148 research outputs found
Walking school buses as a form of active transportation for children : A review of the evidence
ABSTRACT
BACKGROUND: Walking School Buses (WSBs) offer a potentially healthier way for children to get to school whilst reducing traffic congestion. A number of pressing societal challenges make it timely to evaluate evidence of their value.
METHODS: Studies that focused solely on WSBs were identified through online and manual literature searches. Twelve WSB studies involving a total of 9173 children were reviewed. Study aims, designs, methods, outcomes, and barriers and facilitators were examined.
RESULTS: WSBs were found to be associated with increased prevalence of walking to school and general activity levels though not always significantly. Time constraints emerged as barriers to WSBs, impacting on recruitment of volunteers and children to the WSBs. Facilitators of WSBs included children enjoying socializing and interacting with the environment.
CONCLUSIONS: Preliminary evidence of the health value of WSBs was demonstrated, along with recommendations for the design of future studies. By tackling barriers of time constraints, volunteer recruitment and parentsâ safety concerns whilst at the same time, increasing convenience and time savings for families, future WSBs are likely to be more sustainable and taken up by more schools. Implications for future innovation in school health were identified
Effects of a school-based intervention on active commuting to school and health-related fitness
Background: Active commuting to school has declined over time, and interventions are needed to reverse this
trend. The main objective was to investigate the effects of a school-based intervention on active commuting to
school and health-related fitness in school-age children of Southern Spain.
Methods: A total of 494 children aged 8 to 11 years were invited to participate in the study. The schools were
non-randomly allocated (i.e., school level allocation) into the experimental group (EG) or the control group (CG).
The EG received an intervention program for 6 months (a monthly activity) focused on increasing the level of active
commuting to school and mainly targeting childrenâs perceptions and attitudes. Active commuting to school and
health-related fitness (i.e., cardiorespiratory fitness, muscular fitness and speed-agility), were measured at baseline
and at the end of the intervention. Children with valid data on commuting to school at baseline and follow-up, sex,
age and distance from home to school were included in the final analysis (n = 251). Data was analyzed through a
factorial ANOVA and the Bonferroni post-hoc test.
Results: At follow up, the EG had higher rates of cycling to school than CG for boys only (p = 0.04), but not for
walking to school for boys or girls. The EG avoided increases in the rates of passive commuting at follow up, which
increased in the CG among girls for car (MD = 1.77; SE = 0.714; p = 0.010) and bus (MD = 1.77; SE = 0.714; p = 0.010)
modes. Moreover, we observed significant interactions and main effects between independent variables (study group,
sex and assessment time point) on health-related fitness (p < 0.05) over the 6-month period between groups, with
higher values in the control group (mainly in boys).
Conclusion: A school-based intervention focused on increasing active commuting to school was associated with
increases in rates of cycling to school among boys, but not for walking to school or health-related fitness. However, the
school-based intervention avoided increases in rates of passive commuting in the experimental group, which were
significantly increased in girls of the control group
Feasibility of an incentive scheme to promote active travel to school: a pilot cluster randomised trial
Abstract Background In Great Britain, 19% of trips to primary school within 1 mile, and 62% within 1â2 miles, are by car. Active travel to school (ATS) offers a potential source of moderate-to-vigorous physical activity (MVPA). This study tested the feasibility of an intervention to promote ATS in 9â10 year olds and associated trial procedures. Methods A parallel cluster randomised pilot trial was conducted over 9 weeks in two schools from a low-income area in northeast England. Measures included daily parental ATS reports (optionally by SMS) and child ATS reports, as well as accelerometry (ActiGraph GT3X+). At baseline, all children were asked to wear the accelerometer for the same week; in the post-randomisation phase, small subsamples were monitored each week. In the 2 weeks when a child wore the accelerometer, parents also reported the start and finish times of the journey to school. The intervention consisted of a lottery-based incentive scheme; every ATS day reported by the parent, whether by paper or SMS, corresponded to one ticket entered into a weekly ÂŁ5 voucher draw. Before each draw session, the researcher prepared the tickets and placed them into an opaque bag, from which one was randomly picked by the teacher at the draw session. Results Four schools replied positively (3.3%, N = 123) and 29 participants were recruited in the two schools selected (33.0%, N = 88). Participant retention was 93.1%. Most materials were returned on time: accelerometers (81.9%), parental reports (82.1%) and child reports (97.9%). Draw sessions lasted on average 15.9 min (IQR 10â20) and overall session attendance was 94.5%. Parent-child report agreement regarding ATS was moderate (k = 0.53, CI 95% 0.45; 0.60). Differences in minutes of accelerometer-assessed MVPA between parent-reported ATS and non-ATS trips were assessed during two timeframes: during the journey to school based on the times reported by the parent (U = 390.5, p < 0.05, 2.46 (n = 99) vs 0.76 (n = 13)) and in the hour before classes (U = 665.5, p < 0.05, 4.99 (n = 104) vs 2.55 (n = 19)). Differences in MVPA minutes between child-reported ATS and non-ATS trips were also significant for each of the timeframes considered (U = 596.5, p < 0.05, 2.40 (n = 128) vs 0.81 (n = 15) and U = 955.0, p < 0.05, 4.99 (n = 146) vs 2.59 (n = 20), respectively). Conclusions Data suggest the feasibility of an ATS incentive scheme and of most trial procedures. School recruitment stood out as requiring further piloting. Trial registration ClinicalTrials.gov: NCT02282631 . Registered 5th September 2014
What are the health benefits of active travel? A systematic review of trials and cohort studies.
BACKGROUND: Increasing active travel (primarily walking and cycling) has been widely advocated for reducing obesity levels and achieving other population health benefits. However, the strength of evidence underpinning this strategy is unclear. This study aimed to assess the evidence that active travel has significant health benefits. METHODS: The study design was a systematic review of (i) non-randomised and randomised controlled trials, and (ii) prospective observational studies examining either (a) the effects of interventions to promote active travel or (b) the association between active travel and health outcomes. Reports of studies were identified by searching 11 electronic databases, websites, reference lists and papers identified by experts in the field. Prospective observational and intervention studies measuring any health outcome of active travel in the general population were included. Studies of patient groups were excluded. RESULTS: Twenty-four studies from 12 countries were included, of which six were studies conducted with children. Five studies evaluated active travel interventions. Nineteen were prospective cohort studies which did not evaluate the impact of a specific intervention. No studies were identified with obesity as an outcome in adults; one of five prospective cohort studies in children found an association between obesity and active travel. Small positive effects on other health outcomes were found in five intervention studies, but these were all at risk of selection bias. Modest benefits for other health outcomes were identified in five prospective studies. There is suggestive evidence that active travel may have a positive effect on diabetes prevention, which may be an important area for future research. CONCLUSIONS: Active travel may have positive effects on health outcomes, but there is little robust evidence to date of the effectiveness of active transport interventions for reducing obesity. Future evaluations of such interventions should include an assessment of their impacts on obesity and other health outcomes
Mode shifting in school travel mode: examining the prevalence and correlates of active school transport in Ontario, Canada
<p>Abstract</p> <p>Background</p> <p>Studies examining the correlates of school transport commonly fail to make the distinction between morning and afternoon school trips. The purpose of this study was to examine the prevalence and correlates of mode shift from passive in the morning to active in the afternoon among elementary and secondary school students in Ontario, Canada.</p> <p>Methods</p> <p>Data were derived from the 2009 cycle of the Ontario Student Drug Use and Health Survey (OSDUHS). 3,633 students in grades 7 through 12 completed self-administered questionnaires. Socio-demographic, behavioural, psychological, and environmental predictors of active school transport (AST) were assessed using logistic regression.</p> <p>Results</p> <p>Overall, 47% and 38% of elementary school students reported AST to and from school, respectively. The corresponding figures were 23% and 32% for secondary school students. The prevalence of AST varied temporarily and spatially. There was a higher prevalence of walking/biking found for elementary school students than for secondary school students, and there was an approximate 10% increase in AST in the afternoon. Different correlates of active school transport were also found across elementary and secondary school students. For all ages, students living in urban areas, with a shorter travel time between home and school, and having some input to the decision making process, were more likely to walk to and from school.</p> <p>Conclusions</p> <p>Future research examining AST should continue to make the analytic distinction between the morning and afternoon trip, and control for the moderating effect of age and geography in predicting mode choice. In terms of practice, these variations highlight the need for school-specific travel plans rather than 'one size fits all' interventions in promoting active school transport.</p
Physical Activity Patterns of the Spanish Population Are Mostly Determined by Sex and Age: Findings in the ANIBES Study
Background
Representative data for the Spanish population regarding physical activity (PA) behaviors
are scarce and seldom comparable due to methodological inconsistencies.
Aim
Our objectives were to describe the PA behavior by means of the standardized self-reported
International Physical Activity Questionnaire (IPAQ) and to know the proportion of the Spanish
population meeting and not meeting international PA recommendations.
Material and Methods
PA was assessed using the IPAQ in a representative sample of 2285 individuals (males,
50.4%) aged 9â75 years and living in municipalities of at least 2,000 inhabitants. Data were
analyzed according to: age groups 9â12, 13â17, 18â64, and 65â75 years; sex; geographical
distribution; locality size and educational levels.
Results
Mean total PA was 868.8±660.9 min/wk, mean vigorous PA 146.4±254.1 min/wk, and mean
moderate PA 398.1±408.0 min/wk, showing significant differences between sexes
(p<0.05). Children performed higher moderate-vigorous PA than adolescents and seniors
(p<0.05), and adults than adolescents and seniors (p<0.05). Compared to recommendations,
36.2%of adults performed <150 min/week of moderate PA, 65.4% <75 min/week of vigorous PA and 27.0%did not perform any PA at all, presenting significant differences
between sexes (p<0.05). A total of 55.4%of children and adolescents performed less than
420 min/week of MVPA, being higher in the later (62.6%) than in the former (48.4%). Highest
non-compliance was observed in adolescent females (86.5%).
Conclusion
Sex and age are the main influencing factors on PA in the Spanish population. Males
engage in more vigorous and light PA overall, whereas females perform more moderate
PA. PA behavior differs between age groups and no clear lineal increase with age could be
observed. Twenty-seven percent of adults and 55.4% of children and adolescents do not
meet international PA recommendations. Identified target groups should be addressed to
increase PA in the Spanish populationCoca-Cola Iberia through Spanish Nutrition Foundation (FEN)Coca-Cola Iberi
Differentiated neuroprogenitor cells incubated with human or canine adenovirus, or lentiviral vectors have distinct transcriptome profiles
Several studies have demonstrated the potential for vector-mediated gene transfer to the brain. Helper-dependent (HD) human (HAd) and canine (CAV-2) adenovirus, and VSV-G-pseudotyped self-inactivating HIV-1 vectors (LV) effectively transduce human brain cells and their toxicity has been partly analysed. However, their effect on the brain homeostasis is far from fully defined, especially because of the complexity of the central nervous system (CNS). With the goal of dissecting the toxicogenomic signatures of the three vectors for human neurons, we transduced a bona fide human neuronal system with HD-HAd, HD-CAV-2 and LV. We analysed the transcriptional response of more than 47,000 transcripts using gene chips. Chip data showed that HD-CAV-2 and LV vectors activated the innate arm of the immune response, including Toll-like receptors and hyaluronan circuits. LV vector also induced an IFN response. Moreover, HD-CAV-2 and LV vectors affected DNA damage pathways - but in opposite directions - suggesting a differential response of the p53 and ATM pathways to the vector genomes. As a general response to the vectors, human neurons activated pro-survival genes and neuron morphogenesis, presumably with the goal of re-establishing homeostasis. These data are complementary to in vivo studies on brain vector toxicity and allow a better understanding of the impact of viral vectors on human neurons, and mechanistic approaches to improve the therapeutic impact of brain-directed gene transfer
- âŠ