Evaluation of policies to promote physical activity in afterschool programs: Are we meeting current benchmarks? |
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| Authors: | Michael W Beets Laura Rooney Falon Tilley Aaron Beighle Collin Webster |
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| Institution: | 1. Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta GA, USA;2. Universidad de los Andes Schools of Medicine and Government, Bogotá, Colombia;3. Brown School and School of Medicine, Washington University, St. Louis MO, USA;4. School of Public Health, University of Sydney, Sydney, Australia;5. Indian Institute of Public Health and Public Health Foundation of India, Delhi, India;6. San Diego State University, Graduate School of Public Health/University of California San Diego;7. Department of Family and Preventive Medicine, San Diego CA, USA;8. Federal University of Pelotas, Pelotas, Brazil;1. Hunter New England Population Health, Locked Bag 10, Wallsend, NSW 2287, Australia;2. School of Medicine and Public Health, University of Newcastle, Callaghan 2308, Australia;3. Hunter Medical Research Institute, Lambton, NSW 2305, Australia;4. Priority Research Centre in Physical Activity and Nutrition, School of Education, University of Newcastle, Callaghan 2308, Australia |
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| Abstract: | BackgroundPolicies now recommend afterschool programs (ASP, 3–6 pm) provide children a minimum amount of physical activity daily. We examined the extent to which children attending ASPs meet existing national and state-level policies that specify expected levels of physical activity (PA).MethodsAccelerometer-derived physical activity (light and moderate-to-vigorous, MVPA) of 253 children (5–13 years) was compared to policies that recommend varying amounts of PA children should achieve during an ASP.ResultsThe proportion of children achieving a policy ranged from 0.0% (California 60 min MVPA and North Carolina 20% of daily program time devoted to MVPA), 1.2% (California 30 min MVPA), to 48.2% (National Afterschool Association 30 min light plus MVPA). Random effects logistic models indicated boys (odds ratio OR] range 2.0 to 6.27) and children from a minority background (Black/Hispanic, OR range 1.87 to 3.98) were more likely to achieve a recommended level of physical activity, in comparison to girls and White children. Neither age nor BMI were related to achieving a policy.ConclusionsThe PA of children attending ASP falls below policy recommended levels; however, these policies were developed in absence of data on expected PA levels during ASPs. Thus, concerted effort towards building a stronger ASP evidence-base for policy refinement is required. |
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