Deborah A. Cohen, Scott Ashwood, Molly Scott, Adrian Overton, Kelly R. Evenson, Carolyn C. Voorhees, Ariane Bedimo-Rung and Thomas L. McKenzie
Proximity to routine destinations is an important correlate of physical activity. We examined the association between distance from school and physical activity in adolescent girls.
We mapped the addresses of 1554 sixth-grade girls who participated in the Trial of Activity for Adolescent Girls (TAAG) Study and calculated the shortest distance from home to school along the street network. Using a hierarchical design we examined the association between MET-weighted moderate to vigorous physical activity (MW- MVPA) and distance to school, while controlling for potential confounders.
Distance to school was inversely associated with weekday MW- MVPA for middle school girls. For every mile the girls lived from their schools, they engaged in an average of 13 fewer MET-weighted minutes per week.
Distance to school is inversely associated with MW-MVPA. The most adversely affected girls lived more than 5 miles from school. Time spent commuting could explain reduced time for physical activity.
Carolyn C. Voorhees, Dianne J. Catellier, J. Scott Ashwood, Deborah A. Cohen, Ariane Rung, Leslie Lytle, Terry L. Conway and Marsha Dowda
Socioeconomic status (SES) has well known associations with a variety of health conditions and behaviors in adults but is unknown in adolescents.
Multilevel analysis was conducted to examine the associations between individual and neighborhood-level measures of SES and physical activity and body mass index in a sample of 1554 6th grade girls selected at random from 36 middle schools across 6 geographic regions in the United States that participated in the Trial of Activity for Adolescent Girls (TAAG). Data on parental education and employment, and receipt of subsidized school lunch were collected by questionnaire. Neighborhood-level SES was measured by the Townsend Index. Nonschool physical activity levels were measured by accelerometer and type, location and context was measured using a 3 day physical activity recall (3DPAR).
After controlling for race, lower parental education and higher levels of social deprivation were associated with higher BMI. In a model with both variables, effects were attenuated and only race remained statistically significant. None of the indices of SES were related to accelerometer measured physical activity. Bivariate associations with self-reported Moderate-Vigorous Physical Activity (MVPA) location and type (3DPAR) varied by SES.
Among adolescent girls in the TAAG Study, the prevalence of overweight is high and inversely related to individual and neighborhood SES.