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António Prista, Timoteo Daca, Francisco Tchonga, Eduardo Machava, Cremildo Macucule and Edmundo Ribeiro

Background:

This article describes the procedures and development of the 2016 Mozambican Report Card on Physical Activity for Children and Adolescents.

Methods:

Following the procedures adopted in 2014 for that year’s report card, comprehensive searches on new data related to indicators of physical activity (PA) were done. A committee composed of physical activity and sports specialists graded each indicator consistent with the process and methodology outlined by the Active Healthy Kids Canada Report Card model.

Results:

Nine indicators of PA were graded. Compared with 2014 there were several differences which were caused by changes in the country as well as a more effective evaluation from the committee. The following grades were assigned: Overall Physical Activity Levels, C; Organized Sport Participation, F; Active Play, D; Active Transportation, C; Schools, D; Community and the Built Environment, F; and Government, F. Sedentary Behaviors and Family and Peers were graded Incomplete due to the lack of available information.

Conclusions:

The decline of the PA habits in urban centers reported in 2014 are accentuated and is influencing the rural areas in several ways. At present, there is no strategy or effective action from authorities to reverse this negative trend.

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Sarahjane Belton, Wesley O’Brien, Eric E. Wickel and Johann Issartel

Background:

The primary purpose of this study was to investigate patterns of noncompliance in an adolescent field based accelerometer study. A further purpose was to investigate the effect of a cost efficient strategy (SMS reminder message) on the compliance of adolescents

Method:

The research carried out in 2010 involved 117 second level students (12.41 ± .53 yrs) from 4 schools in a rural Irish town. The Actigraph accelerometer data were processed over 7 days to determine compliance level.

Results:

Students were more likely to remove their monitor in the evening period than at any other time, however if students removed their monitor after school it remained unworn for a significantly longer duration than in any other time period. Students who received a SMS message were significantly more likely (P = .008) to wear their monitor in the morning than those that did not.

Conclusions:

Sending an SMS message each morning is effective for improving the number of students wearing monitors to school. The after school period is a critical period for nonwear time and should be targeted in future studies wishing to improve compliance.

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José Joaquín Muros, Mikel Zabala, María Jesús Oliveras-López, Paula Rodríguez Bouzas, Emily Knox, José Ángel Rufián-Henares and Herminia López-García de la Serrana

Background:

The aim of this study was to determine the effects of nutritional education and vigorous physical activity on health-related parameters.

Methods:

The sample group consisted of 134 children from 5 rurally located schools. Participants were divided between 5 different experimental groups: control group (CG), physical activity group (PA), nutritional education group (NE), combined intervention group (PA+NE), and a combined intervention group with additional substitution of normally used oil for extra virgin olive oil (EVOO; PA+NE+EVOO). The intervention consisted of 60 minute sessions of physical activity held twice a week as well as nutritional education sessions held over 6 months.

Results:

Students in the groups receiving physical activity reduced their fat percentage and increased their muscle mass post intervention. At posttest the lipid profile improved in all intervention groups. The proportion of macronutrients and dietary cholesterol improved in the groups receiving nutritional education. The posttest comparison showed significantly lower fat percentage, sum of skinfolds and waist circumference in NE relative to CG and PA relative to CG. Diastolic blood pressure and glycaemia were significantly lower in PA+NE+EVOO relative to CG.

Conclusion:

A school-based program consisting of nutritional education or nutritional education plus a physical activity program showed a positive effect on health-related parameters in children.

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António Prista, Salazar Picardo, Edmundo Ribeiro, Joel Libombo and Timoteo Daca

Background:

This paper describes the procedures and development of the first Mozambican Report Card on Physical Activity in Children and Adolescents.

Methods:

Comprehensive searches for data related to indicators of physical activity (PA) were completed by a committee of physical activity and sports specialists. Grades were assigned to each indicator consistent with the process and methodology outlined by the Active Healthy Kids Canada Report Card model.

Results:

Seven indicators of PA were graded. The following grades were assigned: Overall Physical Activity Levels, B; Organized Sport Participation, F; Active Play, C; Active Transportation, B; Schools, C; Community and the Built Environment, F; and Government, C. Sedentary Behaviors and Family and Peers were not graded due to the lack of available information.

Conclusions:

PA behaviors of children and young people of Mozambique are positively influenced by the rural environment and are largely related to subsistence activities and outdoor play, and absence of motorized transport. In turn, urban areas are declining in active habits and opportunities due largely to rapid urbanization and lack of planning that favors active transport and play.

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Karla I. Galaviz, Deena Zytnick, Michelle C. Kegler and Solveig A. Cunningham

Background:

We examined the relationship between parents’ perception of neighborhood safety and children’s physical activity and use of recreation facilities in a US nationally representative sample of fifth grade children.

Methods:

We used data from the Early Childhood Longitudinal Study Kindergarten cohort, fifth grade sample (N = 9827). Multivariate logistic and linear regression models were used to examine associations between parents’ perception of neighborhood safety for outside play and number of days children engage in physical activity, as well as children’s use of recreational facilities for physical activity.

Results:

Children who used recreational facilities engaged in physical activity on more days of the week compared with children who did not use a facility (3.3 days vs. 3.8 days, P < .0001). Children from neighborhoods perceived as unsafe by parents engaged in almost 1 less day per week in physical activity (β = –.89, P < .0001). Children from neighborhoods perceived as unsafe were less likely to use recreational facilities compared with children from neighborhoods perceived as safe (odds ratio = 0.72, P < .0001). Children from less affluent families across rural and urban areas had half the odds of using recreational facilities compared with children from the wealthiest families living in urban areas.

Conclusions:

Parents’ perception of neighborhood safety for outside play can deter or promote children’s physical activity and use of recreational facilities. Children from less affluent families are less likely to use facilities than children from wealthy families, regardless of place of residence.

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Divya Rajaraman, Natasha Correa, Zubin Punthakee, Scott A. Lear, Krishnaswamy G. Jayachitra, Mario Vaz and Sumathi Swaminathan

Objectives:

The purpose of this study was to understand perceived benefits, facilitators, disadvantages, and barriers for physical activity among South Asian adolescents in India and Canada.

Methods:

Thirteen focus group discussions with South Asian (origin) adolescent boys and girls of different nutritional status and socioeconomic status in rural and urban India and urban Canada.

Results:

Across the groups, fitness and ‘energy’ were perceived to be major benefits of physical activity. In India, better academic performance was highlighted, while health benefits were well detailed in Canadian groups. In all settings, friends, family, and teachers were perceived as facilitators of as well as barriers to physical activity. Lack of a safe space to play was a major concern for urban adolescents, while academic pressures and preference for other sedentary recreational activities were common barriers across all groups. Girls were less likely than boys to be interested in physical activity, with girls’ participation in India further limited by societal restrictions.

Conclusions:

The study suggests key areas for promotion of physical activity among South Asian adolescents: balance between academic pressure and opportunities for physical activity, especially in India; urban planning for a built environment conducive to physical activity; and gender-sensitive programming to promote girls’ activity which also addresses culture-specific barriers.

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Kelly Samara Silva, Adair da Silva Lopes, Carla Meneses Hardman, Luciana Gatto Azevedo Cabral, Shana Ginar da Silva and Markus Vinicius Nahas

Background:

Commuting reflects an important opportunity for youth to engage in physical activity. This study aimed to compare modes of commuting to school and to work and to identify sociodemographic factors associated with various modes of transportation.

Methods:

Epidemiologic study with a repeated cross-sectional design. Participants included high school students (15–19 years of age) from Santa Catarina state, Brazil, in 2001 (n = 5028) and 2011 (n = 6529). A questionnaire containing information on the type of transport used to commute to school and to work was administered.

Results:

Walking/bicycling and the use of the bus to commute to school and to work remained stable after a decade; however, the use of car/motorcycle to school (6.4% versus 12.6%) and to work (10.2% versus 19.7%) increased significantly. In both cases, females more frequently used buses, whereas males commuted to work by car/bus. Students from rural areas more commonly commuted to school by car/motorcycle, whereas those from urban areas traveled to work more by bus. There was a greater use of cars/motorcycles by young people from higher-income families.

Conclusions:

The use of cars/motorcycles to commute to school/work has almost doubled in the last decade. Sex, residential area and income were associated with passive commuting.

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Helen J. Moore, Catherine A. Nixon, Amelia A. Lake, Wayne Douthwaite, Claire L. O’Malley, Claire L. Pedley, Carolyn D. Summerbell and Ashley C. Routen

Background:

Evidence suggests that many contemporary urban environments do not support healthy lifestyle choices and are implicated in the obesity pandemic. Middlesbrough, in the northeast of England is one such environment and a prime target for investigation.

Methods:

To measure physical activity (PA) levels in a sample of 28 adolescents (aged 11 to 14 years) and describe the environmental context of their activity and explore where they are most and least active over a 7-day period, accelerometry and Global Positioning System (GPS) technology were used. Twenty-five of these participants also took part in focus groups about their experiences and perceptions of PA engagement.

Results:

Findings indicated that all participants were relatively inactive throughout the observed period although bouts of moderate-vigorous physical activity (MVPA) were identified in 4 contexts: school, home, street, and rural/urban green spaces, with MVPA levels highest in the school setting. Providing access to local facilities and services (such as leisure centers) is not in itself sufficient to engage adolescents in MVPA.

Conclusion:

Factors influencing engagement in MVPA were identified within and across contexts, including ‘time’ as both a facilitator and barrier, perceptions of ‘gendered’ PA, and the social influences of peer groups and family members.

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Kelly S. Silva, Markus V. Nahas, Adriano F. Borgatto, Elusa S. Oliveira, Giovâni F. Del Duca and Adair S. Lopes

Background:

Active commuting has decreased substantially in recent decades and has been more frequent in specific demographic and socioeconomic profiles. The objective of this study was to describe the prevalence of active trips and the possible associations with demographic and socioeconomic variables.

Methods:

A questionnaire on lifestyle and risk behavior was administered to a sample population of 5028 adolescents, ages 15 to 19 years, attending public high schools in the state of Santa Catarina, Brazil. Logistic regressions (odds ratio—OR; 95% confidence interval) were used to test associations.

Results:

Active commuting to school was reported for 56.7% of students, and active commuting to work was reported for 70.0%. The likelihood of commuting passively was greater among girls (school: OR = 1.27; 1.10−1.45), older adolescents (school: OR = 1.17; 1.02−1.33; work: OR = 1.49; 1.22−1.82), those who lived in rural areas (school: OR = 12.1; 9.91−14.8), those who spent more time in commuting (school: OR = 2.33; 2.01−2.69; work: OR = 4.35; 3.52−5.38), and those from high-income families (school: OR = 1.40; 1.21−1.62; work: OR = 1.69; 1.37−2.08).

Conclusions:

The proportion of students taking active trips was higher when going to work than to school. All indicators were associated with the mode of commuting, except gender and place of residence for commuting to work.

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Karen Croteau, Grant Schofield, George Towle and Vijiayarani Suresh

Background:

It is speculated that rural Kenyan children are more physically active than those in developed countries. The purpose of this study was to examine pedometer-measured physical activity levels of western Kenyan youth.

Methods:

Participants in this study were children in Levels 3 and 5 who attended a private primary school. The sample (n = 72) consisted of 43 girls and 29 boys (average age = 9.8 ± 1.1, range = 8−12 years). Age, gender, tribe, and height and weight measures were collected. Weight status category was determined according to CDC guidelines. Participants wore a sealed Yamax pedometer for 4 weekdays during the measurement period. Data analysis included descriptive statistics and 2-way ANOVA (age × gender).

Results:

The total sample averaged 14558 ± 3993 daily steps. There was no significant effect for age [F(4,68) = 1.682, P = .102] nor significant age × gender interaction [F(4,68)=1.956, P = .117]. There was a significant effect for gender [F(1,68) = 4.791, P = .033], with boys (16262 ± 4698) significantly more active than girls (13463 ± 3051).

Conclusions:

The observed daily steps are higher than those observed in the U.S., similar to samples in other developed countries, but lower than Amish youth.