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BMI Screening and Reporting in Schools: The Fit Study

University of California (UC), Berkeley logo

University of California (UC), Berkeley

Status

Completed

Conditions

Overweight
Pediatric Obesity

Treatments

Behavioral: BMI reporting
Behavioral: Fitness testing
Behavioral: BMI screening

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT02088086
2012-07-4472
R01HL120666 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The Fit Study is a three-year, cluster-randomized controlled trial that will evaluate the impact of school-based body mass index (BMI) screening and reporting on child health. Seventy-nine California schools will be randomized to one of three groups: 1) BMI screening and reporting, 2) BMI screening, and 3) no BMI screening or reporting (control). Investigators will assess the impact of BMI reporting on students' BMI trajectories over three years. Investigators will also assess the impact of BMI screening on weight-based teasing, feelings of stigmatization, and weight-control behaviors among students.

Full description

The Fit Study is a three-year, cluster-randomized controlled trial that will evaluate the impact of school-based body mass index (BMI) screening and reporting on childhood obesity and psychosocial outcomes. This study will take place during the 2014-15, 2015-16, and 2016-17 school years. Seventy-nine schools across California will be randomized to one of three groups: 1) BMI screening and reporting, 2) BMI screening, and 3) no BMI screening or reporting (control). Schools randomized to Groups 1 and 2 will conduct height and weight measurements annually with their 3rd-8th grade students. Group 1 and 2 schools will also administer the five fitness assessments (mile run or PACER test, curl-ups, push-ups, trunk lift, and sit and reach) annually with their 5th-8th grade students. In the fall of Years 2 and 3, Group 1 schools will mail a report home to parents with students' results from the previous spring. All 3rd and 4th grade parents will receive a report with BMI results only. Investigators will randomize the parents of 5th-8th grade students to receive a report that provides BMI results only or one that provides BMI results with results from the five fitness assessments. Schools randomized to Group 3 will not conduct height and weight measurements with their students during Years 1 and 2.

Each fall, investigators will administer a survey to 4th-8th grade students from all schools. This survey will assess weight-based teasing, feelings of stigmatization, and weight-control behaviors among students. The student survey will also ask questions about students' experiences having their heights and weights measured at school. During all years, investigators will mail a survey home a subsample of parents to assess parent behaviors related to their child's physical activity and nutrition, as well as parent reactions to the BMI report. Finally, schools will complete a survey in Spring 2017 to assess their nutrition- and physical activity-related policies and programs.

Enrollment

36,452 patients

Sex

All

Ages

7+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

Inclusion criteria for school districts:

  1. District does not report BMI results to caregivers and has no history of doing so
  2. District has at least eight schools that meet all of the school-level eligibility criteria

Inclusion criteria for schools:

  1. School does not report BMI results to caregivers and has no history of doing so
  2. School has an enrollment of 15% to 85% Latino students
  3. School has an enrollment of at least 30 students in grades 3 through 8

Inclusion criteria for students: Student is enrolled in 3rd-8th grade

Inclusion criteria for parents: Parent has a child who is enrolled in study

Inclusion criteria for teachers: Teacher measures the heights and weights of students for the study

Exclusion Criteria: None

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

36,452 participants in 3 patient groups

BMI screening and reporting (Group 1)
Experimental group
Description:
For three school years, 3rd-8th grade students will have their heights and weights measured once annually. Additionally, 5th-8th grade students will participate in five fitness assessments. Schools will send BMI reports home to parents.
Treatment:
Behavioral: BMI screening
Behavioral: BMI reporting
Behavioral: Fitness testing
BMI screening only (Group 2)
Active Comparator group
Description:
For three school years, 3rd-8th grade students will have their heights and weights measured once annually. Additionally, 5th-8th grade students will participate in five fitness assessments. Schools will NOT send BMI reports home to parents.
Treatment:
Behavioral: BMI screening
Behavioral: Fitness testing
No BMI screening or reporting (Group 3)
No Intervention group
Description:
For two school years, 3rd-8th grade students will NOT have their heights and weights measured at school.

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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