Yamron Emily, Moon Jee-Young, Meissner Paul, Wylie-Rosett Judith, Shankar Viswanathan, Rieder Jessica
Albert Einstein College of Medicine.
Montefiore Medical Center.
Res Sq. 2023 Mar 28:rs.3.rs-2679660. doi: 10.21203/rs.3.rs-2679660/v1.
A minority of American youth meet CDC physical activity (PA) recommendations; children in the Bronx face additional structural barriers to engaging in PA. The B'N Fit Power expansion draws on pilot programming to increase the proportion of middle school students who engage in one hour of daily PA. The COVID-19 pandemic presented additional obstacles, including increased food insecurity and suspension of organized PA programming. This research aimed to evaluate differences in baseline target behavior attainment before and after the start of the COVID-19 pandemic to inform future programming to help children reduce their risk of obesity.
Afterschool program leaders at three Bronx public schools collected demographic and target behavior data at baseline and attendance data throughout the school year.
During the 2016-2017 and 2017-2018 school years, 76 students enrolled and completed one year of programming, which was administered at a single site (61 % Hispanic, 46% female). Of these, 76 (100%) completed a baseline target behaviors questionnaire. During the 2021-2022 school year, 417 students enrolled and completed one year of programming at one of the three sites (70% Hispanic, 48% female). 89 (21%) completed a baseline target behaviors questionnaire. Participants surveyed after the start of the COVID-19 pandemic reported drinking more sugar-sweetened beverages (Median=3 daily, IQR 2-5), sleeping less (Median=8 hours daily, IQR 6-9 hours), and consuming fast food more frequently (Median=1 time weekly, IQR 0 times weekly-2 to 3 times weekly) than those surveyed prior to the start of the pandemic. The number of PA hours completed each week trended toward significant decline (Median=3, IQR 2-5, p=0.09) in students tracked after the start of the pandemic.
The attainment of several target behaviors among school children linked to the reduction of childhood obesity declined during the COVID-19 pandemic. These findings can be applied to enhancing existing real-world afterschool PA programming.
少数美国青少年达到了疾病控制与预防中心（CDC）的体育活动（PA）建议标准；布朗克斯区的儿童在参与体育活动方面面临更多结构性障碍。“B'N Fit Power拓展计划”借鉴试点项目，以提高每天进行一小时体育活动的中学生比例。2019冠状病毒病疫情带来了更多障碍，包括粮食不安全加剧和有组织的体育活动项目暂停。本研究旨在评估2019冠状病毒病疫情开始前后基线目标行为达成情况的差异，为未来项目提供参考，以帮助儿童降低肥胖风险。
布朗克斯区三所公立学校的课后项目负责人在基线时收集了人口统计学和目标行为数据，并在整个学年收集了出勤数据。
在2016 - 2017学年和2017 - 2018学年，76名学生入学并完成了在一个地点开展的为期一年的项目（61%为西班牙裔，46%为女性）。其中，76人（100%）完成了基线目标行为问卷。在2021 - 2022学年，417名学生在三个地点之一入学并完成了为期一年的项目（70%为西班牙裔，48%为女性）。89人（21%）完成了基线目标行为问卷。在2019冠状病毒病疫情开始后接受调查的参与者报告称，他们饮用的含糖饮料更多（中位数为每天3杯，四分位距为2 - 5杯），睡眠更少（中位数为每天8小时，四分位距为6 - 9小时），并且比疫情开始前接受调查的人更频繁地食用快餐（中位数为每周1次，四分位距为每周0次 - 每周2至3次）。在疫情开始后跟踪的学生中，每周完成的体育活动小时数有显著下降趋势（中位数为3小时，四分位距为2 - 5小时，p = 0.09）。
在2019冠状病毒病疫情期间，与降低儿童肥胖相关的几项目标行为在学童中的达成情况有所下降。这些发现可应用于加强现有的实际课后体育活动项目。
