PARCS: A Safety Net Community-Based Fitness Center for Low-Income Adults.
PARCS: A Safety Net Community-Based Fitness Center for Low-Income Adults.
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DOI：
10.1353/cpr.2016.0038
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
de Groot M
中科院分区：
文献类型：
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作者：
Keith N;Mi D;Alexander K;Kaiser S;de Groot M
体育活动（PA）和健身是保持健康和避免慢性疾病的关键。低收入城市地区有限的健身设施已被确定为低PA参与和健康状况不佳的一个因素。本研究描述了为生活在低收入城市社区的成年人建立的以社区为基础的健身中心，并对其成员的样本进行了表征。社区确定了对体育健身机会的需求，以改善居民的健康状况。三所社区高中是主办地点。资源被联合起来翻新和配备设施，购买设备，并推荐患者进行锻炼。研究样本包括170名年龄≥18岁的成员，他们完成了人口统计、运动自我效能、生活质量调查和健康评估。为了进行比较，获得了美国社区人口普查数据。社区健身中心是由大学、公立学校和医院合作建立的，提供安全、方便和负担得起的锻炼机会。研究样本的平均BMI为35±7.6 （II类肥胖），平均年龄为50岁±12.5岁，66%为黑人，72%为女性，66%完成了大学或更高的学业，71%的家庭年收入< 2.5万美元，并抚养2.2个家属。参与者对参与运动有中等程度的信心，健康水平较低。与人口普查数据相比，参与者代表了他们的社区。这项观察性研究揭示了低收入成年人需要负担得起的健身中心。我们展示了社区和组织战略性地利用资源来解决身体健康差距的模式。
Physical activity (PA) and fitness are critical to maintaining health and avoiding chronic disease. Limited access to fitness facilities in low-income urban areas has been identified as a contributor to low PA participation and poor fitness. This research describes community-based fitness centers established for adults living in low-income, urban communities and characterizes a sample of its members. The community identified a need for physical fitness opportunities to improve residents’ health. Three community high schools were host sites. Resources were combined to renovate and staff facilities, acquire equipment, and refer patients to exercise. The study sample included 170 members ≥ age 18yr who completed demographic, exercise self-efficacy, and quality of life surveys and a fitness evaluation. Neighborhood-level U.S. Census data were obtained for comparison. The community-based fitness centers resulted from university, public school, and hospital partnerships offering safe, accessible, and affordable exercise opportunities. The study sample mean BMI was 35 ± 7.6 (Class II obesity), mean age was 50yr ± 12.5, 66% were black, 72% were female, 66% completed some college or greater, and 71% had an annual household income < $25K and supported 2.2 dependents. Participants had moderate confidence for exercise participation and low fitness levels. When compared to census data, participants were representative of their communities. This observational study reveals a need for affordable fitness centers for low-income adults. We demonstrate a model where communities and organizations strategically leverage resources to address disparities in physical fitness and health.