AltaMed Institute for Health Equity, AltaMed Health Services Corporation, Los Angeles, CA 90040, USA.
Health Education and Wellness Department, AltaMed Health Services Corporation, Los Angeles, CA 90040, USA.
Int J Environ Res Public Health. 2020 Nov 13;17(22):8405. doi: 10.3390/ijerph17228405.
There is alarming population wide prevalence of low adolescent physical activity as this represents a risk factor for later chronic disease development. There is evidence to suggest that schools with strong wellness policies have students that are more frequently active. We designed an intervention to enhance students' physical activity levels in five majority Latinx, underserved school districts. Evaluation consisted of assessment of written quality of school-district wellness policies; observation of student's physical activity during leisure times; and after-school program practices and policies. We examined one of these district's results more closely, the only participating district with a community coalition, and extracted lessons learned. On the physical activity section of the wellness policy, this district covered a moderate extent of recommended content areas using weak language. Compared to previous reports, we identified low vigorous activity levels for girls and boys at baseline (respectively, 12% and 18%). Finally, we identified that of four after school program sites assessed at baseline, no program reported the recommended 50% or more of program time dedicated to physical activity. Based on these evaluation findings, additional strategies are urgently needed to encourage all students and particularly more girls to be physically active throughout the school day.
目前,青少年整体的低活跃水平令人担忧,因为这是日后慢性疾病发展的风险因素。有证据表明,有完善健康政策的学校其学生活跃度更高。我们设计了一项干预措施,旨在提高五个拉丁裔占多数、服务不足的学区的学生的身体活动水平。评估包括评估学区健康政策的书面质量;观察学生在闲暇时间的身体活动;以及课外项目的实践和政策。我们更仔细地研究了其中一个地区的结果,即唯一参与社区联盟的地区,并从中提取了经验教训。在健康政策的身体活动部分,该地区使用弱语言涵盖了推荐内容领域的中等程度。与之前的报告相比,我们发现女孩和男孩的剧烈活动水平在基线时较低(分别为 12%和 18%)。最后,我们发现,在四个课外项目地点中,没有一个报告说有 50%或更多的项目时间专门用于身体活动。基于这些评估结果,迫切需要采取额外的策略,鼓励所有学生,尤其是更多的女孩,在整个上学日都保持身体活跃。