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Sports Medicine

, Volume 49, Issue 4, pp 641–643 | Cite as

Reply to Williams et al.: Comment on: “Equity in Physical Activity: A Misguided Goal”

  • James L. NuzzoEmail author
Letter to the Editor

Dear Editor,

Williams et al. [ 1] expressed concerns about my conclusion that equity in physical activity is a misguided goal [ 2]. In this letter I would like to address their concerns.
  1. 1.

    “Equity is not about ensuring everyone is equal”

     

Williams et al. stated equity is not about creating equal outcomes [1]. Thus, they believe I “fundamentally misconstrued” equity because I assumed the goal of equity initiatives is to create equal physical activity rates between groups.

This critique by Williams et al. further convinces me equity advocates are unaware of the implications of their own ideas and initiatives. At every stage of an equity initiative, equality of outcome is of concern. The starting point is a cross-sectional analysis that reveals an unequal outcome [ 3], and presumably there would be no reason for advocates to propose an initiative if the outcome was already equal. This then implies the initiative’s purpose is to “close the gap” in the outcome, such that when the...

Notes

Compliance with Ethical Standards

Funding

James Nuzzo did not receive any funding related to the preparation of this letter.

Conflict of interest

James Nuzzo declares he has no conflicts of interest relevant to the content of this letter.

References

  1. 1.
    Williams O, Coen SE, Gibson K. Comment on: “Equity in physical activity: a misguided goal”. Sports Med. 2019.  https://doi.org/10.1007/s40279-018-01047-9.
  2. 2.
    Nuzzo JL. Equity in physical activity: a misguided goal. Sports Med. 2018.  https://doi.org/10.1007/s40279-018-0959-4.PubMedGoogle Scholar
  3. 3.
    Hasson RE, Brown DR, Dorn J, Barkley L, Torgan C, Whitt-Glover M, et al. Achieving equity in physical activity participation: ACSM experience and next steps. Med Sci Sports Exerc. 2017;49(4):848–58.CrossRefPubMedGoogle Scholar
  4. 4.
    Commission on Social Determinants of Health. Closing the gap in a generation: health eqity through action on social determinants of health. Geneva: World Health Organization; 2008.Google Scholar
  5. 5.
    Mielke GI, da Silva ICM, Kolbe-Alexander TL, Brown WJ. Shifting the physical inactivity curve worldwide by closing the gender gap. Sports Med. 2018;48(2):481–9.CrossRefPubMedGoogle Scholar
  6. 6.
    Coen SE. Connecting qualitative research on exercise and environment to public health agendas requires an equity lens. Health Place. 2018;53:264–7.CrossRefPubMedGoogle Scholar
  7. 7.
    Hasson RE, Brown DR, Dorn J, Barkley L, Torgan C, Whitt-Glover M, et al. Response. Med Sci Sports Exerc. 2018;50(6):1342–3.CrossRefPubMedGoogle Scholar
  8. 8.
    Bauman AE, Sallis JF, Dzewaltowski DA, Owen N. Toward a better understanding of the influences on physical activity: the role of determinants, correlates, causal variables, mediators, moderators, and confounders. Am J Prev Med. 2002;23(2 Suppl):5–14.CrossRefPubMedGoogle Scholar
  9. 9.
    Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJ, Martin BW. Correlates of physical activity: why are some people physically active and others not? Lancet. 2012;380(9838):258–71.CrossRefPubMedGoogle Scholar
  10. 10.
    Lightfoot JT, De Geus EJC, Booth FW, Den Hoed M, Kaprio J, et al. Biological/genetic regulation of physical activity level: consensus from GenBioPAC. Med Sci Sports Exerc. 2018;50(4):863–73.CrossRefPubMedGoogle Scholar
  11. 11.
    Trost SG, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of adults’ participation in physical activity: review and update. Med Sci Sports Exerc. 2002;34(12):1996–2001.CrossRefPubMedGoogle Scholar
  12. 12.
    Braveman P, Gottlieb L. The social determinants of health: it’s time to consider the causes of the causes. Public Health Rep. 2014;129(Suppl 2):19–31.CrossRefPubMedGoogle Scholar
  13. 13.
    Shankar J, Ip E, Khalema E, Couture J, Tan S, Zulla RT, et al. Education as a social determinant of health: issues facing indigenous and visible minority students in postsecondary education in Western Canada. Int J Environ Res Public Health. 2013;10(9):3908–29.CrossRefPubMedGoogle Scholar
  14. 14.
    Telfair J, Shelton TL. Educational attainment as a social determinant of health. N C Med J. 2012;73(5):358–65.PubMedGoogle Scholar
  15. 15.
    Hitchings R, Latham A. On lenses and blind sports in qualitative exercise and environment research: a response to Stephanie Coen. Health Place. 2018;53:268–70.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Neuroscience Research AustraliaRandwickAustralia

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