Breaking Physical Activity Barriers Through Open Community Use : YOUR PLAYBOOK

Open community use, allowing free community access to schools’ outdoor recreational facilities, is an effective and affordable strategy to combating obesity and increasing physical activity. In 2014, the South Carolina School Boards Association recommended all school districts adopt the open community use model policy. This document provides guidance to school administrators, teachers, and community members interested in adopting and implementing open community use as a strategy to increase physical activity

Cross-Sectional and Longitudinal Associations between Household Food Security and Child Anthropometry at Ages 5 and 8 Years in Ethiopia, India, Peru, and Vietnam

En: Journal of Nutrition, No. 145, pp. 1924-1933. doi:10.3945/jn.115.210229Background: Poor childhood nutritional status has lifetime effects and food insecurity is associated with dietary practices that can impair nutritional status. Objectives: We assessed concurrent and subsequent associations between food insecurity and height-for-age z scores (HAZs) and body mass index–for-age z scores (BMI-Zs); evaluated associations with transitory and chronic food insecurity; and tested whether dietary diversity mediates associations between food insecurity and nutritional status. Methods: We used data from the Young Lives younger cohort composed of children in Ethiopia (n = 1757), India (n =1825), Peru (n = 1844), and Vietnam (n = 1828) recruited in 2002 (round 1) at ;1 y old, with subsequent data collection at 5 y in 2006 (round 2) and 8 y in 2009 (round 3). Results: Children from food-insecure households had significantly lower HAZs in all countries at 5 y (Ethiopia, 20.33; India, 20.53; Peru, 20.31; and Vietnam, 20.68 HAZ; all P < 0.001), although results were attenuated after controlling for potential confounders (Ethiopia, 20.21; India, 20.32; Peru, 20.14; and Vietnam, 20.27 HAZ; P < 0.01). Age 5 y food insecurity predicted the age 8 y HAZ, but did not add predictive power beyond HAZ at age 5 y in Ethiopia, India, or Peru. Age 5 y food insecurity predicted the age 8 y BMI-Z even after controlling for the 5 y BMI-Z, although associations were not significant after the inclusion of additional confounding variables (Ethiopia, P = 0.12; India, P = 0.29; Peru, P = 0.16; and Vietnam, P = 0.51). Chronically food-insecure households had significantly lower HAZs than households that were consistently food-secure, although BMI-Zs did not differ by chronic food-insecurity status. Dietary diversity mediated 18.8–30.5% of the association between food security and anthropometry in Vietnam, but mediated to a lesser degree (8.4–19.3%) in other countries. Conclusions: In 4 countries, food insecurity at 5 y of age was associated with both HAZ and BMI-Z at age 8 y, although the association was attenuated after adjusting for other household factors and anthropometry at age 5 y, and remained significant only for the HAZ in Vietnam

都市部の妊娠期・出産後の女性の喫煙と食生活および生活習慣との関連

都市部に在住する乳児の母親を対象として,妊娠前後の喫煙の現状と食・生活習慣との関連を明らかにすることを目的に,無記名自記式アンケート調査を実施した。対象は,平成14年11月の1ヶ月間に,京都市内14ヶ所の保健所・支所にて,生後4ヶ月児健診を受診した991名の乳児の母親である。喫煙や食・生活習慣に関する調査紙を手渡し,回答が得られた466名(回収率47.0%)を解析対象とした。その結果,妊娠前喫煙率は28.5%で,年齢が若いほど喫煙率が高かった。妊娠を契機に74.4%が禁煙し,妊娠中喫煙率は7.3%であったが,出産後喫煙率は10.9%に増加していた。喫煙者は非喫煙者と比較して,食・生活習慣,授乳,喫煙に関する知識の欠如などの健康課題を有しており,小児期からの喫煙防止教育等,総合的な保健対策が望まれる