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Taking Steps Toward Health Equity Through Physical Activity

NiCole R. Keith

The term “health equity” describes differences in health outcomes that are avoidable, unwarranted, and considered to be unethical and unjust. To realize health equity, all people, regardless of demographic status, should have a reasonable opportunity to be healthy ( Whitehead, 1991 ). Achieving

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Increasing Health Equity for Postpartum Women Through Physical Activity

Corliss Bean and Iris Lesser

behavior. 5 Guided by Bronfenbrenner’s social ecological model, 6 the aim of this commentary was to provide recommendations on how to support postpartum women’s PA engagement through a health equity lens. PA has been described as a human right, 7 and therefore, it is essential that we improve access and

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Erratum. Physical Activity and Health Equity for Middle-Aged and Older Adults

TO OUR READERS: An error appeared in the ahead-of-print version of the following article: Marquez, D.X., Jaldin, M.A., Negrete, M., Whitt-Glover, M.C., & Glover, C.M. Physical activity and health equity for middle-aged and older adults [published online January 9, 2023]. Kinesiology Review

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Implementation Evaluation of a Parks- and Faith-Based Multilevel Intervention to Promote Physical Activity Among Latinos

Lilian G. Perez, Tara Blagg, Alane Celeste-Villalvir, Gabriela Castro, Michael A. Mata, Sergio Perez, Elva Arredondo, Steven Loy, Anne Larson, and Kathryn P. Derose

evaluation of multilevel PA interventions with a health equity focus. 28 – 30 RE-AIM can help understand a program’s robustness, translatability, and public health impact. 30 For example, an evaluation of the Be Fit Be Well intervention suggested the intervention’s success could be explained by several

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Physical Activity and Health Equity for Middle-Aged and Older Adults

David X. Marquez, Michelle A. Jaldin, Miguel Negrete, Melicia C. Whitt-Glover, and Crystal M. Glover

In recent years, discussion of health equity/disparities and social justice related to physical activity has gained momentum and visibility. This is, in part, due to the COVID-19 pandemic. Health disparities adversely affect groups of people who have systematically and systemically experienced

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Physical Activity and Public Health: Four Decades of Progress

Sarah K. Keadle, Eduardo E. Bustamante, and Matthew P. Buman

focus has been on “health equity,” an ideal that is achieved when every person has the opportunity to “attain his or her full health potential and no one is disadvantaged from achieving this potential because of their social position or other socially determined circumstance” ( Braveman, 2003 ). The

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Recess Behaviors of Urban Children 16 Months After a Green Schoolyard Renovation

Marcella A. Raney, Abbie L. Bowers, and Amanda L. Rissberger

Background: Green schoolyard renovations lead to immediate positive changes in moderate to vigorous physical activity (MVPA) and social behavior. This pilot study examines whether these benefits are equally distributed across gender and age and maintained 16 months postgreening. Methods: Physical activity and social interactions during recess were recorded at control (n = 389) and experimental (n = 642) Title I urban elementary schools with direct observation and accelerometers. Results: Activity profiles were similar to 4-month postgreening and to baseline for experimental girls and boys, respectively. There was no difference in MVPA minutes between sexes (girls = 11.8; 95% confidence interval [CI], 11.1 to 12.5]; boys = 12.8; 95% CI, 12.0 to 13.4) and no difference in sitting minutes between age groups (first to fourth = 2.0; 95% CI, 1.5 to 2.6; fifth to sixth = 1.8; 95% CI, 1.1 to 2.4) in green areas. Experimental students spent more time in MVPA (11.2 min; 95% CI, 10.6 to 11.8 vs 8.9 min; 95% CI, 8.3 to 9.3), in small groups (10.6 min; 95% CI, 10.2 to 11.0 vs 9.2 min; 95% CI, 8.5 to 9.9), and engaged in more prosocial interactions (5.5; 95% CI, 5.1 to 6.3 vs 3.7; 95% CI, 3.0 to 4.2) than control students. Conclusions: Green schoolyard renovations result in persistent changes to recess behavior that are characteristic of a more collaborative community and counteract age-related declines in MVPA, particularly for girls.

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The Potential Impact of Physical Activity on the Burden of Osteoarthritis and Low Back Pain in Australia: A Systematic Review of Reviews and Life Table Analysis

Mary Njeri Wanjau, Holger Möller, Fiona Haigh, Andrew Milat, Rema Hayek, Peta Lucas, and J. Lennert Veerman

less active than average. 8 Combined with the large burden of ill health from musculoskeletal disorders, this implies that even a modest effect of PA on OA and LBP could result in a significant benefit to health and health equity from interventions that improve levels of PA at the population level

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Program Evaluation of Healthy Moves: A Community-Based Trainer in Residence Professional Development Program to Support Generalist Teachers With Physical Education Instruction

Deborah Johnson-Shelton, Jeanette Ricci, Erika Westling, Missy Peterson, and Julie C. Rusby

Background: Elementary school teachers are often responsible for teaching physical education to their students, with little formal training in that instruction. This study evaluates a trainer in residence professional development program designed to improve physical education instructional attitudes and practices in elementary school generalist teachers. Methods: Participants were 139 teachers and 3577 first to fifth grade students at 11 public elementary schools in Oregon. Program evaluation measures included pre- and postteacher surveys on teacher attitudes and practices toward teaching physical education for fidelity, postprogram lesson observations for sustainability, and teacher-reported program barriers to and facilitators of feasibility. A multivariate repeated-measures analysis of covariance test assessed changes in teacher attitudes and practices related to physical education instruction. Results: There were main effects of time observed for teacher encouragement and enthusiasm and physical education teaching practices (F 2,127 = 9.68, P < .001, η p 2 = .132 ). Postprogram observations indicated sustained use of activity components and an average of 86% of physical education class time spent with students engaged in moderate to vigorous levels of physical activity. Conclusions: The trainer in residence community-based approach shows promise as an appropriate professional development strategy for generalist teachers responsible for physical education instruction. However, a longer duration, randomized control trial is needed to determine the efficacy of these programs in promoting student physical education outcomes.

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Navigating Physical Activity Promotion and Policy in the Post-COVID-19-Pandemic Era

Justin Richards, Katja Siefken, Michael Pratt, Adrian Bauman, Juliana Mejía-Grueso, Catherine B. Woods, Wanda Wendel-Vos, Erica Hinckson, Deborah Salvo, Pedro C. Hallal, and Andrea Ramírez Varela

. doi: 10.1123/jpah.2022-0357 59. Hasson R , Sallis JF , Coleman N , Kaushal N , Nocera VG , Keith N . COVID-19: implications for physical activity, health disparities, and health equity . Am J Lifestyle Med . 2022 ; 16 ( 4 ): 420 – 433 . doi: 10.1177/15598276211029222 60. Rütten A