UNIVERSITY OF SOUTH CAROLINA
PREVENTION RESEARCH CENTER NOTES
"Promoting Health Through Physical Activity"
Greetings from the faculty and staff in the USC Prevention Research
Center. Last week we were in Hilton Head, South Carolina for the
7th Annual Physical Activity and Public Health Post-Graduate Courses.
Over 50 fellows from the US and abroad met with leaders in the field
to discuss innovative strategies for personal, social, environmental,
and policy interventions for physical activity. We thank all faculty
and fellows who traveled to the East Coast for the course during
this difficult time in our country's history. We give many thanks
to the US Centers for Disease Control and Prevention for their ongoing
support, and I hope you can join us next year in Park City, Utah
for our 8th annual course!
Barbara Ainsworth, Director
Dennis Shepard, Deputy Director
Delores Pluto, Newsletter Editor (email@example.com)
IN THIS ISSUE: August/September 2001
NEWS YOU CAN USE: Physical Fitness of Cities, Surgeon General Walks
WHAT'S HAPPENING IN WASHINGTON: Prevention Funding
RESEARCH NOTES: Physical Activity Counseling in Primary Care Settings,
Environmental Factors Associated with Community Trail Use, Effective
PE - Teacher Type And Lesson Location
REPORTS, SURVEYS, GUIDELINES, RESOURCES: New Community Design,
CDC CVD Conference, Bright Futures in Practice, School Health Policies
and Programs Study
PROMOTING ACTIVE COMMUNITIES: Golden Shoes, GA Safe Routes to School
UPCOMING CONFERENCES AND WORKSHOPS: Whistler 2001 Rescheduled,
Healthy People 2010, El Tour Health, Safety and Education Conference,
Adolescent and School Health, Physical Activity and Disability
USC PREVENTION RESEARCH CENTER UPDATE: Research Updates, New Projects
NEWS YOU CAN USE
"PHYSICAL FITNESS OF CITIES: Vision and Ethics in City Building"
is an international exhibition being held in conjunction with the
2002 Olympic Winter Games and the Paralympic Winter Games of 2002
in Salt Lake City, Utah. The Physical Fitness of Cities is a cultural
program, which will highlight state-of-the-art practice in city
building from cities throughout the world. This exhibition will
feature built projects representing new standards of resourceful
design, ethical practice and far-reaching vision to create, transform,
and repair human settlements. The exhibit will be open from February
1, 2002 through March 30, 2002. For more information on the project,
sponsorship, or making submissions, visit http://www.fitcities.org/english/about.htm.
SURGEON GENERAL WALKS TO SCHOOL: Dr. David Satcher will join the
National Walk Our Children to School Day scheduled for October 2,
2001, by kicking off the event with remarks and interviews--and
walking children to East Silver Spring Elementary, Silver Spring,
Maryland. Last years events included over two million walkers from
47 states. This year's numbers are expected to far exceed the previous
years' as students, parents, and leaders join together on their
communities' streets to advocate for a more walkable America--one
community at a time. The event is sponsored by the Partnership for
a Walkable America in cooperation with the US Department of Transportation.
For materials, ideas for successful events from veteran communities
and links to more resources, go to http://www.walktoschool-usa.org/.
WHAT'S HAPPENING IN WASHINGTON
PREVENTION FUNDING: Because of the recent tragic events in New
York and DC, Congress has focused on providing funds for recovery
efforts and defense; the regular appropriations process is on hold.
It is unclear when the Labor/Health and Human Services/Education
Appropriations bill is likely to be taken up by the House Appropriations
committee. This bill covers CDC and NIH funding. Cuts to CDC's chronic
disease prevention program and the Preventive Health Block Grant
were being considered prior to the attacks, and seem even more likely
PHYSICAL ACTIVITY COUNSELING IN PRIMARY CARE SETTINGS: A randomized
controlled trial, based in 11 primary care facilities, compared
the effects of physical activity counseling interventions on fitness
and physical activity changes over a 2 year period. Subjects were
randomly assigned to receive 1 of the following 3 interventions:
1) Advice -- advice from physicians plus written material provided
by a health educator, 2) Assistance -- advice plus the addition
of interactive mail and behavioral counseling from the physician,
and 3) Counseling -- assistance plus additional telephone counseling
and behavioral classes. All three methods worked equally well in
significantly increasing physical activity among men and women.
Among women only, the Assistance and Counseling interventions resulted
in greater improvements in fitness (VO2max) at 2 years compared
to the Advice group. See The Writing Group for the Activity Counseling
Trial, "Effects of Physical Activity Counseling in Primary
Care: The Activity Counseling Trial: A Randomized Controlled Trial."
Journal of the American Medical Association, 286(6):677-687, 2001.
ENVIRONMENTAL FACTORS ASSOCIATED WITH COMMUNITY TRAIL USE: A cross-sectional
community survey was conducted among residents living in proximity
to a community bikeway (rail-trail) that assessed physical activity
levels, bikeway use, environmental barriers, and community characteristics.
While no differences existed in the perceived physical environment
between users and non-users of the trail, trail use was associated
with age, gender, distance to the bikeway, steep hills, and busy
streets. These findings provide support for the consideration of
environmental barriers when planning community trails to promote
physically active lifestyles. See Troped, Saunders, et al. "Associations
Between Self-Reported and Objective Physical Environmental Factors
and Use of a Community Rail-Trail." Preventive Medicine, 32:191-200,
EFFECTIVE PE - TEACHER TYPE AND LESSON LOCATION: This paper addresses
the effectiveness of a 2.5 year school-based PE and professional
development program, and compares the effect of teacher type (PE
specialists vs. classroom teachers) and lesson location (indoors
vs. outdoors). The intervention resulted in a significant increase
in the percent of lesson time spent being physically active, with
most gains due to modified activity selections and instructional
methods. Although classroom teachers showed the greatest improvements
in class time spent physically active, PE specialists provided more
opportunities for in-class physical activity and required less on-site
consultation time. The intervention also resulted in improved PA
time across lesson locations (outdoors due to increased walking
time and indoors due to increased lesson time). The authors conclude
that future efforts to implement standardized PE curriculum should
address issues such as the previous education of teachers and local
school characteristics such as lesson location. See McKenzie, et
al. "Effects of the CATCH Physical Education Intervention:
Teacher Type and Lesson Location." American Journal of Preventive
Medicine, 21(2):101-109, 2001.
For additional summaries of recent research on promoting physical
activity in communities, go to http://prevention.sph.sc.edu.
REPORTS, SURVEYS, GUIDELINES, RESOURCES
NEW COMMUNITY DESIGN: The National Governors Association (NGA)
Center for Best Practices recently published "New Community
Design to the Rescue: Fulfilling Another American Dream." This
report explains how states and communities can encourage New Community
Design (mixed-use, mixed-income, walkable development that is distinctly
different from sprawl) by eliminating institutional barriers in
the marketplace. Offering distinct alternatives to the developmental
"sprawl" that has dominated real estate growth over the
last 50 years, New Community Design offers vibrant neighborhoods
of housing, parks, and schools within walking distance to shops,
civic services, jobs, and transit. The report is available in its
entirety at http://www.nga.org.
CDC CVD CONFERENCE: Almost 400 public health professionals from
across the US participated in the First National CDC Prevention
Conference on Heart Disease and Stroke on August 22-24, 2001, in
Atlanta, Georgia. The conference was co-sponsored by the American
Heart Association and the National Heart, Lung, and Blood Institute
and featured sessions in support of the theme, "Building and
Expanding State-Based Comprehensive Cardiovascular Health Programs."
Many presenters emphasized the need to focus on policy and environmental
interventions to promote physical activity and good nutrition. Abstracts
from all sessions were published in a special issue of Preventive
Medicine, August 2001, Vol. 33, No. 2.
"BRIGHT FUTURES IN PRACTICE: Physical Activity" is a
new guide published by the National Center for Education in Maternal
and Child Health (NCEMCH). The guide provides information for health
professionals to screen and assess the physical activity levels
of infants, children, and adolescents and to provide guidance on
physical activity to families. The document can be ordered or downloaded
On this same web site, NCEMCH also has added a knowledge path called
Physical Activity and Children. The knowledge path contains links
to resources including a bibliography of journal articles, books,
and other publications.
SCHOOL HEALTH POLICIES AND PROGRAMS STUDY (SHPPS): Results from
the 2000 SHPPS are published in the September issue of the Journal
of School Health (volume 71, issue 7). SHPPS 2000 looked at elementary,
middle/junior, and high school policies at the state, district,
school, and classroom levels. Fact sheets are available on the web
at www.cdc.gov/shpps. To
obtain copies of ASCII, SAS, or SPSS datasets from the study, contact
Healthy Youth, P.O. Box 8817, Silver Spring, MD 20907; Telephone:
(888) 231-6405, Fax: (888) 282-7681 or e-mail HealthyYouth@cdc.gov.
PROMOTING ACTIVE COMMUNITIES
GOLDEN SHOES: In May, Cambridge Walks hid 100 Golden Shoes where
people walk throughout the city of Cambridge. The specially marked
shoes were turned in for a free pair of walking shoes and a chance
to win a Walking Shopping Spree of Cambridge. The event served as
a catalyst for the city, citizens, employers, and health care providers
to talk about and encourage walking toward better health. For more
information on the event, contact the Cambridge Public Health Department,
GA SAFE ROUTES TO SCHOOL: The Georgia State Transportation Board
resolved to support a "Safe Routes to Schools" pilot program
in Gwinnett and DeKalb counties. In a resolution presented to the
North Georgia Bicycle Dealers Association and Citizens for Livable
DeKalb, the Board pledged to direct more financial and staff resources
towards programs to increase the use of non-motorized modes of transportation
for students to and from schools and to make those routes safer.
For more information, contact Fred Boykin, North Georgia Bicycle
Dealers Association, at 404-636-4444 or Allison Adams, Citizens
for a Livable DeKalb, at 404-727-5269.
UPCOMING CONFERENCES AND WORKSHOPS
WHISTLER 2001 RESCHEDULED: The "Communicating Physical Activity
Messages" conference that was to be held Sept. 26-29 has been
postponed because of travel difficulties. The conference has been
rescheduled for Dec. 9-11, 2001. Updates will be posted soon on
the conference website, http://www.participation.com.
HEALTHY PEOPLE 2010: The 2001 Annual Consortium Meeting, Creating
Change with Healthy People 2010, will be held on October 19, 2001,
in Atlanta, GA. During the morning plenary session, participants
will hear how Consortium members are creating change in States,
businesses, communities, government agencies, and international
organizations. With more than 30 breakout sessions, the Consortium
meeting will cover a wide variety of Healthy People topics and offer
many opportunities for learning, networking, and sharing. Regular
registration ends October 5, 2001, and is limited to 500 people.
To register on line, view the agenda, or for more information, go
EL TOUR HEALTH, SAFETY AND EDUCATION CONFERENCE will be held during
El Tour de Tucson Week, Saturday, November 10-17, 2001, in downtown
Tucson, AZ. Highlights of the conference include a two-day workshop
on Walkable Communities sponsored by Pima Association of Governments
and the 2nd Professional Development Seminar Series by the Association
of Pedestrian & Bicycle Professionals. For details on all events
and workshops, a calendar, and registration forms, go to the Perimeter
Bicycling Association of America's website, http://www.pbaa.com/APBP/ElTourConference.htm.
ADOLESCENT AND SCHOOL HEALTH: "Healthy Kids, Healthy Communities:
Integrating Health and Education" will be held February 10-13,
2002, in Washington, DC. The conference brings together a diverse
group of dedicated professionals working to promote working collectively,
across all disciplines and cultures, to create a comprehensive and
coordinated approach for developing effective programs to reach
our youth, especially disproportionately affected youth, and to
avoid serious health problems including HIV infection, tobacco use,
physical inactivity, and unhealthy diet. For more information on
the conference, go to http://www.cdc.gov/nccdphp/dash/conference/index.htm.
PHYSICAL ACTIVITY AND DISABILITY: Expanding Opportunities for Healthy
Active Lifestyles conference will be held November 12 - 13, 2001.
Presented by The National Center on Physical Activity and Disability
(NCPAD), the Rehabilitation Institute of Chicago's Center for Health
and Fitness, and the National Center on Accessibility, this two-day
conference will provide therapists, teachers, coaches and athletes
with information and practical demonstrations of how to develop
and support physical activity programs for persons with disabilities.
Go to http://www.ncpad.org/home.htm for more information.
USC PREVENTION RESEARCH CENTER UPDATE
RESEARCH UPDATES: The USC Prevention Research Center recently added
a "Research Updates" section to our website, providing
summaries of recent peer-reviewed journal articles. The target audience
is professionals and researchers involved in promoting public health
through physical activity. Summaries focus on topics such as effective
physical activity interventions, psychosocial determinants of physical
activity behavior, and environmental/community factors related to
physical activity. Updates will be added to the site on a regular
basis to provide up-to-date information on current advances in the
area of promoting physically active lifestyles and supportive environments
for physical activity. The Research Updates can be accessed through
the USC Prevention Research Center's website, http://prevention.sph.sc.edu.
NEW PROJECTS: The USC PRC has been awarded four Special Interest
Project (SIP) cooperative agreements by CDC. SIPs are only available
to CDC-funded Prevention Research Centers. The new SIP projects
and principal investigators are:
1) Creation of a Prevention Research Center Network for Healthy
Aging (Network Center), Dr. Sara Wilcox
2) Improving Follow-up Rates Among Women with Abnormal Pap Tests
in the National Breast and Cervical Cancer Early Detection Program,
Dr. Ann Coker
3) Policy Influences on Physical Activity and Nutritional Behaviors,
Dr. Fran Wheeler
4) Integrating Physical Activity and Weight Control Behaviors
in Surveillance, Dr. Barbara Ainsworth
Information about the aims and activities of each project will
be available in October on the USC PRC website, http://prevention.sph.sc.edu.
Writers: Delores Pluto, Lillian Smith, Ralph Welsh, Regina
This and past issues of the "University of South Carolina
Prevention Research Center Notes" are available at our website
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for instructions on joining.
The USC Prevention Research Center is a member of the CDC Prevention
Research Center's National Network, consisting of 24 Centers in
the U.S. For more information about the PRC National Network, visit
their website at http://www.cdc.gov/prc/.
Prevention Research Center
Norman J. Arnold School of Public Health, University of South Carolina
730 Devine Street, Columbia, South Carolina 29208
Funded by the Centers for Disease Control and Prevention
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