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Identifying Opportunities to Promote Physical Activity in a Diverse Low-Income Population: A Mixed-Method Study at a Boys & Girls Club Site

机译：确定在不同低收入人群中促进身体活动的机会：男孩＆女孩俱乐部网站的混合方法研究

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Background Prevalence and consequences of obesity and sedentary lifestyle are well-documented public health concerns for youth in the United State of America (USA) that disproportionally affect children from low income and minority families. Objective This mixed-method study focused on estimating levels of physical activity and sedentary behavior and prevalence of overweight and obesity among the child members served in one Boys & Girls Club in the Midwest USA. We aimed to better understand opportunities for improving children's engagement in physical activity through focus groups with members, staff, and parents/caregivers of members. Method Social cognitive learning theory, the ecological model of health behavior, and community based participatory research principles provided the study framework. Members completed assessments of physical activity, sedentary activity, height, and weight. Focus groups with members, staff, and parents/caregivers identified barriers, facilitators, and opportunities for promoting physical activity. Results Nearly 50% of members were overweight or obese. Most (87%) participants reported at least 60 min physical activity every day across the 3-day recall. Fewer than half (41%) reported 2 h or less of sedentary screen time every day across the 3 day recall. Focus group themes identified opportunities for addressing needs associated with health disparities in physical activity and pediatric obesity. Conclusions Findings suggest stakeholder interest in physical activity promotion through afterschool programs. We discuss study implications regarding needs specific to individuals from diverse, low-income households that may not be adequately addressed with existing empirically-supported treatments and opportunities to address health disparities in physical activity and pediatric obesity through afterschool programs.
机译：背景技术肥胖和久坐生活方式的患病率和后果是美联社州（美国）的青少年的公共健康问题，这些担忧不成比例地影响低收入和少数民族家庭的儿童。目的这种混合方法研究侧重于估计体育活动和久坐行为的水平和儿童成员在美国中西部一个男孩＆女孩俱乐部的超重和肥胖的普遍存在。我们旨在通过焦点小组与成员，员工，父母/照顾者来更好地了解改善儿童对体育活动的参与的机会。方法社会认知学习理论，健康行为的生态模型，社区参与研究原则提供了研究框架。成员完成了身体活动的评估，久坐不动度，身高和体重。焦点小组与成员，工作人员和家长/看护人识别障碍，促进者和促进体育活动的机会。结果近50％的成员超重或肥胖。大多数（87％）参与者在3天回忆中每天报告至少60分钟的身体活动。在3天召回的情况下，少于一半（41％）报告每天2小时或更少的久坐筛网时间。焦点小组主题确定了与身体活动和儿科肥胖症中的健康差异相关的需求的机会。结论调查结果表明利益攸关方通过越野课程对身体活动促进的兴趣。我们讨论了对来自不同低收入家庭特定的需要的研究含义，这些人可能无法通过现有的经验支持的治疗和机会通过粪便计划解决身体活动和儿科肥胖症的健康差异。

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