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The health-enhancing benefits of regular physical activity have been theorized for thousands of years. Within the past 25 years, public health agencies, health-related organizations, and health-focused foundations have recognized regular physical activity as a major factor in preventing premature morbidity and mortality. Colleges and universities have experienced a paradigm shift in applying public health strategies to prepare graduates in understanding how to reduce the impact of sedentary lifestyles on health outcomes. For nearly 20 years, some kinesiology departments have expanded from traditional curricula to new courses and degrees in promoting physical activity in the community, the application of epidemiology concepts to physical activity, and the study of policy and environmental approaches to promoting physical activity. Given the high prevalence of physical activity insufficient to prevent premature morbidity and mortality, continuing educational efforts are needed to assure kinesiology students have the skills and information needed to promote physical activity in communities to people of all ages and abilities.

Kinesiology programs are well positioned to create and develop partnerships within the university, with local health care providers, and with the community to integrate and enhance the activities of professional training, community service, public health outreach, and collaborative research. Partnerships with medical and health care organizations may be structured to fulfill accreditation standards and the objectives of the “Exercise is Medicine®” initiative to improve public health through primary prevention. Barriers of scale, location, time, human resources, and funding can be overcome so all stakeholder benefits are much greater than the costs.

Kinesiology is an academic discipline with a body of content that can be drawn on to support professions and to solve important public health problems. The Kansas State Physical Activity Systems Framework defines a new approach to structure the discipline. Central to the framework is the rejection of a kinesiology subdisciplinary approach and the adoption of an integrated “cell-to-society” systems approach. Each level of physical activity systems is addressed in undergraduate and graduate education and research. Supporting the framework are two research and education teams: exercise physiology and exercise behavioral science. These teams provide core integrated academic discipline content expertise and expertise for integrating professional application areas, such as public health. The framework has evolved over 20 years at Kansas State University, where today the Department of Kinesiology delivers high-quality extramurally-funded research; BS, MS, MPH, and PhD programs; and outreach in a cost-effective manner.

This paper provides an overview of several university programs that have integrated various aspects of public health into their kinesiology instruction, research, and outreach efforts. The summaries of these programs provide the historical context that shows the various stages of transformation of their kinesiology and exercise science programs over the last century. Examples of specific academic structural designs and curricula are described, as well as the rationale the faculty used to justify these programs. In addition, advantages, opportunities, and challenges of this integration are highlighted.

Kinesiology leaders were surveyed regarding their views of the (re)emergence of physical activity and public health. Their views were captured via a 25-item, online survey conducted in 2014. The survey focused on four areas: (a) types of affiliation with public health; (b) program options and course coverage; (c) outreach programming; and (d) perspectives on integration. Member and nonmember institutions of the American Kinesiology Association received the survey. Responses were received from 139 institutional leaders, resulting in an overall response rate of 21.4%. Key findings included that the combination of physical activity and public health was seen as both a stand-alone subdisciplinary area within kinesiology and also an area that has a great deal of potential for collaboration, the acquisition of external funding, and further strengthening of community outreach and engagement. The survey results are placed in historical context and interpreted with various caveats and limitations in mind.