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Richard R. Rosenkranz, Greg J. Welk and David A. Dzewaltowski

Background:

Active recreation sessions taking place within after-school programs (ASP) present an opportunity for attending children to attain part of the recommended 60 minutes of daily moderate-to-vigorous physical activity (MVPA). This cross-sectional study’s purpose was to assess relationships between microlevel ASP environmental characteristics and physical activity and sedentary behavior (SED).

Methods:

During 161 ASP active recreation sessions, 240 children from 7 schools wore Actigraph GT1M accelerometers and were observed up to 6 times per year, over 3 years. To provide microlevel environmental data, trained observers recorded session times, location, duration, organization, equipment, and number of children and staff. Unadjusted bivariate correlations and multivariable regression analyses were used to assess the influence of microlevel environmental variables on MVPA and SED, with regression models controlling for relevant covariates.

Results:

Across all ASP active recreation sessions, children spent 39 ± 15% in MVPA and 16 ± 11% in SED. Session location, boy-to-girl ratio, and duration were significantly related to MVPA in the regression model. For SED, location and duration were significant influences in the model.

Conclusions:

Both location and duration appear to be modifiable correlates of group physical activity level, which may serve to inform intervention efforts to promote physical activity in ASP.

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Kathryn J. DeShaw, Laura Ellingson, Yang Bai, Jeni Lansing, Maria Perez and Greg Welk

Purpose: To advance research practices with consumer monitors, standard validation methods are needed. This study provides an example of best practices through systematically evaluating the validity of the Fitbit Charge (FBC) under free-living conditions using a strong reference measure and robust measurement agreement methods. Methods: 94 healthy participants (M age 41.8 ±9.3 yrs) wore a FBC and two research grade accelerometers (Actigraph GT3X and activPAL) as they went about normal activities for a week. Estimated daily minutes of moderate to vigorous physical activity (MVPA) from the FBC were compared against reference estimates obtained from the Sojourns Including Posture (SIP) methodology, while daily step counts were compared against the activPAL. Results: Correlations with reference indicators were high for average daily MVPA (r = 0.8; p < .0001) and steps (r = 0.76; p < .0001), but the FBC overestimated time spent in MVPA by 56% and steps by 15%. The mean absolute percent errors of MVPA and steps estimated by FBC were 71.5% and 30.0%, respectively. Neither of the MVPA and step estimates from the FBC fell into the ±10% equivalence zone set by the criterion. The Kappa statistics of the classification agreement between the two MVPA assessment methods was 0.32 with a low sensitivity of 30.1% but a high specificity of 96.7%. Conclusion: The FBC overestimated minutes of MVPA and steps when compared to both reference assessments in free-living conditions. Standardized reporting in future studies will facilitate comparisons with other monitors and with future versions of the FBC.

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Heather M. Hayes, Joey C. Eisenmann, Kate A. Heelen, Greg J. Welk and Jared M. Tucker

The purpose of this study was to determine the joint association of fatness and physical activity on resting blood pressure in children. Subjects included 157 children (age 5.5–9.5 years). Moderate-to-vigorous physical activity (MVPA, min/day), body fatness, and resting blood pressure were measured. Four categories were created by cross tabulation of high/normal levels of fatness and high/low levels of MVPA. There were significant differences in systolic blood pressure and mean arterial pressure across the fat/MVPA groups (p < .05). Regardless of participating in an acceptable level of MVPA, overfat children had higher resting systolic blood pressure than normal fat children. MVPA did not significantly attenuate blood pressure within a fat category.

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Ryan D. Burns, James C. Hannon, Timothy A. Brusseau, Patricia A. Eisenman, Pedro F. Saint-Maurice, Greg J. Welk and Matthew T. Mahar

Cardiorespiratory endurance is a component of health-related fitness. FITNESSGRAM recommends the Progressive Aerobic Cardiovascular Endurance Run (PACER) or One mile Run/Walk (1MRW) to assess cardiorespiratory endurance by estimating VO2 Peak. No research has cross-validated prediction models from both PACER and 1MRW, including the New PACER Model and PACER-Mile Equivalent (PACER-MEQ) using current standards. The purpose of this study was to cross-validate prediction models from PACER and 1MRW against measured VO2 Peak in adolescents. Cardiorespiratory endurance data were collected on 90 adolescents aged 13–16 years (Mean = 14.7 ± 1.3 years; 32 girls, 52 boys) who completed the PACER and 1MRW in addition to a laboratory maximal treadmill test to measure VO2 Peak. Multiple correlations among various models with measured VO2 Peak were considered moderately strong (R = .74–0.78), and prediction error (RMSE) ranged from 5.95 ml·kg-1, min-1 to 8.27 ml·kg-1.min-1. Criterion-referenced agreement into FITNESSGRAM’s Healthy Fitness Zones was considered fair-to-good among models (Kappa = 0.31–0.62; Agreement = 75.5–89.9%; F = 0.08–0.65). In conclusion, prediction models demonstrated moderately strong linear relationships with measured VO2 Peak, fair prediction error, and fair-to-good criterion referenced agreement with measured VO2 Peak into FITNESSGRAM’s Healthy Fitness Zones.