Park, Rx, Physical Activity and other Health Benefits for Low Income Children

为低收入儿童提供公园、Rx、体育活动和其他健康福利

基本信息

批准号：
10264126
负责人：
Deborah A Cohen
金额：
$ 63.32万
依托单位：
KAISER FOUNDATION RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-08-01 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10264126
关键词：
Accelerometer Achievement Address Adherence Alaska Attention deficit hyperactivity disorder Behavioral Biological Biological Markers Chicago Child Childhood Chronic Disease Clinic Clinical Cognition Cognitive Counseling Diagnosis Effectiveness Emotional Exercise Exposure to Family Frequencies Future Glycosylated hemoglobin A Guidelines Health Health Benefit Health Personnel High Prevalence High-Income Populations Hypertriglyceridemia Institutes Instruction Intervention Iowa Leisures Low Income Population Low income Maryland Measures Medical Mental Health Minority Groups Movement Nature Neighborhood Health Center New Jersey New Mexico North Carolina Obesity Outcome Overweight Patients Personal Satisfaction Physical activity Physicians Poverty Public Health Randomized Controlled Trials Recommendation Recreation San Francisco Source Stress Testing Time Virginia Visit Washington Youth age difference base clinical practice cognitive function community involvement effective intervention experience gender difference high risk hypercholesterolemia improved patient population pediatric patients physical conditioning physical inactivity programs prospective routine practice stress reduction

项目摘要

ABSTRACT Recognizing that outdoor exercise has the potential to improve physical and mental health as well as cognition, Park Prescriptions (ParkRx) was developed to promote both physical activity and exposure to nature among low-income populations. Children who grow up in poverty have lower levels of achievement, worse health, and experience higher stress. Both physical activity and exposure to nature have been associated with stress reduction and better cognitive functioning. That low-income populations spend less of their leisure time in physical activity and less of this physical activity time in outdoor settings than higher income populations, may, in part, explain health and achievement disparities. Park prescriptions are formal clinical encouragements for patients to engage in more physical activity outdoors. From the beginning, ParkRx has been perceived as a common-sense solution to physical inactivity and to increasing the time children might be spending outdoors in nature. In spite of a lack of rigorous evidence that it is effective, the ParkRx concept is currently being widely disseminated and has been embraced by multiple national organizations. Unity Health, a federally qualified community health center in Washington, DC, is currently implementing park prescriptions for its largely low-income and minority population, a group at high risk of chronic diseases, physical inactivity and obesity. In partnership with Unity Health, we propose to conduct a randomized controlled trial (RCT) to prospectively evaluate Park Rx’s impact on physical activity, as well as other secondary health outcomes in pediatric patients. Our specific aims are: 1) to test whether Park Rx will increase park visits and accelerometry-measured physical activity among children; 2) to identify any biological impacts of Park Rx on health, including impact on hypercholesterolemia, hypertriglyceridemia, HbA1C, overweight and obesity, for those patients with relevant diagnoses; 3) to explore impacts on mental health, including stress and measures of cognitive functioning; and 4) to determine whether there are age and gender differences in adherence to and impact of Park Rx. The results of this study will quantify the effectiveness of Park Rx and inform its future dissemination.

抽象的认识到户外运动有可能改善身心健康以及认知，公园处方（PARCRX）旨在促进体育锻炼和暴露于自然在低收入人群中。在贫困中长大的孩子的成就水平较低，更糟健康并承受更高的压力。体育锻炼和自然暴露都与减轻压力和更好的认知功能。低收入人群的闲暇时间更少在体育锻炼中，在户外环境中的体育活动时间少于收入的人群，可以部分解释健康和成就分布。公园处方是正式的临床鼓励，以便患者进行更多的体育锻炼户外。从一开始，ParkRX就被视为无效的常识性解决方案并增加儿童在自然界中在户外花费的时间。尽管缺乏严格证据表明它是有效的，ParkRX概念目前正在广泛传播，并且已经存在受到多个国家组织的拥护。 Unity Health，一个联邦资格的社区健康中心华盛顿特区目前正在为其低收入和少数派实施公园处方人口，慢性疾病，身体不活跃和肥胖的高风险。与Unity合作健康，我们建议进行一项随机对照试验（RCT），以预先评估Park RX的影响关于体育活动以及小儿患者的其他二级健康结果。我们的具体目的是：1）测试公园RX是否会增加公园的访问和儿童的加速度计量计量计量测量； 2）确定公园RX对健康的任何生物学影响，包括对高胆固醇血症的影响，对于那些患有相关诊断患者的高甘油三酯血症，HBA1C，超重和肥胖症； 3）探索对心理健康的影响，包括压力和认知功能的措施； 4）确定是否公园RX的依从性和影响都存在年龄和性别差异。这项研究的结果将量化公园RX的有效性并告知其未来的传播。