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The Stanford Sports to Prevent Obesity Randomized Trial (SPORT)

Dana L. Weintraub, MD; Evelyn C. Tirumalai, MPH; K. Farish Haydel, BA; Michelle Fujimoto, RD; Janet E. Fulton, PhD; Thomas N. Robinson, MD, MPH

Arch Pediatr Adolesc Med. 2008;162(3):232-237.

Objective  To evaluate the feasibility, acceptability, and efficacy of an after-school team sports program for reducing weight gain in low-income overweight children.

Design  Six-month, 2-arm, parallel-group, pilot randomized controlled trial.

Setting  Low-income, racial/ethnic minority community.

Participants  Twenty-one children in grades 4 and 5 with a body mass index at or above the 85th percentile.

Interventions  The treatment intervention consisted of an after-school soccer program. The "active placebo" control intervention consisted of an after-school health education program.

Main Outcome Measures  Implementation, acceptability, body mass index, physical activity measured using accelerometers, reported television and other screen time, self-esteem, depressive symptoms, and weight concerns.

Results  All 21 children completed the study. Compared with children receiving health education, children in the soccer group had significant decreases in body mass index z scores at 3 and 6 months and significant increases in total daily, moderate, and vigorous physical activity at 3 months.

Conclusion  An after-school team soccer program for overweight children can be a feasible, acceptable, and efficacious intervention for weight control.

Trial Registration  clinicaltrials.gov Identifier: NCT00186173

Author Affiliations: Division of General Pediatrics, Department of Pediatrics (Drs Weintraub and Robinson) and Stanford Prevention Research Center, Department of Medicine (Drs Weintraub and Robinson and Mss Tirumalai, Haydel, and Fujimoto), Stanford University School of Medicine, Stanford, California; and Division of Nutrition and Physical Activity, Centers for Disease Control and Prevention, Atlanta, Georgia (Dr Fulton).

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