Released in 2008, the Physical Activity Guidelines for Americans (PAG) is the first-ever publication of national guidelines for physical activity. The Physical Activity objectives for Healthy People 2020 reflect the strong state of the science supporting the health benefits of regular physical activity among youth and adults, as identified in the PAG. Regular physical activity includes participation in moderate and vigorous physical activities and muscle-strengthening activities.
Six 1-hour workshops were developed, based on the Dietary Guidelines for Americans, 2010 and 2008 Physical Activity Guidelines for Americans. Each workshop includes a lesson plan, learning objectives, talking points, hands-on activities, videos, and handouts. The workshops are designed for community educators, health promoters, dietitians/nutritionists, cooperative extension agents, and others to teach to adults in a wide variety of community settings.
Designed to Move Active Cities reflects the insights and contributions of over 80 individuals and organizations from around the world. The research shows how an active city can be a low-cost, high return investment that impacts a lot more than just health. Here, the researchers break down the evidence and demonstrate how a physically active city thrives.
online resource with detailed information about evidence-based policies and programs to reduce tobacco use and increase physical activity in communities. Created by the HealthPartners Institute for Education and Research and Partnership for Prevention, with input from the National Commission on Prevention Priorities, and utilizing interventions recommended by Community Preventive Services Task Force, Community Health Advisor was designed with public health leaders and policymakers in mind, and provides customizable, detailed information for improving population health.
Afterschool programs (ASPs) have become increasingly recognized as a key context to support youth daily physical activity (PA) accrual. The purpose of the present study was to assess the physical and social-motivational climate characteristics of ASPs associated with youth PA, and variations in contextual correlates of PA by youth sex. Systematic observations of 7 ASPs serving underserved youth (minority, low income) was conducted using the System for Observing Play and Leisure Activity in Youth and a social-motivational climate observation tool founded on self-determination theory. For five program days at each site, teams of two coders conducted continuous observations of youth PA (sedentary, moderate, vigorous), five physical features (e.g., equipment availability), eight staff interactions (e.g., encourage PA), and seven motivational climate components (e.g., inclusive). Aligned with previous research, regressions controlling for variations by site indicated that organized PA, provision of portable equipment, and staff PA participation and supervision are key correlates of youth PA. Moreover, as the first study to systematically observe motivational-context characteristics of ASPs, we identified several key modifiable motivational features that are necessary to address in order to increase youth engagement in PA during the out-of-school hours. Among motivational features assessed, “relatedness” components (positive peer relations, inclusive/cooperative activities) were primary correlates of girls’ PA. In contrast, all three motivational features specified by self-determination theory (support for autonomy, mastery/competence, and inclusion/relatedness) were correlated with boys’ PA. Findings are discussed in terms of policy and practice for understanding strengths and needs of ASPs to effectively engage youth in PA.
Objectives. The purpose of this study was to evaluate the effectiveness of the Walk Your Heart to Health (WYHH) intervention, one component of the multilevel Community Approaches to Cardiovascular Health Pathways to Heart Health (CATCHPATH) intervention designed to promote physical activity and reduce cardiovascular risk among non-Hispanic Black and Hispanic residents of Detroit, Michigan. The study was designed and implemented using a community-based participatory research approach that actively engaged community residents, health service providers and academic researchers. It was implemented between 2009 and 2012. Method. WYHH was a 32-week community health promoter–facilitated walking group intervention. Groups met three times per week at community-based or faith-based organizations, and walked for 45 to 90 minutes (increasing over time). The study used a cluster randomized control design to evaluate effectiveness of WYHH, with participants randomized into intervention or lagged intervention (control) groups. Psychosocial, clinical, and anthropometric data were collected at baseline, 8, and 32 weeks, and pedometer step data tracked using uploadable peisoelectric pedometers. Results. Participants in the intervention group increased steps significantly more during the initial 8-week intervention period, compared with the control group (ß = 2004.5, p = .000). Increases in physical activity were associated with reductions in systolic blood pressure, fasting blood glucose, total cholesterol, waist circumference and body mass index at 8 weeks, and maintained at 32 weeks. Conclusion. The WYHH community health promoter–facilitated walking group intervention was associated with significant reductions in multiple indicators of cardiovascular risk among predominantly Hispanic and non-Hispanic Black participants in a low-to-moderate income urban community. Such interventions can contribute to reductions in racial, ethnic, and socioeconomic inequities in cardiovascular mortality.
Health Promotion Practice, May 2015. Abstract Afterschool programs (ASPs) have potential to provide children moderate to vigorous physical activity (MVPA). The availability and types (e.g., free play or organized activities) of physical activity opportunities, their structure (e.g., presence of lines, elimination games), and staff behaviors (e.g., encouragement, engaged) can influence children’s MVPA. This study explored these factors in 20 ASPs serving over 1,700 elementary-age children. The occurrence, types, and structure of physical activity opportunities, and staff behaviors were collected via the SOSPAN (System for Observing Staff Promotion of Physical Activity and Nutrition). A total of 4,660 SOSPAN scans were completed across 63 complete program days (1,733 during physical activity opportunities). Physical activity opportunities were observed on 60 program days across all 20 sites, with 73% of those opportunities classified as free play. ASPs scheduled an average of 66.3 minutes (range 15-150 minutes) of physical activity opportunities daily. Games played included basketball, tag, soccer, and football. Staff rarely engaged in physical activity promotion behaviors, and the structure of organized games discouraged MVPA. For example, staff verbally promoted physical activity in just 6.1% of scans, while organized games were more likely to involve lines and elimination. Professional development training may enhance staffs’ physical activity promotion and the structure of activity opportunities.
CDCs Morbidity and Mortality Weekly Report on School Health Policies and Practices Study findings show improvement in school meal practices. Findings show the number of schools using practices to offer a variety of fruits and vegetables and reduce sodium in meals has increased significantly between the years 2000 to 2014. These changes are important because most U.S. youth don’t meet national recommendations for a healthy diet, consuming insufficient fruits, vegetables, and whole grains. Students consume as much as half of their daily calories at school, often through the federal school meal programs.
The Community Preventive Services Task Force finds insufficient evidence to determine the effectiveness of interventions supporting healthier snack foods and beverages sold or rewarded in schools. Evidence is considered insufficient because too few studies that evaluated comparable dietary and weight outcomes.
CX3 is a powerful tool that captures and communicates neighborhood-level data to promote healthier communities. This site provides tools for collecting and measuring food quality, availability and affordability in low-income communities. Armed with these data, health and nutrition advocates around the state are engaging and inspiring community members and partners to pursue healthy food. CX3 is a project of the Nutrition Education Obesity Prevention Branch (NEOPB) in partnership with local health departments.
Action Learning Collaboratives (ALCs), whereby teamsapply quality improvement (QI) tools and methods,have successfully improved patient care delivery andoutcomes. We adapted and tested the ALC model as acommunity-based obesity prevention interventionfocused on physical activity and healthy eating.Method. The intervention used QI tools (e.g., progressmonitoring) and team-based activities and was implementedin three communities through nine monthlymeetings. To assess process and outcomes, we used alongitudinal repeated-measures and mixed-methodstriangulation approach with a quasi-experimentaldesign including objective measures at three timepoints. Results. Most of the 97 participants were female(85.4%), White (93.8%), and non-Hispanic/Latino(95.9%). Average age was 52 years; 28.0% had annualhousehold income of $20,000 or less; and mean bodymass index was 35. Through mixed-effects models, wefound some physical activity outcomes improved.Other outcomes did not significantly change. Althoughparticipants favorably viewed the QI tools, componentsof the QI process such as sharing goals and data onprogress in teams and during meetings were limited.Participants’ requests for more education or activitiesaround physical activity and healthy eating, ratherthan progress monitoring and data sharing required forQI activities, challenged ALC model implementation.Conclusions. An ALC model for community-based obesityprevention may be more effective when applied topreexisting teams in community-based organizations.
CHSI 2015 is an interactive web application that produces health profiles for all 3,143 counties in the United States. Each profile includes key indicators of health outcomes, which describe the population health status of a county and factors that have the potential to influence health outcomes, such as health care access and quality, health behaviors, social factors and the physical environment.
Building Healthy Places Toolkit Strategies for Enhancing Health in the Built Environment outlines evidence-supported opportunities to enhance health through changes in approaches to buildings and projects. Developers,owners, property managers, designers, investors,and others involved in real estate decision making can use the strategies described in this report to create places that contribute to healthier people and communities and that enhance and preserve value by meeting the growing desire for health promoting places.
Online repository of audience-tested advertising and support materials produced to create awareness about obesity and other chronic conditions and to promote health living.
GoalImprove cardiovascular health and quality of life through prevention, detection, and treatment of risk factors for heart attack and stroke; early identification and treatment of heart attacks and strokes; and prevention of repeat cardiovascular events.*OverviewHeart disease is the leading cause of death in the United States.1 Stroke is the third leading cause of death in the United States. Together, heart disease and stroke are among the most widespread and costly health problems facing the Nation today, accounting for more than $500 billion in health care expenditures and related expenses in 2010 alone.2 Fortunately, they are also among the most preventable.
By planning, designing, and constructing Complete Streets, communities of all sizes – whether rural hamlets, small towns, or booming metropolises – are able to provide the quality access to jobs, health care, shops, and schools their residents deserve, while also achieving greater economic, environmental, and public health benefits. A Complete Streets approach can provide a more effective and balanced transportation system for the nearly 49 million Americans who live in rural areas and small towns.
“Step into Nature” is more than a summary of best practices and implementation recommendations; the guide is a call to action for public health professionals, urban planners, architects, developers, and residents to design healthier cities.