We Run This City: Impact of a Community-School Fitness Program on Obesity, Health, and Fitness.

We Run This City: Impact of a Community-School Fitness Program on Obesity, Health, and Fitness.
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DOI:
10.5888/pcd15.160471
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发表时间:
2018-05-03
影响因子:
5.5
通讯作者:
Trapl ES
Trapl ES
中科院分区:
医学3区
文献类型:
--
作者:
Borawski EA;Jones SD;Yoder LD;Taylor T;Clint BA;Goodwin MA;Trapl ES

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我们运行这个城市(WRTC)青年马拉松计划是一个社区支持的,以学校为基础的健身计划,旨在增加体育活动,在一个大型的城市学区,从事中学青年训练12至14周,运行或步行1.2英里,6.2英里,或13.1英里的礼爱克利夫兰马拉松。本研究的目的是评估干预对青少年健康的影响。我们评估了1,419名首次参加WRTC的六至八年级学生在训练前和干预后测量的肥胖,健康和健身的变化,特别关注该计划对超重(第85 - 94个身体质量指数百分位数)或肥胖(≥ 95百分位数)学生的影响。我们收集了2009年至2012年的数据,并在2016年和2017年进行了分析。关注的结果是体重指数(BMI),腰臀比(WHR),血压升高,以及使用渐进式有氧心血管耐力跑(PACER)测试和坐立测试评估的健身水平。我们看到了健康和血压的整体显着改善。控制人口统计学、项目事件和训练剂量后,正常体重参与者的BMI百分位数增加,超重和肥胖参与者的BMI百分位数减少(P <0.001)。肥胖参与者的WHR增加,而血压升高者的血压降低与较高的训练量和较低的基线BMI相关。即使是少量的定期体育活动也会影响城市青年的健康和健身。学校与社区的伙伴关系提供了一种有前途的方法,通过支持学校和使学校为基础的活动具有包容性,有趣,并与更广泛的健身社区联系起来,来增加体育活动。
The We Run This City (WRTC) Youth Marathon Program is a community-supported, school-based fitness program designed to increase physical activity in a large, urban school district by engaging middle school youth to train 12 to 14 weeks to run or walk 1.2 miles, 6.2 miles, or 13.1 miles of the Rite Aid Cleveland Marathon. The objective of our study was to evaluate the effect of the intervention on adolescent health. We assessed changes in obesity, health, and fitness, measured before training and postintervention, among 1,419 sixth- to eighth-grade students participating in WRTC for the first time, with particular interest in the program’s effect on overweight (85th–94th body mass index percentile) or obese (≥95th percentile) students. We collected data from 2009 through 2012, and analyzed it in 2016 and 2017. Outcomes of interest were body mass index (BMI), waist-to-hip ratio (WHR), elevated blood pressure, and fitness levels evaluated by using the Progressive Aerobic Cardiovascular Endurance Run (PACER) test and the sit-to-stand test. We saw significant improvements overall in fitness and blood pressure. Controlling for demographics, program event, and training dosage, BMI percentile increased among normal weight participants and decreased among overweight and obese participants (P < .001). WHR increased among obese participants, whereas reductions in blood pressure among those with elevated blood pressure were associated with higher amounts of training and lower baseline BMI. Even small amounts of regular physical activity can affect the health and fitness of urban youths. School–community partnerships offer a promising approach to increasing physical activity by supporting schools and making a school-based activity inclusive, fun, and connected to the broader fitness community.
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