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Related Experiment Video

Updated: Mar 20, 2026

Visualization of Intensity Levels to Reduce the Gap Between Self-Reported and Directly Measured Physical Activity
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A Multimodal Counseling-Based Adolescent Physical Activity Intervention.

Nicolas M Oreskovic1, Jonathan P Winickoff2, James M Perrin2

  • 1Department of Pediatrics, Division of General Academic Pediatrics, MassGeneral Hospital for Children, Boston, Massachusetts; Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts; Department of Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|May 29, 2016
PubMed
Summary
This summary is machine-generated.

Individualized counseling on built environments significantly increased moderate-to-vigorous physical activity (MVPA) in overweight adolescents. This intervention helped more teens meet daily MVPA guidelines, showing a sustainable positive impact.

Keywords:
AdolescentsBuilt environmentCounselingInterventionObesityOverweightPhysical activity

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Area of Science:

  • Public Health
  • Pediatrics
  • Environmental Health

Background:

  • National guidelines recommend 60 minutes of daily moderate-to-vigorous physical activity (MVPA) for adolescents.
  • Few adolescents meet these recommended physical activity levels.
  • Overweight and obese adolescents face significant health challenges and often have lower physical activity levels.

Purpose of the Study:

  • To pilot a novel intervention promoting adolescents' use of their surrounding built environment to increase physical activity.
  • To assess the impact of individualized counseling on physical activity levels in overweight/obese adolescents.

Main Methods:

  • A quasi-randomized trial involving 60 overweight/obese adolescents (aged 10-16) in greater Boston.
  • Intervention group received counseling on using the built environment for MVPA; control group received standard care.
  • Physical activity measured by accelerometry and GPS over three one-week periods (T1, T2, T3).

Main Results:

  • The intervention group showed a significant short-term increase in average daily MVPA (+13.9 minutes vs. -0.6 minutes for controls, p < .0001).
  • This increase was sustained at 3-4 months post-intervention (9.3 minutes more in intervention group, p = .0006).
  • The proportion achieving 60 min/day MVPA increased from 11% to 21% in the intervention group, while decreasing in the control group.

Conclusions:

  • Individualized counseling focused on the built environment effectively increases MVPA in overweight and obese adolescents.
  • This approach offers a promising strategy to help adolescents meet physical activity guidelines.
  • The intervention demonstrates a sustainable positive effect on adolescent physical activity.