31: Disco dance video game-based interventional study on childhood obesity
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weeks. Those randomized to the control condition received the same treatment after three months. Each adolescent participated in interviews at baseline, 2 months, and 3 months. Interviews consisted of: a video-taped meal between the adolescent and a parent as measured by the Carei Eating Behavior Anchored Rating Scale, the completion of the State Trait Anxiety Inventory, the Beck Depression Inventory, and the Eating Disorder Examination. Participants also completed a survey before and after each yoga session, measuring participant preoccupation with food, eating, and calories. Results: There was a reduction in food preoccupation as mea- sured before and after yoga sessions. Analyses of trends illus- trated a downward trend of all symptoms for the yoga group. Weight remained stable throughout treatment for the yoga group. Marginal effects were found on the EDE restriction subscale for the yoga group. Staff reported greater ease at providing care for their patients while enrolled in the study. Of the 54 participants in the study, subjective comments included: “It’s the two hours during my week where I don’t think about being fat or eating” and “I feel so much more relaxed after yoga.” Conclusions: Results suggest the utility of yoga around meal times to decrease food preoccupation. Additionally, yoga can be viewed as a successful adjunct therapy to standard interventions targeting a reduction in eating disorder symptomatology. Provid- ing adolescents with direct relief around eating may enhance behavioral change. Sources of Support: This study was funded in part by Children’s Hospital and Regional Medical Center’s Complimentary Alterna- tive Medicine Fund, Newman’s Own Corp., and by NIH Grant M01-RR-00037 of the University of Washington General Clinical Research Center, Study #2089. 31. DISCO DANCE VIDEO GAME-BASED INTERVENTIONAL STUDY ON CHILDHOOD OBESITY Mary White, MS, Harold Lehmann, MD, PhD, and Maria Trent, MD, MPH. Division of Health Sciences Informatics, Johns Hopkins School of Medicine, Baltimore, Maryland Purpose: Video games called ‘exergames‘ utilize body movement rather than hand movement to control the game and may provide a means of reducing childhood obesity. The purpose of this study is to assess the effects of the exergame Dance Dance Revolution (DDR) on program adherence and satisfaction at an inner-city obesity management clinic. Study Design: Prospective cohort study, where all subjects expe- rienced both DDR and non-DDR programming systematically over 12 weeks. Setting: Obesity management clinic at an inner-city adolescent health clinic. Patients/Participants: Fifteen African-American patients. Interventions: Exergame dance program (DDR) and aerobic fit- ness program (non-DDR). Outcome Measures: Daily attendance and comparative overall satisfaction at the end of 12 weeks. Results: The attendance rate was 42% for DDR sessions and 48% for non-DDR sessions, p-value not significant. Follow-up satisfac- tion rates were 7 or greater on a scale of 1 to 10 (10 being the highest) for both the DDR sessions and non-DDR sessions. Qual- itative open-ended feedback suggested that the participants liked DDR because of the music, being able to play a game, and because it was fun. Conclusion: This pilot study indicated no adverse effects of the use of DDR in an ongoing clinical fitness regime, and therefore can be further evaluated in a more extensive study. If shown to have advantages in such a study, with adequate equipment and staff, the use of exergames such as Dance Dance Revolution can be a viable fitness option in the clinical environment for overweight patients. However, when planning fitness programming, other factors affecting patient attendance should be considered such as family issues, transportation, and school activities. Sources of Support: This project was funded in part the by National Library of Medicine fellowship grant T15 LM007452. 32. BODY AND WEIGHT-RELATED IMAGE: DO OVERWEIGHT AFRICAN AMERICAN ADOLESCENTS SELF-IDENTIFY MORE PROBLEMS THAN THEIR PEERS? Lillian Williams, MS 1 , Khara Simpson, BS 2 , Harolyn Belcher, MD, MHS 3 , Maria Trent, MD MPH 3 . 1 Jackson State University, Jackson, MS; 2 Howard Univ. School of Medicine, Washington, D.C.; 3 Johns Hopkins University School of Medicine, Baltimore, Maryland Purpose: Racial/ethnic and gender-based health disparities of overweight status among African American (AA) adolescents is well described, yet successful behavioral programs for long-term, salubrious changes in overweight status have not been identified. It is hypothesized that AA adolescents often do not perceive overweight as a problem due to the cultural acceptability of larger body types. The purpose of this study is to determine if at-risk and overweight adolescents are more likely than their normal weight peers to screen positively for eating, weight, and body image concerns during annual health assessments in public health set- tings. Methods: During the 2003-04 academic year, anthropomorphic measurements and the Guidelines for Adolescent Preventive Services (GAPS) surveys were collected on AA high school students (n 738) in an urban school based health program as a part of routine care. Body mass index (BMI) data were classified using sex and age-specific recommendations from the Centers for Disease Control and Prevention, BMI 85-94%tile at-risk over- weight, 95% tile overweight. Outcome measures were derived for eating/weight behaviors, emotions, and body image domains. Categorical BMI measures with significant (.01) relationships in 2 analyses were regressed on weight-related measures to determine group differences. Results: Fifty-nine percent of students were female. The mean age was 16.6 1.1 years. The mean BMI was 24.8 6.9 (borderline overweight). Fourteen percent were classified as at-risk and 23% were overweight. Overall, 18% spent a lot of time thinking about ways to be thin, 29% were dissatisfied with their size/shape, 9% used unhealthy methods to lose weight, 5% ate in secret, and 38% did not exercise regularly. Chi-square analyses indicated that there were differences in body perception (X 2 3.9, p 0.05) and physical activities patterns (X 2 4.5, p 0.03) in at-risk youth compared with normal weight youth. These relationships did not persist in logistic regression analyses when controlled for gender. Reports did not differ between overweight and normal weight youth. Conclusion: Overweight status and concerns about body image and weight occurred in over one fifth of this urban AA adolescent sample. Gender, not overweight status was associated with body dissatisfaction and use of unhealthy weight control behaviors. S32 Abstracts / 40 (2007) S19 –S54
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Transcript of 31: Disco dance video game-based interventional study on childhood obesity
weeks. Those randomized to the control condition received thesame treatment after three months. Each adolescent participatedin interviews at baseline, 2 months, and 3 months. Interviewsconsisted of: a video-taped meal between the adolescent and aparent as measured by the Carei Eating Behavior Anchored RatingScale, the completion of the State Trait Anxiety Inventory, the BeckDepression Inventory, and the Eating Disorder Examination.Participants also completed a survey before and after each yogasession, measuring participant preoccupation with food, eating,and calories.Results: There was a reduction in food preoccupation as mea-sured before and after yoga sessions. Analyses of trends illus-trated a downward trend of all symptoms for the yoga group.Weight remained stable throughout treatment for the yoga group.Marginal effects were found on the EDE restriction subscale forthe yoga group. Staff reported greater ease at providing care fortheir patients while enrolled in the study. Of the 54 participants inthe study, subjective comments included: “It’s the two hoursduring my week where I don’t think about being fat or eating”and “I feel so much more relaxed after yoga.”Conclusions: Results suggest the utility of yoga around mealtimes to decrease food preoccupation. Additionally, yoga can beviewed as a successful adjunct therapy to standard interventionstargeting a reduction in eating disorder symptomatology. Provid-ing adolescents with direct relief around eating may enhancebehavioral change.Sources of Support: This study was funded in part by Children’sHospital and Regional Medical Center’s Complimentary Alterna-tive Medicine Fund, Newman’s Own Corp., and by NIH GrantM01-RR-00037 of the University of Washington General ClinicalResearch Center, Study #2089.
31.DISCO DANCE VIDEO GAME-BASED INTERVENTIONALSTUDY ON CHILDHOOD OBESITYMary White, MS, Harold Lehmann, MD, PhD, andMaria Trent, MD, MPH. Division of Health Sciences Informatics,Johns Hopkins School of Medicine, Baltimore, Maryland
Purpose: Video games called ‘exergames‘ utilize body movementrather than hand movement to control the game and may providea means of reducing childhood obesity. The purpose of this studyis to assess the effects of the exergame Dance Dance Revolution(DDR) on program adherence and satisfaction at an inner-cityobesity management clinic.Study Design: Prospective cohort study, where all subjects expe-rienced both DDR and non-DDR programming systematicallyover 12 weeks.Setting: Obesity management clinic at an inner-city adolescenthealth clinic.Patients/Participants: Fifteen African-American patients.Interventions: Exergame dance program (DDR) and aerobic fit-ness program (non-DDR).Outcome Measures: Daily attendance and comparative overallsatisfaction at the end of 12 weeks.Results: The attendance rate was 42% for DDR sessions and 48%for non-DDR sessions, p-value not significant. Follow-up satisfac-tion rates were 7 or greater on a scale of 1 to 10 (10 being thehighest) for both the DDR sessions and non-DDR sessions. Qual-itative open-ended feedback suggested that the participants likedDDR because of the music, being able to play a game, and becauseit was fun.
Conclusion: This pilot study indicated no adverse effects of theuse of DDR in an ongoing clinical fitness regime, and therefore canbe further evaluated in a more extensive study. If shown to haveadvantages in such a study, with adequate equipment and staff,the use of exergames such as Dance Dance Revolution can be aviable fitness option in the clinical environment for overweightpatients. However, when planning fitness programming, otherfactors affecting patient attendance should be considered such asfamily issues, transportation, and school activities.Sources of Support: This project was funded in part the byNational Library of Medicine fellowship grant T15 LM007452.
32.BODY AND WEIGHT-RELATED IMAGE: DOOVERWEIGHT AFRICAN AMERICAN ADOLESCENTSSELF-IDENTIFY MORE PROBLEMS THAN THEIR PEERS?Lillian Williams, MS1, Khara Simpson, BS2,Harolyn Belcher, MD, MHS3, Maria Trent, MD MPH3. 1JacksonState University, Jackson, MS; 2Howard Univ. School of Medicine,Washington, D.C.; 3Johns Hopkins University School of Medicine,Baltimore, Maryland
Purpose: Racial/ethnic and gender-based health disparities ofoverweight status among African American (AA) adolescents iswell described, yet successful behavioral programs for long-term,salubrious changes in overweight status have not been identified.It is hypothesized that AA adolescents often do not perceiveoverweight as a problem due to the cultural acceptability of largerbody types. The purpose of this study is to determine if at-risk andoverweight adolescents are more likely than their normal weightpeers to screen positively for eating, weight, and body imageconcerns during annual health assessments in public health set-tings.Methods: During the 2003-04 academic year, anthropomorphicmeasurements and the Guidelines for Adolescent PreventiveServices (GAPS) surveys were collected on AA high schoolstudents (n � 738) in an urban school based health program as apart of routine care. Body mass index (BMI) data were classifiedusing sex and age-specific recommendations from the Centers forDisease Control and Prevention, BMI � 85-94%tile at-risk over-weight, � 95% tile overweight. Outcome measures were derivedfor eating/weight behaviors, emotions, and body image domains.Categorical BMI measures with significant (.01) relationships in �2
analyses were regressed on weight-related measures to determinegroup differences.Results: Fifty-nine percent of students were female. The mean agewas 16.6 � 1.1 years. The mean BMI was 24.8 � 6.9 (borderlineoverweight). Fourteen percent were classified as at-risk and 23%were overweight. Overall, 18% spent a lot of time thinking aboutways to be thin, 29% were dissatisfied with their size/shape, 9%used unhealthy methods to lose weight, 5% ate in secret, and 38%did not exercise regularly. Chi-square analyses indicated thatthere were differences in body perception (X2 � 3.9, p � 0.05) andphysical activities patterns (X2 � 4.5, p � 0.03) in at-risk youthcompared with normal weight youth. These relationships did notpersist in logistic regression analyses when controlled for gender.Reports did not differ between overweight and normal weightyouth.Conclusion: Overweight status and concerns about body imageand weight occurred in over one fifth of this urban AA adolescentsample. Gender, not overweight status was associated with bodydissatisfaction and use of unhealthy weight control behaviors.
S32 Abstracts / 40 (2007) S19–S54
