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Webber-Ritchey KJ, Mueller M, Carter JS. Examining current physical activity interventions in Black school-age children and parents: A systematic review. Prev Med 2021; 153:106814. [PMID: 34597612 DOI: 10.1016/j.ypmed.2021.106814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2020] [Revised: 09/10/2021] [Accepted: 09/26/2021] [Indexed: 11/21/2022]
Abstract
Obesity is prevalent in Black children and adults; increasing physical activity (PA) can aid in reducing childhood obesity in both age groups. The purpose of this systematic review is to examine current research on PA interventions in school-age Black children. Adhering to PRISMA guidelines, a systematic search was conducted in six databases for PA interventions in Black children. A total of 13 articles met inclusion criteria (n = 7 randomized controlled trial, n = 5 quasi-experimental, n = 1 cross-sectional). The majority of the articles were on a combination of diet and PA programs (n = 9). Four articles targeted PA and parental role modeling of PA as the outcome showing positive intervention effects. Nine additional studies included PA as an outcome variable along with at least one additional obesity-related predictor. PA interventions for Black school-age children typically use a parent-child dyadic approach (n = 13), are guided by theory (n = 11) and are high quality. However, continued investigation is warranted to draw definitive conclusions and determine how to best involve parents within the PA interventions. Theory-driven higher quality trials that clearly describe the structured PA component and outcomes among Black parent-child dyads are needed.
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Norman J, van Weerdenburg K, Furber S, Stratten M, Okely AD. A health and wellbeing programme for preadolescents in underserved Australian communities: child and stakeholder perspectives. Health Promot Int 2021; 37:6274247. [PMID: 33975350 DOI: 10.1093/heapro/daab065] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Social inequities in childhood affect children's health and development. Active In-Betweens is a weekly, healthy lifestyle and outdoor activity after-school programme, tailor-made for preadolescent children (9-12 year olds), incorporating a strengths-based, trauma-informed, co-designed and place-based approach. This study evaluated the extent to which the programme strategies and activities met the anticipated short- to medium-term programme outcomes during its first year of operation in two socio-economically disadvantaged housing communities in New South Wales, Australia. A qualitative case study used data from semi-structured interviews with child participants (n = 11) and key stakeholders (n = 10). A broad range of positive outcomes were described. Children's feedback indicated they had experienced opportunities which facilitated the development of new physical activity skills; new healthy eating experiences and knowledge; positive relationships with peers and facilitators and new connections with neighbourhood programmes and outdoor environments. Stakeholders valued the programme for the positive outcomes they observed among the children and the strong organizational partnerships which resulted. The importance of skilled facilitators to deliver the programme, the engagement of local stakeholders and a long-term commitment to programme delivery, with secure funding to ensure continuity, were clearly identified as integral for effective, sustainable outcomes.
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Affiliation(s)
- Jennifer Norman
- Health Promotion Service, Ambulatory and Primary Health Care, Illawarra Shoalhaven Local Health District, Level 1, 67-71 King Street, Warrawong, NSW, 2502, Australia.,Illawarra Health and Medical Research Institute, Wollongong, NSW, Australia.,Early Start, University of Wollongong, NSW, Australia
| | - Katherine van Weerdenburg
- Health Promotion Service, Ambulatory and Primary Health Care, Illawarra Shoalhaven Local Health District, Level 1, 67-71 King Street, Warrawong, NSW, 2502, Australia
| | - Susan Furber
- Health Promotion Service, Ambulatory and Primary Health Care, Illawarra Shoalhaven Local Health District, Level 1, 67-71 King Street, Warrawong, NSW, 2502, Australia.,Illawarra Health and Medical Research Institute, Wollongong, NSW, Australia.,Early Start, University of Wollongong, NSW, Australia
| | - Maddison Stratten
- HIV & Related Programmes Unit (HARP), Illawarra Shoalhaven Local Health District, Wollongong, NSW, Australia.,Healthy Cities Illawarra, Fairy Meadow, NSW, Australia (at the time of the study)
| | - Anthony D Okely
- Illawarra Health and Medical Research Institute, Wollongong, NSW, Australia.,Early Start, University of Wollongong, NSW, Australia
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Eyler AA, Schmidt L, Beck A, Gilbert A, Kepper M, Mazzucca S. Children's Physical Activity and Screen Time during COVID-19 Pandemic: A Qualitative Exploration of Parent Perceptions. Health Behav Policy Rev 2021; 8:236-246. [PMID: 35127961 PMCID: PMC8813032 DOI: 10.14485/hbpr.8.3.5] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2023]
Abstract
OBJECTIVE In this study, we explore parent perception of children's physical activity and screen time during COVID-19 stay-at-home orders. METHODS We interviewed 16 parents of children ages 5-12 years in the St. Louis, Missouri region using snowball sampling. We sampled from rural, urban, and suburban areas. The interviews were recorded, transcribed, and analyzed using a priori and emergent codes. RESULTS The transition to virtual school and work transformed daily activities. Physical education requirements varied, generally perceived as not contributing to overall physical activity. Parents perceived the amount of physical activity as the same or increased but reported an increase in screen time. The physical environment of the home, yard, and neighborhood emerged as a theme as did the social environment for physical activity. CONCLUSIONS COVID-19 stay-at-home orders created challenges for children's physical activity. Results can be used to inform more generalizable studies and serve as a basis for creating better parent resources to support their children's physical activity outside of ordinary school, sport, and community activity opportunities.
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Affiliation(s)
- Amy A Eyler
- Washington University in St. Louis, Brown School, Prevention Research Center, St. Louis, MO, United States
| | - Laurel Schmidt
- Washington University in St. Louis, Brown School, Prevention Research Center, St. Louis, MO, United States
| | - Alan Beck
- Washington University in St. Louis, Brown School, Prevention Research Center, St. Louis, MO, United States
| | - Amanda Gilbert
- Washington University in St. Louis, Brown School, Prevention Research Center, St. Louis, MO, United States
| | - Maura Kepper
- Washington University in St. Louis, Brown School, Prevention Research Center, St. Louis, MO, United States
| | - Stephanie Mazzucca
- Washington University in St. Louis, Brown School, Prevention Research Center, St. Louis, MO, United States
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Mears M, Brindley P, Baxter I, Maheswaran R, Jorgensen A. Neighbourhood greenspace influences on childhood obesity in Sheffield, UK. Pediatr Obes 2020; 15:e12629. [PMID: 32130792 DOI: 10.1111/ijpo.12629] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Accepted: 02/10/2020] [Indexed: 12/29/2022]
Abstract
BACKGROUND One cause of childhood obesity is a reduction in the amount of unstructured time spent outdoors, resulting in less physical activity. Greenspaces have the potential to increase children's physical activity levels, so it is desirable to understand how to create spaces that promote visitation and activity. OBJECTIVES We investigate the relationship between rates of obesity at ages 4 to 5 and 10 to 11 in small-area census geographies, and indicators of the neighbourhood greenspace environment, in the northern English city of Sheffield. METHODS To capture the environment at scales relevant to children, we test the importance of overall green cover; garden size; tree density around residential addresses; and accessibility within 300 m of any greenspace, greenspaces that meet quality criteria, and greenspaces with play facilities. We use a multimodel inference approach to improve robustness. RESULTS The density of trees around addresses is significant at both ages, indicating the importance of the greenspace environment in the immediate vicinity of houses. For 10 to 11 year olds, accessibility of greenspaces meeting quality criteria is also significant, highlighting that the wider environment becomes important with age and independence. CONCLUSIONS More attention should be given to children's requirements of greenspace when considering interventions to increase physical activity or planning new residential areas.
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Affiliation(s)
- Meghann Mears
- Department of Landscape Architecture, University of Sheffield, Sheffield, UK
| | - Paul Brindley
- Department of Landscape Architecture, University of Sheffield, Sheffield, UK
| | - Ian Baxter
- Performance & Intelligence Team, Policy, Performance & Communications, Sheffield, UK
| | - Ravi Maheswaran
- Public Health GIS Unit, School of Health and Related Research, University of Sheffield, Sheffield, UK
| | - Anna Jorgensen
- Department of Landscape Architecture, University of Sheffield, Sheffield, UK
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Kepper MM, Staiano AE, Katzmarzyk PT, Reis RS, Eyler AA, Griffith DM, Kendall ML, ElBanna B, Denstel KD, Broyles ST. Using mixed methods to understand women's parenting practices related to their child's outdoor play and physical activity among families living in diverse neighborhood environments. Health Place 2020; 62:102292. [PMID: 32479369 DOI: 10.1016/j.healthplace.2020.102292] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Revised: 01/09/2020] [Accepted: 01/27/2020] [Indexed: 11/29/2022]
Abstract
A convergent parallel mixed methods design was used to understand parenting practices for outdoor play, their influence on adolescent's physical activity and outdoor play and the role of the neighborhood and child's sex. Adolescents (n = 263) and their parents completed questionnaires and wore accelerometers. Parents (n = 30) participated in in-depth interviews. Parenting practices were examined by neighborhood disadvantage and child's sex in quantitative (Chi-square and T-tests) and qualitative (comparative thematic analysis) samples. Multi-level linear mixed models examined the associations between parenting practices and two adolescent outcomes: physical activity and outdoor play. Parents in high disadvantage neighborhoods and of female adolescents imposed more restrictions on outdoor play. Restrictive parenting practices were negatively associated with outdoor play, but not physical activity. Policy and environment change that improves neighborhood conditions may be necessary to reduce parents' fear and lessen restrictions on outdoor play.
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Affiliation(s)
- Maura M Kepper
- Washington University in St. Louis, Prevention Research Center, 1 Brookings Drive, St. Louis, MO, 63130, USA.
| | - Amanda E Staiano
- Pennington Biomedical Research Center, 6400 Perkins Road, Baton Rouge, LA, 70808, USA.
| | - Peter T Katzmarzyk
- Pennington Biomedical Research Center, 6400 Perkins Road, Baton Rouge, LA, 70808, USA.
| | - Rodrigo S Reis
- Washington University in St. Louis, Prevention Research Center, 1 Brookings Drive, St. Louis, MO, 63130, USA.
| | - Amy A Eyler
- Washington University in St. Louis, Prevention Research Center, 1 Brookings Drive, St. Louis, MO, 63130, USA.
| | - Derek M Griffith
- Vanderbilt University, Center for Medicine, Health and Society, 2301 Vanderbilt Place, Nashville, TN, 37235, USA.
| | - Michelle L Kendall
- Louisiana State University Health Sciences Center, School of Public Health, 2020 Gravier Street, New Orleans, LA, 70112, USA.
| | - Basant ElBanna
- Washington University in St. Louis, Prevention Research Center, 1 Brookings Drive, St. Louis, MO, 63130, USA.
| | - Kara D Denstel
- Pennington Biomedical Research Center, 6400 Perkins Road, Baton Rouge, LA, 70808, USA.
| | - Stephanie T Broyles
- Pennington Biomedical Research Center, 6400 Perkins Road, Baton Rouge, LA, 70808, USA.
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