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David Kahan and Virginie Nicaise

Background:

Curriculum interventions aimed at increasing physical activity in schools may prove useful in contexts where changes in policy/environment are not feasible. Design/evaluation of interventions targeting minority groups is important in light of well-publicized health disparities. Religious minorities represent a special subset that may positively respond to interventions tailored to their unique beliefs, which to date have been relatively underreported.

Methods:

Muslim American youth (n = 45) attending a parochial middle school participated in a religiously- and culturally-tailored 8-wk, interdisciplinary pedometer intervention. School-time ambulatory activity was quantified using a delayed multiple-baseline across subjects ABA design. Visual analysis of graphic data as well as repeated-measures ANOVA and ANCOVA and post hoc contrasts were used to analyze step counts including the moderating effects of day type (PE, no-PE), gender, BMI classification, grade, and time.

Results:

The intervention elicited modest increases in males’ steps only with effect decay beginning midintervention. BMI classification and grade were not associated with changes in steps.

Conclusions:

Full curricular integration by affected classroom teachers, staff modeling of PA behavior, and alternative curriculum for girls’ PE classes may further potentiate the intervention.

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Susan G. Zieff, Claudia M. Guedes and Amy Eyler

Background:

Neighborhood environment and resources affect physical activity. This study examined the relationships between San Francisco residents’ perceived barriers to physical activity and policy-maker perspectives of conditions in neighborhoods that are under-served for physical activity.

Methods:

Nine focus groups comprised of primarily African American, Chinese American, and Latino populations were constructed from 6 low-income neighborhoods to respond to questions based on the social-ecological model about neighborhood recreational opportunities and to offer policy and intervention strategies to increase physical activity. A tenth focus group was conducted with staff members from 7 city departments to respond to neighborhood focus groups outcomes. The transcribed videotaped discussions were analyzed using qualitative content analysis.

Results:

Both residents and policy-makers highlighted neighborhood disparities that reduce physical activity including unsafe and unhealthy environments and difficulty accessing available resources. Residents reported fewer available free or low-cost resources than those identified by policy-makers.

Conclusions:

Findings suggest that policy-makers would benefit from consideration of neighborhood-level affects of policies on physical activity and local residents’ recommendations for policies affecting physical activity. Concordance between residents’ perceptions and policy-maker perceptions of neighborhood conditions for physical activity was greater than reported in previous literature.

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Mouza Al Zaabi, Syed Mahboob Shah, Mohamud Sheek-Hussein, Abdishakur Abdulle, Abdulla Al Junaibi and Tom Loney

Background:

The Active Healthy Kids 2016 United Arab Emirates (UAE) Report Card provides a systematic evaluation of how the UAE is performing in supporting and engaging physical activity (PA) in children and adolescents.

Methods:

The Active Healthy Kids Global Alliance framework and standardized set of procedures were used to perform the systematic assessment of PA in UAE youth and children. Indicator grades were based on the proportion of children and youth achieving a defined benchmark: A = 81% to 100%; B = 61% to 80%; C = 41% to 60%; D = 21% to 40%; F = 0% to 20%; INC = incomplete data.

Results:

Overall Physical Activity Level and Active Transportation both received a grade of D-/F-. Sedentary Behavior and Family and Peers both received a C- minus grade and School was graded D. Minus grades indicate PA disparities related to age, gender, nationality, socioeconomic status, and geographic location. Government Strategies and Investments received a B+ grade. Sport Participation, Active Play, and Community and the Built Environment were graded INC due to a lack of nationally representative data for all 7 emirates.

Conclusions:

The majority of UAE children are not achieving the daily recommended level of PA. The UAE leadership has invested significant resources into improving PA through school- and community-based PA interventions; however, inter- and intraemirate population-based strategies remain fragmented.

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Hyun-Ju Oh, James Hannon and Daniel P. Williams

Background:

One of the goals of Healthy People 2020 is to increase physical activity (PA) and reduce health disparities among different racial and ethnic segments of the U.S. population. Few studies have been conducted to examine PA differences by birthplace and sex in youth of Mexican heritage.

Methods:

Participants were 101 youth (43 boys, 58 girls, 59% U.S.-born, 41% Mexico-born) who wore a sealed New Lifestyles NL-1000 pedometer for 7 consecutive days.

Results:

Mexico-born youth took more steps, on average, than their U.S.-born counterparts (P = .038). However, moderate-to-vigorous intensity (MVI) time did not differ between Mexico- and U.S.-born youth (P = .146). By contrast to birthplace, sex-related differences were more consistent, as boys took more steps (P = .005) and accumulated more MVI time (P = .043) than girls. Only 4% of our sample met either one or both of the PA recommendations.

Conclusions:

We conclude that PA may differ by birthplace and by sex in youth of Mexican heritage, as U.S.-born girls were the least active segment of our sample. Culturally sensitive interventions to increase daily PA must become a higher public health priority for youth of Mexican heritage, in particular, for U.S.-born girls of Mexican heritage.

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Lesley Steinman, Mark Doescher, David Levinger, Cynthia Perry, Louise Carter, Amy Eyler, Semra Aytur, Angie L.I. Cradock, Kelly R. Evenson, Katie Heinrich, Jacqueline Kerr, Jill Litt, Yucel Severcan and Carolyn Voorhees

Background:

Recent research demonstrates the importance of targeting the built environment to support individual physical activity, particularly for people experiencing health disparities. Master plans to promote biking and/or pedestrians (BPMPs) are a potential method for environmental change. This descriptive study aims to provide a snapshot of plan attributes and better understand demographic, social and transportation characteristics of communities with BPMPs.

Methods:

We collected a census sample of BPMPs from 4 states. Population and commuting data were obtained from national statistics.

Results:

294 master plans were included, with most plans representing municipalities. 62% of plans targeted biking only, one-fifth targeted biking and walking, and 15% targeted walking only. The sampled locations have a similar demographic profile as the overall U.S. for median age and household income, people of color, high school education, and income inequality. The degree of racial diversity of sampled communities is slightly less than the U.S. average and the percentage of people who walk to work were slightly higher.

Conclusions:

Given that communities with master plans have a similar profile as the overall U.S., BPMPs could feasibly be spread to communities throughout the country. Further research is planned to describe BPMPs in detail toward informing future plan development.

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Sarah Shaw, Tina Smith, Jenny Alexanders, Thomas Shaw, Lois Smith, Alan Nevill and Anna Anderson

Objective:

To investigate half-marathon runners’ frequency of use of recovery strategies, perceptions regarding the most beneficial recovery strategy, and reasons for using recovery strategies.

Design:

Cross-sectional survey.

Participants:

186 participants of the 13.1 mile BUPA Great North Run 2013.

Methods:

A questionnaire was developed which required participants to indicate how frequently they used 12 different recovery strategies, identify which recovery strategy they believed to be most beneficial, and rank 6 reasons for using recovery strategies in order of importance. Data were analyzed using a Friedman nonparametric ANOVA and additional nonparametric tests.

Results:

All participants used recovery strategies. Stretching was the most commonly used recovery strategy (P < .001), whereas the use of nutritional supplements was the most commonly selected most beneficial recovery strategy. More than 50% of respondents indicated that they never used strategies such as kinesio tape (80%), hydrotherapy (78%), or ice baths (71%). A significant difference was observed between reasons for using recovery strategy (χ2 (5) = 292.29, P < .001). Reducing muscle tightness (rank 4.87) and reducing injury (rank 4.35) were the most frequently chosen most important reasons for using recovery strategies. Minor sex and age differences in the responses were identified.

Conclusion:

Recovery strategy usage appears to be widespread among half-marathon runners; however, disparities exist between the frequency of use and perceived effectiveness of different recovery strategies. Further research in this area is needed to facilitate the development of recovery strategy guidelines which are both evidence-based and practically relevant.

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Maciej S. Buchowski, Charles E. Matthews, Sarah S. Cohen, Lisa B. Signorello, Jay H. Fowke, Margaret K. Hargreaves, David G. Schlundt and William J. Blot

Background:

Low physical activity (PA) is linked to cancer and other diseases prevalent in racial/ethnic minorities and low-income populations. This study evaluated the PA questionnaire (PAQ) used in the Southern Cohort Community Study, a prospective investigation of health disparities between African-American and white adults.

Methods:

The PAQ was administered upon entry into the cohort (PAQ1) and after 12–15 months (PAQ2) in 118 participants (40–60 year-old, 48% male, 74% African-American). Test-retest reliability (PAQ1 versus PAQ2) was assessed using Spearman correlations and the Wilcoxon signed rank test. Criterion validity of the PAQ was assessed via comparison with a PA monitor and a last-month PA survey (LMPAS), administered up to 4 times in the study period.

Results:

The PAQ test-retest reliability ranged from 0.25–0.54 for sedentary behaviors and 0.22–0.47 for active behaviors. The criterion validity for the PAQ compared with PA monitor ranged from 0.21–0.24 for sedentary behaviors and from 0.17–0.31 for active behaviors. There was general consistency in the magnitude of correlations between the PAQ and PA-monitor between African-Americans and whites.

Conclusions:

The SCCS-PAQ has fair to moderate test-retest reliability and demonstrated some evidence of criterion validity for ranking participants by their level of sedentary and active behaviors.

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Larkin L. Strong, Cheryl B. Anderson, Patricia Y. Miranda, Melissa L. Bondy, Renke Zhou, Carol Etzel, Margaret Spitz and Anna V. Wilkinson

Background:

Understanding the factors that contribute to physical activity (PA) in Mexican-origin adolescents is essential to the design of effective efforts to enhance PA participation in this population.

Methods:

Multivariable logistic regression was used to identify sociodemographic and behavioral correlates of self-reported PA in school and community settings in 1154 Mexican-origin adolescents aged 12–17 years in Houston, TX.

Results:

The majority of adolescents were born in the US (74%), approximately half (51%) were overweight or obese, and nearly three-quarters (73%) watched more than 2 hours of weekday television. Similarities and differences by setting and gender were observed in the relationships between sociodemographic and behavioral characteristics and PA. In boys, parental education and attending physical education (PE) were positively associated with PA across multiple PA outcomes. Adolescent linguistic acculturation was inversely associated with participation in community sports, whereas parental linguistic acculturation was positively associated with PA at school. In girls, PA in school and community settings was inversely associated with TV viewing and positively associated with PE participation.

Conclusions:

These findings highlight similarities and differences in correlates of PA among boys and girls, and point toward potential sources of opportunities as well as disparities for PA behaviors in Mexican-origin adolescents.

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Brennan K. Berg, Michael Hutchinson and Carol C. Irwin

This case study illustrates the complexity of decision making in public organizations, specifically highlighting the public health concern of drowning disparities in the United States. Using escalation of commitment theory, students must consider various factors in evaluating the overextended commitments of a local government in a complicated sociopolitical environment and with vital public needs that must be addressed through a local parks and recreation department. Facing a reduction in allocated resources, the department director, Claire Meeks, is tasked with determining which programs will receive higher priority despite the varied feedback from the management staff. To ensure students are provided a realistic scenario, this case offers a combination of fictional and real-life events from Splash Mid-South, an innovative swimming program in Memphis, Tennessee. Students must critically evaluate not only the merits of the swimming program, but the other sport, recreation, and parks programs that also merit an equitable share of the limited resources. Therefore, students are placed in a decision-making role that is common to managers of both public and private organizations. This case study is appropriate for both undergraduate and graduate sport management courses, with specific application to strategic management, organizational behavior, and recreation or leisure topics.

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Deanna M. Hoelscher, Cristina Barroso, Andrew Springer, Brian Castrucci and Steven H. Kelder

Background:

Few studies have compared physical activity (PA) and sedentary activity (SA) by grade and ethnicity, specifically including elementary school students. A cross-sectional probability-based design was used to provide data by ethnicity (African American, Hispanic, and White/Other), gender, and grade (4th, 8th, and 11th) from 2000 to 2002.

Methods:

Two validated questionnaires (elementary and secondary) assessed self-reported PA and SA. Point-prevalence estimates and 95% confidence intervals were computed.

Results:

Over 70% of students reported vigorous PA on ≥3 days/week, but <50% participated in daily physical education. A significant percentage (30% to 50%) of students reported ≥3 hours per day in SA. Fourth-grade boys and girls reported equal PA; however, 8th and 11th grade girls reported lowered vigorous PA. African American 8th- and 11th-grade boys reported the highest PA, but African American children also reported the highest prevalence of SA.

Conclusions:

Findings from this study highlight the disparities in physical and sedentary activities by gender, grade, and race/ethnicity, and the need to address these differences with programs and policy. In general, grade level and gender differences were more striking and consistent than racial/ethnic differences.