Public Health Commons^™

Parental Perceptions Of The Social Environment Are Inversely Related To Constraint Of Adolescents' Neighborhood Physical Activity, Maura Kepper, Stephanie Broyles, Richard Scribner, Tung-Sung Tseng, Jovanny Zabaleta, Lauren Griffiths, Melinda Sothern

School of Public Health Faculty Publications

BACKGROUND: The current study examined relationships between the neighborhood social environment (parental perceived collective efficacy (PCE)), constrained behaviors (e.g., avoidance or defensive behaviors) and adolescent offspring neighborhood physical activity in low- versus high-incivility neighborhoods. METHODS: Adolescents ( = 71; 11-18 years (14.2, SD ± 1.6); male = 37 (52%); non-white = 24 (33.8%); low-income = 20 (29%); overweight/obese = 40 (56%)) and their parents/guardians enrolled in the Molecular and Social Determinants of Obesity in Developing Youth study were included in the current study. Questionnaires measured parents'/guardians' PCE, constrained outdoor play practices and offspring neighborhood physical activity. Systematic social observation performed …

Alcohol Use And Strenuous Physical Activity In College Students: A Longitudinal Test Of 2 Explanatory Models Of Health Behavior, Heather A. Davis, Elizabeth N. Riley, Gregory T. Smith, Richard S. Milich, Jessica L. Burris

Psychology Faculty Publications

Objective: To help clarify the effect of gender on the bidirectional relationship between alcohol use and strenuous physical activity in college students. Participants: Five hundred twenty-four (52% female) college students recruited in August 2008 and 2009 and followed up in April 2009 and April 2011, respectively. Methods: Participants reported their alcohol use and strenuous physical activity on 2 occasions (baseline and follow-up) spaced approximately 1 or 2 years apart. Results: For females, alcohol use quantity at baseline was associated with increased strenuous physical activity at 1- and 2-year follow-ups, and alcohol use frequency at baseline was …

Assessing Physical Activity And Sedentary Time In The Early Years, Leigh M. Vanderloo

Electronic Thesis and Dissertation Repository

The overall purpose of this dissertation was to explore young children’s (18 months to 5 years) physical activity and sedentary time. Study 1 assessed the physical activity and sedentary time among a sample of toddlers from London, Canada using two data processing approaches. Study 2 explored the impact of three different early learning environments, and their respective characteristics (e.g., staff behaviours, equipment, sedentary opportunities, etc.), on preschoolers’ activity levels. Study 3 examined differences in two popular accelerometers used to measure young children’s physical activity and sedentary time to better understand measurement discrepancies.

Study 1 revealed that toddlers engaged in 37.27 …

Air Pollution, Physical Activity, And Markers Of Acute Airway Oxidative Stress And Inflammation In Adolescents, Emily Pasalic, Matthew J. Hayat, Roby Greenwald

Journal of the Georgia Public Health Association

Background: The airway inflammatory response is likely the mechanism for adverse health effects related to exposure to air pollution. Increased ventilation rates during physical activity in the presence of air pollution increases the inhaled dose of pollutants. However, physical activity may moderate the relationship between air pollution and the inflammatory response. The present study aimed to characterize, among healthy adolescents, the relationship between dose of inhaled air pollution, physical activity, and markers of lung function, oxidative stress, and airway inflammation.

Methods: With a non-probability sample of adolescents, this observational study estimated the association between air pollution dose and outcome measures …

The Impact Of Nutrition And Physical Activity Education On The Knowledge, Attitude, And Behavior Of Muslim Youth From Various Ethnic Backgrounds, Hana L. Jaber, Zainab Rida

UCARE Research Products

The Islamic Foundation of Lincoln is a growing population within Lincoln including many different racial backgrounds, ethnic identities, and languages. Due to these various backgrounds communication may impair the education of families as well as their attitudes and behaviors. Although there are programs developed for many other minority groups, the Muslim (population comprising the Islamic Foundation of Lincoln) population does not have any data obtained from the community in terms of nutrition and physical activity behaviors, attitudes, and knowledge. This study seeks to understand if there are barriers to communication and if the intervention enhanced nutrition knowledge. This poster reflects …

Feasibility Of A Combined Physical Activity And Sleep Education Intervention For Girls Living In A Low Socioeconomic Status Urban Community, Cory J. Greever

Doctoral Dissertations

Declining sleep duration and poor sleep quality is a public health epidemic disproportionately effecting elementary age girls living in low socioeconomic status urban communities. The Girls Dancing and Sleeping for Health (Girls DASH) program was designed to test the feasibility, acceptability, and efficacy of a combined physical activity and sleep education program in this population. In combination with baseline data from a previously conducted intervention in elementary age urban girls living in a low SES community in Springfield, MA, results from a cross-sectional analysis indicated that greater screen time was positively associated with parental reports of child’s sleep quality. Additionally, …

Local Efforts Toward Addressing Health Disparities In Dekalb County, Georgia, April Hermstad, Erikka Gilliam, Sedessie Spivey, Zipatly Mendoza

Journal of the Georgia Public Health Association

Background: In underserved African American communities throughout DeKalb County, the DeKalb County Board of Health (DCBOH) is implementing community-based initiatives using policy, systems, and environmental improvement approaches to reduce racial and ethnic health disparities by increasing opportunities for nutrition and physical activity.

Methods: The initiatives are being implemented in priority census tracts where the population is at least 40% African American, 30% live below federal poverty level, and 25% did not graduate from high school. Communications promote awareness of the programs, and evaluation activities document processes and outcomes.

Results: To date, implementation of five interventions has affected approximately 276,000 DeKalb …

The Association Between Social Cohesion And Physical Activity In Communities Across Canada: A Multilevel Analysis, Calvin Yip

Electronic Thesis and Dissertation Repository

Background: In Canada, only 15% of adults meet physical activity guidelines for optimal health. Previous research has suggested that social cohesion may promote physical activity.

Objective: To assess the association between social cohesion and physical activity among adults aged 18 to 64 years in Canada.

Methods: Data from the 2009-2010, 2011-2012, and 2013-2014 cycles (N=245,150) of the Canadian Community Health Survey were used. Physical activity level was operationalized using average daily energy expenditure, social cohesion was determined by self-rated sense of belonging to the local community, and communities were represented by Canada’s Forward Sortation Areas. Multilevel regression models were used …

Impact Of Adiposity On Postural Control At The Onset Of Sitting, Danae M. Dinkel, Anastasia Kyvelidou, Ben Senderling, Kailey Snyder, Jung-Min Lee

Research Presentations

Little research has examined the impact of infant adiposity on the quality of gross motor behavior, especially in sitting through measuring postural control. Therefore, the purpose of this study was to examine the impact of adiposity as measured by skinfold thickness (SFT) on postural control at the onset of sitting in typically developing infants. Nineteen infants (n=8 high SFT, n=11 lower SFT) participated in a pilot study examining the relationship between infant physical activity and postural control. High SFT was classified as having a subscapular and triceps measurement in the 85th percentile or above according to the WHO age and …

Impact Of Adiposity On Physical Activity Levels Of Young Infants, Kailey Snyder, Danae M. Dinkel, Jung-Min Lee, Anastasia Kyvelidou

Research Presentations

Studies suggest that infant adiposity may delay the development of motor skills such as sitting.1-3 However, the role of physical activity (PA) in the development of motor skills during the first year of life has been understudied and little is known about the amount of PA needed for normal growth and development in infants.4,5

PURPOSE: The purpose of this study was to examine the impact of adiposity as measured by subscapular skinfold thickness (SFT) on PA of typically developing infants at three months of age (visit 1), onset of sitting (visit 2) (M=5 months, 8 days), and one month post …

A Social Network Analysis Of Active Transportation Policy Networks, Marissa Zwald

Arts & Sciences Electronic Theses and Dissertations

Background: In an effort to increase physical activity, communities are recognizing the importance of policy and environmental changes to facilitate active transportation. However, evidence on the policy partnerships and processes to achieve such policy and environmental changes, particularly in non-health sectors, is lacking.

Methods: An online social network survey was administered in Fall 2015 to organizations engaged in active transportation policies in six cities across the United States. In addition to individual and organizational characteristics, relationships between organizations were assessed, including: level of collaboration around active transportation policies, frequency of contact, resource sharing to support active transportation, and perceived decisional …

The Role Of Physical Activity Enjoyment In The Pathways From Social And Physical Environments To Physical Activity Of Early Adolescent Girls, Elizabeth Lauren Budd

Arts & Sciences Electronic Theses and Dissertations

In 2013, only 27.1 % of adolescents (age 10-19) met the daily physical activity (PA) recommendations of 60 minutes of PA a day. 1 Inactivity is highly prevalent among youth and especially prevalent among adolescents. This inactivity can have harmful and costly, immediate and long-term repercussions on physical, mental, and social health.28 Health behaviors throughout childhood, including PA, are predictive of health behaviors throughout adulthood.9 Girls experience the steepest decline in PA in early adolescence compared to boys and any other age group, which positions them on a lifelong trajectory of inactivity and increased risk for disease.2,4 Among early adolescent …

The Effects Of Whole Body High-Intensity Interval Training On Collegiate Female Soccer Players 2016, Whitney Frary

Master's Theses

Soccer is considered a high intensity sport that requires a high level of both aerobic and anaerobic fitness. A whole body high-intensity interval training adaptation has been shown to benefit both of these systems over a short period of time. The purpose of this study was to examine the effects of a five week whole-body high intensity interval training program on female collegiate soccer players performance in speed, acceleration, agility, vertical jump, aerobic capacity, physical self perception, and physical enjoyment. Participants were from the SUNY Cortland women’s soccer team who participated in a five- week training protocol three days a …

Factors Associated With Body Mass Index Among African American Breast Cancer Survivors, Selina A. Smith, Mechelle D. Claridy, Mary S. Whitehead, Joyce Q. Sheats, Wonsuk Yoo, Ernest Alema-Mensah, Benjamin E. Ansa, Ronald L. Braithwaite

Journal of the Georgia Public Health Association

Background: Weight gain after diagnosis and treatment is common among breast cancer survivors (BCSs). Little information exists regarding associations between body mass index (BMI) and lifestyle factors and health-related quality of life (HR-QoL) among African American (AA) BCSs. The present study sought to determine associations between BMI, dietary intake, and physical activity as lifestyle modification strategies and HR-QoL among AA BCSs.

Methods: For this cross-sectional study, a lifestyle assessment tool was administered to 195 AA BCSs. Possible predictor variables included socio-demographic and medical characteristics, dietary intake and physical activity patterns, and physical health. The outcome variable was BMI.

Results: Many …

A Review Of Community-Based Participatory Research Studies To Promote Physical Activity Among African Americans, Steven S. Coughlin, Selina A. Smith

Journal of the Georgia Public Health Association

Background: As part of the planning process for new research, the literature on community-based participatory research (CBPR) approaches for promoting physical activity in African American communities was systematically reviewed.

Methods: Studies published through October 31, 2015 that employed CBPR methods were identified using PubMed and CINAHL databases and MeSH terms and keyword searches.

Results: A total of 15 studies met the search criteria. One focused on CBPR and physical activity among African American school children and adolescents, 13 on adults, and one on both children and adults. Seven studies employed CBPR methods to promote physical activity in church settings. Eight …

Using The Exercise Is Medicine® On Campus Platform To Assess College Students’ Practice Of Physical Activity In A Rural Setting, Bridget Melton, Jazmin A. Williamson, Helen Bland, Jian Zhang

Journal of the Georgia Public Health Association

Background: The college setting offers public health educators and exercise scientists a favorable environment to implement wide-spread change in levels of physical activities. With over two-thirds of all adults in the U.S. now categorized as obese or overweight (CDC, 2015), it has become necessary to increase physical activity levels on college campuses. Exercise is Medicine® on Campus (EIM®-OC) is a national initiative to increase physical activity on college campuses by creating an environment to change the subjective norm of diminished exercise movement and fitness among adults. The purpose of the present study was to use the EIM®-OC platform to assess …

A Systematic Review Of Lifestyle Interventions For Chronic Diseases In Rural Communities, Selina A. Smith, Benjamin Ansa

Journal of the Georgia Public Health Association

Background: Rural Americans suffer disproportionately from lifestyle-related chronic diseases (e.g., obesity, diabetes, hypertension, cardiovascular disease, and breast cancer). Interventions that consider the distinctive characteristics of rural communities (e.g., access to healthcare, income, and education) are needed. As an initial step in planning future research, we completed a systematic review of dietary intake and physical activity interventions targeting rural populations.

Methods: Manuscripts focused on dietary intake and physical activity and published through March 15, 2016, were identified by use of PubMed and CINAHL databases and MeSH terms and keyword searches.

Results: A total of 18 studies met the inclusion criteria. Six …

The Relationship Between Physical Activity And Diet And Young Children's Cognitive Development: A Systematic Review, Pooja S. Tandon, Alison Tovar, Avanthi T. Jayasuriya, Emily Welker, Daniel J. Schober, Kristen Copeland, Dipti A. Dev, Ashleigh L. Murriel, Dima Amso, Dianne S. Ward

Department of Child, Youth, and Family Studies: Faculty Publications

Objective. Given the high prevalence of suboptimal nutrition and low activity levels in children, we systematically reviewed the literature on the relationship between physical activity and dietary patterns and cognitive development in early childhood (six months to five years).

Methods. In February 2016, we conducted two different searches of MEDLINE, PsycINFO, and ERIC. Each search included either physical activity (including gross motor skills) or diet terms, and neurocognitive development outcome terms. Included studies were in English, published since 2005, and of any study design in which the physical activity or diet measure occurred prior to age five.

Results. For physical …

Addressing Childhood Obesity In Georgia: Past, Present, And Future, Debra L. Kibbe, Emily Anne Vall, Christine Green, Brenda F. Fitzgerald, Karen J. Minyard, Kelly Cornett

Journal of the Georgia Public Health Association

Background: The Trust for America's Health ranks Georgia 17th (16.5%) in the nation for childhood obesity prevalence among youth aged 10-17 years. Georgia has a long history of addressing childhood obesity at the state, regional, and local levels. This report outlines the historical efforts in childhood obesity in Georgia from the mid-1990’s to the present, summarizes current childhood obesity prevention and management strategies, and provides childhood obesity-related data relevant to the current strategies.

Methods: Childhood obesity-related efforts in Georgia from 1996 to the present are documented, along with how these efforts led to the creation of Georgia Shape. The Georgia …

Growing Fit: Georgia’S Model For Engaging Early Care Environments In Preventing Childhood Obesity, Kelsey Mcdavid, Catalina Piedrahita, Emily A. Vall, Christi Kay, Jean O’Connor

Journal of the Georgia Public Health Association

Background: In the United States, one in three children is overweight or obese by their fifth birthday. In Georgia, 35 percent of children are overweight or obese. Contrary to popular belief, children who are overweight or obese are unlikely to outgrow their weight status as adults, making early childhood an essential time to address weight status. An estimated 380,000 Georgia children attend early care and education environments, such as licensed child care centers, Head Start, and pre-kindergarten programs, which provide an opportunity to reach large numbers of children, including those at risk for obesity and overweight.

Methods: To address this …

The Need For Culturally-Tailored Smartphone Applications For Weight Control, Stephen S. Coughlin, Dale Hardy, Lee S. Caplan

Journal of the Georgia Public Health Association

Background: Approximately 35% of U.S. adults are obese, and this rate is expected to increase by almost 50% by 2030. New media such as smartphone applications (apps) provide a useful and low-cost way to disseminate weight control information. For many culturally distinctive population subgroups, however, there is currently an absence of research-tested smartphone apps for weight control.

Methods: In this commentary, we highlight the need for culturally tailored smartphone apps for weight control and offer recommendations for further research by providing two specific examples: 1) the characteristic dietary patterns and absence of smartphone apps for weight loss for Hispanic Americans, …

Perceptions Of Infant Physical Activity And Weight: A Parents Perspective, Danae M. Dinkel, Anastasia Kyvelidou, Jung-Min Lee, Kailey Snyder

Research Presentations

Background: Approximately 10% of infants and toddlers in the U.S. are already overweight. One modifiable factor that may impact weight is physical activity (PA). Historically, society has thought that infants (0-1 year of age) are “active enough” and not in need of efforts to promote PA to expend energy. However, increases in technology have led to less PA in children of all ages. There is a vital need to improve knowledge about factors that may impact the promotion of PA to infants. Since parents are the primary caregivers for infants, their beliefs about weight and PA may influence the amount …

Prolonged “Chair” Sitting - Detrimental To Workplace Health, Philip W. Scruggs

Academic Chairpersons Conference Proceedings

Session participants and the presenter will share, discuss and challenge experiences and insights of successes and challenges with policy (e.g., faculty and staff activity participation), environmental (e.g., sit-stand desks, walking meetings, active deliveries, etc.) and cultural (e.g., physical activity as a legitimate workplace behavior) changes for a healthy active workplace.

Influence And Support For Childhood Cancer Survivor’S Participation In Physical Activity, Ava Coughlin

Research Presentations

Purpose: The purpose of this study was to explore childhood cancer survivor’s social support for physical activity (PA) during and after cancer treatment as well as the type of support they desired.

Methods: Semi-structured qualitative interviews were conducted with childhood cancer survivors (n=7). Data were analyzed through the process of immersion/crystallization.

Results: All survivors noted a decrease in PA during treatment. All survivors expressed a desire to return back to “normal” PA levels after treatment. Survivors reported they received general support from parents, physicians, and peers at cancer oncology camps. Most survivors expressed a desire to develop support networks with …

Walking Mediates Associations Between Neighborhood Activity Supportiveness And Bmi In The Women's Health Initiative San Diego Cohort., Jordan A. Carlson, Rosemay A. Remigio-Baker, Cheryl A M Anderson, Marc A. Adams, Gregory J. Norman, Jacqueline Kerr, Michael H. Criqui, Matthew Allison

Manuscripts, Articles, Book Chapters and Other Papers

OBJECTIVES: To investigate whether walking mediates neighborhood built environment associations with weight status in middle- and older-aged women.

METHODS: Participants (N=5085; mean age=64 ± 7.7; 75.4% White non-Hispanic) were from the Women's Health Initiative San Diego cohort baseline visits. Body mass index (BMI) and waist circumference were measured objectively. Walking was assessed via survey. The geographic information system (GIS)-based home neighborhood activity supportiveness index included residential density, street connectivity, land use mix, and number of parks.

RESULTS: BMI was 0.22 units higher and the odds ratio for being obese (vs. normal or overweight) was 8% higher for every standard deviation …

Alumni Collegiate Student-Athletes’ Wellness After Sport, Shane Warehime, Danae M. Dinkel, Abby Bjornson, Ashley J. Blount

Research Presentations

College student-athletes (may be more likely to experience difficulty transitioning from college than non-athletes, which could lead to decreased levels of overall wellness.

Purpose: The purpose of this study was to explore the wellness of alumni SA who recently transitioned from college.

Methods: Semi-structured interviews with former SA (n=12) were administered at a university in the Midwest. Interview questions were based on the Indivisible Self Model’s five factors of wellness (coping, social, physical, creative, and essential). Data were analyzed using the process of immersion/crystallization.

Results: Results indicate that subjects generally experienced negative feelings at the end of their athletic career, …

Do Perceptions Of Classroom Physical Activity Breaks Vary By Size Of School District?, Tyler Patterson, Kailey Snyder, Danae M. Dinkel, Connie Schaffer, Jung-Min Lee

Research Presentations

Background: Classroom physical activity (PA) breaks offers a way for schools to increase children's PA, improve time on-task, and improve academic scores. Professional development delivery models, technology infrastructure, and opportunities for collaboration are influenced by school district size. These factors may impact teachers' perceptions of instructional issues, including PA. However, little is known on how the size of school districts may impact teachers' perceptions of classroom PA. Purpose: The purpose of this study was to explore if teachers' perceptions of classroom PA vary based on district size. Method: Sixty teachers from five school districts (1 large public, 3 medium …

The Physical Activity And Redesigned Community Spaces (Parcs) Study: Protocol Of A Natural Experiment To Investigate The Impact Of Citywide Park Redesign And Renovation, Terry T. K. Huang, Katarzyna E. Wyka, Emily Ferris, Jennifer Gardner, Kelly R. Evenson, Devanshi Tripathi, Gabriel Martinez Soto, Matthew S. Cato, Jon Moon, Julia Wagner, Joan M. Dorn, Diane J. Catellier, Lorna E. Thorpe

Publications and Research

Background: The built environment plays a critical role in promoting physical activity and health. The association between parks, as a key attribute of the built environment, and physical activity, however, remains inconclusive. This project leverages a natural experiment opportunity to assess the impact of the Community Parks Initiative (CPI), a citywide park redesign and renovation effort in New York City, on physical activity, park usage, psychosocial and mental health, and community wellbeing.

Methods: The project will use a longitudinal design with matched controls. Thirty intervention park neighborhoods are socio-demographically matched to 20 control park neighborhoods. The study will investigate whether …

Promoting Healthy Eating And Physical Activity: A Qualitative Examination Of Community-Based Obesity Interventions In Rural Kentucky, Brooke F. Butterworth

Theses and Dissertations--Nutrition and Food Systems

Rural Americans are medically underserved groups and are at greater risk of becoming obese than urban Americans. The purpose of this qualitative study was to determine the perceived causes of obesity in six counties of rural Kentucky and to determine how to customize strategies to reduce obesity in these areas. University of Kentucky Cooperative Extension Service Agents formed coalitions in each of the six counties to assess their communities’ needs and assets to inform plans for implementing evidence-based obesity interventions. Between February and August of 2015, the coalitions were convened for a total of 11 meetings. Each of the coalition …

The Barriers And Facilitators To Physical Activity On Campus: An Analysis Of Ua Photovoice Research, Taylor A. Rodenbaugh

Williams Honors College, Honors Research Projects

ABSTRACT

Physical inactivity and stress are prevalent issues which physiologically and emotionally affect college students. Those factors which inhibit and promote physical activity, as well as the stressors of the social and physical environment, require better understanding. One method to accomplish this is through a visual image of the student’s perception, or PhotoVoice method, which has not been previously utilized to investigate these topics. PURPOSE: To identify thematic barriers and facilitators to physical activity on campus and to identify thematic stressors of the physical and social environment on campus. METHODS: Photographs were taken by 114 subjects enrolled in the Health …