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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 2/2009

01-10-2009 | Original Article

Mediators Affecting Girls’ Levels of Physical Activity Outside of School: Findings from the Trial of Activity in Adolescent Girls

Authors: Leslie A. Lytle, Ph.D., R.D., David M. Murray, Ph.D., Kelly R. Evenson, Ph.D., Jamie Moody, Charlotte A. Pratt, M.S., Ph.D., R.D., Lauve Metcalfe, M.S., Deborah Parra-Medina, M.P.H., Ph.D.

Published in: Annals of Behavioral Medicine | Issue 2/2009

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Abstract

Background

Providing after school activities is a community level approach for reducing the decline in physical activity of girls as they reach early adolescence.

Purpose

The purpose of this study was to examine psychosocial, environmental, and behavioral factors as potential mediators of after school physical activity in adolescent girls.

Methods

We assessed objectively measured levels of physical activity occurring outside of school and potential predictors and mediators of activity in girls participating in the Trial of Activity in Adolescent Girls (TAAG).

Results

We found that the TAAG intervention had a statistically significant and positive effect on out of school activity in the 2006 cohort. Self-efficacy, friends’ social support, total social support, and difficulty getting to and from community activities mediated the level of moderate to vigorous physical activity in girls.

Conclusions

Parents, communities, and schools should provide and enhance opportunities outside of the school day for adolescents to be active. Reducing transportation barriers and enlisting social support appear to be key.
Literature
1.
Fletcher G. Physical inactivity as a risk factor for cardiovascular disease. Am J Med. 1999;107:S10-S-11.CrossRef
2.
Daniels SR, Arnett D, Eckel R, et al. Overweight in children and adolescents: Pathophysiology, consequences, prevention, and treatment. Circulation. 2005;111:1999-2012.CrossRefPubMed
3.
Caspersen C, Pereria M, Curran K. Changes in physical activity patterns in the United States, by sex and cross-sectional age. Med Sci Sports Exerc. 2000;32:1601–1609.CrossRefPubMed
4.
Ogden CL, Caroll MD, Curtin LR, et al. Prevalence of overweight and obesity in the United States, 1999–2004. JAMA. 2006;295:1549–1555.CrossRefPubMed
5.
Obarzanek E. Obesity in children, adolescents and families. Armonk: Futura; 1999.
6.
Kimm DY, Glynn NW, Kriska AM, et al. Decline in physical activity in black girls and white girls during adolescence. N Engl J Med. 2002;347:709–715.CrossRefPubMed
7.
Vu MB, Murrie D, Gonzalez V, Jobe JB. Listening to girls and boys talk about girls’ physical activity behaviors. Health Educ Behav. 2006;33:81–96.CrossRefPubMed
8.
O’Toole T, Anderson S, Miller C, Guthrie J. Nutrition services and food and beverages available at school: Results from the School Health Policies and Programs Study (SHPPS) 2006. J Sch Health. 2007;77:500–521.CrossRefPubMed
9.
McKenzie TL, Catellier DJ, Conway TL, et al. Girls’ activity levels and lesson contexts in middle school PE: TAAG Baseline. Med Sci Sports Exerc. 2006;38:1229–1235.CrossRefPubMed
10.
McKenzie TL, Stone EJ, Feldman HA, et al. Effects of the CATCH physical education intervention: Teacher type and lesson location. Am J Prev Med. 2001;21:101–109.CrossRefPubMed
11.
Baranowski T, Baranowski JC, Cullen KW, et al. The Fun, Food, and Fitness Project (FFFP): The Baylor GEMS pilot study. Ethn Dis. 2003;13:S30–39.PubMed
12.
Beech BM, Klesges RC, Kumanyika SK, et al. Child- and parent-targeted interventions: The Memphis GEMS pilot study. Ethn Dis. 2003;13:S40–53.PubMed
13.
Story M, Sherwood NE, Himes JH, et al. An after-school obesity prevention program for African-American girls: The Minnesota GEMS pilot study. Ethn Dis. 2003;13:S54–64.PubMed
14.
Robinson TN, Killen JD, Kraemer HC, et al. Dance and reducing television viewing to prevent weight gain in African-American girls: The Stanford GEMS pilot study. Ethn Dis. 2003;13:S65–77.PubMed
15.
Pate RR, Ward DS, Saunders RP, et al. Promotion of physical activity among high-school girls: A randomized controlled trial. Am J Public Health. 2005;95:1582–1587.CrossRefPubMed
16.
Ransdell LB, Taylor A, Oakland D, et al. Daughters and mothers exercising together: Effects of home- and community-based programs. Med Sci Sports Exerc. 2003;35:286–296.CrossRefPubMed
17.
Economos CD, Hyatt RR, Goldberg JP. A community intervention reduces BMI z-score in children: Shape Up Somerville first year results. Obesity. 2007;15:1325–1336.CrossRefPubMed
18.
Sallis JF, McKenzie TL, Conway TL, et al. Environmental interventions for eating and physical activity: A randomized controlled trial in middle schools. Am J Prev Med. 2003;24:209–217.CrossRefPubMed
19.
Dzewaltowski DA, Estabrooks PA, Welk GJ, et al. Healthy Youth Places: A randomized controlled trial to determine the effectiveness of facilitating adult and youth leaders to promote physical activity and fruit and vegetable consumption in middle schools. Health Educ Behav. 2009;36:583–600.CrossRefPubMed
20.
Haerens L, Cerin E, Maes L, et al. Explaining the effects of a 1-year intervention promoting physical activity in middle schools: A mediation analysis. IJBNPA. 2007;4:55.PubMed
21.
Taymoori P, Lubans DR. Mediators of behavior change in two tailored physical activity interventions for adolescent girls. Psyhol Sport Exerc. 2008;9:605–619.CrossRef
22.
Lytle LA, Schmitz KH. Community-level influences and interventions for pediatric obesity. In: Goran M, Sothern M, eds. Handbook of Pediatric Obesity. Boca Raton: Taylor & Francis; 2006.
23.
Schmitz KH, Lytle LA, Phillips GA, et al. Psychosocial correlates of physical activity and sedentary leisure habits in young adolescents: The teens eating for energy and nutrition at school study. Prev Med. 2002;34:266–278.CrossRefPubMed
24.
Dishman RK, Motl RW, Sallis JF, et al. Self-management strategies mediate self-efficacy and physical activity. Am J Prev Med. 2005;29:10–18.CrossRefPubMed
25.
Trost SG, Pate RR, Ward DS, Saunders R, Riner W. Correlates of objectively measured physical activity in preadolescent youth. Am J Prev Med. 1999;17:120–126.CrossRefPubMed
26.
Strauss RC, Rodzilsky D, Burack G, Colin M. Psychosocial correlates of physical activity in health children. Arch Pediatr Adolesc Med. 2001;1555:897–902.
27.
Kamphuis C, van Lenthe FJ, Giskes K, et al. Socioeconomic status, environmental and individual factors and sports participation. Med Sci Sports Exerc. 2007;40:71–81.
28.
Ferreira I, van der Horst K, Wendel-Vos W, et al. Environmental correlates of physical activity in youth—A review and update. Obesity Reviews. 2006;8:129–154.CrossRef
29.
Evenson K, Birnbaum AS, Bedimo-Rung A, et al. Girls perceptions of physical environmental factors and transportation: reliability and association with physical activity and active transport to school. Int J Behav Nutr Phys Act. 2006;2:28.CrossRef
30.
Revalds Lubans D, Foster C, Biddle SJH. A review of mediators of behavior in interventions to promote physical activity among children and adolescents. Prev Med. 2008;47:463–470.CrossRef
31.
Webber L, Catellier D, Lytle L, et al. Promoting physical activity in middle school girls: Trial of activity for adolescent girls. Am J Prev Med. 2008;34:173–184.CrossRefPubMed
32.
Stevens J, Murray DM, Catellier DJ, et al. Design of the Trial of Activity in Adolescent Girls (TAAG). Contemp Clin Trials. 2005;26:223–233.CrossRefPubMed
33.
Murray DM, Catellier DJ, Hannan P, et al. School-level intraclass correlation for physical activity in adolescent girls. Med Sci Sports Exerc. 2004;36:876–882.CrossRefPubMed
34.
Elder JP, Shuler L, Moe SG, et al. Recruiting a diverse group of middle school girls into the Trial of Activity for Adolescent Girls (TAAG). J Sch Health. 2008;78:523–531.CrossRefPubMed
35.
Elder JP, Lytle L, Sallis JF, et al. A description of the social-ecological framework used in the trial of activity for adolescent girls (TAAG). Health Educ Res. 2007;22:155–165.CrossRefPubMed
36.
Osganian SK, Parcel GS, Stone E. Institutionalization of a school health promotion program: background and rationale of the CATCH-ON study. Health Educ Behav. 2003;30:410–417.CrossRefPubMed
37.
Parcel GS, Edmundson E, Perry CL, et al. Measurement of self-efficacy for diet-related behaviors among elementary school children. J Sch Health. 1995;65:23–27.CrossRefPubMed
38.
Smith DW, Steckler A, McCormick LK, McLeroy KR. Disseminating comprehensive school health curricula: Lesson learned from the North Carolina school health and tobacco education project. J Health Educ. 1995;26:26–36.
39.
Catellier D, Hannan P, Murray DM, et al. Imputation of missing data when measuring physical activity by accelerometry. Med Sci Sports Exerc. 2005;37:555–562.CrossRef
40.
Treuth M, Schmitz KH, Catellier D, et al. Defining accelerometer thresholds for activity intensities in adolescent girls. Med Sci Sports Exerc. 2004;36:1259–1266.CrossRefPubMed
41.
Dempster A, Laird N, Rubin D. Maximum likelihood from incomplete data via the EM algorithm. J R Stat Soc Ser B. 1977;39:1–38.
42.
SAS Institute. SAS/STAT 9.1 user’s guide. Cary: SAS Institute; 2004.
43.
Murray DM. Design and analysis of group-randomized trials. New York: Oxford University Press; 1998.
44.
45.
Dunton GF, Schneider M, Cooper DM. An investigation of psychosocial factors related to changes in physical activity and fitness among female adolescents. Psychol. Health. 2007;22:929–944.
46.
Young DR, Steckler A, Cohen S, et al. Process Evaluation Results from a School and Community Linked Intervention: The Trial of Activity for Adolescent Girls (TAAG). Health Educ Res. 2008;23:976–986.CrossRefPubMed
47.
Hoefer WR, McKenzie TL, Sallis JF, Marshall SJ, Conway TL. Parental provision of transportation for adolescent physical activity. Am J Prev Med. 2001;21:48–51.CrossRefPubMed
48.
Kraemer HC, Wilson T, Fairburn C, Agras W. Mediators and moderators of treatment effects in randomized clinical trials. Arch Gen Psychiatry. 2002;59:877–883.CrossRefPubMed
49.
Perry C. Preadolescent and adolescent influences on health. In: Smedley BD, Syme SL, eds. Promoting health, intervention strategies from social and behavioral research. Washington: National Academy Press; 2000:217–253.
50.
IOM. Preventing childhood obesity: Health in the balance. Washington: Insitute of Medicine; 2005.
51.
Sallis JF, Prochaska JJ, Taylor WC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32:963–975.CrossRefPubMed
Metadata
Title
Mediators Affecting Girls’ Levels of Physical Activity Outside of School: Findings from the Trial of Activity in Adolescent Girls
Authors
Leslie A. Lytle, Ph.D., R.D.
David M. Murray, Ph.D.
Kelly R. Evenson, Ph.D.
Jamie Moody
Charlotte A. Pratt, M.S., Ph.D., R.D.
Lauve Metcalfe, M.S.
Deborah Parra-Medina, M.P.H., Ph.D.
Publication date
01-10-2009
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 2/2009
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-009-9127-2

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