scholarly journals Report Card Grades on the Physical Activity of Children and Youth Comparing 30 Very High Human Development Index Countries

2018 ◽  
Vol 15 (s2) ◽  
pp. S298-S314 ◽  
Author(s):  
Salomé Aubert ◽  
Joel D. Barnes ◽  
Nicolas Aguilar-Farias ◽  
Greet Cardon ◽  
Chen-Kang Chang ◽  
...  

Background: To better understand the childhood physical inactivity crisis, Report Cards on physical activity of children and youth were prepared concurrently in 30 very high Human Development Index countries. The aim of this article was to present, describe, and compare the findings from these Report Cards. Methods: The Report Cards were developed using a harmonized process for data gathering, assessing, and assigning grades to 10 common physical activity indicators. Descriptive statistics were calculated after converting letter grades to interval variables, and correlational analyses between the 10 common indicators were performed using Spearman’s rank correlation coefficients. Results: A matrix of 300 grades was obtained with substantial variations within and between countries. Low grades were observed for behavioral indicators, and higher grades were observed for sources of influence indicators, indicating a disconnect between supports and desired behaviors. Conclusion: This analysis summarizes the level and context of the physical activity of children and youth among very high Human Development Index countries, and provides additional evidence that the situation regarding physical activity in children and youth is very concerning. Unless a major shift to a more active lifestyle happens soon, a high rate of noncommunicable diseases can be anticipated when this generation of children reaches adulthood.

2018 ◽  
Vol 15 (s2) ◽  
pp. S284-S297 ◽  
Author(s):  
Silvia A. González ◽  
Joel D. Barnes ◽  
Patrick Abi Nader ◽  
Dolores Susana Andrade Tenesaca ◽  
Javier Brazo-Sayavera ◽  
...  

Background: The Global Matrix 3.0 brings together the Report Card grades for 10 physical activity indicators for children and youth from 49 countries. This study describes and compares the Global Matrix 3.0 findings among 10 countries with high Human Development Index. Methods: Report Cards on physical activity indicators were developed by each country following a harmonized process. Countries informed their Report Cards with the best and most recent evidence available. Indicators were graded using a common grading rubric and benchmarks established by the Active Healthy Kids Global Alliance. A database of grades from the countries was compiled, and letter grades were converted to numerical equivalents. Descriptive statistics and scores for groups of indicators were calculated, and correlation analyses were conducted. Results: Grades for the 10 countries clustered around “D” ranging from “F” to “B+.” Active Transportation had the highest average grade (“C”), whereas Overall Physical Activity had the lowest average grade (“D-”). Low grades were observed for both behavioral and sources of influence indicators. Conclusions: In the context of social and economical changes of high- Human Development Index countries, urgent actions to increase physical activity among children and youth are required. Surveillance and monitoring efforts are required to fill research gaps.


2018 ◽  
Vol 15 (s2) ◽  
pp. S274-S283 ◽  
Author(s):  
Taru Manyanga ◽  
Joel D. Barnes ◽  
Chalchisa Abdeta ◽  
Ade F. Adeniyi ◽  
Jasmin Bhawra ◽  
...  

Background: This study compares results of physical activity report cards from 9 countries with low to medium human development indices, participating in the Global Matrix 3.0 initiative. Methods: Country-specific report cards were informed by relevant data and government policy documents, reporting on 10 core indicators of physical activity for children and youth. Data were synthesized by report card working groups following a harmonized process. Grade assignments for each indicator utilized a standard grading rubric. Indicators were grouped into one of 2 categories: daily behaviors and settings and sources of influence. Descriptive statistics (average grades) were computed after letter grades were converted into interval variables. Spearman’s rank correlation coefficients were calculated for all correlation analyses. Results: Mean grades for daily behaviors were higher (C) than those for settings and sources of influence (D+). Twenty-nine out of the possible 90 grades were assigned an incomplete. There were moderate to strong positive and negative relationships between different global indices and overall physical activity, organized sport and physical activity, active play, family, community and environment, and government. Conclusions: Findings demonstrate an urgent need for high-quality data at the country level in order to better characterize the physical activity levels of children and youth in countries with low to medium human development indices.


Author(s):  
Silvia A. González ◽  
Salomé Aubert ◽  
Joel D. Barnes ◽  
Richard Larouche ◽  
Mark S. Tremblay

This article aims to compare the prevalence of active transportation among children and adolescents from 49 countries at different levels of development. The data was extracted from the Report Cards on Physical Activity for Children and Youth from the 49 countries that participated in the Global Matrix 3.0 initiative. Descriptive statistics and a latent profile analysis with active transportation, Human Development Index and Gini index as latent variables were conducted. The global average grade was a “C”, indicating that countries are succeeding with about half of children and youth (47–53%). There is wide variability in the prevalence and in the definition of active transportation globally. Three different profiles of countries were identified based on active transportation grades, Human Development Index (HDI) and income inequalities. The first profile grouped very high HDI countries with low prevalence of active transport and low inequalities. The second profile grouped low and middle HDI countries with high prevalence of active transportation and higher inequalities. And the third profile was characterized by the relatively high prevalence of active transportation and more variability in the socioeconomic variables. Promising policies from countries under each profile were identified. A unified definition of active transportation and contextualized methods for its assessment are needed to advance in surveillance and practice.


The Lancet ◽  
2013 ◽  
Vol 381 (9875) ◽  
pp. 1355-1356
Author(s):  
E Scott Sills ◽  
Gary S Collins

The Lancet ◽  
2013 ◽  
Vol 381 (9875) ◽  
pp. 1356-1357 ◽  
Author(s):  
Hannah H Chang ◽  
Jim Larson ◽  
Hannah Blencowe ◽  
Cathy Y Spong ◽  
Joe Leigh Simpson ◽  
...  

2016 ◽  
Vol 13 (11) ◽  
pp. 1174-1182 ◽  
Author(s):  
Valter C. Barbosa Filho ◽  
Kelly Samara da Silva ◽  
Jorge Mota ◽  
Carmem Beck ◽  
Adair da Silva Lopes

Background:Promoting physical activity (PA) in low- and middle-income countries is an important public health topic as well as a challenge for practice. This study aimed to assess the effect of a school-based intervention on different PA-related variables among students.Methods:This cluster-randomized-controlled trial included 548 students in the intervention group and 537 in the control group (11–18 years-old) from 6 schools in neighborhoods with low Human Development Index (0.170–0.491) in Fortaleza, Brazil. The intervention included strategies focused on training teachers, opportunities for PA in the school environment and health education. Variables measured at baseline and again at the 4-months follow-up included the weekly time in different types of moderate-to-vigorous PA (MVPA), preference for PA during leisure-time, PA behavioral change stage and active commuting to school. Generalized linear models and binary logistic regressions were used.Results:An intervention effect was found by increasing the weekly time in MVPA (effect size = 0.17), popular games (effect size = 0.35), and the amount of PA per week (effect size = 0.27) among students (all P < .05).Conclusions:The intervention was effective in promoting improvements in some PA outcomes, but the changes were not sufficient to increase the proportion of those meeting PA recommendations.


The Lancet ◽  
2013 ◽  
Vol 381 (9875) ◽  
pp. 1355
Author(s):  
Zhan Zhang ◽  
Jing Pan ◽  
Shihong Cui ◽  
Yueshu Zhao ◽  
Nanbert Zhong

2021 ◽  
Author(s):  
Wen-Wei Sung ◽  
Yong-Chen Hsu ◽  
Ying-Ching Chen ◽  
Yu-Chi Chao ◽  
Chih-Jung Chen

Abstract Background: The incidence rate of lip and oral cancer is increasing in recent years, the prognosis of which is associated with a country’s socioeconomic status. The mortality-to-incidence ratio (MIR) is a reasonable indicator of disparities in cancer screening and treatment. We aim to understand the association between economic status and cancer prognosis.Methods: Data were obtained from the Global Cancer Observatory (GLOBOCAN) and the World Health Organization (WHO). The MIR was applied to evaluate the correlation to healthcare expenditures and the human development index (HDI) disparities via Spearman's rank correlation coefficient.Results: The results showed that Asia has the most cases and deaths. The association of the HDI, current health expenditure (CHE), and ratio of CHE to the percentage of gross domestic product (CHE/GDP) to the crude rate (CR) of incidence show significant results (p<0.001, p=0.005, and p<0.001, respectively). However, their association with the mortality rate (p=0.303, p=0.997, and p=0.101) is not significant. In the correlation of the MIRs, the results revealed a significant association with the HDI, CHE, and CHE/GDP with the MIR (p<0.001, p<0.001, and p<0.001, respectively).Conclusion: Countries with a higher HDI, more CHE per capita, and higher CHE/GDP tend to have a lower MIR, which indicates a favorable clinical outcome.


2021 ◽  
Author(s):  
Gabriel Souza Suzart ◽  
Ingrid Sanchez ◽  
Daniel Guimarães ◽  
Pedro Augusto Assis Lopes ◽  
Pedro Antonio Pereira de Jesus

Background: Stroke outcomes depend somehow on the time taken from the symptoms onset until arrival to the specialized service. However, as it lacks literature exploring the impact of socio-demographics factors on this time, we investigated the association between Human Development Index and delay on arrival to specialized service. Design and setting: Cross-sectional study from a prospective cohort (PMID=33719516) at Hospital Geral Roberto Santos. Methods: From a total of 454 stroke patients, 156 were included in this study because they had registered address, time of admission and of symptoms onset. Patients had HDI defined by their address and were grouped into HDI categories. Results: In our sample, 57 (36,5%) individuals had medium HDI, 70 (44,9%) high HDI and 29 (18,6%) very high HDI. Very high HDI patients’ delay (2:01; 1:22-2:57) was lower than high HDI (3:05; 2:05-5:26) and medium HDI (2:25;1:45-4:04) patients. There was statistical significance comparing these groups (X²=11,41;p<0,05), but a post-hoc test revealed statistical difference just between the very high HDI and high HDI groups (p<0.05). Conclusions: We expected to find a direct relation between delay on arrival to the stroke service and HDI categories. However, this was not observed. *Authors contributed equally.


2021 ◽  
pp. 174239532110591
Author(s):  
Mohammed Alyousef ◽  
Corina Naughton ◽  
Colin Bradley ◽  
Eileen Savage

Objective To address the growing burden of chronic disease globally, many countries have developed a national policy for primary healthcare reform. In some countries with high and very high human development index, evaluations of the implementation of these reforms have been published. To date, there has been no systematic review of these evaluations. The objectives of this review are to identify: (a) the vision for primary healthcare; (b) the features of primary healthcare reforms; and (c) evaluation findings of primary healthcare reforms. Methods A systematic literature review was conducted guided by the PRISMA statement. We searched for academic articles and grey literature from 1 March 2008 to 1 September 2020. Screening and data extraction were conducted by two authors. Descriptive analysis and narrative synthesis were applied. Results A vision for integrated primary healthcare shifting chronic disease management from specialist hospital services to primary care was found to require new organization and funding models such as collaborative primary healthcare networks and commissioning along with shared governance across health sectors. The need for general practitioner leadership and engagement to support primary healthcare reform was identified. Although there was evidence of barriers in progressing primary healthcare reform, evaluation results showed some positive outcomes, most notably shifts in services towards increased primary care access and utilization. Discussion A challenge in undertaking the review was the heterogeneity of articles with little consistency in how primary healthcare reform was evaluated and reported on across countries. Evaluation of national health reforms involves complex system-wide projects and is an area that needs further exploration and discussion to determine the most appropriate methodologies for collecting and analysing large-scale data with consideration for service and health outcomes.


Sign in / Sign up

Export Citation Format

Share Document