). Effect of physical inactivity on major non-communicable diseases worldwide: An analysis of burden of disease and life expectancy. The Lancet, 380(9838), 219–229. https://doi.org/10.1016/S0140-6736(12)61031-9

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Malina, R.M. (1996). Tracking of physical activity and physical fitness across the lifespan. Research Quarterly for Exercise and Sport, 67(Suppl. 3), S48–S57. https://doi.org/10.1080/02701367.1996.10608853

    • Crossref
    • Search Google Scholar
    • Export Citation

  • McWhannell, N., Henaghan, J., Foweather, L., Doran, D., Batterham, A., Reilly, T., & Stratton, G. (2008). The effect of a 9-week physical activity programme on bone and body composition of children aged 10–11 years: An exploratory trial. International Journal of Sports Medicine, 29(12), 941–947. https://doi.org/10.1055/s-2008-1038601

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Morris, F.L., Naughton, G.A., Gibbs, J.L., Carlson, J.S., & Wark, J.D. (1997). Prospective ten-month exercise intervention in premenarcheal girls: Positive effects on bone and lean mass. Journal of Bone and Mineral Research, 12(9), 1453–1462. https://doi.org/10.1359/jbmr.1997.12.9.1453

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Morrison, K.M., Shin, S., Tarnopolsky, M., & Taylor, V.H. (2015). Association of depression & health related quality of life with body composition in children and youth with obesity. Journal of Affective Disorders, 172, 18–23. https://doi.org/10.1016/j.jad.2014.09.014

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Ning, Y., Yang, S., Evans, R.K., Stern, M., Sun, S., Francis, G.L., & Wickham, E.P. (2014). Changes in body anthropometry and composition in obese adolescents in a lifestyle intervention program. European Journal of Nutrition, 53(4), 1093–1102.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Ortega, F.B., Konstabel, K., Pasquali, E., Ruiz, J.R., Hurtig-Wennlöf, A., Mäestu, J., Harro, J., Bellocco, R., Labayen, I., Veidebaum, T., & Sjöström, M. (2013). Objectively measured physical activity and sedentary time during childhood, adolescence and young adulthood: A cohort study. PLoS One, 8(4), Article e60871. https://doi.org/10.1371/journal.pone.0060871

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Pallant, J. (2011). SPSS survival manual: A step by step guide to data analysis using SPSS program (4th ed.). Allen & Unwin, Berkshire.

  • Parizkova, J., & Hills, A. (2005). Childhood obesity prevention and treatment. CRC Press.

  • Plowman, S.A., & Meredith, M.D. (Eds.). (2013). FITNESSGRAM/ACTIVITYGRAM reference guide (4th ed.). The Cooper Institute.

  • Ransdell, L.B., Robertson, L., Ornes, L., & Moyer-Mileur, L. (2005). Generations exercising together to improve fitness (GET FIT): A pilot study designed to increase physical activity and improve health-related fitness in three generations of women. Women & Health, 40(3), 77–94. https://doi.org/10.1300/J013v40n03_06

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Schmidt, M.D., Magnussen, C.G., Rees, E., Dwyer, T., & Venn, A.J. (2016). Childhood fitness reduces the long-term cardiometabolic risks associated with childhood obesity. International Journal of Obesity, 40(7), 1134–1140. https://doi.org/10.1038/ijo.2016.61

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Schwingshandl, J., & Borkenstein, M. (1995). Changes in lean body mass in obese children during a weight reduction program: Effect on short term and long term outcome. International Journal of Obesity and Related Metabolic Disorders, 19(10), 752–755.

    • Search Google Scholar
    • Export Citation

  • Scott, J.J., Morgan, P.J., Plotnikoff, R.C., Trost, S.G., & Lubans, D.R. (2014). Adolescent pedometer protocols: Examining reactivity, tampering and participants’ perceptions. Journal of Sports Sciences, 32(2), 183–190. https://doi.org/10.1080/02640414.2013.815361

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Seo, Y.G., Lim, H., Kim, Y., Ju, Y.S., Lee, H.J., Jang, H.B., Park, S.I., & Park, K.H. (2019). The effect of a multidisciplinary lifestyle intervention on obesity status, body composition, physical fitness, and cardiometabolic risk markers in children and adolescents with obesity. Nutrients, 11(1), 137. https://doi.org/10.3390/nu11010137

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Siervogel, R.M., Demerath, E.W., Schubert, C., Remsberg, K.E., Chumlea, W.C., Sun, S., & Czerwinski, S.A., Towne, B. (2003). Puberty and body composition. Hormone Research in Paediatrics, 60(1), 36–45. https://doi.org/10.1159/000071224

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Skinner, A.C., Ravanbakht, S.N., Skelton, J.A., Perrin, E.M., & Armstrong, S.C. (2018). Prevalence of obesity and severe obesity in US children, 1999–2016. Pediatrics, 141(3), Article e20173459. https://doi.org/10.1542/peds.2017-3459

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Sothern, M.S., Hunter, S., Suskind, R.M., Brown, R., Udall, J.N., & Blecker, U. (1999). Motivating the obese child to move: The role of structured exercise in pediatric weight management. Southern Medical Journal, 92(6), 577–584. https://doi.org/10.1097/00007611-199906000-00006

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Strauss, A., & Corbin, J. (1990). Basics of qualitative research. SAGE Publications.

  • University of Limerick. (2019, April 1). PAR-Q children 2016. Retrieved from https://www.ul.ie/pess/research-ethics/par-q

  • Vaismoradi, M., Turunen, H., & Bondas, T. (2013). Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & Health Sciences, 15(3), 398–405. https://doi.org/10.1111/nhs.12048

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Van Allen, J., Borner, K.B., Gayes, L.A., & Steele, R.G. (2014). Weighing physical activity: The impact of a family-based group lifestyle intervention for pediatric obesity on participants’ physical activity. Journal of Pediatric Psychology, 40(2), 193–202. https://doi.org/10.1093/jpepsy/jsu077

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Wang, Y., Cai, L., Wu, Y., Wilson, R.F., Weston, C., Fawole, O., Bleich, S.N., Cheskin, L.J., Showell, N.N., Lau, B.D., Chiu, D.T., Zhang, A., & Segal, J. (2015). What childhood obesity prevention programmes work? A systematic review and meta-analysis. Obesity Reviews, 16(7), 547–565. https://doi.org/10.1111/obr.12277

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Ward, D.S., & Evans, R. (1995). Physical activity, aerobic fitness and obesity in children. Med Exerc Nutr Health, 4(3), 3–16.

  • Yilmaz, G., Demirli Caylan, N., & Karacan, C.D. (2014). An intervention to preschool children for reducing screen time: A randomized controlled trial. Child: Care, Health and Development, 41(3), 443–449. https://doi.org/10.1111/cch.12133ss

    • Search Google Scholar
    • Export Citation
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