A Comprehensive School Health Approach to Student Physical Activity: A Multilevel Analysis Examining the Association between School-Level Factors and Student Physical Activity Behaviors.
gender
multilevel regression modeling
schools
youth
Journal
The Journal of school health
ISSN: 1746-1561
Titre abrégé: J Sch Health
Pays: United States
ID NLM: 0376370
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
revised:
01
12
2021
received:
19
09
2021
accepted:
01
12
2021
pubmed:
23
3
2022
medline:
9
7
2022
entrez:
22
3
2022
Statut:
ppublish
Résumé
The comprehensive school health (CSH) framework has four components: social and physical environment; partnerships and services; teaching and learning; and policy. This study examines associations between CSH and student physical activity (PA). Using 2015/2016 COMPASS study survey data of 37,397 students (grades 9-12) from 80 secondary schools in Ontario and Alberta, Canada, associations between school-level factors within CSH and student PA outcomes (weekly moderate-to-vigorous PA [MVPA] minutes and achieving the national PA recommendations of ≥60 min of MVPA daily, vigorous PA ≥3 days/week, strengthening activities ≥3 days/week) were analyzed using multilevel regression models stratified by gender and grade. Factors within all four CSH components were associated with student PA. Four student subgroups were more likely to achieve the recommendations if their school had youth organization partnerships (Range of AORs:1.15-1.33, p <.05) and female students were less likely if their school had low prioritization of PA (AOR = 0.77, 95% CI: [0.65-0.92]). Grade 9 students had higher MVPA when provided non-competitive PA opportunities (β = 100.4, 95%CI: [30.0-170.9]). All student subgroups had better PA outcomes when schools provided access to equipment during non-instructional time. There is opportunity to improve student PA through CSH-guided interventions, but different strategies may be more effective for each gender/grade.
Sections du résumé
BACKGROUND
The comprehensive school health (CSH) framework has four components: social and physical environment; partnerships and services; teaching and learning; and policy. This study examines associations between CSH and student physical activity (PA).
METHODS
Using 2015/2016 COMPASS study survey data of 37,397 students (grades 9-12) from 80 secondary schools in Ontario and Alberta, Canada, associations between school-level factors within CSH and student PA outcomes (weekly moderate-to-vigorous PA [MVPA] minutes and achieving the national PA recommendations of ≥60 min of MVPA daily, vigorous PA ≥3 days/week, strengthening activities ≥3 days/week) were analyzed using multilevel regression models stratified by gender and grade.
RESULTS
Factors within all four CSH components were associated with student PA. Four student subgroups were more likely to achieve the recommendations if their school had youth organization partnerships (Range of AORs:1.15-1.33, p <.05) and female students were less likely if their school had low prioritization of PA (AOR = 0.77, 95% CI: [0.65-0.92]). Grade 9 students had higher MVPA when provided non-competitive PA opportunities (β = 100.4, 95%CI: [30.0-170.9]). All student subgroups had better PA outcomes when schools provided access to equipment during non-instructional time.
CONCLUSION
There is opportunity to improve student PA through CSH-guided interventions, but different strategies may be more effective for each gender/grade.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
774-785Subventions
Organisme : CIHR
ID : MOP-11487
Pays : Canada
Informations de copyright
© 2022 American School Health Association.
Références
Tremblay MS, Carson V, Chaput J-P, et al. Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep. Appl Physiol Nutr Metab. 2016;41(6 Suppl 3):S311-S327.
U.S. Department of Health and Human Services. Physical Activity Guidelines for Americans. 2nd ed. Washington, DC: U.S. Department of Health and Human Services; 2018.
Warburton DER, Nicol CW, Bredin SSD. Health benefits of physical activity: the evidence. CMAJ. 2006;174(6):801-809.
Roberts KC, Yao X, Carson V, Chaput J-P, Janssen I, Tremblay MS. Meeting the Canadian 24-hour movement guidelines for children and youth. Health Rep. 2017;28(10):3-7.
Craig CL, Cameron C, Russell SJ, Beaulieu A. Increasing Physical Activity: Building a Supportive Recreation and Sport System. Ottawa, ON: Canadian Fitness & Lifestyle Research Institute; 2001.
Rainham DG, Bates CJ, Blanchard CM, Dummer TJ, Kirk SF, Shearer CL. Spatial classification of youth physical activity patterns. Am J Prev Med. 2012;42(5):e87-e96.
Canadian Fitness & Lifestyle Research Institute. Encouraging Active Schools: 2015 Opportunities for Physical Activity at School Survey. Ottawa, ON: Canadian Fitness & Lifestyle Research Institute; 2016.
Hobin EP, Leatherdale S, Manske S, Dubin JA, Elliott S, Veugelers P. Are environmental influences on physical activity distinct for urban, suburban, and rural schools? A multilevel study among secondary school students in Ontario, Canada. J Sch Health. 2013;83(5):357-367.
Veugelers PJ, Schwartz ME. Comprehensive school health in Canada. Can J Public Health. 2010;101(Suppl 2):S5-S8.
Joint Consortium for School Health. The 4 components of Comprehensive School Health; 2021. Available at: http://www.jcsh-cces.ca/about-us/comprehensive-school-health-framework/4-components-explained. Accessed August 18, 2021.
Robertson-Wilson JE, Leatherdale ST, Wong SL. Social-ecological correlates of active commuting to school among high school students. J Adolesc Health. 2008;42(5):486-495.
Hohepa M, Scragg R, Schofield G, Kolt GS, Schaaf D. Social support for youth physical activity: importance of siblings, parents, friends and school support across a segmented school day. Int J Behav Nutr Phys Act. 2007;4:54.
Nichol ME, Pickett W, Janssen I. Associations between school recreational environments and physical activity. J Sch Health. 2009;79(6):247-254.
Leatherdale ST, Manske S, Faulkner G, Arbour K, Bredin C. A multi-level examination of school programs, policies and resources associated with physical activity among elementary school youth in the PLAY-ON study. Int J Behav Nutr Phys Act. 2010;7(1):6.
Sallis JF, Prochaska JJ, Taylor WC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32(5):963-975.
Fuller D, Sabiston C, Karp I, Barnett T, O'Loughlin J. School sports opportunities influence physical activity in secondary school and beyond. J Sch Health. 2011;81(8):449-454.
Lagarde F, LeBlanc C. Policy options to support physical activity in schools. Can J Public Health. 2010;101(Suppl 2):S9-S13.
Naylor P-J, Macdonald HM, Zebedee JA, Reed KE, McKay HA. Lessons learned from action schools! BC-an ‘active school’ model to promote physical activity in elementary schools. J Sci Med Sport. 2006;9(5):413-423.
Sallis JF, Conway TL, Prochaska JJ, McKenzie TL, Marshall SJ, Brown M. The association of school environments with youth physical activity. Am J Public Health. 2001;91(4):618-620.
Hobin EP, Leatherdale ST, Manske S, Dubin JA, Elliott S, Veugelers P. A multilevel examination of gender differences in the association between features of the school environment and physical activity among a sample of grades 9 to 12 students in Ontario, Canada. BMC Public Health. 2012;12:74.
Leatherdale ST, Brown KS, Carson V, et al. The COMPASS study: a longitudinal hierarchical research platform for evaluating natural experiments related to changes in school-level programs, policies and built environment resources. BMC Public Health. 2014;14:331.
Courser MW, Shamblen SR, Lavrakas PJ, Collins D, Ditterline P. The impact of active consent procedures on nonresponse and nonresponse error in youth survey data: evidence from a new experiment. Eval Rev. 2009;33(4):370-395.
Thompson-Haile A, Leatherdale ST. Baseline Sampling and Recruitment Results. COMPASS Technical Report Series, Vol. 1. Waterloo, ON: University of Waterloo; 2013 Available at: https://uwaterloo.ca/compass-system/publications/baseline-sampling-and-recruitment-results. Accessed August 18, 2021.
Leatherdale ST, Laxer RE, Faulkner G. Reliability and Validity of the Physical Activity and Sedentary Behaviour Measures in the COMPASS Study. COMPASS Technical Report Series, Vol. 2. Waterloo, ON: University of Waterloo; 2014 Available at: https://uwaterloo.ca/compass-system/publications/reliability-and-validity-physical-activity-and-sedentary. Accessed August 18, 2021.
Rose G. Rose's Strategy of Preventive Medicine. New York: Oxford University Press Inc.; 1992.
Sutherland R, Campbell E, Lubans DR, et al. “Physical activity 4 everyone” school-based intervention to prevent decline in adolescent physical activity levels: 12 month (mid-intervention) report on a cluster randomised trial. Br J Sports Med. 2016;50(8):488-495.
Dumith SC, Gigante DP, Domingues MR, Kohl HW. Physical activity change during adolescence: a systematic review and a pooled analysis. Int J Epidemiol. 2011;40(3):685-698.
Sallis JF. Age-related decline in physical activity: a synthesis of human and animal studies. Med Sci Sports Exerc. 2000;32(9):1598-1600.
Dwyer JJM, Allison KR, Goldenberg ER, Fein AJ, Yoshida KK, Boutilier MA. Adolescent girls' perceived barriers to participation in physical activity. Adolescence. 2006;41(161):75-89.