Skip to main content
Top
Published in: BMC Public Health 1/2009

Open Access 01-12-2009 | Study protocol

Towards translation of environmental determinants of physical activity in children into multi-sector policy measures: study design of a Dutch project

Authors: Marie-Jeanne Aarts, Ien AM van de Goor, Hans AM van Oers, Albertine J Schuit

Published in: BMC Public Health | Issue 1/2009

Login to get access

Abstract

Background

Physical inactivity in children is a major health problem in The Netherlands as well as in many other Western countries. In addition to health promotion among parents and children, creating "active" neighbourhoods can contribute to the solution of this health problem. However, changing environmental characteristics is often the responsibility of policy sectors outside the Public Health domain. Therefore this project identifies and evaluates the possibilities of multi-sector policy measures to stimulate physical activity in children.

Methods and design

The project consists of quantitative as well as qualitative research methods and is conducted in four medium sized Dutch cities. To identify perceived environmental determinants of physical activity in children, a large scale health survey was conducted at 42 primary schools. Written questionnaires including topics on the children's physical activity behaviour (i.e. sports participation, outdoor play, active commuting, television watching and computer usage) and physical and social environmental characteristics were completed by 6,601 parents of children aged 3-13 years old and 3449 children aged 9-13 years old. In addition, 33 neighbourhood audits (systematic observations) were conducted to assess objective neighbourhood characteristics. Furthermore, a policy analysis was conducted in the four participating municipalities to provide an overview of the current local policy measures directed at stimulation of physical activity in children. Policy plans of six different policy sectors (Public Health, Sports, Education & Youth, Spatial Planning, Traffic & Transport, and Safety) were screened for their content on physical activity in children. In addition, semi-structured interviews were conducted with policy makers of each of these sectors to identify critical success factors in the development and realization of multi-sector policy plans aimed at stimulating physical activity in children. The results of all these research activities will be discussed with local policy makers during interactive workshop sessions in order to identify clear cut multi-sector policy measures that stimulate physical activity in children.

Discussion

This paper describes the study design of a project that focuses on multi-sector policy measures that stimulate physical activity in children. Next to extensive research into the environmental determinants of physical activity in children, much emphasis is placed on the translation of the research outcomes into concrete and feasible policy plans.
Appendix
Available only for authorised users
Literature
1.
go back to reference Ooijendijk WTM, Hildebrandt VH, Hopman-Rock M: Bewegen gemeten 2000-2004 [Measuring physical activity 2000-2004]. 2006, Leiden: TNO Kwaliteit van Leven, 83- Ooijendijk WTM, Hildebrandt VH, Hopman-Rock M: Bewegen gemeten 2000-2004 [Measuring physical activity 2000-2004]. 2006, Leiden: TNO Kwaliteit van Leven, 83-
3.
go back to reference De Vries SI, Bakker I, Van Overbeek K, De Boer ND, Hopman-Rock M: Kinderen in prioriteitswijken: lichamelijke (in)activiteit en overgewicht [Children in priority neighbourhoods: physical (in)activity and overweight]. 2005, Leiden: TNO Kwaliteit van Leven, 180- De Vries SI, Bakker I, Van Overbeek K, De Boer ND, Hopman-Rock M: Kinderen in prioriteitswijken: lichamelijke (in)activiteit en overgewicht [Children in priority neighbourhoods: physical (in)activity and overweight]. 2005, Leiden: TNO Kwaliteit van Leven, 180-
4.
go back to reference Dencker M, Andersen LB: Health-related aspects of objectively measured daily physical activity in children. Clin Physiol Funct Imaging. 2008, 28 (3): 133-144. 10.1111/j.1475-097X.2008.00788.x.CrossRefPubMed Dencker M, Andersen LB: Health-related aspects of objectively measured daily physical activity in children. Clin Physiol Funct Imaging. 2008, 28 (3): 133-144. 10.1111/j.1475-097X.2008.00788.x.CrossRefPubMed
5.
go back to reference Graf C, Koch B, Kretschmann-Kandel E, Falkowski G, Christ H, Coburger S, Lehmacher W, Bjarnason-Wehrens B, Platen P, Tokarski W, et al: Correlation between BMI, leisure habits and motor abilities in childhood (CHILT-project). Int J Obes Relat Metab Disord. 2004, 28 (1): 22-26. 10.1038/sj.ijo.0802428.CrossRefPubMed Graf C, Koch B, Kretschmann-Kandel E, Falkowski G, Christ H, Coburger S, Lehmacher W, Bjarnason-Wehrens B, Platen P, Tokarski W, et al: Correlation between BMI, leisure habits and motor abilities in childhood (CHILT-project). Int J Obes Relat Metab Disord. 2004, 28 (1): 22-26. 10.1038/sj.ijo.0802428.CrossRefPubMed
6.
go back to reference Jurg ME, Kremers SP, Candel MJ, Wal Van der MF, Meij JS: A controlled trial of a school-based environmental intervention to improve physical activity in Dutch children: JUMP-in, kids in motion. Health Promot Int. 2006, 21 (4): 320-330. 10.1093/heapro/dal032.CrossRefPubMed Jurg ME, Kremers SP, Candel MJ, Wal Van der MF, Meij JS: A controlled trial of a school-based environmental intervention to improve physical activity in Dutch children: JUMP-in, kids in motion. Health Promot Int. 2006, 21 (4): 320-330. 10.1093/heapro/dal032.CrossRefPubMed
7.
go back to reference Singh AS, Chin APMJ, Brug J, van Mechelen W: Dutch obesity intervention in teenagers: effectiveness of a school-based program on body composition and behavior. Arch Pediatr Adolesc Med. 2009, 163 (4): 309-317. 10.1001/archpediatrics.2009.2.CrossRefPubMed Singh AS, Chin APMJ, Brug J, van Mechelen W: Dutch obesity intervention in teenagers: effectiveness of a school-based program on body composition and behavior. Arch Pediatr Adolesc Med. 2009, 163 (4): 309-317. 10.1001/archpediatrics.2009.2.CrossRefPubMed
8.
go back to reference Singh AS, Chinapaw MJ, Brug J, van Mechelen W: Process evaluation of a school-based weight gain prevention program: the Dutch Obesity Intervention in Teenagers (DOiT). Health Educ Res. 2009 Singh AS, Chinapaw MJ, Brug J, van Mechelen W: Process evaluation of a school-based weight gain prevention program: the Dutch Obesity Intervention in Teenagers (DOiT). Health Educ Res. 2009
9.
go back to reference Brownson RC, Hoehner CM, Day K, Forsyth A, Sallis JF: Measuring the built environment for physical activity: state of the science. Am J Prev Med. 2009, 36 (4 Suppl): S99-123. 10.1016/j.amepre.2009.01.005. e112.CrossRefPubMedPubMedCentral Brownson RC, Hoehner CM, Day K, Forsyth A, Sallis JF: Measuring the built environment for physical activity: state of the science. Am J Prev Med. 2009, 36 (4 Suppl): S99-123. 10.1016/j.amepre.2009.01.005. e112.CrossRefPubMedPubMedCentral
10.
go back to reference Grow HM, Saelens BE, Kerr J, Durant NH, Norman GJ, Sallis JF: Where are youth active? Roles of proximity, active transport, and built environment. Med Sci Sports Exerc. 2008, 40 (12): 2071-2079. 10.1249/MSS.0b013e3181817baa.CrossRefPubMed Grow HM, Saelens BE, Kerr J, Durant NH, Norman GJ, Sallis JF: Where are youth active? Roles of proximity, active transport, and built environment. Med Sci Sports Exerc. 2008, 40 (12): 2071-2079. 10.1249/MSS.0b013e3181817baa.CrossRefPubMed
12.
13.
go back to reference Sallis JF, Linton LS, Kraft MK, Cutter CL, Kerr J, Weitzel J, Wilson A, Spoon C, Harrison ID, Cervero R, et al: The Active Living Research program: six years of grantmaking. Am J Prev Med. 2009, 36 (2 Suppl): S10-21. 10.1016/j.amepre.2008.10.007.CrossRefPubMed Sallis JF, Linton LS, Kraft MK, Cutter CL, Kerr J, Weitzel J, Wilson A, Spoon C, Harrison ID, Cervero R, et al: The Active Living Research program: six years of grantmaking. Am J Prev Med. 2009, 36 (2 Suppl): S10-21. 10.1016/j.amepre.2008.10.007.CrossRefPubMed
14.
go back to reference Sallis JF, Prochaska JJ, Taylor WC: A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000, 32 (5): 963-975. 10.1097/00005768-200005000-00014.CrossRefPubMed Sallis JF, Prochaska JJ, Taylor WC: A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000, 32 (5): 963-975. 10.1097/00005768-200005000-00014.CrossRefPubMed
15.
go back to reference Giles-Corti B, Timperio A, Bull F, Pikora T: Understanding physical activity environmental correlates: increased specificity for ecological models. Exerc Sport Sci Rev. 2005, 33 (4): 175-181. 10.1097/00003677-200510000-00005.CrossRefPubMed Giles-Corti B, Timperio A, Bull F, Pikora T: Understanding physical activity environmental correlates: increased specificity for ecological models. Exerc Sport Sci Rev. 2005, 33 (4): 175-181. 10.1097/00003677-200510000-00005.CrossRefPubMed
16.
go back to reference McCormack G, Giles-Corti B, Lange A, Smith T, Martin K, Pikora TJ: An update of recent evidence of the relationship between objective and self-report measures of the physical environment and physical activity behaviours. J Sci Med Sport. 2004, 7 (1 Suppl): 81-92. 10.1016/S1440-2440(04)80282-2.CrossRefPubMed McCormack G, Giles-Corti B, Lange A, Smith T, Martin K, Pikora TJ: An update of recent evidence of the relationship between objective and self-report measures of the physical environment and physical activity behaviours. J Sci Med Sport. 2004, 7 (1 Suppl): 81-92. 10.1016/S1440-2440(04)80282-2.CrossRefPubMed
17.
go back to reference Timperio A, Giles-Corti B, Crawford D, Andrianopoulos N, Ball K, Salmon J, Hume C: Features of public open spaces and physical activity among children: findings from the CLAN study. Prev Med. 2008, 47 (5): 514-518. 10.1016/j.ypmed.2008.07.015.CrossRefPubMed Timperio A, Giles-Corti B, Crawford D, Andrianopoulos N, Ball K, Salmon J, Hume C: Features of public open spaces and physical activity among children: findings from the CLAN study. Prev Med. 2008, 47 (5): 514-518. 10.1016/j.ypmed.2008.07.015.CrossRefPubMed
18.
go back to reference Ferreira I, Horst van der K, Wendel-Vos W, Kremers S, van Lenthe FJ, Brug J: Environmental correlates of physical activity in youth - a review and update. Obes Rev. 2007, 8 (2): 129-154. 10.1111/j.1467-789X.2006.00264.x.CrossRefPubMed Ferreira I, Horst van der K, Wendel-Vos W, Kremers S, van Lenthe FJ, Brug J: Environmental correlates of physical activity in youth - a review and update. Obes Rev. 2007, 8 (2): 129-154. 10.1111/j.1467-789X.2006.00264.x.CrossRefPubMed
19.
go back to reference Giles-Corti B: People or places: what should be the target?. J Sci Med Sport. 2006, 9 (5): 357-366. 10.1016/j.jsams.2006.06.021.CrossRefPubMed Giles-Corti B: People or places: what should be the target?. J Sci Med Sport. 2006, 9 (5): 357-366. 10.1016/j.jsams.2006.06.021.CrossRefPubMed
20.
go back to reference VWS: Nota overgewicht. Uit balans: de last van overgewicht [Memorandum Overweight. Out of balance: the burden of overweight]. 2009, Den Haag VWS: Nota overgewicht. Uit balans: de last van overgewicht [Memorandum Overweight. Out of balance: the burden of overweight]. 2009, Den Haag
21.
go back to reference Sacks G, Swinburn B, Lawrence M: Obesity Policy Action framework and analysis grids for a comprehensive policy approach to reducing obesity. Obes Rev. 2009, 10 (1): 76-86. 10.1111/j.1467-789X.2008.00524.x.CrossRefPubMed Sacks G, Swinburn B, Lawrence M: Obesity Policy Action framework and analysis grids for a comprehensive policy approach to reducing obesity. Obes Rev. 2009, 10 (1): 76-86. 10.1111/j.1467-789X.2008.00524.x.CrossRefPubMed
22.
go back to reference Sacks G, Swinburn BA, Lawrence MA: A systematic policy approach to changing the food system and physical activity environments to prevent obesity. Aust New Zealand Health Policy. 2008, 5: 13-10.1186/1743-8462-5-13.CrossRefPubMedPubMedCentral Sacks G, Swinburn BA, Lawrence MA: A systematic policy approach to changing the food system and physical activity environments to prevent obesity. Aust New Zealand Health Policy. 2008, 5: 13-10.1186/1743-8462-5-13.CrossRefPubMedPubMedCentral
23.
go back to reference Ståhl T, Wismar M, Ollila E, Lahtinen E, Leppo K: Health in all Policies: Prospects and Potentials. 2006, Finnish Ministry of Social Affairs and Health Ståhl T, Wismar M, Ollila E, Lahtinen E, Leppo K: Health in all Policies: Prospects and Potentials. 2006, Finnish Ministry of Social Affairs and Health
24.
go back to reference Schuit J, Storm I: Successen en valkuilen van integraal gezondheidsbeleid [Successes and pitfalls of integral health policy]. Tijdschrift voor Gezondheidswetenschappen [Journal of Health Sciences]. 2007, 85 (8): 415-416.CrossRef Schuit J, Storm I: Successen en valkuilen van integraal gezondheidsbeleid [Successes and pitfalls of integral health policy]. Tijdschrift voor Gezondheidswetenschappen [Journal of Health Sciences]. 2007, 85 (8): 415-416.CrossRef
25.
go back to reference Storm I, Zoest van F, Broeder den L: Integraal gezondheidsbeleid: theorie en toepassing [Integral health policy: theory and application]. Bilthoven. 2007 Storm I, Zoest van F, Broeder den L: Integraal gezondheidsbeleid: theorie en toepassing [Integral health policy: theory and application]. Bilthoven. 2007
26.
go back to reference Ruland E, Assema van P, Ament A, Gorgels T, Ree van J: Hartslag Limburg: integrale gezondheidsbevordering in buurten, gemeenten, bij huisartsen en in het ziekenhuis. De opbouw: bundeling van praktijk, onderzoek en beleid. [Hartbeat Limburg: integral health promotion in neighbourhoods, municipalities, by general practitioners and in the hospital. The setup: clustering of practice, research and policy.]. Tijdschrift voor Gezondheidswetenschappen [Journal of Health Sciences]. 2006, 84 (2): 83-89. Ruland E, Assema van P, Ament A, Gorgels T, Ree van J: Hartslag Limburg: integrale gezondheidsbevordering in buurten, gemeenten, bij huisartsen en in het ziekenhuis. De opbouw: bundeling van praktijk, onderzoek en beleid. [Hartbeat Limburg: integral health promotion in neighbourhoods, municipalities, by general practitioners and in the hospital. The setup: clustering of practice, research and policy.]. Tijdschrift voor Gezondheidswetenschappen [Journal of Health Sciences]. 2006, 84 (2): 83-89.
27.
go back to reference Armstrong R, Doyle J, Lamb C, Waters E: Multi-sectoral health promotion and public health: the role of evidence. J Public Health (Oxf). 2006, 28 (2): 168-172. 10.1093/pubmed/fdl013.CrossRef Armstrong R, Doyle J, Lamb C, Waters E: Multi-sectoral health promotion and public health: the role of evidence. J Public Health (Oxf). 2006, 28 (2): 168-172. 10.1093/pubmed/fdl013.CrossRef
28.
go back to reference Garretsen HFL, Bongers IMB, De Roo AA, Goor Van de LAM: Bridging the Gap between Science and Practice: Do Applied Academic Centres Contribute to a Solution? A Plea for International Comparative Research. Journal of Comparative Social Welfare. 2007, 23 (1): 49-59. 10.1080/17486830601099929.CrossRef Garretsen HFL, Bongers IMB, De Roo AA, Goor Van de LAM: Bridging the Gap between Science and Practice: Do Applied Academic Centres Contribute to a Solution? A Plea for International Comparative Research. Journal of Comparative Social Welfare. 2007, 23 (1): 49-59. 10.1080/17486830601099929.CrossRef
29.
go back to reference Kerr J, Rosenberg D, Sallis JF, Saelens BE, Frank LD, Conway TL: Active commuting to school: Associations with environment and parental concerns. Med Sci Sports Exerc. 2006, 38 (4): 787-794. 10.1249/01.mss.0000210208.63565.73.CrossRefPubMed Kerr J, Rosenberg D, Sallis JF, Saelens BE, Frank LD, Conway TL: Active commuting to school: Associations with environment and parental concerns. Med Sci Sports Exerc. 2006, 38 (4): 787-794. 10.1249/01.mss.0000210208.63565.73.CrossRefPubMed
30.
go back to reference Nutbeam D, Aar L, Catford J: Understanding childrens' health behaviour: the implications for health promotion for young people. Soc Sci Med. 1989, 29 (3): 317-325. 10.1016/0277-9536(89)90280-3.CrossRefPubMed Nutbeam D, Aar L, Catford J: Understanding childrens' health behaviour: the implications for health promotion for young people. Soc Sci Med. 1989, 29 (3): 317-325. 10.1016/0277-9536(89)90280-3.CrossRefPubMed
31.
go back to reference Singh AS, Mulder C, Twisk JW, van Mechelen W, Chinapaw MJ: Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev. 2008, 9 (5): 474-488. 10.1111/j.1467-789X.2008.00475.x.CrossRefPubMed Singh AS, Mulder C, Twisk JW, van Mechelen W, Chinapaw MJ: Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev. 2008, 9 (5): 474-488. 10.1111/j.1467-789X.2008.00475.x.CrossRefPubMed
32.
go back to reference VROM: Nota Mensen, Wensen, Wonen. Wonen in de 21ste eeuw. [Memorandum People, Wishes, Living. Living in the 21st century.]. 2000, Den Haag VROM: Nota Mensen, Wensen, Wonen. Wonen in de 21ste eeuw. [Memorandum People, Wishes, Living. Living in the 21st century.]. 2000, Den Haag
34.
go back to reference Snijders TAB, Bosker RJ: Multilevel analysis: An introduction to basic and advanced multilevel modeling. 1999, London: Sage Publications Snijders TAB, Bosker RJ: Multilevel analysis: An introduction to basic and advanced multilevel modeling. 1999, London: Sage Publications
35.
go back to reference Faul F, Erdfelder E, Lang AG, Buchner A: G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007, 39 (2): 175-191.CrossRefPubMed Faul F, Erdfelder E, Lang AG, Buchner A: G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007, 39 (2): 175-191.CrossRefPubMed
36.
go back to reference De Vries SI, Bakker I, van Mechelen W, Hopman-Rock M: Determinants of activity-friendly neighborhoods for children: results from the SPACE study. Am J Health Promot. 2007, 21 (4 Suppl): 312-316.CrossRefPubMed De Vries SI, Bakker I, van Mechelen W, Hopman-Rock M: Determinants of activity-friendly neighborhoods for children: results from the SPACE study. Am J Health Promot. 2007, 21 (4 Suppl): 312-316.CrossRefPubMed
37.
go back to reference Van Lenthe FJ, Huisman M, Kamphuis C, Giskes K, Brug J, Mackenbach J: Een beoordelingsinstrument van fysieke en sociale buurtkenmerken die gezondheid stimuleren danwel belemmeren [An assessment tool of physical and social neighbourhood characteristics that stimulate or hamper health]. 2006, Rotterdam: Erasmus MC Universitair Medisch Centrum Rotterdam Van Lenthe FJ, Huisman M, Kamphuis C, Giskes K, Brug J, Mackenbach J: Een beoordelingsinstrument van fysieke en sociale buurtkenmerken die gezondheid stimuleren danwel belemmeren [An assessment tool of physical and social neighbourhood characteristics that stimulate or hamper health]. 2006, Rotterdam: Erasmus MC Universitair Medisch Centrum Rotterdam
Metadata
Title
Towards translation of environmental determinants of physical activity in children into multi-sector policy measures: study design of a Dutch project
Authors
Marie-Jeanne Aarts
Ien AM van de Goor
Hans AM van Oers
Albertine J Schuit
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2009
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-9-396

Other articles of this Issue 1/2009

BMC Public Health 1/2009 Go to the issue