1
|
Gallant F, Hebert JJ, Thibault V, Mekari S, Sabiston CM, Bélanger M. Puberty timing and relative age as predictors of physical activity discontinuation during adolescence. Sci Rep 2023; 13:13740. [PMID: 37612356 PMCID: PMC10447449 DOI: 10.1038/s41598-023-40882-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 08/17/2023] [Indexed: 08/25/2023] Open
Abstract
Among same-age adolescents, those who enter puberty relatively later and those who are relatively younger (e.g., born later in the year) might be at greater risk of physical activity discontinuation. This study aimed to (1) describe gender-specific discontinuation, re-engagement, and uptake rates in various types of physical activities from the age of 11 to 17 years, and (2) assess puberty timing and relative age as predictors of discontinuation from organized, unorganized, individual, and group-based physical activities. Longitudinal data from 781 (56% girls, age 10-13 years at study baseline) Canadian participants who self-reported puberty status, birthdate, and involvement in 36 physical activities every four months from 2011 to 2018 was analyzed. The incidence of discontinuation, re-engagement, and uptake in organized/unorganized and individual/group activities from grade 6 until grade 12 was described and Cox proportional hazard models were used to estimate associations of puberty timing and relative age with organized/unorganized and individual/group activity discontinuation. Results demonstrate that individual and unorganized activities are maintained longer than group-based and organized activities. Girls who started puberty earlier were more likely to discontinue organized activities than girls with average-puberty timing [Hazard ratio (HR) (95% confidence interval (CI)) 1.68 (1.05-2.69)]. Compared to boys born in the 4th quarter of the year, boys born in the 2nd quarter of the year were less likely to discontinue organized [HR (95% CI) 0.41 (0.23-0.74)], unorganized [HR (95% CI) 0.33 (0.16-0.70)], group [HR (95% CI) 0.58 (0.34-0.98)], and individual activities[HR (95% CI) 0.46 (0.23-0.91)], and boys born in the 3rd quarter were less likely to discontinue unorganized activities[HR (95% CI) 0.41 (0.19-0.88)]. This study illustrates the patterns of physical activity participation throughout adolescence. However, the generalizability of findings may be limited due to participant representation.
Collapse
Affiliation(s)
- François Gallant
- Département de Médecine de Famille et Médecine d'urgence, Université de Sherbrooke, Sherbrooke, QC, J1K 2R1, Canada.
- Centre de Formation Médicale du Nouveau-Brunswick, Moncton, NB, E1A 7R1, Canada.
| | - Jeff J Hebert
- Faculty of Kinesiology, University of New Brunswick, Fredericton, NB, E3B 5A3, Canada
- College of Science, Health, Engineering, and Education, Murdoch University, Murdoch, WA, 6150, Australia
| | - Véronique Thibault
- Département de Médecine de Famille et Médecine d'urgence, Université de Sherbrooke, Sherbrooke, QC, J1K 2R1, Canada
- Centre de Formation Médicale du Nouveau-Brunswick, Moncton, NB, E1A 7R1, Canada
| | - Saïd Mekari
- Département de Médecine de Famille et Médecine d'urgence, Université de Sherbrooke, Sherbrooke, QC, J1K 2R1, Canada
- Centre de Formation Médicale du Nouveau-Brunswick, Moncton, NB, E1A 7R1, Canada
| | - Catherine M Sabiston
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, M5S 2W6, Canada
| | - Mathieu Bélanger
- Département de Médecine de Famille et Médecine d'urgence, Université de Sherbrooke, Sherbrooke, QC, J1K 2R1, Canada
- Centre de Formation Médicale du Nouveau-Brunswick, Moncton, NB, E1A 7R1, Canada
- Vitalité Health Network, Moncton, NB, E1C 2Z3, Canada
| |
Collapse
|
2
|
Does Relative Age Influence Organized Sport and Unorganized Physical Activity Participation in a Cohort of Adolescents? Sports (Basel) 2022; 10:sports10070097. [PMID: 35878108 PMCID: PMC9320348 DOI: 10.3390/sports10070097] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 06/19/2022] [Accepted: 06/21/2022] [Indexed: 02/01/2023] Open
Abstract
Despite their prevalence, the longitudinal impacts of relative age effects (RAEs) on sport and other forms of physical activity (PA) are understudied. This study examined longitudinal participation patterns in organized sport (team and individual), unorganized PA, and non-participation with respect to RAEs in a prospective cohort of adolescents. Data from the first 24 cycles of the MATCH study were used for analyses. Elementary students (n = 929) were recruited from 17 schools in Atlantic Canada. Respondents self-reported PA three times/year. Mixed multilevel logistic models compared the likelihood of participating in each context across birth quarter. Chronological age and gender were considered, along with the interaction between chronological and relative age. Individuals born in Quarter 1/Quarter 2 were more likely to report participation in organized team sport but not individual sports. Relatively older participants born in Quarter 2 were more likely to report participation in unorganized PA. Increasing chronological age was associated with decreased participation in organized sport (particularly team-based) and increased non-participation. Gender was not associated with organized sport participation, but girls were under-represented in unorganized PA and more likely to report non-participation. The interaction parameters suggested that RAEs were consistent throughout adolescence in each context. Longitudinal analyses suggest RAEs are context dependent.
Collapse
|
3
|
Blanchette S, Larouche R, Tremblay MS, Faulkner G, Riazi NA, Trudeau F. Associations Between School Environments, Policies and Practices and Children's Physical Activity and Active Transportation. THE JOURNAL OF SCHOOL HEALTH 2022; 92:31-41. [PMID: 34806179 DOI: 10.1111/josh.13102] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Revised: 02/15/2021] [Accepted: 03/29/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND There is evidence of school-level variability in children's active behaviors. This study investigated the associations between school environments, policies and practices, and children's physical activity (PA) and active school transportation (AST), in a school ecology context. METHODS We recruited children (N = 1699, age = 10.2 ± 1.0 years, 55.0% girls) in 37 schools from 3 diverse regions of Canada. We then collected data using questionnaires (child, parent) and pedometers. In each school, an official completed a School Health Environment Survey. Multilevel regression models were used to examine associations with children's daily steps, and frequency and volume (frequency*distance) of AST. RESULTS Between-school variation ranged from 4.7% to 22.2% demonstrating that school environments are associated with children's active behaviors. None of the school environment variables were significantly associated with children's PA or frequency of AST. Nevertheless, their inclusion improved the PA model. Children's volume of AST increased in schools that reported more initiatives to promote AST. CONCLUSIONS Our findings suggest that multiple components are needed to effectively promote active behaviors in children. Schools should determine the areas in which they can improve and assess the feasibility of implementing measures to make their school environments, policies, and practices more conducive to PA and AST.
Collapse
Affiliation(s)
- Sébastien Blanchette
- Département des Sciences de l'Activité Physique, Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada
| | - Richard Larouche
- Faculty of Health Sciences, University of Lethbridge, Lethbridge, AB, Canada
| | - Mark S Tremblay
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - Guy Faulkner
- School of Kinesiology, The University of British Columbia, Vancouver, BC, Canada
| | - Negin A Riazi
- School of Kinesiology, The University of British Columbia, Vancouver, BC, Canada
| | - François Trudeau
- Département des Sciences de l'Activité Physique, Université du Québec à Trois-Rivières, 3351, boulevard des Forges, Trois-Rivières, QC, G9A 5H7, Canada
| |
Collapse
|
4
|
Stylianou M, Woodforde J, Duncombe S, Kolbe-Alexander T, Gomersall S. School physical activity policies and associations with physical activity practices and behaviours: A systematic review of the literature. Health Place 2021; 73:102705. [PMID: 34844131 DOI: 10.1016/j.healthplace.2021.102705] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Revised: 09/08/2021] [Accepted: 10/24/2021] [Indexed: 01/02/2023]
Abstract
The development and implementation of school policies is considered a key strategy for the promotion of physical activity (PA) in children and adolescents. This study aimed to systematically review and synthesise existing literature focusing on the associations between formal written school-based PA policies and (a) school PA practices and (b) PA behaviours of school-aged children and adolescents. Fifty-one papers reporting on 52 studies met the eligibility criteria. All but two studies were from high income countries, most used cross-sectional designs and demonstrated fair methodological quality, and just over a third examined language aspects of policies. Findings predominantly indicated a lack of or inconclusive associations between the various characteristics examined and PA outcomes. Inconclusive associations were identified between both PA practice and behaviour outcomes and state level policies, policies focusing on PE and school-day PA, and in studies examining language aspects of policies. Inconclusive associations with both types of outcomes were more likely to be identified compared to a lack of associations in studies using self-report measures and in studies not providing information about the quality of exposure and outcome measures used. Overall, findings highlight the need for further research that acknowledges the complex relationship between school policies and PA outcomes and employs robust methodological approaches to enhance our understanding of this area.
Collapse
Affiliation(s)
- Michalis Stylianou
- School of Human Movement and Nutrition Sciences, The University of Queensland, St. Lucia, Queensland, 4072, Australia.
| | - James Woodforde
- School of Human Movement and Nutrition Sciences, The University of Queensland, St. Lucia, Queensland, 4072, Australia
| | - Stephanie Duncombe
- School of Human Movement and Nutrition Sciences, The University of Queensland, St. Lucia, Queensland, 4072, Australia
| | - Tracy Kolbe-Alexander
- School of Health & Wellbeing, University of Southern Queensland, lpswich, Queensland, 4305, Australia
| | - Sjaan Gomersall
- School of Human Movement and Nutrition Sciences, The University of Queensland, St. Lucia, Queensland, 4072, Australia; School of Health and Rehabilitation Sciences, The University of Queensland, St. Lucia, Queensland, 4072, Australia
| |
Collapse
|
5
|
Irwin J, van Sluijs EMF, Panter J, Jones A. The socio-ecological determinants of change in school travel mode over the transition from childhood to adolescence and the association with physical activity intensity. Health Place 2021; 72:102667. [PMID: 34700064 DOI: 10.1016/j.healthplace.2021.102667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 07/08/2021] [Accepted: 09/02/2021] [Indexed: 02/02/2023]
Abstract
School active travel contributes to young people's physical activity levels, yet the prevalence is low, and declines with age. Based on determinants from the social-ecological model we investigated changes in school travel behaviour over the transition from childhood to adolescence in participants from the baseline and four-year follow-up of the SPEEDY cohort. Descriptive analysis examined how travel behaviours changed and were related to physical activity. Multinomial logistic regression investigated determinants. Some 38% of participants changed travel mode; 66% from active to passive. Passively traveling participants at follow-up showed a decrease in physical activity. Several social-ecological domains were associated with change. Findings suggest multicomponent interventions are required to support active travel in youth.
Collapse
Affiliation(s)
- Jessica Irwin
- Norwich Medical School, University of East Anglia, Norwich, Norfolk, NR4 7TJ, UK.
| | - Esther M F van Sluijs
- Centre for Diet and Activity Research (CEDAR), MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Box 285, Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.
| | - Jenna Panter
- Centre for Diet and Activity Research (CEDAR), MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Box 285, Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.
| | - Andy Jones
- Norwich Medical School, University of East Anglia, Norwich, Norfolk, NR4 7TJ, UK.
| |
Collapse
|
6
|
Crooks N, Alston L, Nichols M, Bolton KA, Allender S, Fraser P, Le H, Bliss J, Rennie C, Orellana L, Strugnell C. Association between the school physical activity environment, measured and self-reported student physical activity and active transport behaviours in Victoria, Australia. Int J Behav Nutr Phys Act 2021; 18:79. [PMID: 34158052 PMCID: PMC8220765 DOI: 10.1186/s12966-021-01151-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2020] [Accepted: 06/07/2021] [Indexed: 11/10/2022] Open
Abstract
Background Environments within schools including the physical, social-cultural and policy/practice environments have the potential to influence children’s physical activity (PA) behaviours and weight status. This Australian first study comprehensively examined the association(s) of physical, social-cultural and policy/practice environments with PA, active transport (AT) and weight status among regional primary school children. Methods Data were from two childhood obesity monitoring systems in regional Victoria, Australia. Measured height and weight were collected from students in Year 2 (aged approx. 7–8 years), Year 4 (9–10 years), and Year 6 (11–12 years). Self–reported PA behaviour, including AT were collected from students in Year 4 and 6 and a sub-sample wore an ActiGraph (wGT3X-BT) accelerometer for 7-days. A school physical activity environment audit was completed by the school principal and responses were used to calculate school physical activity environment scores (PAES) and active transport environment scores (ATES). Mixed effects logistic regression was used to assess the relationship between the proportion of students meeting the PA guidelines (≥60mins/day of moderate-to-vigorous PA) and PAES tertiles (low, medium, high) and those using AT and school ATES tertiles, controlling for gender, school size/type and socioeconomic composition. Results The analysed sample included 54/146 (37%) schools and 3360/5376 (64%) students. In stratified analysis, girls in schools with a medium PAES score were more likely to meet the objectively measured PA guideline compared to low PAES score (OR 2.3, 95%CI 1.27, 4.16). Similarly, students in schools with a medium or high ATES score had higher odds of self-reported AT (medium OR 3.15, 95%CI 1.67, 5.94; high OR 3.71, 95%CI: 1.80, 7.64). No association between PAES or ATES and weight status were observed. Self-reported AT among boys (OR 1.59, 95%CI 1.19, 2.13) and girls (OR 1.56, 95%CI 1.08, 2.27) was associated with higher odds of meeting self-reported PA guidelines on all 7-days than those who did not report using AT. Conclusions In this study of regional Victorian primary schools, PA environments were only associated with girls’ adherence to PA guidelines. School AT environments were strongly associated with students’ AT behaviours and with increased likelihood of students being physically active. Supplementary Information The online version contains supplementary material available at 10.1186/s12966-021-01151-6.
Collapse
Affiliation(s)
- Nicholas Crooks
- Global Obesity Centre (GLOBE), Institute for Health Transformation, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia
| | - Laura Alston
- Global Obesity Centre (GLOBE), Institute for Health Transformation, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia
| | - Melanie Nichols
- Global Obesity Centre (GLOBE), Institute for Health Transformation, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia
| | - Kristy A Bolton
- Global Obesity Centre (GLOBE), Institute for Health Transformation, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia
| | - Steven Allender
- Global Obesity Centre (GLOBE), Institute for Health Transformation, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia
| | - Penny Fraser
- Global Obesity Centre (GLOBE), Institute for Health Transformation, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia
| | - Ha Le
- Deakin Health Economics, Institute for Health Transformation, Faculty of Health, Deakin University, 221 Burwood Hwy, Burwood, Geelong, Victoria, 3125, Australia
| | - Joanne Bliss
- Global Obesity Centre (GLOBE), Institute for Health Transformation, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia
| | - Claire Rennie
- Global Obesity Centre (GLOBE), Institute for Health Transformation, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia
| | - Liliana Orellana
- Biostatistics Unit, Faculty of Health, Deakin University, 221 Burwood Hwy, Burwood, Geelong, Victoria, 3125, Australia
| | - Claudia Strugnell
- Global Obesity Centre (GLOBE), Institute for Health Transformation, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia.
| |
Collapse
|
7
|
Smith KL, Weir PL, Till K, Romann M, Cobley S. Relative Age Effects Across and Within Female Sport Contexts: A Systematic Review and Meta-Analysis. Sports Med 2018. [PMID: 29536262 DOI: 10.1007/s40279-018-0890-8] [Citation(s) in RCA: 86] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
BACKGROUND Subtle differences in chronological age within sport (bi-) annual-age groupings can contribute to immediate participation and long-term attainment discrepancies; known as the relative age effect. Voluminous studies have examined relative age effects in male sport; however, their prevalence and context-specific magnitude in female sport remain undetermined. OBJECTIVE The objective of this study was to determine the prevalence and magnitude of relative age effects in female sport via examination of published data spanning 1984-2016. METHODS Registered with PROSPERO (No. 42016053497) and using Preferred Reporting Items for Systematic Reviews and Meta-analysis systematic search guidelines, 57 studies were identified, containing 308 independent samples across 25 sports. Distribution data were synthesised using odds ratio meta-analyses, applying an invariance random-effects model. Follow-up subgroup category analyses examined whether relative age effect magnitudes were moderated by age group, competition level, sport type, sport context and study quality. RESULTS When comparing the relatively oldest (quartile 1) vs. youngest (quartile 4) individuals across all female sport contexts, the overall pooled estimate identified a significant but small relative age effect (odds ratio = 1.25; 95% confidence interval 1.21-1.30; p = 0.01; odds ratio adjusted = 1.21). Subgroup analyses revealed the relative age effect magnitude was higher in pre-adolescent (≤ 11 years) and adolescent (12-14 years) age groups and at higher competition levels. Relative age effect magnitudes were higher in team-based and individual sport contexts associated with high physiological demands. CONCLUSION The findings highlight relative age effects are prevalent across the female sport contexts examined. Relative age effect magnitude is moderated by interactions between developmental stages, competition level and sport context demands. Modifications to sport policy, organisational and athlete development system structure, as well as practitioner intervention are recommended to prevent relative age effect-related participation and longer term attainment inequalities.
Collapse
Affiliation(s)
- Kristy L Smith
- Faculty of Human Kinetics, University of Windsor, Windsor, ON, Canada
| | - Patricia L Weir
- Faculty of Human Kinetics, University of Windsor, Windsor, ON, Canada
| | - Kevin Till
- Institute for Sport, Physical Activity and Leisure, Leeds Beckett University, Leeds, UK
| | - Michael Romann
- Swiss Federal Institute of Sport Magglingen, Magglingen, Switzerland
| | - Stephen Cobley
- Exercise and Sport Sciences, Faculty of Health Sciences, The University of Sydney, Cumberland Campus, 75 East St, Lidcombe, Sydney, NSW, 2141, Australia.
| |
Collapse
|
8
|
Individual and School Correlates of Adolescent Leisure Time Physical Activity in Quebec, Canada. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15030412. [PMID: 29495509 PMCID: PMC5876957 DOI: 10.3390/ijerph15030412] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/09/2017] [Revised: 02/20/2018] [Accepted: 02/23/2018] [Indexed: 11/27/2022]
Abstract
Background: Leisure time physical activity (LTPA) correlates have been mostly studied in relation to adolescents’ home neighbourhoods, but not so much in relation to the environment of their schools’ neighbourhoods. We sought to investigate how objective environmental measures of the schools’ vicinity are related to adolescents’ self-reported LTPA. Methods: Individual data from the Quebec High School Students Health Survey (QHSSHS) were matched with schools’ socioeconomic indicators, as well as geographic information system-based indicators of their built environments. Self-reported levels of LTPA during the school year were assessed according to intensity, frequency and index of energy expenditure. Associations per gender between covariates and LTPA were estimated using ordinal multilevel regression with multiple imputations. Results: Boys (21% of which were highly active) were more active than girls (16% of which were highly active) (p ≤ 0.01). The incremental variance between schools explained by the contextual variables in the final models was higher among girls (7.8%) than boys (2.8%). The number of parks or green spaces within 750 m around their schools was positively associated with student LTPA in both genders. Conclusions: The promotion of parks around schools seems to be an avenue to be strengthened.
Collapse
|
9
|
Saunders RP, Dowda M, Mciver K, McDonald SM, Pate RR. Physical and Social Contexts of Physical Activity Behaviors of Fifth and Seventh Grade Youth. THE JOURNAL OF SCHOOL HEALTH 2018; 88:122-131. [PMID: 29333648 PMCID: PMC6599639 DOI: 10.1111/josh.12587] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/09/2017] [Revised: 05/12/2017] [Accepted: 07/25/2017] [Indexed: 05/06/2023]
Abstract
BACKGROUND The purpose of this study was to characterize the temporal, social, and physical contexts for physical activities commonly reported in a diverse cohort of 753 boys and girls from fifth to seventh grade. METHODS Data were obtained from a multilevel longitudinal study, the Transitions and Activity Changes in Kids. The Physical Activity Choices instrument assessed previous 5-day participation in specific physical activities and their temporal, social, and physical contexts. Mixed model repeated measure analyses of variance and multinomial analyses examined sex differences and change over time. RESULTS Fifth grade boys and girls reported participation in similar activities at similar frequencies, which declined significantly by seventh grade. One temporal pattern, playing with younger children, changed over time from "both inside/outside" to "outside" school. Boys and females reported more activities performed in class/team groups over time. Most activities took place primarily at home for all participants in both grades. CONCLUSIONS Boys and girls reported declines in the variety and frequency of activities from fifth to seventh grade. There were sex-specific patterns in physical activities and groups; however, all participants reported home as the primary location and a shift to class/team groups over time. Schools are well-positioned to provide additional physical activity opportunities.
Collapse
Affiliation(s)
- Ruth P Saunders
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, 921 Assembly Street, Columbia, SC 29208
| | - Marsha Dowda
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, 921 Assembly Street, Columbia, SC 29208
| | - Kerry Mciver
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, 921 Assembly Street, Columbia, SC 29208
| | - Samantha M McDonald
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, 921 Assembly Street, Columbia, SC 29208
| | - Russell R Pate
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, 921 Assembly Street, Columbia, SC 29208
| |
Collapse
|
10
|
A quasi-experimental examination of how school-based physical activity changes impact secondary school student moderate- to vigorous- intensity physical activity over time in the COMPASS study. Int J Behav Nutr Phys Act 2016; 13:86. [PMID: 27473113 PMCID: PMC4966570 DOI: 10.1186/s12966-016-0411-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2016] [Accepted: 07/18/2016] [Indexed: 11/16/2022] Open
Abstract
Background Adolescence is characterized by low moderate- to vigorous- intensity physical activity (MVPA) levels. Targeting the school setting can increase MVPA among a large proportion of adolescents. However, school-based physical activity interventions for adolescents remain largely ineffective. Therefore, the purpose of this study was to examine how naturally-occurring changes to school physical activity policy, recreational programming, public health resources, and the physical environment, impact adolescent MVPA over a 1-year period. Methods Quasi-experimental longitudinal data from 18,777 grade 9–12 students (mean age = 15.1 ± 0.02 years), and 86 principals from 86 schools, participating in year 2 (2013–2014) and year 3 (2014–2015) of the COMPASS study (Ontario and Alberta, Canada) was used. Total MVPA over the previous week was self-reported at both time points using the COMPASS Student Questionnaire and average daily MVPA was calculated. Changes to physical activity policies, recreational programming, public health resources, and the physical environment were self-reported by school principals. Changes to the number and condition of physical activity facilities were objectively measured during school audits using the COMPASS School Environment Application. Multi-level modeling was used to examine change in student MVPA between schools that made changes and schools that did not. Models were adjusted for several student and school level confounders. Results Over the 1-year period, 61 of 86 schools made physical activity related changes. Of these, 9 significantly changed student MVPA. However, only 4 of 9 schools’ changes increased student MVPA, including opening the fitness centre at lunch (β = 17.2, 95 % CI: 2.6–31.7), starting an outdoor club (β = 17.8, 95 % CI:7.4–28.1), adding a bike rack (β–14.9, 95 % CI:0.7–29.1), and adding weightlifting and run/walk clubs, archery, figure skating, increased access to the sports field, and improved condition of the outdoor basketball court (β = 15.5, 95 % CI: 5.2–25.7). Conclusions Changes such as adding or increasing access to facilities, and adding multiple recreational programs, seemed to be effective for increasing student MVPA over the 1-year period. However, given the specificity of results, a one-size fits all approach may not be effective for increasing MVPA. Instead, school principals need to consider the resources within and surrounding their school, and the interests of the students.
Collapse
|
11
|
Tesler R, Harel-Fisch Y, Baron-Epel O. School Health Promotion Policies and Adolescent Risk Behaviors in Israel: A Multilevel Analysis. THE JOURNAL OF SCHOOL HEALTH 2016; 86:435-443. [PMID: 27122143 DOI: 10.1111/josh.12394] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2014] [Revised: 10/14/2015] [Accepted: 01/10/2016] [Indexed: 06/05/2023]
Abstract
BACKGROUND Health promotion policies targeting risk-taking behaviors are being implemented across schools in Israel. This study identified the most effective components of these policies influencing cigarette smoking and alcohol consumption among adolescents. METHODS Logistic hierarchical linear model (HLM) analysis of data for 5279 students in 95 Jewish public schools from the Health Behavior in School-Aged Children (HBSC) 2010-2011 survey in Israel enabled simultaneous estimation of the relationship between student- and school-level variables (health promotion policy) to alcohol consumption and smoking behavior. Principals of participating schools also were interviewed to ascertain their degree of adoption and implementation of a health promotion policy. RESULTS Most of the variance in adolescent risk behaviors is explained by student-level variables: negative perceptions of school, lack of parental support for school issues, and more time spent with friends. Among the school-level policy measures, parental participation in health promotion intervention programs was repeatedly associated with lower rates of risk behaviors, over and above student characteristics. CONCLUSIONS School health promotion policies should focus on parents' involvement in intervention programs and should seek to improve students' perceptions of school and their sense of well-being to promote resilience. Further research is needed to identify additional factors that may increase the effectiveness of school health promotion policies.
Collapse
Affiliation(s)
- Riki Tesler
- Faculty of Social Welfare and Health Sciences, School of Public Health, Mount Carmel, Haifa 3498838, Israel.
| | - Yossi Harel-Fisch
- International Research Program on Adolescent Well-Being and Health, School of Education, Bar-Ilan University, Ramat Gan 52900, Israel.
| | - Orna Baron-Epel
- Faculty of Social Welfare and Health Sciences, School of Public Health, Mount Carmel, Haifa 3498838, Israel.
| |
Collapse
|
12
|
Everett Jones S, Sliwa S. School Factors Associated With the Percentage of Students Who Walk or Bike to School, School Health Policies and Practices Study, 2014. Prev Chronic Dis 2016; 13:E63. [PMID: 27172258 PMCID: PMC4867304 DOI: 10.5888/pcd13.150573] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
INTRODUCTION Active school transport, such as by walking or biking, increases physical activity levels, which has health and academic benefits for children. We examined school demographic and other characteristics to determine their association with the percentage of students who walk or bike to school. METHODS We analyzed data from the Centers for Disease Control and Prevention's 2014 School Health Policies and Practices Study. The response rate for the module containing questions about transportation was 70% (N = 577). Multivariate logistic regression models examined whether certain school characteristics were associated with a school having 26% or more of students who walk or bike to school in the morning on an average school day. RESULTS In most (61.5%) schools, 10% or fewer students walked or biked to school in the morning on an average school day; in 22.7% of schools, 26% or more students did so. Although having crossing guards (adjusted odds ratio [AOR] = 3.3; 95% confidence interval [CI], 1.9-6.0), having bicycle racks (AOR = 2.7; 95% CI, 1.2-5.8), and providing promotional materials to students or families on walking or biking to school (AOR = 2.9; 95% CI, 1.7-5.1) were associated with having 26% or more students who walk or bike to school, only 47.7% of schools had crossing guards, 62.4% had bicycle racks, and 33.3% provided promotional materials. CONCLUSION Several low-cost or no-cost strategies were associated with having 26% or more students who walked or biked to school, but these strategies are not commonly used in schools.
Collapse
Affiliation(s)
- Sherry Everett Jones
- School-Based Surveillance Branch, Division of Adolescent and School Health, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, MS E75, Atlanta, GA 30329.
| | - Sarah Sliwa
- School Health Branch, Division of Population Health, Centers for Disease Control and Prevention, Atlanta, Georgia
| |
Collapse
|