Relations of Sex Differences in Initial Body Mass Index and Physical Activity with Observed Changes over 12 Weeks among Children in the Youth Fit for Life After-School Care Intervention

2007 ◽  
Vol 105 (3_suppl) ◽  
pp. 1196-1202 ◽  
Author(s):  
James J. Annesi ◽  
Jennifer L. Unruh ◽  
Alice E. Smith
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Sex Differences ◽  
Body Mass ◽  
After School ◽  
Care Intervention ◽  
Initial Body Mass Index ◽  
School Care ◽  
After School Care

Correlates of Changes in Voluntary Physical Activity Associated with the Youth Fit for Life™ Intervention during After-School Care

2008 ◽  
Vol 102 (3) ◽  
pp. 911-919 ◽  
Author(s):  
James J. Annesi ◽  
JUlie C. Moore ◽  
Gayle M. Dixon
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Body Mass ◽  
Vigorous Physical Activity ◽  
After School ◽  
Multiple Regression Equation ◽  
Physiological Factors ◽  
Voluntary Physical Activity ◽  
School Care ◽  
After School Care

Overweight in youth is increasing and physical inactivity has been implicated as a causal factor. An after-school care intervention, Youth Fit For Life™, has been associated with significant improvements in physiological factors and frequency of moderate-to-vigorous physical activity voluntarily completed outside of structured settings. Correlates of the observed changes in physical activity amounts were, however, unknown. A multiple regression equation with simultaneous entry of sex, age, race, initial Body Mass Index, and initial frequency of voluntary physical activity as predictor variables for changes in physical activity was calculated on Euro-American and African-American participants ages 8 to 12 years ( N=217). A statistically significant 16% of the variance in changes in frequency of voluntary physical activity over 12 wk. was accounted for, with only voluntary physical activity at baseline and age making significant, unique contributions. For participants either overweight or at risk for overweight ( n = 72), the changes in physical activity significantly correlated with changes in Body Mass Index. Implications of findings to maximize treatment effects on voluntary physical activity were suggested.

scholarly journals Effect of Children’s Weight Status on Physical Activity and Sedentary Behavior during Physical Education, Recess, and After School

2020 ◽  
Vol 9 (8) ◽  
pp. 2651
Author(s):  
Zachary C. Pope ◽  
Charles Huang ◽  
David Stodden ◽  
Daniel J. McDonough ◽  
Zan Gao
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Elementary School ◽  
Physical Education ◽  
Sedentary Behavior ◽  
Body Mass ◽  
Weight Status ◽  
After School ◽  
Healthy Weight

Children’s body mass index may affect physical activity (PA) participation. Therefore, this study examined the effect of children’s weight status on underserved elementary school children’s PA and sedentary behavior (SB) throughout the segmented day. Participants were 138 children (X¯age = 8.14 years). Children’s height and weight were measured with subsequent classification of children as healthy weight or overweight/obese. Durations of moderate-to-vigorous PA (MVPA), light PA (LPA), and SB during physical education (PE), morning recess, lunch recess, after school, and overall were assessed via accelerometry over three days. Independent t-tests evaluated differences in children’s MVPA, LPA, and SB during each daily segment by weight status. Significantly higher MVPA was observed for children of healthy weight status versus children with overweight/obesity during morning recess, t(136) = 2.15, p = 0.03, after school, t(136) = 2.68, p < 0.01, and overall, t(136) = 2.65, p < 0.01. Interestingly, comparisons of children of healthy weight status and children with overweight/obesity’s LPA and SB during the after-school segment revealed a trend wherein children with overweight/obesity participated in slightly greater LPA/less SB than children of healthy weight status. Higher MVPA was observed among children of healthy weight versus children with overweight/obesity during most daily segments. Concerted efforts should focus on increasing MVPA among children with overweight/obesity.

Abstract P180: Low Prevalence of Ideal Cardiovascular Health in Patients With Severe Hypercholesterolemia in a Largely Rural Population

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Nicole A Groth ◽  
Catherine P Benziger
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Sex Differences ◽  
Total Cholesterol ◽  
Body Mass ◽  
Cardiovascular Health ◽  
Healthy Diet ◽  
Ideal Cardiovascular Health ◽  
Health Factors ◽  
Low Prevalence

Introduction: The American Heart Association’s ideal cardiovascular health (ICH) score is determined by 3 ideal health factors (normal blood pressure, untreated total cholesterol, and glucose) and 4 ideal health behaviors (non-smoking, normal body mass index, high physical activity, and heart healthy diet). Achieving ICH, defined as meeting 5 of the 7 metrics, decreases risk of cardiovascular disease. Prevalence estimates of ICH in patients with severe hyperlipidemia (SH) living in rural areas are lacking. Hypothesis: We aimed to determine the prevalence of poor, intermediate, and ICH in patients with SH in a large healthcare system (Essentia Health), where over 60% of the population is rural. Methods: The electronic medical record-based SH registry is a cross-sectional cohort study at the Essentia Health of patients who have ever had a low-density lipoprotein - cholesterol value of 190 mg/dL or higher, since 01/01/2000 (n=17,925). Patients were excluded if they did not have a visit at the institution within the past 5 years (n=209) or were outside of the age 20-75 years (n=3,153). Physical activity and healthy diet were not available in the record and were excluded from the score. Patients with missing data were assumed ideal given low clinical suspicion of conditions. Methods: A total of 14,544 (81.1%) of the SH registry patients met inclusion criteria (mean age 63 +13 years; 58.9% female). Figure 1 shows the prevalence of ICH metrics in the total population. Only 3 (0.02%) people met all five of the ideal metrics (score of 10); more females had a score of 8-10 than males (12.5% vs. 9.6%). A total of 13 (0.08%) had a score of 0 (poor) and 3.0% had a score of 0-2 with no sex differences. Not smoking and ideal glucose were the most prevalent health factors. The mean score was 5.6 (+1.6) with no sex differences. Conclusions: There is low prevalence of ICH in patients with SH living in rural populations. The metrics with the lowest prevalence and therefore highest potential for improvement are the health factors: total cholesterol and body mass index.

scholarly journals Evaluation of a Primary Care Weight Management Program in Children Aged 2–5 years: Changes in Feeding Practices, Health Behaviors, and Body Mass Index

Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 498 ◽  
Author(s):  
Jared Tucker ◽  
Renee DeFrang ◽  
Julie Orth ◽  
Susan Wakefield ◽  
Kathleen Howard
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Body Mass Index ◽  
Health Behaviors ◽  
Body Mass ◽  
Screen Time ◽  
Feeding Habits ◽  
Feeding Practices ◽  
Care Intervention ◽  
The Impact

Background: Primary care offers a promising setting for promoting parenting practices that shape healthy eating and physical activity behaviors of young children. This study assessed the impact of a parent-based, primary care intervention on the feeding habits, health behaviors, and body mass index (BMI) of 2–5 year olds with elevated or rapidly-increasing BMI. Methods: Four private pediatric offices in West Michigan were assigned as control (n = 2) or intervention (n = 2) sites based on patient load and demographics. Treatment families were recruited at well-child visits to receive physician health-behavior counseling and four visits with a registered dietitian nutritionist (RDN) over a 6-month period. Intervention outcomes were age- and sex-specific BMI metrics, including BMI z-scores and percent of the 95th percentile (%BMIp95), the Family Nutrition and Physical Activity survey (FNPA), and the Feeding Practices and Structure Questionnaire (FPSQ). Results: Of 165 enrolled families, 127 completed follow-up measures (77% retention). Mean (±SD) FNPA scores improved in treatment vs. control (4.6 ± 4.6 vs. 0.1 ± 4.2; p < 0.001), and screen time (h/day) decreased (−0.9 ± 1.8 vs. 0.3 ± 1.1; p < 0.001). Non-responsive feeding practices (i.e., reward for behavior (p = 0.006) and distrust in appetite (p < 0.015)) and structure-related feeding practices (structured meal timing (p < 0.001)) improved in treatment parents vs. controls. Reductions in child BMI measures did not differ between groups. Conclusions: Families with preschool children participating in a low-intensity, primary care intervention improved obesogenic health behaviors, parent feeding habits, and child screen time, but not child adiposity. Future research should assess the sustainability of these family lifestyle improvements, and evaluate their future impact on the health and development of the children.

scholarly journals Canadian after-school care providers’ perceived role promoting healthy lifestyles: A focused ethnography

2020 ◽  
Author(s):  
Pierrette H. Elias ◽  
Genevieve Montemurro ◽  
Lauren Sulz ◽  
Brian Torrance ◽  
Kate Elizabeth Storey
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Healthy Eating ◽  
Healthy Lifestyle ◽  
School Setting ◽  
After School ◽  
Data Generation ◽  
Care Providers ◽  
School Care ◽  
After School Care

Abstract BACKGROUND: After-school care programs have garnered interest in recent years as the hours of 3:00–6:00p.m. are an opportune time for children to engage in healthy behaviours, specifically healthy eating and physical activity. Care providers are major influencers within the after-school care setting, impacting health promoting opportunities for children. However, little is known regarding the role care providers play in health promotion interventions in the after-school care setting, specifically those using comprehensive approaches. The purpose of this research was to explore care providers’ role and experience promoting healthy eating and physical activity through the after-school care health promotion intervention School’s Out…Let’s Move (SOLMo). SOLMo was guided by the evidence-based comprehensive school health framework.SOLMo had two main goals: (1) to serve a healthy snack with vegetable or fruit, and milk or water as the drink; (2) to include 30 minutes of moderate to vigorous physical activity. The intervention included resources and coaching for care providers to promote healthy eating and physical activity for children and took place in four after-school sites over a six-month period. Three of four sites were located in a school. The primary researcher was engaged with the sites over 22-months. METHODS: This research was guided by the qualitative method focused ethnography. Semi-structured interviews with care providers (n=13) taking part in SOLMo were conducted. Participant observation was included as part of data generation to further understand care provider roles. Latent content analysis was utilized iteratively and concurrently throughout data generation. RESULTS: Overall, care providers were supportive of promoting health behaviours in the after-school setting. Through analysis, five themes and eight subthemes emerged related to care providers’ role and experience promoting healthy eating and physical activity through SOLMo: 1) enhanced awareness; 2) improved programming; 3) strong relationships; 4) collaborative approach; and 5) role tension. CONCLUSIONS: As major influencers, care providers play a crucial role in promoting healthy lifestyle behaviours for children. This research provides valuable insight into this role and the implementation of comprehensive health promotion approaches in the after-school setting. Findings contribute to the implementation knowledge base and help inform the promotion of healthy lifestyle behaviours for children.

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