title: Impact of a pilot pharmacy health-care professional out-of-school time physical activity and nutrition education program with exercise on fourth and fifth graders in a rural Texas community.
abstract: OBJECTIVE
  Childhood obesity continues to be a problem. Children in rural populations are more likely to be overweight or obese and a lack of resources in those areas may contribute to this problem. We aimed to assess the impact of a pilot pharmacy health-care professional out-of-school time vigorous physical activity and nutrition education program on fourth and fifth graders in a rural Texas community.
  
  
  METHODS
  We conducted a prospective 12-week cohort study from August to November 2012. Thirty-three children, aged 8-11 years, in Bailey County, Texas, were enrolled in the study. Body mass index, body mass index percentile, blood pressure, waist circumference, and a diet preferences and activities knowledge survey were obtained at 0, 4, 8, and 12 weeks. Study participants completed a twice weekly physical activity and nutrition education program with exercise over weeks 1-4 with no intervention during weeks 5-12.
  
  
  RESULTS
  Thirty-one (94%) of the 33 children, predominately Hispanic girls, completed the program. Body mass index (-0.30 (95% confidence interval, -0.44 to -0.17); P = <0.0001), body mass index percentile (-2.75 (95% confidence interval, -4.89 to -0.62); P = 0.0026), systolic blood pressure (-1.9 (95% confidence interval, -2.9 to -0.9); P = <0.0001), and waist circumference (-0.47 (95% confidence interval, -0.85 to -0.10); P = <0.0001) mean change decreased between baseline and week 12 with no intervention for 8 weeks. Positive survey results at 3 months indicated a decrease in fried/sweet foods; increase in exercise; decreases in video games and computer use; and a change in knowledge regarding the selection of the most healthy food group servings per day.
  
  
  CONCLUSIONS
  In this pharmacy health-care directed pilot study, participants had a reduction of body mass index, body mass index percentile, systolic blood pressure, waist circumference, and improvement in certain survey results at the end of 12 weeks despite no further intervention after 4 weeks.
authors.affiliation: Department of Pharmacy Practice-Pediatrics, TexasTechUniversityHealthSciencesCenterSchool of Pharmacy, Lubbock, TX, USA.
authors.forename: Janie
authors.initials: J
authors.lastname: Robles
authors.affiliation: PGY-1 Resident in Pharmacy-Practice Ambulatory Care, University of Southern CaliforniaSchool of Pharmacy, Los Angeles, CA, USA.
authors.forename: Ashley
authors.initials: A
authors.lastname: Gutierrez
authors.affiliation: Department of Pharmacy Practice-Adult Medicine, TexasTechUniversityHealthSciencesCenterSchool of Pharmacy, Lubbock, TX, USA.
authors.forename: Charles F
authors.initials: CF
authors.lastname: Seifert
keywords: Blood pressure; Hispanic Americans; body mass index; child; exercise; health education; nutrition; pharmacists; rural population