scholarly journals Associations between Community Built Environments with Early Care and Education Classroom Physical Activity Practices and Barriers

Author(s):  
Bethany D. Williams ◽  
Susan B. Sisson ◽  
Dipti A. Dev ◽  
Bryce Lowery ◽  
Diane Horm ◽  
...  

The influence of community-built environments on physical activity (PA) support in Early Childhood Education settings (ECEs) is unknown. The purpose of this cross-sectional study was to determine associations between community PA environments and ECE classroom PA practices. We included licensed Oklahoma ECE directors serving 3-to-5-year-old children. Parks and playground locations were exported from Google Earth. National Walkability Index was derived from 2010 US Census data. ArcMap 10.6 was used to geocode ECE locations, which were within an Activity Desert if no parks/playgrounds were located within a 1-mile radius or if Walkability Index was 10.5 or below. Classroom PA practices were determined by using the Nutrition and PA Self-Assessment tool (NAP SACC). Barriers to implementing practices were reported. Most Head Starts (n = 41; 80.3%), center-based childcare settings (CBC; n = 135; 87.0%), and family childcare homes (FCCHs; n = 153; 96.4%) were in an Activity Desert. Parks/playgrounds within a 10-mile buffer were correlated with classroom PA practices in FCCHs only (p < 0.001). Activity Desert status was not related to classroom PA practices for any ECE context (p > 0.029). While FCCHs may be the most vulnerable to lack of park and playground access, overall findings suggest ECEs provide a healthful micro-environment protective of the typical influence of community-built environments.

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ning An ◽  
Ji Sheng Lin ◽  
Qi Fei

Abstract Background To compare the validation of four tools for identifying painful new osteoporotic vertebral compression fractures (PNOVCFs) in older Chinese men: bone mineral density (BMD), Asian osteoporosis self-assessment tool (OSTA), World Health Organization fracture risk assessment tool (FRAX) (without BMD) and Beijing Friendship Hospital Osteoporosis Self-Assessment Tool (BFH-OSTM). Methods A cross sectional study was conducted from 2013 to 2019. A total of 846 men aged ≥50 were included and were divided into two groups: Fracture Group (patients with PNOVCFs underwent percutaneous vertebroplasty surgery) and Non-Fracture Group (community dwelled subjects for healthy examination). All subjects accepted a dual-energy X-ray BMD test and a structured questionnaire. The results of BMD, OSTA, FRAX and BFH-OSTM scores were assessed and receiver-operating characteristic (ROC) curves were generated to compare the validity of four tools for identifying PNOVCFs. Optimal cutoff points, sensitivity, specificity, and areas under the ROC curves (AUCs) were determined. Results There were significant differences including BMD T score (femoral neck, total hip and L1-L4), OSTA, FRAX and BFH-OSTM scores between Fracture group and Non-fracture group. Compared to BMD and OSTA, BFH-OSTM and FRAX had better predictive value, the sensitivity, specificity and AUC value are 0.841, 81.29%, 70.67% and 0.796, 74.85%, 78.52%, respectively. Compared with FRAX, the BFH-OSTM has a better AUC value. Conclusions Both BFH-OSTM and FRAX can be used to identify POVCFs, However, BFH-OSTM model may be a more simple and effective tool to identify the risk of POVCFs in Chinese elderly men.


Author(s):  
Bridget C. Foley ◽  
Katherine B. Owen ◽  
William Bellew ◽  
Luke Wolfenden ◽  
Kathryn Reilly ◽  
...  

Active Kids is a government-led, universal voucher program that aims to reduce the cost of participation in structured physical activity for all school-enrolled children in New South Wales (NSW), Australia. As part of the Active Kids program evaluation, this cross-sectional study examined the Active Kids’ program’s reach to children in NSW and their physical activity behaviors, before voucher use. Demographic registration data from all children (4.5–18 years old) who registered for an Active Kids voucher in 2018 (n = 671,375) were compared with Census data. Binary and multinomial regression models assessed which correlates were associated with meeting physical activity guidelines and participation in the sessions of structured physical activity. The Active Kids program attracted more than half (53%) of all eligible children in NSW. Children who spoke a primary language other than English at home, were aged 15–18 years old, lived in the most disadvantaged areas, and girls, were less likely to register. Of the registered children, 70% had attended structured physical activity sessions at least once a week during the previous 12 months, whilst 19% achieved physical activity guidelines. Active Kids achieved substantial population reach and has the potential to improve children’s physical activity behaviors.


2012 ◽  
Vol 1 (1) ◽  
pp. 8-15
Author(s):  
SMS Al Azad ◽  
HK Talukder ◽  
S Hossain ◽  
T Islam ◽  
A Haque ◽  
...  

This descriptive type of cross sectional study was carried out with the objective of exploring the views of undergraduate dental students about practice of self assessment practice in their academic study at Government & non Government dental colleges in 2009. 1st & 2nd year dental students were the study population here. Sample size was 262.Data was collected by self administered semi structured questionnaire adapting purposive sampling. Study revealed that most of the respondents suggested practice of self assessment is necessary for academic development. The reason behind their practicing of self assessment were stated as because self assessment build self confidence & knowledge, identify gaps & laps of study, improve thyself for better academic performance, helps to build a good professional career & fulfil the aims & goals of life. Regarding the process of self assessment major portion of the respondents followed teachers suggestion & advices of their guardian as their means of self assessment most of the times. Group study, peer feedback, solving previous question, senior students advices & note khatas were used as self assessment tool. In this study it was also found that barriers regarding self assessment were excessive work load in most of the cases 164(70%). On the other hand, self assessment practice was also hampered by lack of facility for group study, non cooperative tendency of the students, lack of feedback from the teachers & frequent examination. Most of the times self assessment practice, factors affecting self assessment & also the barriers regarding self assessment are somehow related to their teachers, guardian & academic examination with the results. So if self assessment practice is being made a provision institutionally it will be beneficial for undergraduate dental students & the institutes. For this it should be ensured that there is proper institutional set up, exact organization, required resources (Faculty, technical support, stuff cooperation) & perfect coordination both intra & inter institutionally all over the country controlled by a central authority. For more information & exact concept as well as proper implementation more & more study can be done regarding self assessment in a wider scale taking all the events of self assessment into consideration. DOI: http://dx.doi.org/10.3329/bjme.v1i1.12853 Bangladesh Journal of Medical Education Vol.1(1) 2010 pp.8-15


Retos ◽  
2018 ◽  
pp. 246-249
Author(s):  
Félix Zurita-Ortega ◽  
Ramón Chacón Cuberos ◽  
Manuel Fernández-Sánchez ◽  
Manuel Castro-Sánchez

Este estudio de carácter descriptivo y de corte transversal se realizó sobre un grupo de 41 adultos mayores de Santiago de Chile (Chile) que sufrían patología de hombro, con una edad media de 58,17 años (DT = 11,75). Se utilizó para la valoración el Test UCLA, el Termómetro de EUROQOL de Autovaloración del Estado de Salud y un Cuestionario Sociodemográfico. El análisis de datos se realizó a través de SPSS 20.0 empleando descriptivos básicos y un modelo de regresión logística binaria. Los sujetos que presentaron tendinopatías en el hombro fueron un 53,7% (n = 22). Asimismo, un 48,8% indicó que practicaba actividad física de forma continuada, únicamente un 14,6% (n=6) no lo hacía periódicamente y un 39% (n = 16) desarrollaba ejercicios de mantenimiento. El estado de salud y la evaluación UCLA mostraron asociaciones estadísticas. El modelo de regresión reveló asociaciones de la actividad física con el sexo [OR = 0,086 (0,008-0,977)] y el estado de salud [OR = 0,021 (0,001-0,311)]. Como principales conclusiones se concreta que la actividad física regular es un elemento que disminuye el desarrollo de dolor en la patología de hombro en mayores. Asimismo, los datos obtenidos revelan que ser mujer y tener peor estado de salud se asocia a una menor práctica de actividad física en personas con patología de hombro.Abstract. This descriptive and cross-sectional study was performed on a group of 41 adults from Santiago of Chile (Chile) who suffer shoulder pathology, with an average age of 58,17 years old (SD = 11,75). This study employed as main instruments the EUROQOL THERMOMETER, the UCLA scale, a self-assessment for health status, and a sociodemographic questionnaire. This study used SPSS 20.0 software for data analysis employing basic descriptive analysis and a f binary logistic regression model. A total of 53,7% (n=22) of the subjects showed shoulder tendinopathies. The 48,8% of the sample reported that they do physical activity frequently, while only 14,6% (n = 6) indicated that they never do physical activity regularly, and 39% (n = 16) do maintenance exercise. The regression model showed associations between physical activity and sex [OR = 0,086 (0,008 – 0,977)] and health status [OR = 0,021 (0,001 to 0,311)]. As main conclusions, regular physical activity is an element that decreases the development of pain in shoulder pathology. Likewise, the data obtained reveal that being a woman and having a worse state of health is associated with less physical activity in people affected by shoulder pathology.


Author(s):  
Amro Alzahrani ◽  
Suzan Alainain ◽  
Ahmed Ojaem ◽  
Abdullah Almarzoqi ◽  
Mona Khbrani ◽  
...  

Author(s):  
Wafaa Husain ◽  
Fatemah Ashkanani

Abstract Background The coronavirus pandemic has transformed and continues to transform and affect the daily lives of communities worldwide, particularly due to the lockdown restrictions. Therefore, this study was designed to understand the changes in dietary and lifestyle behaviours that are major determinants of health during the COVID-19 outbreak. Methods A cross-sectional study was conducted through an online questionnaire using a convenience sample of 415 adults living in Kuwait (age range 18–73 years). Results The rate of skipping breakfast remained consistent, with a slight increase during the pandemic. Lunch remained the main reported meal before and during COVID-19. Compared to before COVID-19, people were much more likely have a late-night snack or meal during COVID-19 (OR = 3.57 (95% CI 1.79–7.26), p < 0.001). Moreover, there was a drastic decrease in the frequency of fast-food consumption during COVID-19, up to 82% reported not consuming fast food (p < 0.001). There was a significant increase in the percentage of participants who had their main meal freshly made (OR = 59.18 (95% CI 6.55–1400.76), p = 0.001). Regarding food group patterns, no significant differences were found before and during the pandemic in terms of the weekly frequency of consumption, except in the case of fish and seafood. There were no remarkable changes in beverage consumption habits among participants before and during the pandemic, except for Americano coffee and fresh juice. Furthermore, there was a great reduction in physical activity and an increase in the amount of screen time and sedentary behaviours. A notable increase was detected in day-time sleep and a decrease in night-time sleep among participants. Conclusion In general, this study indicates some changes in daily life, including changes in some eating practices, physical activity and sleeping habits during the pandemic. It is important that the government considers the need for nutrition education programmes and campaigns, particularly during this critical period of the pandemic in Kuwait.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D de Assumpção ◽  
S M Álvares Domene ◽  
A M Pita Ruiz ◽  
P M Stolses Bergamo Francisco

Abstract Background The consumption of red meat should not surpass 500 g of cooked weight per week. Regular consumption can exceed this recommendation, increasing the risk of chronic diseases. Objective Estimate the prevalence of the regular consumption of red meat according to health behaviors in Brazilian adults (≥18 years). Methods A cross-sectional study was conducted with data from the 2013 National Health Survey, which is a household inquiry with a representative sample of the population ≥18 years of age. The regular consumption of red meat (beef, pork, goat) was defined as ≥ 5 days/week. Prevalence ratios (PR) and 95% confidence intervals (CI) were estimated according to health behaviors (healthy and unhealthy eating patterns, smoking, practice of physical activity during leisure and alcohol intake). Results A total of 60,202 adults were interviewed, 52.9% of whom were women and mean age was 42.9 years (95%CI: 42.6-43.2). The prevalence of regular red meat consumption was 36.7% (95%CI: 36.0-37.5) and was higher among those who ingested soft drinks/artificial juice (PR = 1.08) and sweets (PR = 1.05) ≥3 days/week, ingested beans (PR = 1.07) and raw vegetables (PR = 1.03) ≥5 days/week, ingested fatty meat (PR = 1.09), smokers (PR = 1.05), individuals who were inactive during leisure (PR = 1.04) and those who consumed alcohol ≥2 times/week (PR = 1.06). The prevalence was lower among those who ate fruit (PR = 0.99) and chicken (PR = 0.95) ≥5 days/week, those who ate fish (PR = 0.90) at least 1 day/week and those who drank no fat/low fat milk rather than whole milk. Conclusions The regular consumption of red meat was higher among individuals who ingested unhealthy foods more often, those who ingested fatty meat, smokers, those who ingested alcoholic beverages and those who did not practice physical activity. Actions are needed to reduce the frequency of red meat consumption. Key messages Regular consumption of red meat can exceed the recommendation of 500 g of cooked weight per week. The regular consumption of red meat was associated with the more frequent ingestion of unhealthy foods and fatty meat.


Author(s):  
Katarzyna Kwiatkowska ◽  
Katarzyna Kosińska-Kaczyńska ◽  
Izabela Walasik ◽  
Agnieszka Osińska ◽  
Iwona Szymusik

Background: No specific physical activity guidelines are available for women in multiple pregnancy. Aim of the study was to assess the knowledge and experience of women regarding physical activity during their latest twin pregnancy. Methods: A cross-sectional study including women after a twin delivery was conducted in Poland. A questionnaire was distributed in 2018 via web pages and Facebook groups designed for pregnant women. Results: 652 women filled out the questionnaire completely. Only 25% of women performed any physical exercises during twin gestation. The frequency of preterm delivery was similar in physically active and non-active participants. 35% of the respondents claimed to have gained information on proper activity from obstetricians during antenatal counselling while 11% claimed to be unable to identify the reliable sources of information. 7% of women admitted to feel discriminated by social opinion on exercising during a twin pregnancy. Conclusions: The population of women with a twin gestation is not sufficiently physically active and is often discouraged from performing exercises during gestation. Therefore, it is crucial to inform obstetricians to recommend active lifestyle during a twin gestation and to provide reliable information on physical activity to pregnant women. Further research on this topic is necessary in order for obstetric providers to counsel women on appropriate exercise with a twin pregnancy.


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