QUARTER 4: October – December 2018 | USC-PRC Notes

"Promoting Health through Physical Activity"

Topics in this issue

NEWS YOU CAN USE: 
Robert Wood Johnson Foundation Announced Sports Award Winners
Promoting Health and Activity at Work                                                                                                              
National Park Service Announces Entrance Fee-Free Days for 2019
Healthy People 2030 Public Comment Now Open
Upcoming Events and Observances: January, February, March

WHAT’S HAPPENING IN WASHINGTON:
HHS Releases Physical Activity Guidelines for Americans, 2nd edition
Congress Comes Together to Get Kids Outside

RESEARCH NOTES:
The influence of social networks and the built environment on physical inactivity: A longitudinal study of urban-dwelling adults
The effect of organized versus supervised recess on elementary school children’s participation, physical activity, play, and social behavior:
A cluster randomized controlled trial
Relationships between outdoor time, physical activity, sedentary time, and body mass index in children: A 12-country study
Geographic and urban–rural differences in walking for leisure and transportation
The effectiveness of eHealth interventions on physical activity and measures of obesity among working-age women: a systematic
review and meta-analysis
Leveraging household structure for increasing adult physical activity in a low-income, African American community

REPORTS, SURVEYS, GUIDELINES, RESOURCES:
Move Your Way Campaign Materials
The Youth State of Obesity 2018
The World Health Organization’s ACTIVE Toolkit
Physical Activity in the Classroom
Americans' Engagement with Parks Report
The 2018 United States Report Card on Physical Activity for Children and Youth

PROMOTING ACTIVE COMMUNITIES:
New Playground at Indiana Reservoir
Job Clocks Promote Community Walking
North Carolina Opens New Soccer Fields
A Safe Place to Be: Monte Vista Kids Connection Fills Rural Role
After $1.3 Million Renovation, Council Bluffs' Dream Playground Comes Alive

UPCOMING CONFERENCES AND WORKSHOPS:
January, February, March

USC PREVENTION RESEARCH CENTER UPDATES: 
Update from the USC PRC Core Research Project
Update from the National Physical Activity Plan
Update from the South Carolina Healthy Brain Research Network
Update from the South Carolina Cancer Prevention and Control Research Network II


NEWS YOU CAN USE:

Robert Wood Johnson Foundation Announced Sports Award Winners
The Robert Wood Johnson Foundation (RWJF) has announced the three 2018 winners of the Sports Award. Winners received a $10,000 cash prize to fund sport programs that promote health and physical activity in the community. Examples of creative sports programs included: addressing food access, promoting inclusivity, and advancing diversity and equity through sports such as baseball and soccer. Read more about this year’s award winners here. The call for applications for 2019 award winners is scheduled to be available online at the beginning of the year.
[Source: Robert Wood Johnson Foundation]

Promoting Health and Activity at Work
In order to decrease the amount of employees’ sedentary time, companies are beginning to change the design of the working environment. Fitwel, an organization serving businesses in over 35 countries, has created a certification system to assess businesses’ work environments for improving health of employees. Strategies include promoting and incentivizing active commuting to work, providing employees with standing desks, and promoting the use of the stairs. Read more about having your business Fitwel certified here.
 [Source: Office of Disease Prevention and Health Promotion]

National Park Service Announces Entrance Fee-Free Days for 2019
The National Park Service has announced five dates in 2019 with free admission. With at least one national park site in all 50 states, these federal landmarks provide opportunities for physical activities such as hiking, water sports, biking, and other types of outdoor recreation. Additional federal land agencies such as the U.S. Fish & Wildlife Service and Bureau of Land Management will also offer fee-free days in 2019.
[Source: National Park Service]

Healthy People 2030 Public Comment Now Open
Over the past 30 years, the mission of Healthy People has been to establish standards for monitoring progress of health indicators in the United States. Healthy People agendas are released every 10 years outlining a plan for improving the health of all people in the U.S. Now preparing to enter Healthy People 2030, the U.S. Department of Health and Human Services is currently seeking public comment on the proposed core, developmental, and research objectives. Visit this website to review the objectives and provide feedback by January 17, 2019.
[Source: Office of Disease Prevention and Health Promotion]

JANUARY 
Cervical Health Awareness Month
January 1-31, 2019

FEBRUARY
American Heart Month
February 1-28, 2019

National Cancer Prevention Month
February 1-28, 2019

National Wise Health Consumer Month
February 1-28, 2019

National Wear Red Day
February 1, 2019

National Cardiac Rehabilitation Week
February 10-16, 2019

2019 Hike the Hill
February 10-13, 2019

MARCH
National Colorectal Cancer Awareness Month
March 1-31, 2019

National Kidney Month
March 1-31, 2019

National Nutrition Month
March 1-31, 2019

National School Breakfast Week
March 4-8, 2019

Pulmonary Rehabilitation Week
March 10-16, 2019

Kick Butts Day
March 20, 2019

American Diabetes Alert Day
March 26, 2019


WHAT’S HAPPENING IN WASHINGTON:

HHS Releases Physical Activity Guidelines for Americans, 2nd edition
On November 12, 2018, the U.S. Department of Health and Human Services released the 2nd edition of the Physical Activity Guidelines for Americans. These guidelines provide the first update since 2008. Based on evidence in the Scientific Report, the new guidelines provide physical activity recommendations for youth ages 3 through 17 and adults to remain healthy. The updated guidelines include new recommendations for children ages 3 through 5, adults and older adults, and pregnant women, among others.
[Source: U.S. Department of Health and Human Services]

Congress Comes Together to Get Kids Outside
Recently, members of both political parties voted to pass the Every Kid Outdoors Act. This bill provides more access for kids and their parents to the nation’s historic parks providing free entry to fourth grade students and their families. Members of the Outdoors Alliance for Kids praised the passing of this bill noting that the increase in accessibility to the parks will foster more enjoyment of activities such as hiking and outdoor play.
[Source: Outdoors Alliance for Kids]


RESEARCH NOTES:

The influence of social networks and the built environment on physical inactivity: A longitudinal study of urban-dwelling adults
Environments promoting physical activity may be more effective for individuals with existing supporting social networks. This study recruited participants from an existing cohort of adults living in an urban area. Participants completed online questionnaires at three time points during the five-year study. Overall, physical activity increased from baseline to follow-up in adults with stronger social networks. In addition, the presence of physical activity facilities was associated with decreased rates of inactivity. Authors suggest that future programs should focus on increasing the strength of social networks as part of built environment interventions.
[Source: Josey, M. J., & Moore, S. 2018. The influence of social networks and the built environment on physical inactivity: A longitudinal study of urban-dwelling adults. Health & Place.]

The effect of organized versus supervised recess on elementary school children’s participation, physical activity, play, and social behavior: A cluster randomized controlled trial
Recess provides a time during the day for children to engage in structured and unstructured physical activity. Researchers examined differences in participation, level of physical activity, and social behaviors of children during unstructured play as compared to recess with organized games facilitated by a physical education teacher. A total of 14 second grade classes from 14 different schools were randomized to either unstructured or structured recess. The results favored the structured recess where children spent significantly less time sedentary and more time in moderate to vigorous physical activity. Although overall sedentary behavior rates were low in both types of recess, the researchers suggested adding structured activity time to increase the intensity of physical activity.
[Source: Coolkens, R., et al, 2018. The effect of organized versus supervised recess on elementary school children’s participation, physical activity, play, and social behavior: A cluster randomized controlled trial. Journal of Physical Activity and Health.]

Relationships between outdoor time, physical activity, sedentary time, and body mass index in children: A 12-country study
This study assessed the effects of income levels on outdoor time, physical activity, sedentary time, and body mass index in children. Researchers measured childhood outdoor time, parental education, and accessibility to neighborhood areas for play, and used accelerometers to assess physical activity and sedentary time. Results revealed that each additional hour of outdoor time was associated with +2.8 minutes/day of moderate-to-vigorous physical activity (MVPA) in boys, +1.4 minutes/day of MVPA in girls, -6.3 minutes/day of sedentary time in boys, and -5.1 minutes/day of sedentary time in girls. Overall effect sizes were smaller in low- and middle-income countries. Authors suggest the need for more research in developing countries to promote child physical activity.
[Source: Larouche, R. et al. 2018. Relationships between outdoor time, physical activity, sedentary time, and body mass index in children: A 12-country study. Pediatric Exercise Science.]

Geographic and urban–rural differences in walking for leisure and transportation
Walking for leisure and transportation is a simple and accessible way for people to increase physical activity. In this study, authors assessed geographic and urban-rural differences in walking using data from the National Health Interview Survey. Overall walking and walking for leisure was highest in the Pacific region, while walking for transportation was highest in the New England region. Mean minutes per week of overall walking and walking for transportation were lower in rural areas, whereas time was similar for leisure walking. These regional differences in walking suggest more work is needed to improve walking in these areas.
[Source: Carlson, S.A. et al. 2018. Geographic and urban–rural differences in walking for leisure and transportation. American Journal of Preventive Medicine]

The effectiveness of eHealth interventions on physical activity and measures of obesity among working-age women: a systematic review and meta-analysis
eHealth interventions are known for increasing physical activity and decreasing the risk for cardiovascular disease. Researchers reviewed studies that assessed the effectiveness of eHealth interventions on increasing physical activity among working-age women in high-income countries. In total, 60 studies were included in the review and 20 studies were pooled in the meta-analysis. Results from the systematic review highlight the accessible, cost-effective and time-efficient characteristics of eHealth interventions. Results from the meta-analysis revealed that eHealth interventions improved moderate-to-vigorous physical activity an average of 25 minutes per week. However, no significant changes were found for waist circumference, body mass, or body mass index. Authors note that while eHealth interventions appear effective for increasing physical activity in high-income countries, more work is needed to determine long-term effectiveness of these interventions for sustaining physical activity. 
[Source: Cotie, L.M. et al. 2018. The effectiveness of eHealth interventions on physical activity and measures of obesity among working-age women: a systematic review and meta-analysis. Obesity Reviews]

Leveraging Household Structure for Increasing Adult Physical Activity in a Low-Income, African American Community
Previous research has identified the importance of incorporating social support into physical activity programs in African American communities. In this study, led by USC PRC doctoral student, authors assessed associations between the number of adults living in a house and physical activity levels in a low-income, African American community. Physical activity levels were assessed using the International Physical Activity Questionnaire-Short Form. Results showed that adults living in houses with at least one other adult reported higher levels of physical activity and were more likely to meet aerobic guidelines for physical activity compared to adults living alone. These results suggest the importance of having social support to increase physical activity in adults.
[Source: Bernhart, J.A. et al. 2018. Leveraging household structure for increasing adult physical activity in a low-income, African American community. Health Promotion Practice.]


REPORTS, SURVEYS, GUIDELINES, RESOURCES:

Move Your Way Campaign Materials
In conjunction with the release of the 2nd edition of the Physical Activity Guidelines for Americans, Move Your Way has created resources for promoting the updated guidelines. Resources include: (1) fact sheets (e.g., for adults, older adults), (2) posters (e.g., one step at a time, for adults, 60 minutes for kids), (3) videos (e.g., tips for getting motivated, tips for busy days), (4) interactive tools (e.g., activity planner, interactive graphic for getting kids active), and (5) web badges and widgets for posting on social media platforms.
[Source: Office of Disease Prevention and Health Promotion]

The Youth State of Obesity 2018
The Robert Wood Johnson Foundation (RWJF) publishes a yearly report providing an update on the status of the nation’s obesity rate in youth. Data in this report came from the National Survey of Children’s Health. The results of the survey from 2016-2017 revealed the national childhood obesity rate increased from 15.8% to 16.1%. In addition, the obesity rate was disproportionately higher in black youth, 22.5% (an increase of 0.6% from 2016) and much lower in Asian youth (6.4%). RWJF recommends states promote health and reduce the obesity rate by (1) supporting healthy eating assistance programs, (2) maintaining funding of schools’ physical education and physical activity programs, and (3) adopting policies promoting health.
[Source: The State of Obesity]

The World Health Organization’s ACTIVE Toolkit
Recently, the World Health Organization (WHO) released the ACTIVE policy toolkit, guided by the Global Action Plan for Physical Activity 2018-2030. The ACTIVE toolkit provides resources for implementing policies to promote physical activity among citizens. In addition, the toolkit uses a systematic approach to document the many possible solutions of decreasing high rates of obesity and inactivity. Examples of policy recommendations include: promoting active environments, improving accessibility to physical activity programs, and improving leadership and partnerships to support these policies.
[Source: The World Health Organization]

Physical Activity in the Classroom
The Centers for Disease Control and Prevention, along with Springboard to Active Schools, have released a resource for creating evidence-based, active classroom environments. This guide outlines approaches to making classroom time more active by integrating activity into planned academic instruction as well as other planned activity times (i.e., recess or physical education). Active classrooms have been shown to increase students’ concentration and attention, motivation and engagement in material, and academic performance. Currently, no states require physical activity breaks during middle or high school classes. In addition, only one-third of educators have received training to integrate physical activity into lesson plans. Springboard to Active Schools provides resources for teachers desiring to incorporate activity breaks into their lesson plans.
[Source: Centers for Disease Control and Prevention]

Americans' Engagement with Parks Report
As part of helping connect communities, local parks provide Americans a place to play, relax, and visit with friends and family. The National Recreation and Park Association distributes an annual survey to learn more about Americans’ engagement and interaction with parks. The recently released 2018 report shows that 3 in 4 Americans live within a 10-minute walk to a local park and most Americans visit parks for playgrounds, dog parks, or hiking, biking, or walking trails.
[Source: National Recreation and Park Association]

The 2018 United States Report Card on Physical Activity for Children and Youth
For more information about this resource, please see the Update from the National Physical Activity Plan Alliance section in the “USC PRC Updates” at the end of the newsletter.


PROMOTING ACTIVE COMMUNITIES:

New Playground at Indiana Reservoir
Over the past two years, the Parks and Recreation Department in Richmond, Indiana, has renovated parks throughout the city. The latest project, made possible by a state crowdfunding program, involved transforming a park near a local reservoir. Renovations focused on creating a low maintenance, natural environment for visitors. The new playground includes interactive, educational equipment for the children to learn about the reservoir, slides built into existing embankments, and ropes to encourage climbing over other physical features throughout the park. Moving forward, plans also include making water activities available.
[Source: Pal-Item]

Job Clocks Promote Community Walking
The Bloomfield (NJ) Department of Health and Human Services, in partnership with New Jersey Bike and Walk Coalition, has received funding from the AARP Community Challenge grant program to install “job clocks” throughout seven outdoor locations in the town to promote physical activity. The clocks will sync with a key fob carried by community members who will hear a “click” after they pass the clock, and individuals with the highest number of clicks will receive a prize. The clocks have been installed in anticipation of the million clicks campaign, beginning in January 2019, to encourage more walking among residents. Data from the “job clocks” will also provide basic demographic characteristics of walkers to assist with future health promotion efforts.
[Source: Tap into Bloomfield]

North Carolina Opens New Soccer Fields
A partnership between Blue Cross Blue Shield of North Carolina, the Durham Parks and Recreation department, and the US Soccer Foundation, has resulted in two new soccer fields in Durham, North Carolina. As part of the US Soccer Foundation’s, “It’s Everyone’s Game” initiative, the addition of the soccer fields to this park in Durham’s east end provides children, soccer fans, and new comers to the game the opportunity to participate. Staff at the Durham Parks and Recreation department seek to improve community wellness and increase the access to active environments for everyone. 
[Source: PRNewswire]

A Safe Place to Be: Monte Vista Kids Connection Fills Rural Role
The grant-funded Monte Vista Kids Connection program in Monte Vista, Colorado, promotes children’s health during after school time and the summer months. As part of the previous summer’s activities, children received two healthy meals and a snack, and spent time throughout the day in organized outdoor physical activity, reading, and nutrition education. Children over the age of 12 learned about the importance of a healthy lifestyle by planting, maintaining, and harvesting a garden to sell produce at the local market. A video showcasing the successes of the program can be viewed here.
[Source: National Recreation and Park Association]

After $1.3 Million Renovation, Council Bluffs' Dream Playground Comes Alive
The Lake Manawa State Park, outside of Omaha, NE, recently opened the renovated, public playground. During a past visit to the park, two community members noticed the poor conditions of the carnival-style mirrors and other park features and contacted the individual in charge of raising funds to restore the park. The park’s new features include swings, slides, and more, inviting families with children of all ages and abilities to be physically active. With input from other community members and even schoolchildren, the new playground exemplifies the benefits of communities working together.

[Source: Omaha World-Herald]

UPCOMING CONFERENCES AND WORKSHOPS:

JANUARY
Student Affairs Administrators in Higher Education Mental Health Conference
January 17-19, 2019
Washington, DC

FEBRUARY
Cardiovascular Disease Prevention: 15th Annual International Comprehensive Symposium 
February 16-19, 2019
Miami Beach, FL

Active Living Research Conference
February 17-20, 2019
Charleston, SC 

MARCH
40th Annual Meeting of the Society of Behavioral Medicine
March 6-9, 2019
Washington, DC

National Bike Summit
March 9-12, 2019
Washington, DC

American Academy of Health Behavior Scientific Meeting
March 10-13, 2019
Greeneville, SC

American College of Sports Medicine’s International Health & Fitness Summit
March 21-14, 2019
Chicago, IL


USC PRC UPDATES:

Update from the USC PRC Core Research Project
On September 29, 2018, the USC PRC hosted a seminar to provide training of its core research project, “Faith, Activity, and Nutrition” (FAN), to interested churches. This training was held in response to increased requests for the program by churches who were not participating in the Center’s core research project. The training was held in Columbia, SC and was delivered by two Community Health Advisors trained from the current FAN partnership with the South Carolina Conference of the United Methodist Church. Fifty participants attended the training, representing 18 churches and 2 community organizations.

USC PRC director, Dr. Sara Wilcox, and Co-Investigator and students presented on the maintenance of the FAN program in churches trained in Phase 1 of the Center’s core research project at the 11th Annual Conference on the Science of Dissemination and Implementation in Health, Dec 3-5, 2018.

Wilcox, S., Saunders, R.P., Dunn, C.G., Bernhart, J.A. (December 3-5, 2018). The Faith, Activity, and Nutrition Program: Results of 24-month maintenance interviews. Poster presented at the 11th Annual Conference on the Science of Dissemination and Implementation in Health. Washington, DC.

Update from the National Physical Activity Plan Alliance
This quarter the National Physical Activity Plan Alliance (NPAPA), in collaboration with organizational partners, released The 2018 United States Report Card on Physical Activity for Children and Youth (the Report Card). The Report Card summarizes health statistics related to physical activity levels among children and youth in the U.S. It also serves as an advocacy tool providing accountability and call-to-action to improve physical activity levels and health. The overall physical activity grade for children and youth remains low at D-, but this year's report card revealed positive signs, especially related to opportunities and infrastructure that support physical activity in children and youth. The Report Card includes grades for nine specific indicators including sedentary behaviors, active transportation, active play, community and the built environment. The NPAPA also released a new NPAPA state liaison report providing an updated status of state level legislation impacting physical activity - including information on a number of significant bills related to active transportation and physical education.

Update from the South Carolina Healthy Brain Research Network
This quarter Dr. Daniela Friedman (SC-HBRN principal investigator) and Dr. Lee Pearson (Associate Dean of Operations and Accreditation in the USC Arnold School of Public Health), Co-Directors of the University of South Carolina Office for the Study of Aging (OSA), planned and held the SC-HBRN/OSA Partners’ and Affiliates’ Annual Fall meeting on November 30th, 2018. Partners from the South Carolina Lieutenant Governor’s Office on Aging, South Carolina Department of Health and Human Services, Alzheimer’s Association South Carolina Chapter, AARP, Clemson University Institute for Engaged Aging, and Leeza’s Care Connection attended the meeting.

HBRN Scholar and College of Social Work doctoral student Weizhou Tang led a manuscript published in Geriatric Nursing that describes experiences of caregivers of persons with Alzheimer’s disease and other dementias (ADRD) and caregivers of persons with other chronic conditions. This paper was published online on October 23, 2018. The citation follows:

Citation: Tang, W., Friedman, D.B., Kannaley, K., Davis, R.E., Wilcox, S., Levkoff, S.E., Hunter, R.H., Gibson, A., Logsdon, R.G., Irmiter, C., & Belza, B. (2018 Oct 23 Epub). Experiences of caregivers by care recipient's health condition: A study of caregivers for Alzheimer's disease and related dementias versus other chronic conditions. Geriatric Nursing. DOI: 10.1016/j.gerinurse.2018.09.012; PMID: 30366611

Update from the South Carolina Cancer Prevention and Control Research Network II
SC-CPCRN co-investigator, Dr. Heather Brandt, participated as discussant and had 3 poster presentations at the 11th Annual Conference on the Science of Dissemination and Implementation in Health, Dec 3-5, 2018.

In a partnership between Dr. Daniela Friedman (SC-CPCRN PI), Self-Regional Hospital, and Transitional Care Clinic in Greenwood, SC, a health literacy pilot intervention focused on patient-provider communication is being implemented. Results will be presented at a national community health improvement conference in 2019.

Brandt, H.M. & Percy-Laurry, A. (December 3-5, 2018). Improving Uptake of Cervical Cancer Screening and HPV Vaccination. Discussant during oral session at the 11th Annual Conference on the Science of Dissemination and Implementation, Washington, DC.

Brandt, H., Johnson, H., Black, M., Workman, L., Christian, E., Calef, C., & Outing, R. (December 3-5, 2018). Creating champions for colorectal cancer screening in South Carolina: Champions as an implementation strategy. Poster presentation at the 11th Annual Conference on the Science of Dissemination and Implementation, Washington, DC.

Adsul, P., Nasir, S., Moreland-Russell, S., Walker, T., Cuccaro, P., Ibekwe, L, Brandt, H., et al. (December 3-5, 2018). Understanding centralized technical assistance for the implementation of evidence-based interventions for cancer control. Poster presentation at the 11th Annual Conference on the Science of Dissemination and Implementation, Washington, DC.

Walker, T., Adsul, P., Cuccaro, P., Ibekwe, L., Brandt, H., Vanderpool, R., et al. (December 3-5, 2018). Evaluating technical assistance as an implementation strategy for cancer control. Poster presentation at the 11th Annual Conference on the Science of Dissemination and Implementation, Washington, DC.

Writers: John Bernhart and Lindsay Decker

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This publication was supported by Cooperative Agreement Number U48-DP-001936 from the Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.

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