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Laureen H. Smith, Devin Laurent, Erica Baumker, and Rick L. Petosa

guidelines. 5 , 9 – 11 Personal health behaviors that contribute to obesity are often referred to as obesogenic. Obesogenic behaviors have been found to be related to weight status in nationally representative adolescent samples 5 and have been explored in smaller regional samples focusing on younger

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Katelyn Esmonde and Shannon Jette

determine exactly how it is that the built environment changes our behaviours and our bodies. A new term has emerged to characterize the relationship between “obesity” 1 and the environments that are thought to enable it: the “obesogenic environment.” Swinburn, Egger and Raza ( 1999 ) describe the

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Susan B. Sisson and Stephanie T. Broyles

Background:

The primary and secondary purposes were to examine social-ecological correlates of excessive TV viewing (>2hr/day) in American children 1) between race/ethnic groups and 2) between boys and girls.

Methods:

Children (n = 48,505) aged 6 to 18 years from the 2007 National Survey of Children’s Health were included. Social-ecological correlates included individual-, family-, and community-level variables. Logistic regression analyses were used for race/ethnicity [Non-Hispanic White (NHW), Non-Hispanic Black (NHB), Hispanic, other] and sex groups (boys, girls), to determine associated correlates.

Results:

By race/ethnicity, 16.6%, 37.8%, and 24.5% of NHW, NHB, and Hispanic exceeded recommendations. For boys and girls, 23.7% and 18.2% viewed excessive TV. Having a TV in the bedroom and higher poverty level were associated with excessive TV in all groups. Differences by race/ethnicity were age, sex, TV in the bedroom, extracurricular activities, physical activity, adequate sleep, family structure, family meals, knowing child’s friends, parent/ child communication, and neighborhood characteristics. Differences by sex were family structure, parent/ child communication, family meals, and neighborhood elements.

Conclusion:

Social-ecological correlates and associated prevalence of excessive TV viewing differed across subgroups. These specific correlates can be targeted in tailored interventions.

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Jill A. Nolan, Christa L. Lilly, Janie M. Leary, Wesley Meeteer, Hugh D. Campbell, Geri A. Dino, and Leslie Cotrell

Background:

Parent support for child physical activity is a consistent predictor of increased childhood activity. Little is known about factors that prevent or facilitate support. The purpose of this research was to identify barriers to parent support for child physical activity in Appalachian parents.

Methods:

A cross-sectional study assessed parents whose children participated in Coronary Artery Risk Detection in Appalachian Communities (CARDIAC) screenings in a rural Appalachian state. Barriers to parental support for physical activity, demographics, geographic location, and parental support for activity were measured.

Results:

A total of 475 parents completed surveys. The majority were mothers (86.7%), parents of kindergarteners (49.5%), white (89.3%), and living in a nonrural area (70.5%). Community-level factors were most frequently cited as barriers, particularly those related to the built environment. Rural and low-income parents reported significantly higher barriers. Community, interpersonal, and intrapersonal barriers were negatively correlated with parent support for child physical activity. Parents of girls reported a higher percentage of barriers related to safety.

Conclusions:

Reported barriers in this sample differed from those reported elsewhere (Davison, 2009). Specific groups such as low-income and rural parents should be targeted in intervention efforts. Future research should explore gender differences in reported barriers to determine the influence of cultural stereotypes.

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Monika Uys, Susan Bassett, Catherine E. Draper, Lisa Micklesfield, Andries Monyeki, Anniza de Villiers, Estelle V. Lambert, and the HAKSA 2016 Writing Group

Background:

We present results of the 2016 Healthy Active Kids South Africa (HAKSA) Report Card on the current status of physical activity (PA) and nutrition in South African youth. The context in which we interpret the findings is that participation in PA is a fundamental human right, along with the right to “attainment of the highest standard of health.”

Methods:

The HAKSA 2016 Writing Group was comprised of 33 authorities in physical education, exercise science, nutrition, public health, and journalism. The search strategy was based on peer-reviewed manuscripts, dissertations, and ‘gray’ literature. The core PA indicators are Overall Physical Activity Level; Organized Sport Participation; Active and Outdoor Play; Active Transportation; Sedentary Behaviors; Family and Peer Influences; School; Community and the Built Environment; and National Government Policy, Strategies, and Investment. In addition, we reported on Physical Fitness and Motor Proficiency separately. We also reported on nutrition indicators including Overweight and Under-nutrition along with certain key behaviors such as Fruit and Vegetable Intake, and policies and programs including School Nutrition Programs and Tuck Shops. Data were extracted and grades assigned after consensus was reached. Grades were assigned to each indicator ranging from an A, succeeding with a large majority of children and youth (81% to 100%); B, succeeding with well over half of children and youth (61% to 80%); C, succeeding with about half of children and youth (41% to 60%); D, succeeding with less than half but some children and youth (21% to 40%); and F, succeeding with very few children and youth (0% to 20%); INC is inconclusive.

Results:

Overall PA levels received a C grade, as we are succeeding with more than 50% of children meeting recommendations. Organized Sports Participation also received a C, and Government Policies remain promising, receiving a B. Screen time and sedentary behavior were a major concern. Under- and over-weight were highlighted and, as overweight is on the rise, received a D grade.

Conclusions:

In particular, issues of food security, obesogenic environments, and access to activity-supportive environments should guide social mobilization downstream and policy upstream. There is an urgent need for practice-based evidence based on evaluation of existing, scaled up interventions.

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Rafael Tassitano

increase in sleep time with lower efficiency and sedentary time in the daily routine was observed. Evidence from the Structured Day Hypothesis demonstrated that during a less structured day (ie, weekend days, vacation), youth are engaged in more obesogenic behaviors compared with more structured days (ie

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Alessandra Buja, Andrea Rabensteiner, Milena Sperotto, Giulia Grotto, Chiara Bertoncello, Silvia Cocchio, Tatjana Baldovin, Paolo Contu, Chiara Lorini, and Vincenzo Baldo

). Caregiver-related exclusion criteria: age <18 y, mental/neurological illness, and poor visual acuity S-TOFHLA administered verbally  Scores range 0–36:  Inadequate 0–16  Marginal 17–22  Adequate 22–36 For multivariate analyses:  Low (inadequate/marginal) HL ≤22  Adequate HL >22 Two obesogenic PA practices

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Mohanraj Krishnan, Andrew N. Shelling, Clare R. Wall, Edwin A. Mitchell, Rinki Murphy, Lesley M.E. McCowan, and John M.D. Thompson

Global shifts surrounding dietary and exercise practices are considered the primary attributable factors in the widespread increase of obesity ( 21 ). The transition to an “obesogenic” environment has encouraged an increased intake of high-caloric food and sedentary behaviors by decreasing

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Emily J. Tomayko, Katherine B. Gunter, John M. Schuna Jr., and Paul N. Thompson

that the loss of access to the structured school environment that occurs over the summer promotes obesogenic behaviors, 24 but no data exist on whether repeated exposure to 3 consecutive days away from school during the school year via FDSWs has similar effects. Children accumulate at least 70% of

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Alex M. Wolfe, Maria A. Pessman, Kelly R. Laurson, Dale D. Brown, and Ryan A. Brown

programs, or other outlets for physical activity, may have contributed to changes in the health and physical fitness of students. Previous studies have highlighted that face-to-face schooling may provide a natural intervention for preventing obesogenic behaviors and maintaining or improving physical