Abstract
Background
Providing after school activities is a community level approach for reducing the decline in physical activity of girls as they reach early adolescence.
Purpose
The purpose of this study was to examine psychosocial, environmental, and behavioral factors as potential mediators of after school physical activity in adolescent girls.
Methods
We assessed objectively measured levels of physical activity occurring outside of school and potential predictors and mediators of activity in girls participating in the Trial of Activity in Adolescent Girls (TAAG).
Results
We found that the TAAG intervention had a statistically significant and positive effect on out of school activity in the 2006 cohort. Self-efficacy, friends’ social support, total social support, and difficulty getting to and from community activities mediated the level of moderate to vigorous physical activity in girls.
Conclusions
Parents, communities, and schools should provide and enhance opportunities outside of the school day for adolescents to be active. Reducing transportation barriers and enlisting social support appear to be key.
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References
Fletcher G. Physical inactivity as a risk factor for cardiovascular disease. Am J Med. 1999;107:S10-S-11.
Daniels SR, Arnett D, Eckel R, et al. Overweight in children and adolescents: Pathophysiology, consequences, prevention, and treatment. Circulation. 2005;111:1999-2012.
Caspersen C, Pereria M, Curran K. Changes in physical activity patterns in the United States, by sex and cross-sectional age. Med Sci Sports Exerc. 2000;32:1601–1609.
Ogden CL, Caroll MD, Curtin LR, et al. Prevalence of overweight and obesity in the United States, 1999–2004. JAMA. 2006;295:1549–1555.
Obarzanek E. Obesity in children, adolescents and families. Armonk: Futura; 1999.
Kimm DY, Glynn NW, Kriska AM, et al. Decline in physical activity in black girls and white girls during adolescence. N Engl J Med. 2002;347:709–715.
Vu MB, Murrie D, Gonzalez V, Jobe JB. Listening to girls and boys talk about girls’ physical activity behaviors. Health Educ Behav. 2006;33:81–96.
O’Toole T, Anderson S, Miller C, Guthrie J. Nutrition services and food and beverages available at school: Results from the School Health Policies and Programs Study (SHPPS) 2006. J Sch Health. 2007;77:500–521.
McKenzie TL, Catellier DJ, Conway TL, et al. Girls’ activity levels and lesson contexts in middle school PE: TAAG Baseline. Med Sci Sports Exerc. 2006;38:1229–1235.
McKenzie TL, Stone EJ, Feldman HA, et al. Effects of the CATCH physical education intervention: Teacher type and lesson location. Am J Prev Med. 2001;21:101–109.
Baranowski T, Baranowski JC, Cullen KW, et al. The Fun, Food, and Fitness Project (FFFP): The Baylor GEMS pilot study. Ethn Dis. 2003;13:S30–39.
Beech BM, Klesges RC, Kumanyika SK, et al. Child- and parent-targeted interventions: The Memphis GEMS pilot study. Ethn Dis. 2003;13:S40–53.
Story M, Sherwood NE, Himes JH, et al. An after-school obesity prevention program for African-American girls: The Minnesota GEMS pilot study. Ethn Dis. 2003;13:S54–64.
Robinson TN, Killen JD, Kraemer HC, et al. Dance and reducing television viewing to prevent weight gain in African-American girls: The Stanford GEMS pilot study. Ethn Dis. 2003;13:S65–77.
Pate RR, Ward DS, Saunders RP, et al. Promotion of physical activity among high-school girls: A randomized controlled trial. Am J Public Health. 2005;95:1582–1587.
Ransdell LB, Taylor A, Oakland D, et al. Daughters and mothers exercising together: Effects of home- and community-based programs. Med Sci Sports Exerc. 2003;35:286–296.
Economos CD, Hyatt RR, Goldberg JP. A community intervention reduces BMI z-score in children: Shape Up Somerville first year results. Obesity. 2007;15:1325–1336.
Sallis JF, McKenzie TL, Conway TL, et al. Environmental interventions for eating and physical activity: A randomized controlled trial in middle schools. Am J Prev Med. 2003;24:209–217.
Dzewaltowski DA, Estabrooks PA, Welk GJ, et al. Healthy Youth Places: A randomized controlled trial to determine the effectiveness of facilitating adult and youth leaders to promote physical activity and fruit and vegetable consumption in middle schools. Health Educ Behav. 2009;36:583–600.
Haerens L, Cerin E, Maes L, et al. Explaining the effects of a 1-year intervention promoting physical activity in middle schools: A mediation analysis. IJBNPA. 2007;4:55.
Taymoori P, Lubans DR. Mediators of behavior change in two tailored physical activity interventions for adolescent girls. Psyhol Sport Exerc. 2008;9:605–619.
Lytle LA, Schmitz KH. Community-level influences and interventions for pediatric obesity. In: Goran M, Sothern M, eds. Handbook of Pediatric Obesity. Boca Raton: Taylor & Francis; 2006.
Schmitz KH, Lytle LA, Phillips GA, et al. Psychosocial correlates of physical activity and sedentary leisure habits in young adolescents: The teens eating for energy and nutrition at school study. Prev Med. 2002;34:266–278.
Dishman RK, Motl RW, Sallis JF, et al. Self-management strategies mediate self-efficacy and physical activity. Am J Prev Med. 2005;29:10–18.
Trost SG, Pate RR, Ward DS, Saunders R, Riner W. Correlates of objectively measured physical activity in preadolescent youth. Am J Prev Med. 1999;17:120–126.
Strauss RC, Rodzilsky D, Burack G, Colin M. Psychosocial correlates of physical activity in health children. Arch Pediatr Adolesc Med. 2001;1555:897–902.
Kamphuis C, van Lenthe FJ, Giskes K, et al. Socioeconomic status, environmental and individual factors and sports participation. Med Sci Sports Exerc. 2007;40:71–81.
Ferreira I, van der Horst K, Wendel-Vos W, et al. Environmental correlates of physical activity in youth—A review and update. Obesity Reviews. 2006;8:129–154.
Evenson K, Birnbaum AS, Bedimo-Rung A, et al. Girls perceptions of physical environmental factors and transportation: reliability and association with physical activity and active transport to school. Int J Behav Nutr Phys Act. 2006;2:28.
Revalds Lubans D, Foster C, Biddle SJH. A review of mediators of behavior in interventions to promote physical activity among children and adolescents. Prev Med. 2008;47:463–470.
Webber L, Catellier D, Lytle L, et al. Promoting physical activity in middle school girls: Trial of activity for adolescent girls. Am J Prev Med. 2008;34:173–184.
Stevens J, Murray DM, Catellier DJ, et al. Design of the Trial of Activity in Adolescent Girls (TAAG). Contemp Clin Trials. 2005;26:223–233.
Murray DM, Catellier DJ, Hannan P, et al. School-level intraclass correlation for physical activity in adolescent girls. Med Sci Sports Exerc. 2004;36:876–882.
Elder JP, Shuler L, Moe SG, et al. Recruiting a diverse group of middle school girls into the Trial of Activity for Adolescent Girls (TAAG). J Sch Health. 2008;78:523–531.
Elder JP, Lytle L, Sallis JF, et al. A description of the social-ecological framework used in the trial of activity for adolescent girls (TAAG). Health Educ Res. 2007;22:155–165.
Osganian SK, Parcel GS, Stone E. Institutionalization of a school health promotion program: background and rationale of the CATCH-ON study. Health Educ Behav. 2003;30:410–417.
Parcel GS, Edmundson E, Perry CL, et al. Measurement of self-efficacy for diet-related behaviors among elementary school children. J Sch Health. 1995;65:23–27.
Smith DW, Steckler A, McCormick LK, McLeroy KR. Disseminating comprehensive school health curricula: Lesson learned from the North Carolina school health and tobacco education project. J Health Educ. 1995;26:26–36.
Catellier D, Hannan P, Murray DM, et al. Imputation of missing data when measuring physical activity by accelerometry. Med Sci Sports Exerc. 2005;37:555–562.
Treuth M, Schmitz KH, Catellier D, et al. Defining accelerometer thresholds for activity intensities in adolescent girls. Med Sci Sports Exerc. 2004;36:1259–1266.
Dempster A, Laird N, Rubin D. Maximum likelihood from incomplete data via the EM algorithm. J R Stat Soc Ser B. 1977;39:1–38.
SAS Institute. SAS/STAT 9.1 user’s guide. Cary: SAS Institute; 2004.
Murray DM. Design and analysis of group-randomized trials. New York: Oxford University Press; 1998.
MacKinnon DP, Fairchild AJ, Fritz MS. Mediation analysis. Annu Rev Psychol. 2007;58:593–614.
Dunton GF, Schneider M, Cooper DM. An investigation of psychosocial factors related to changes in physical activity and fitness among female adolescents. Psychol. Health. 2007;22:929–944.
Young DR, Steckler A, Cohen S, et al. Process Evaluation Results from a School and Community Linked Intervention: The Trial of Activity for Adolescent Girls (TAAG). Health Educ Res. 2008;23:976–986.
Hoefer WR, McKenzie TL, Sallis JF, Marshall SJ, Conway TL. Parental provision of transportation for adolescent physical activity. Am J Prev Med. 2001;21:48–51.
Kraemer HC, Wilson T, Fairburn C, Agras W. Mediators and moderators of treatment effects in randomized clinical trials. Arch Gen Psychiatry. 2002;59:877–883.
Perry C. Preadolescent and adolescent influences on health. In: Smedley BD, Syme SL, eds. Promoting health, intervention strategies from social and behavioral research. Washington: National Academy Press; 2000:217–253.
IOM. Preventing childhood obesity: Health in the balance. Washington: Insitute of Medicine; 2005.
Sallis JF, Prochaska JJ, Taylor WC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32:963–975.
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Lytle, L.A., Murray, D.M., Evenson, K.R. et al. Mediators Affecting Girls’ Levels of Physical Activity Outside of School: Findings from the Trial of Activity in Adolescent Girls. ann. behav. med. 38, 124–136 (2009). https://doi.org/10.1007/s12160-009-9127-2
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DOI: https://doi.org/10.1007/s12160-009-9127-2