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Video games are significant to the increase in childhood obesity. They may also prove to be part of the solution as making
exercise fun is a key to motivating children to participate in energy expending activities. This pilot study tested the effect
of a daily 20 minute dance pad exercise on Body Mass Index (BMI), waist circumference, and quality of life of 7-11 year old
children who were above the 94th percentile for BMI for age and gender. Thirty-five African American children participated
with control (n=12) and intervention (n=23) groups in 2 urban public schools for an academic year. Energy balance theory was
the framework. Control group children had no extra exercise. The hypotheses were children who perform dance pad exercise
for two semesters will have a greater decrease in BMI than children who do not perform the exercise, and children who perform
dance pad exercise for two semesters will report higher quality of life (PedsQL
TM
) than children who did not perform the
exercise. Changes in waist sizes were tracked. Statistical analysis with repeated measures multiple regression did not support the
hypotheses. Waist circumference changes for the group were not significant, however, subgroup analysis (n = 9) found a trend
toward decreasing BMI and waist circumference in those subjects who participated in more than 100 days of exercise. Small
sample sizes preclude further statistical analysis; however, positive results in children who participated frequently in the study
indicate clinical significance. In addition, 3 children with asthma demonstrated no exacerbations of asthma during or after the
morning exercise sessions. A focus group with 7 school teachers in the intervention group school identified 5 themes among
the children who exercised: improvements in attention to task, behavior, alertness, self esteem, and social skills. Children also
improved in coordination and aerobic endurance. Dance exercise in schools needs to be explored for health benefits. This study
was funded by the Midwest Nursing Research Society.
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