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

): 519 – 536 . PubMed ID: 23196761 doi:10.1123/pes.24.4.519 10.1123/pes.24.4.519 23196761 43. Smith LH , Holloman C . Piloting “Sodabriety:” a school-based intervention to impact sugar-sweetened beverage consumption in rural Appalachian high schools . J Sch Health . 2014 ; 84 ( 3 ): 177 – 184

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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


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.”


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.


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.


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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Catherine Draper, Susan Basset, Anniza de Villiers, Estelle V. Lambert, and the HAKSA Writing Group


There is current concern for the health and well-being of children and youth in South Africa, including habits of physical activity (PA) and sedentary behavior. The 2014 Healthy Active Kids South Africa Report Card evaluates the current activity status of children and youth.


The Research Working Group was comprised of 23 experts in physical education, nutrition, sport science, public health and journalism. The search was based on a systematic review of peer-reviewed literature (previous 5 years), dissertations, and nonpeer-reviewed reports (‘gray’ literature) dealing with the PA and nutritional status of South African children and youth 6−18 years of age. Key indicators were identified and data extracted. Grades for each indicator were discussed and assigned.


Overall PA levels received a D grade, as roughly 50% or more of children and youth were not meeting recommended levels. Organized sports participation fared better with a C, and government policies were promising, receiving a B. Screen time and sedentary behavior were a major concern and received a grade of F. Under- and over-weight were highlighted, but overweight is on the rise and this indicator was assigned a D grade. Most of the other indicators in South Africa remained the same or became worse so that grades declined from C- to D. In particular, sedentary behavior, soft-drink and fast food consumption, and an ineffectual regulatory environment to control advertising to children were a concern. There is need to engage parents and communities for advocacy and social mobilization.

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Leanna M. Ross, Jacob L. Barber, Alexander C. McLain, R. Glenn Weaver, Xuemei Sui, Steven N. Blair, and Mark A. Sarzynski

AHA definition of ideal CVH, we made minor adjustments to assess diet quality, smoking status, and medication use. There was insufficient information to include medication use, sugar-sweetened beverage consumption in assessing diet components, and a lack of information regarding the length of time

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Natalie Kružliaková, Paul A. Estabrooks, Wen You, Valisa Hedrick, Kathleen Porter, Michaela Kiernan, and Jamie Zoellner

: S36 – 38 . 33. Zoellner J , Chen Y , Davy B , et al . Talking health, a pragmatic randomized-controlled health literacy trial targeting sugar-sweetened beverage consumption among adults: rationale, design & methods . Contemp Clin Trials . 2014 ; 37 ( 1 ): 43 – 57 . PubMed doi:10.1016/j