Prevention in the first place: schools a setting for action on physical inactivity

被引:179
作者
Naylor, P-J [1 ]
McKay, H. A. [2 ]
机构
[1] Univ Victoria, Sch Exercise Sci Phys & Hlth Educ, Victoria, BC V8W 3P1, Canada
[2] Vancouver Coastal Hlth Res Inst, Ctr Hip Hlth & Mobil, Dept Orthopaed & Family Practice, Vancouver, BC, Canada
基金
加拿大健康研究院;
关键词
RANDOMIZED CONTROLLED-TRIAL; DISEASE RISK-FACTORS; ACTIVITY INTERVENTION; CARDIOVASCULAR-DISEASE; EDUCATION INTERVENTION; BEHAVIORAL MEDICINE; OBESITY PREVENTION; ELEMENTARY-SCHOOLS; ADOLESCENT TRIAL; SOCIAL ECOLOGY;
D O I
10.1136/bjsm.2008.053447
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Promoting physical activity has become a priority because of its role in preventing childhood obesity and chronic disease. Ecological approaches that recognise the interaction between individuals and the settings in which they spend their time are currently at the forefront of public health action. Schools have been identified as a key setting for health promotion. An overview of the literature addressed the promotion of physical activity in schools and showed that school-based strategies (elementary or high school) that utilised classroom-based education only did not increase physical activity levels; one notable exception was screen time interventions. Although evidence is sparse, active school models and environmental strategies (interventions that change policy and practice) appear to promote physical activity in elementary schools effectively. There is also strong evidence to support multicomponent models in high schools, particularly models that incorporate a family and community component. An emerging trend is to involve youth in the development and implementation of interventions. In the context of childhood obesity and sedentary lifestyles, modest increases in physical activity levels in school-based trials are important. School initiatives must be supported and reinforced in other community settings. Health professionals play a key role as champions in the community, based on their influence and credibility. Health professionals can lend support to school-based efforts by asking about and emphasising the importance of physical activity with patients, encouraging family-based activities, supporting local schools to adopt an "active school'' approach and advocating for support to sustain evidence-based and promising physical activity models within schools.
引用
收藏
页码:10 / 13
页数:4
相关论文
共 66 条
[1]   School-based physical activity does not compromise children's academic performance [J].
Ahamed, Yasmin ;
MacDonald, Heather ;
Reed, Katherine ;
Naylor, Patti-Jean ;
Liu-Ambrose, Teresa ;
McKay, Heather .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2007, 39 (02) :371-376
[2]   Restricting opportunities to be active during school time: Do children compensate by increasing physical activity levels after school? [J].
Dale, D ;
Corbin, CB ;
Dale, KS .
RESEARCH QUARTERLY FOR EXERCISE AND SPORT, 2000, 71 (03) :240-248
[3]   Relationships among multiple behaviors for childhood and adolescent obesity prevention [J].
Driskell, Mary-Margaret ;
Dyment, Sharon ;
Mauriello, Leanne ;
Castle, Patricia ;
Shennan, Karen .
PREVENTIVE MEDICINE, 2008, 46 (03) :209-215
[4]   Healthy Youth Places promoting nutrition and physical activity [J].
Dzewaltowski, DA ;
Estabrooks, PA ;
Johnston, JA .
HEALTH EDUCATION RESEARCH, 2002, 17 (05) :541-551
[5]   Relationship between adolescent fitness and fatness and cardiovascular disease risk factors in adulthood: The Aerobics Center Longitudinal Study (ACLS) [J].
Eisenmann, JC ;
Wickel, EE ;
Welk, GJ ;
Blair, SN .
AMERICAN HEART JOURNAL, 2005, 149 (01) :46-53
[6]   A randomized trial of the effects of reducing television viewing and computer use on body mass index in young children [J].
Epstein, Leonard H. ;
Roemmich, James N. ;
Robinson, Jodie L. ;
Paluch, Rocco A. ;
Winiewicz, Dana D. ;
Fuerch, Janene H. ;
Robinson, Thomas N. .
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 2008, 162 (03) :239-245
[7]   Physical activity levels in middle and high school physical education: A review [J].
Fairclough, S ;
Stratton, G .
PEDIATRIC EXERCISE SCIENCE, 2005, 17 (03) :217-236
[8]   A review of physical activity levels during elementary school physical education [J].
Fairclough, SJ ;
Stratton, G .
JOURNAL OF TEACHING IN PHYSICAL EDUCATION, 2006, 25 (02) :239-257
[9]  
Fox K., 1996, NEW DIRECTIONS PHYS, P94
[10]   The school and promotion of children's health-enhancing physical activity: Perspectives from the United Kingdom [J].
Fox, KR ;
Cooper, A ;
McKenna, J .
JOURNAL OF TEACHING IN PHYSICAL EDUCATION, 2004, 23 (04) :338-358