QUARTER 1: January – March 2017 | USC-PRC Notes

"Promoting Health through Physical Activity"

Topics in this issue

NEWS YOU CAN USE:
America Walks 2017 Webinar Series
Spring into Wellness with the New PALA+ Program!
500 Cities: Local Data for Better Health
2017 Federal Fee-Free Days

WHAT’S HAPPENING IN WASHINGTON:
Healthy People 2020 Midcourse Review
Measuring the Movement of People, Not Just Cars

RESEARCH NOTES:
Street Connectivity and Obesity Risk: Evidence from Electronic Health Records
Association of “Weekend Warrior” and Other Leisure Time Physical Activity Patterns With Risks for All-Cause, Cardiovascular Disease, and Cancer Mortality
Increasing Physical Activity Through Principles of Habit Formation in New Gym Members: a Randomized Controlled Trial.
The Impact of Interventions that Integrate Accelerometers on Physical Activity and Weight Loss: A Systematic Review
The Neighborhood Physical Environment and Active Travel in Older Adults: A Systematic Review and Meta-Analysis
Physical Activity and Incident Hypertension in African Americans: The Jackson Heart Study

REPORTS, SURVEYS, GUIDELINES, RESOURCES:
Dangerous By Design 2016
Stepping it Up and Eating Right
Strategies for Recess in Schools
Measuring What We Value: Policies to Prioritize Public Health and Build Prosperous Regions
Making Strides: State Report Cards on Support for Walking, Bicycling, and Active Kids and Communities

PROMOTING ACTIVE COMMUNITIES:
Every Body Walk! 2016 Micro Grants Awarded
Medical Campus Aims to be Regional Beacon of Wellness
Bringing Play to a Hurricane Katrina-ravaged Neighborhood
The Best Places to Retire Without a Car

UPCOMING CONFERENCES AND WORKSHOPS:
April, May, June

USC PREVENTION RESEARCH CENTER UPDATE:
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:

America Walks 2017 Webinar Series
America Walks has announced the 2017 Webinar Series. These webinars are presented on the second Wednesday of each month, exploring a variety of topics, questions, and resources involved in building a movement toward walkable communities. The four series, each consisting of three webinars, are titled: (1) Walkable Communities in the 21st Century; (2) The Great Outdoors; (3) The 2017 National Walking Summit; and (4) What’s Ahead for the Walking Movement.
[Source: America Walks]

Spring into Wellness with the New PALA+ Program!
The President’s Council on Fitness, Sports, and Nutrition has announced a partnership between the Presidential Active Lifestyle Award (PALA+) and SuperTracker, the U.S. Department of Agriculture’s online food and activity tracking tool. PALA+ is an 8-week program that helps users meet health goals by encouraging physical activity and healthy eating. This collaboration will allow users to track physical activity and dietary intake in a personal SuperTracker profile to complete the PALA+ program. Individuals who meet their PALA+ goals are awarded the Presidential Active Lifestyle Award. Additional benefits of using the PALA+ program on SuperTracker include customized dietary recommendations, an interactive SuperTracker dashboard to help visualize and monitor progress, motivational messages, and easy access to physical activity and nutrition education information.
[Source: U.S. Department of Health and Human Services]

500 Cities: Local Data for Better Health
The CDC, in partnership with the Robert Wood Johnson Foundation, have released a new, interactive web-based tool that allows users to access city- and neighborhood-level health data in 500 of America’s largest cities. The tool was developed as part of a project that identifies, analyzes, and reports on 27 measures of chronic disease including physical inactivity and many other health behaviors. The web application provides data for health professionals, researchers, and policy makers that can be used to develop targeted interventions in high need areas. These data represent over 100 million people in the US, which accounts for over one-third of the population. Officials anticipate that these data can be used to help identify chronic and emerging health issues, develop and implement targeted programs, and improve health behaviors including increasing physical activity.
[Source: Centers for Disease Control and Prevention]

2017 Federal Fee-Free Days
The National Park Service, Bureau of Land Management, US Army Corps of Engineers, US Fish & Wildlife Service, and US Forest Service have announced fee-free days for 2017. On selected dates, federally managed parks, forests, rangelands, and refuges will offer free entry or will waive the standard fee for visitors across the US. Federal lands promote physical activity by providing opportunities for recreational activities such as hiking, water sports, biking, and other types of outdoor exploration. Fee-free dates differ between agencies.
[Source: National Environmental Education Foundation]

UPCOMING EVENTS AND OBSERVANCES:

APRIL
Cancer Control Month
April 1-30, 2017

National Minority Health Awareness Month 
April 1-30, 2017

National Start Walking Day
April 2, 2017

National Walk to Work Day
April 7, 2017

National Public Health Week
April 3-9, 2017

World Health Day 
April 7, 2017

Medical Fitness Week 
April 24-30, 2017

World T'ai Chi & Qigong Day
April 29, 2017

MAY

Stroke Awareness Month 
May 1-31, 2017

Clean Air Month
May 1-31, 2017

Arthritis Awareness Month
May 1-31, 2017

Older Americans Month
May 1-31, 2017

National Bike Month
May 1-31, 2017

National Cancer Research Month
May 1-31, 2017

Global Employee Health and Fitness Month
May 1-31, 2017

National High Blood Pressure Education Month
May 1-31, 2017

National Osteoporosis Month
May 1-31, 2017

National Physical Fitness and Sports Month
May 1-31, 2017

National Physical Education and Sports Week 
May 1-7, 2017

National Run A Mile Days
May 1-11, 2017

Screen-Free Week 
May 1-7, 2017

National Bike to School Day
May 10, 2017

National Women's Health Week
May 14-20, 2017

National Bike to Work Week
May 15-19, 2017

National Bike to Work Day
May 19, 2017

JUNE

Men’s Health Month
June 1-30, 2017

National Cancer Survivors Day
June 4, 2017

National Great Outdoors Month
June 1-30, 2017

National Trails Day
June 3, 2017

World Environment Day 
June 5, 2017


WHAT’S HAPPENING IN WASHINGTON:

Healthy People 2020 Midcourse Review
Healthy People 2020, a set of national health goals with a 10-year target, contains 42 topic areas and more than 1,200 health objectives. These objectives include broad population-based health measures and Leading Health Indicators- a small focused set of topics identified to communicate high-priority health issues such as increasing physical activity. The recent Midcourse Review analyzed national data identifying disparities that influence health outcomes and included a snapshot of progress toward the Healthy People 2020 objectives. Among physical activity objectives, 7 had met or exceeded 2020 targets, 10 had demonstrated no detectable changes, and 3 were getting worse. Further information about Healthy People 2020, including suggestions for addressing physical activity health goals and access to the most recent data, can be found on the Department of Health and Human Services’ website.
[Source: Centers for Disease Control and Prevention]

Measuring the Movement of People, Not Just Cars
The U.S. Department of Transportation has released new standards to guide how transportation agencies measure performance. Advocates for walkability say the new policy is a significant improvement. According to Transportation for America, the new policy consists of four main regulations: (1) States will measure the movement of people instead of single vehicles; (2) States will track their impact on carbon emissions; (3) People who walk, bike, or ride public transit will be counted; and (4) The goal of achieving free-flowing rush hour traffic has been dropped. The revised standards will lead agencies to assess their work in ways that support investments in transit and active transportation.
[Source: Transportation for America]


RESEARCH NOTES:

Street Connectivity and Obesity Risk: Evidence from Electronic Health Records
Despite growing awareness of the negative health impact of poor diet, physical inactivity, and excess weight, the prevalence of obesity continues to increase in the U.S. This study assessed the association between street connectivity, a measure of walkability for the local environment, and body mass index (BMI). BMI was obtained from the electronic health records of patients who visited Daughters of Charity clinics in 2011-2013. Street connectivity was measured using intersection density, calculated as the number of three-way, four-way, or greater intersections per square mile. The authors found that greater street connectivity was associated with lower BMI among 17,946 adults, and this relationship was seen in multilevel models that controlled for demographic variables. This study also demonstrates feasibility for using electronic health records and intersection density to measure obesity risk.
[Source: Leonardi C. et al. 2017. Street Connectivity and Obesity Risk: Evidence from Electronic Health Records. American Journal of Preventive Medicine]

Association of “Weekend Warrior” and Other Leisure Time Physical Activity Patterns with Risks for All-Cause, Cardiovascular Disease, and Cancer Mortality
Do people who meet physical activity recommendations in one or two days compared to people who meet recommendations across the week experience different health benefits? To understand this, researchers analyzed surveys of self-reported leisure-time physical activity in adults and the associations between all-cause mortality, cardiovascular disease, and cancer mortality. Researchers grouped adults into four categories: inactive (reporting no activity), insufficiently active (active, but not meeting guidelines), weekend warrior (meeting guidelines in one or two sessions per week), and regularly active (meeting guidelines in at least three sessions per week). All-cause mortality risk was 30% lower in active adults (including insufficiently active adults, weekend warriors, and regularly active adults) compared to inactive adults. In addition, hazard ratios between all-cause mortality, cardiovascular mortality, and cancer mortality were similar for insufficiently active, weekend warrior, and regularly active adults. Findings suggest individuals, regardless of their preferred schedule of physical activity, may experience similar health benefits through reduced risk of all-cause mortality and other diseases.
[Source: O’Donovan, G. et al. 2017. Association of “Weekend Warrior” and Other Leisure Time Physical Activity Patterns With Risks for All-Cause, Cardiovascular Disease, and Cancer. The Journal of the American Medical Association]

Increasing Physical Activity through Principles of Habit Formation in New Gym Members: a Randomized Controlled Trial.
Habit formation is an important component of sustained regular physical activity. In this study, researchers investigated the impact of an eight week habit formation intervention on physical activity in gym members. Participants were randomized into two groups and both received accelerometers and self-report physical activity surveys. In addition, all participants completed a plan and schedule for physical activity to establish an exercise routine. The experimental group attended a workshop and received a follow-up phone call at week 4 to help them complete their physical activity plans while the control group received email instructions. The experimental group significantly increased in accelerometer and self-report moderate to vigorous physical activity and increased in habit formation using cues and practice consistency. Future research could increase the duration of assessment to investigate the long-term impacts of this type of habit formation on sustained physical activity. 
[Source: Kaushal, N. et al. 2017. Increasing Physical Activity through Principles of Habit Formation in New Gym Members: a Randomized Controlled Trial. Annals of Behavioral Medicine]

The Impact of Interventions that Integrate Accelerometers on Physical Activity and Weight Loss: A Systematic Review
Providing objective feedback on physical activity with wearable activity trackers may be a promising strategy to increase physical activity or decrease weight. This systematic review synthesized the literature on the use of wearable activity monitors for improving physical activity and weight-related outcomes. It also evaluated moderating factors that may have an impact on the effects of accelerometer interventions for weight loss. Fourteen trials met investigators’ criteria. Accelerometers demonstrated small positive effects on physical activity and weight loss.  No moderators were statistically significant. Authors recommend future studies focus on ways to best integrate accelerometers with other strategies to increase physical activity and weight loss.
[Source: Goode AP. et al. 2017. The Impact of Interventions that Integrate Accelerometers on Physical Activity and Weight Loss: A Systematic Review. Annals of Behavioral Medicine]

The Neighborhood Physical Environment and Active Travel in Older Adults: A Systematic Review and Meta-Analysis
Active travel (AT) may significantly impact older adults’ (≥65 years old) ability to meet recommended guidelines for physical activity. The influence of the built environment on opportunities for AT is well understood. This systematic review and meta-analysis analyzed the findings of forty-two studies on multiple AT outcomes. Outcomes included total walking for transport, within-neighborhood walking for transport, combined walking and cycling for transport, cycling for transport, and all AT outcomes combined. Neighborhood environment characteristics including residential density, walkability, street connectivity, access to services, infrastructure, safety/traffic, and aesthetics were also analyzed. Researchers found strong associations between the neighborhood physical environment and older adults’ AT, and most were in the expected direction. When planning communities for older adults, planners should consider opportunities for increasing AT.
[Source: Cerin, E. et al. 2017. The Neighborhood Physical Environment and Active Travel in Older Adults: A Systematic Review and Meta-Analysis. International Journal of Behavioral Nutrition and Physical Activity.]

Physical Activity and Incident Hypertension in African Americans: The Jackson Heart Study
Physical activity has been shown to have a role in the prevention of hypertension. This study examined associations between physical activity levels and incident hypertension among African American adults, a population underrepresented in this literature. Researchers followed a large sample of adults enrolled in the Jackson Heart Study, an exclusively African American cohort, to explore the relationships between overall, moderate to vigorous, and domain specific physical activity on incident heart disease. Regular moderate to vigorous physical activity (MVPA) and sport- or exercise-related activity were associated with a reduced risk of hypertension among African American adults. Total activity, occupational, household, and lifestyle physical activity were not associated with a lower risk of hypertension. These results indicate that increasing programs or opportunities that support higher levels of MVPA and sport- or exercise-related activity among African Americans may have substantial benefits to the reduction of hypertension.
[Source: Diaz KM. et al. 2017. Physical activity and incident hypertension in African Americans: The Jackson Heart Study. Hypertension]


REPORTS, SURVEYS, GUIDELINES, RESOURCES:

Dangerous by Design 2016
Communities designed with opportunities for active transportation such as walking or biking have higher levels of physically active residents and lower rates of pedestrian fatalities. However, many communities are not designed with these activities in mind. Dangerous by Design 2016, the most recent in a series of yearly reports by Smart Growth America, provides an in-depth analysis of major metropolitan areas that present dangers for pedestrians. The authors of the report also investigate pedestrian fatalities by age, race, ethnicity, and income. The report provides recommendations that communities, individuals, and policy makers can use to create safe spaces for pedestrian physical activity in cities across the US.
[Source: Smart Growth America]

Stepping It Up and Eating Right
This report, from the U.S. Department of Health and Human Services, highlights past and future successes in federal nutrition and physical activity policy and programs. The report provides an appendix of major nutrition and physical activity programs such as ChooseMyPlate, Healthy People 2020, Let’s Move, as well as smaller programs from the departments of agriculture, transportation, and others. The report outlines seven areas to build on successful programs including a roadmap for physical activity research, improved data infrastructure addressing nutrition in pregnant women and young children, and physical activity programs across federal agencies.
[Source: U.S. Department of Health and Human Services]

Strategies for Recess in Schools
Recess offers an opportunity for children to increase physical activity during the school day, but little guidance exists at the state or national level to provide strategies for implementing successful programs. A report from the CDC and The Society of Health and Physical Educators aims to help stakeholders build stronger recess programs by addressing the benefits of structured physical activity and offering guidance. The report includes basic strategies for improving recess and a call to action encouraging schools and districts to develop a written recess plan. The report was developed based on an environmental scan of school recess and a review of peer-reviewed literature, guidelines, reports, and resources from academic and government agencies.
[Source: Centers for Disease Control and Prevention]

Measuring What We Value: Policies to Prioritize Public Health and Build Prosperous Regions
The demand for more opportunities to safely walk and bike are at an all-time high across America. An increasingly large number of transportation agencies have recognized the demand for and benefits of routine opportunities for active transportation. Yet in many communities, growth in these areas fails to meet the demand. This paper outlines four policy strategies that metropolitan planning organizations (MPOs) have to help increase and improve active transportation projects. These strategies can help meet demand, decrease health disparities, increase access to opportunities, and strengthen local economies.  Under each of the four policy strategies, this resource provides examples of MPOs that have helped deliver transformative results for the people they serve.
[Source: Transportation for America]

Making Strides: State Report Cards on Support for Walking, Bicycling, and Active Kids and Communities
Safe Routes to School, through a partnership with the YMCA and with support from the CDC, has issued a report assessing state policies and implementation supporting physically active kids and communities. States received scores in four areas: (1) complete streets and active transportation, (2) safe routes to school and active transportation funding, (3) active neighborhoods and schools, and (4) state physical activity planning and support. Final scores ranged from 0 to 200, grouping states into four categories: Lacing Up (0-50), Warming Up (51-100), Making Strides (101-150), and Building Speed (151-200). Only two states scored in the Lacing Up category and three states scored in the Building Speed category. Thus, most states scored in the Warming Up or Making Strides categories. Although these scores suggest positive progress has been made, room for improvement remains.
[Source: Safe Routes to School]


PROMOTING ACTIVE COMMUNITIES:

Every Body Walk! 2016 Micro Grants Awarded
America Walks, in partnership with the Every Body Walk! Collaborative, have announced the recipients of their 2016 micro grants. The micro grant program funds local efforts that will engage communities in walking by creating safe spaces where individuals can feel comfortable while being physically active. Out of 800 applicants, 22 projects were selected for support in 2017. All of the grant recipients proposed innovative and inclusive ideas for increasing physical activity. For example, in Greenville, SC, funds will be used to increase pedestrian access to a 21-mile greenway for walking, running, and biking. Cleveland, OH, will use micro grant funds to improve Safe Routes to Schools, and Burke, SD, will use micro grant funds to construct the first crosswalk in the city.
[Source: America Walks]

Medical Campus Aims to be Regional Beacon of Wellness
In Buffalo, NY, the Buffalo Niagara Medical Campus has developed into a well-known area for the health programming and the medical services it provides. The hospital has received several health and wellness grants, allowing it to transform the 120-acre downtown hospital campus into an active and healthy “community within a community.” Renovations to the hospital campus include: changing in transportation patterns and land use to encourage walking and biking, offering a fit dining program, planting a community garden, and providing fitness programs open to employees and community members. Hospital and community leaders hope these healthy improvements to the Buffalo Niagara Medical Campus will help people view the hospital not only as a place to go when sick, but a place to go to remain healthy.
[Source: The Buffalo News]

Bringing Play to a Hurricane Katrina-ravaged Neighborhood
After Hurricane Katrina, many neighborhoods in New Orleans, LA, have recovered most of their pre-storm populations. While ten years have passed since the storm, neighborhoods in the Lower Ninth Ward have recovered only 37% of residents. Based on the high number of vacant lots and the need for a place where children and families can gather, KaBOOM! provided funds to build a music-based play area. After speaking with local residents and learning about interest in drumming, the park was built with physical activity equipment encouraging musical exploration. In addition to providing opportunities for play and recreation, the park also provides light for a nearby bus stop where kids had to wait in the dark each day.
[Source: Citylab]

The Best Places to Retire Without a Car
Many older and retired adults have moved from cities to settle in quieter suburbs. This requires most adults to depend primarily on cars for transportation. However, as adults continue to age, remaining dependent on driving to attend appointments, run errands, and socialize with others may become problematic. To address this, individuals at Forbes have compiled the 25 Best Places to Retire Without a Car. This resource highlights walkability, bikeability, public transit availability, and ride-share services. Moving to these types of cities would allow older adults to attend appointments and socialize with others while also being physically active. The top 25 cities are spread across 16 states and include a mixture of warmer and colder climates. Older adults preferring active lifestyles may consider this list of cities when planning their retirement destinations.
[Source: Forbes]


UPCOMING CONFERENCES AND WORKSHOPS:

APRIL

Preventive Cardiovascular Nurses Association 23rd Annual Symposium
April 6-9, 2017
Denver, CO

Health Disparities Research Summit
April 7, 2017
Washington, DC

Symposium on Therapeutic Recreation and Adapted Physical Activity
April 19-21, 2017
St. Louis, MO

MAY

National Outdoor Recreation Conference
May 1-4, 2017
Scottsdale, AZ

The 10th Annual National Conference on Health Disparities
May 3-6, 2017
New Orleans, LA 

Building a Healthier Future Summit
May 10-12, 2017
Washington, DC

24th European Congress on Obesity
May 17-20, 2017
Porto, Portugal

52nd Annual Canadian Transportation Research Forum Conference
May 28-31, 2017
Winnipeg, Canada

ACSM's 64th Annual Meeting and 6th World Congress on Exercise is Medicine
May 30-June 3, 2017
Boston, MA

48th Annual Conference of the Environmental Research Design Association
May 31- June 3, 2017
Denver, CO

JUNE

Annual Meeting of the International Society for Behavioral Nutrition and Physical Activity
June 7-10, 2017
Victoria, Canada

42nd Annual National Wellness Conference
June 19-21, 2017
St. Paul, MN


USC PRC UPDATES:

Update from the USC PRC Core Research Project
On March 25, the Fairfield Community Coordinating Council (the group that serves as the community advisory board for the USC PRC) held a “FAN Fun Festival” in Winnsboro, SC. The community event, which included participation from Senator Mike Fanning (District 17), Representative MaryGail Douglas (District 41), and County Councilperson Billy Smith, Jr. (Chairman, District 7), celebrated the accomplishments of churches in Fairfield County, SC that created healthier environments for church members and the community. Churches displayed their FAN activities, and residents had the opportunity to learn more about local health resources. Fifty-five churches took part in the Faith, Activity, and Nutrition (FAN) Program, representing 42% of churches in the county. Churches continue to implement activities in the areas of physical activity and healthy eating. 

The USC PRC is also looking forward to training United Methodist churches across the state of South Carolina in the FAN Program.  USC PRC project staff trained 19 community health advisors from the 12 districts of the South Carolina Conference of the United Methodist Church in February and March.  These community health advisors will return to their districts and train church committees to put the program into place.  Church committee trainings will take place in April and May, and the trainings will be followed by one year of support and technical assistance provided via telephone by the community health advisors. 

Update from the National Physical Activity Plan
Earlier this quarter the National Physical Activity Plan Alliance (NPAPA) released a series of objectives within Business and Industry and Mass Media sectors of the National Physical Activity Plan (NPAP). The respective Standing Sector Committees designed the objectives, which highlight specific actions for advancing the various tactics in the Plan.  Each objective indicates a specific outcome that can/should be taken to implement a tactic. A timeline for implementation of each objective is also specified.

In March the NPAPA released a State Legislative Report. The document summarizes the significant legislative efforts at the state level across the country.  Included bills range in focus from shared use liability and mandated physical education, to public transportation funding and complete streets initiatives.  The proposal and passage of such bills directly support several strategies and tactics included in the NPAP.  

The NPAPA joined a group of physical activity related organizations that signed an open letter to President Donald J. Trump.  The letter encourages the continued funding and support of the President’s Council on Sports Fitness and Nutrition.  A copy of the letter can be found here.

Update from the South Carolina Healthy Brain Research Network
The South Carolina Healthy Brain Research Network (SC-HBRN) has published a paper focused on individuals’ intentions to be screened for Alzheimer’s disease:

Tang, W., Kannaley, K., Friedman, D.B., Edwards, V.J., Wilcox, S., Levkoff, S.E., Hunter, R.H., Irmiter, C., & Belza, B. (2017). Concern about developing Alzheimer’s disease or dementia and intention to be screened: An analysis of national survey data. Archives of Gerontology and Geriatrics, 71, 43-49.

In addition, the SC-HBRN group has been involved with the re-launch of the Arnold School of Public Health Office for the Study of Aging (OSA) earlier this quarter.  Dr. Daniela Friedman, SC-HBRN principal investigator, is co-director of the OSA. An announcement describing the re-launch can be found here.

Update from the South Carolina Cancer Prevention and Control Research Network II (SC-CPCRN II)
Dr. Daniela Friedman, SCPCRN II principal investigator, is currently serving as the co-lead for the South Carolina Cancer Alliance (SCCA) Prostate Cancer Workgroup. The workgroup was recently awarded an implementation grant from the SCCA to deliver a prostate health educational program in the Midlands for African-American men over the age of 40. The program will be delivered to African American men in late spring. The focus will be on sexual dysfunction and quality of life issues associated with the development and treatment of prostate cancer. A similar program took place in Fall 2016. The educational focus was on prevention and screening.  A manuscript describing the program was recently published in the Journal of Cancer Education:

Choi S.K., Seel J.S., Steck S.E.,  Payne J., McCormick D., Schrock C.S., Friedman D.B., Talking about your prostate: Perspectives from providers and community members. Journal of Cancer Education. Epub March 7, 2017. doi: 10.1007/s13187-017-1205-8


Writers: John Bernhart, Caroline Dunn, and Nathan Peters

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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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