Abstract:Escalating obesity rates among children across the nation has prompted interest in investigating the role of afterschool programs in the promotion of healthy eating and physical activity among participating children. This approach facilitates intervention programs that will be supported in daily routines of staff. Children need positive role models; the work could be a challenging process and will require staff willingness and assistance.
“…It is well established that there are differences in childhood PA, characterized by demographic factors including age, sex, socioeconomic status, and racial/ethnic minority status. Yet, there is a gap in understanding if these PA differences are related to participation in rural community OST organized settings (32,44,45). The goals of this study were to 1) examine the association between participation in community OST organized settings by grade, sex, and family income, and 2) determine the difference between these factors and OST organized activity participation with OST PA levels of children living in rural communities.…”
Background
Out-of-school time (OST) organized group youth activities (e.g., afterschool programs, clubs) can reduce health inequalities by increasing physical activity (PA). However, unlike youth sport, PA is not the primary focus of many organized activities. This study examined the association between rural children’s demographic factors and OST non-sport organized activity participation and the differences between these factors and PA.
Methods
During Spring 2019, children (n = 418 3rd − 6th graders, aged 8–12 years) enrolled in two rural Midwestern public schools in the United States completed the Youth Activity Profile (YAP) and supplemental National Survey of Children’s Health 2017–2018 survey questions assessing OST organized activity participation as part of the Wellscapes Project, a type 3 hybrid implementation-effectiveness community randomized trial. A subsample of 235 children (males, n = 117; females, n = 118) provided parental/guardian consent to pair YAP results with student enrollment records. Average OST moderate-to-vigorous PA (MVPA) per weekday and weekend days was estimated using an algorithm converting raw YAP scores into minutes of MVPA. Mixed models with community as a random effect examined main effects and interactions of grade, sex, and family income on OST non-sport organized activity participation and these factors and participation on MVPA.
Results
Most children (73.2%) participated in an OST non-sport organized activity. Males were less likely to participate in organized activities than females (OR = 0.38, 95% CI = 0.20–0.73, p = 0.004). Females and 6th graders reported lower OST MVPA on weekdays and weekends than comparison groups (p < 0.001). Males with lower family income accumulated significantly fewer minutes of MVPA on weekdays (meandiff = -4.7 ± 2.0 minutes) and weekends (meandiff = -8.9 ± 3.8 minutes) compared with males with higher family income (p < 0.05).
Conclusions
Many rural children participated in OST organized activities regardless of grade and family income. However, there were inequalities in organized activity participation and OST weekday and weekend MVPA by demographic factors, including grade, sex, and family income. Designing OST organized activity settings to include PA may aid in reducing PA inequalities and promoting health equity.
“…It is well established that there are differences in childhood PA, characterized by demographic factors including age, sex, socioeconomic status, and racial/ethnic minority status. Yet, there is a gap in understanding if these PA differences are related to participation in rural community OST organized settings (32,44,45). The goals of this study were to 1) examine the association between participation in community OST organized settings by grade, sex, and family income, and 2) determine the difference between these factors and OST organized activity participation with OST PA levels of children living in rural communities.…”
Background
Out-of-school time (OST) organized group youth activities (e.g., afterschool programs, clubs) can reduce health inequalities by increasing physical activity (PA). However, unlike youth sport, PA is not the primary focus of many organized activities. This study examined the association between rural children’s demographic factors and OST non-sport organized activity participation and the differences between these factors and PA.
Methods
During Spring 2019, children (n = 418 3rd − 6th graders, aged 8–12 years) enrolled in two rural Midwestern public schools in the United States completed the Youth Activity Profile (YAP) and supplemental National Survey of Children’s Health 2017–2018 survey questions assessing OST organized activity participation as part of the Wellscapes Project, a type 3 hybrid implementation-effectiveness community randomized trial. A subsample of 235 children (males, n = 117; females, n = 118) provided parental/guardian consent to pair YAP results with student enrollment records. Average OST moderate-to-vigorous PA (MVPA) per weekday and weekend days was estimated using an algorithm converting raw YAP scores into minutes of MVPA. Mixed models with community as a random effect examined main effects and interactions of grade, sex, and family income on OST non-sport organized activity participation and these factors and participation on MVPA.
Results
Most children (73.2%) participated in an OST non-sport organized activity. Males were less likely to participate in organized activities than females (OR = 0.38, 95% CI = 0.20–0.73, p = 0.004). Females and 6th graders reported lower OST MVPA on weekdays and weekends than comparison groups (p < 0.001). Males with lower family income accumulated significantly fewer minutes of MVPA on weekdays (meandiff = -4.7 ± 2.0 minutes) and weekends (meandiff = -8.9 ± 3.8 minutes) compared with males with higher family income (p < 0.05).
Conclusions
Many rural children participated in OST organized activities regardless of grade and family income. However, there were inequalities in organized activity participation and OST weekday and weekend MVPA by demographic factors, including grade, sex, and family income. Designing OST organized activity settings to include PA may aid in reducing PA inequalities and promoting health equity.
“…The prevalence of obesity in children is considered a major health threat with strong concerns that it will cause serious health problems throughout life (Lee & Yoon, 2018). Hence, there are convincing suggestions for interventions in school and in after school programs (Demetriou et al, 2017;Kahan & McKenzie, 2015;Nerud & Steiner, 2019). On the other hand, this crisis discourse problematises people's bodies and projects 'slim and slender' as the way to be healthy.…”
The relation between teaching physical education and discourses on body weightan integrative review of research, Curriculum Studies in Health and Physical Education,
“…TPB is a social psychological theory most commonly used to study human behaviour (Ajzen, 1991; Ajzen and Madden, 1986; Ajzen and Timko, 1986). A number of researchers have used TPB to understand a variety of food and diet related behaviours (Branscum et al , 2016; Cook and Frank et al , 2006; Lindsay et al , 2008; Macy et al , 2012; Nerud and Steiner, 2019).…”
PurposeThis study aimed at exploring food related cultural norms that influence rural mothers' food selection for their primary school aged children (aged 4–7 years).Design/methodology/approachThis is a qualitative study conducted in northern parts of Balochistan province of Pakistan. The Theory of Planned Behaviour (TPB) was applied as the theoretical framework of the study. Within a qualitative research method four focused group interviews with 30 rural mothers were employed to generate data.FindingsThe study found that mothers’ food selection for their children was heavily influenced by certain cultural norms that have become taboos with the passage of time. It is evident through findings that subjective norms have a greater influence on mothers' behaviour than their attitude and perceived behavioural control (PBC).Originality/valueWe ensure originality of this research paper as fewer researches have been conducted to further elaborate the link between socio-cultural norms and food selection. In particular, the influence of this close relationship on child health has been of limited consideration in a developing context. This paper has neither been published elsewhere, nor it is currently under consideration for publication in any other journal.
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