Dr. Madsen has demonstrated a commitment to a career as a clinician scientist and brings a unique perspective to clinical research with her background in business and product development. In the rich research environment of the University of California, the candidate will be mentored by Dr. Pat Crawford of DC Berkeley, an internationally-recognized specialist in community-based research in childhood obesity, and Dr. Michael Cabana, the Director of the Division of General Pediatrics at UCSF. With their guidance, Dr. Madsen will conduct a randomized controlled trial to determine the effect of an existing multifaceted after-school program on BMI and fitness in children at greatest risk for obesity. In the proposed research, sixty-four 3rd. to 5th. grade minority students will be randomized to participate in the after-school program or to control status. In addition, Dr. Madsen will carry out qualitative research regarding barriers to enrollment and active participation in after-school programs that promote physical activity. Results from the proposed research will provide preliminary data for and inform the design of a large-scale study, to take place in the next 5-7 years, of the efficacy of an after-school program to reduce pediatric obesity. This award will allow Dr. Madsen to gain the skills necessary for an academic career in community-based research to prevent and treat pediatric obesity and weight-related health disparities. Relevance: Given the disproportionate prevalence of obesity in minority communities, weight-related health disparities will increase if obesity is not prevented and treated in minority children. The after-school setting is an important place to intervene to increase children's healthy behaviors, and evaluating existing after-school programs may identify cost-effective solutions to the obesity epidemic. The long-term goal of this project is to provide evidence to inform policy and make after-school programs available to children who are most at risk for obesity and who would otherwise have limited access to healthy after-school activities. ? ? ?

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Mentored Patient-Oriented Research Career Development Award (K23)
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Study Section
Special Emphasis Panel (ZHD1-DSR-M (HB))
Program Officer
Huang, Terry T-K
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University of California San Francisco
Schools of Medicine
San Francisco
United States
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Madsen, Kristine; Garber, Andrea; Martin, Maria et al. (2014) The feasibility of a physical activity referral network for pediatric obesity. Child Obes 10:169-74
Madsen, Kristine; Thompson, Hannah; Adkins, Amy et al. (2013) School-community partnerships: a cluster-randomized trial of an after-school soccer program. JAMA Pediatr 167:321-6
Beck, Amy L; Patel, Anisha; Madsen, Kristine (2013) Trends in sugar-sweetened beverage and 100% fruit juice consumption among California children. Acad Pediatr 13:364-70
Madsen, Kristine A; Linchey, Jennifer (2012) School-based BMI and body composition screening and parent notification in California: methods and messages. J Sch Health 82:294-300
Kinder, Jennifer R; Lee, Kathryn A; Thompson, Hannah et al. (2012) Validation of a hip-worn accelerometer in measuring sleep time in children. J Pediatr Nurs 27:127-33
Herrick, Heidi; Thompson, Hannah; Kinder, Jennifer et al. (2012) Use of SPARK to promote after-school physical activity. J Sch Health 82:457-61
Linchey, Jennifer; Madsen, Kristine A (2011) State requirements and recommendations for school-based screenings for body mass index or body composition, 2010. Prev Chronic Dis 8:A101
Madsen, Kristine A (2011) School-based body mass index screening and parent notification: a statewide natural experiment. Arch Pediatr Adolesc Med 165:987-92
Madsen, Kristine A; Hicks, Katherine; Thompson, Hannah (2011) Physical activity and positive youth development: impact of a school-based program. J Sch Health 81:462-70
Madsen, Kristine A; Weedn, Ashley E; Crawford, Patricia B (2010) Disparities in peaks, plateaus, and declines in prevalence of high BMI among adolescents. Pediatrics 126:434-42

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