Purpose: To investigate relations of perceived worksite neighborhood environments to total physical activity and active transportation, over and above home neighborhood built environments. Design: Observational epidemiologic study. Setting: Baltimore, Maryland-Washington, DC, and Seattle-King County, Washington metropolitan areas. Participants: One thousand eighty-five adults (mean age = 45.0 [10.2]; 46% women) recruited from 32 neighborhoods stratified by high/low neighborhood income and walkability. Measures: The Neighborhood Environment Walkability Survey assessed perceptions of worksite and home neighborhood environments. Accelerometers assessed total moderate-to-vigorous physical activity (MVPA). The International Physical Activity Questionnaire assessed total active transportation and active transportation to and around work. Analysis: Mixed-effects regression tested relations of home and worksite neighborhood environments to each physical activity outcome, adjusted for demographics. Results: Home and worksite mixed land use and street connectivity had the most consistent positive associations with physical activity outcomes. Worksite traffic and pedestrian safety were also associated with multiple physical activity outcomes. The worksite neighborhood explained additional variance in physical activity outcomes than explained by the home neighborhood. Worksite and home neighborhood environments interacted in explaining active transportation to work, with the greatest impacts occurring when both neighborhoods were activity supportive. Conclusion: Both worksite and home neighborhood environments were independently related to total MVPA and active transportation. Community design policies should target improving the physical activity supportiveness of worksite neighborhood environments and integrating commercial and residential development.
The 1991 paper, "Physical Education's Role in Public Health" described the importance of physical education in addressing public health problems.On its 20th anniversary, this article reviews accomplishments in improving the health impact of physical education and identifies areas lacking progress.Major accomplishments include development of evidence-based programs, documentation of health and academic benefits of physical education, and acceptance of physical education as a public health resource.Additional work is needed to evaluate the uptake of evidence-based programs, improve national surveillance of physical education quantity and quality, establish stronger policies supporting active physical education, and achieve wide acceptance of public health goals within the physical education field.These opportunities constitute an agenda for actualizing the promise of Health-Optimizing Physical Education before the next 20-year anniversary.
Purpose: The aim of this study was to examine the factorial and criterion validity of the Neighborhood Environment Walkability Scale (NEWS) and to develop an abbreviated version (NEWS-A). Methods: A stratified two-stage cluster sample design was used to recruit 1286 adults. The sample was drawn from residential addresses within eight high- and eight low-walkable neighborhoods matched for socioeconomic status. Subjects completed the NEWS and reported weekly minutes of walking for transport and recreation using items from the International Physical Activity Questionnaire. Results: Multilevel confirmatory factor analysis was used to develop measurement models of the NEWS and NEWS-A. Six individual-level and five blockgroup-level factors were identified. Factors/scales gauging presence of diversity of destinations, residential density, walking infrastructure, aesthetics, traffic safety, and crime were positively related to walking for transport. Aesthetics, mixed destinations, and residential density were associated with walking for recreation. Conclusions: The NEWS and NEWS-A possess adequate levels of factorial and criterion validity. Alternative methods of scoring for different purposes are presented.
Introduction The study examined the association of neighborhood walkability to multiple activity-related outcomes and BMI among adolescents and evaluated socioeconomic status as an effect modifier. Method Cross-sectional study, with adolescents recruited from neighborhoods that met criteria for a 2 × 2 matrix defined by high/low GIS-defined walkability and high/low median income. Adolescents aged 12–16 years (n = 928) were recruited from selected neighborhoods in Maryland and King County, Washington regions in 2009–2011. There were 50.4% girls, and 66.3% were non-Hispanic white, with no medical restrictions on physical activity (PA) or diets. Total PA and sedentary time was assessed by 7 days of accelerometer monitoring. Adolescents self-reported active transport, time spent on 6 sedentary behaviors, and height and weight, used to compute BMI percentiles. Mixed model linear and logistic regressions examined outcomes for association with walkability and income, adjusting for demographic covariates and clustering within block groups. Results Walkability was positively and significantly related to objectively-measured PA (p < .001) and more frequent walking for transportation (p < .001). Total self-reported sedentary time (p = .048) and TV time (p < .007) were negatively related to walkability. Time in vehicles was negatively related to walkability only among higher-income adolescents. Conclusions Neighborhood walkability was strongly and consistently associated with adolescents' objectively-assessed total physical activity and reported active transportation. A novel finding was that adolescents living in walkable neighborhoods reported less television time and less time in vehicles. Most results were similar across income categories. Results strengthen the rationale for recommendations to improve walkability.
We are entering a new and exciting era of medicine. New technological advances in artificial intelligence (AI), multiomics and regenerative medicine bring unprecedented promise to the realization of personalized medicine. The future of medicine and the future of healthcare are dependent on the translation of these innovations into new diagnostics and therapeutics which could profoundly impact patient care delivery. We are therefore delighted and proud to launch MedComm – Future Medicine, a new Wiley journal. MedComm – Future Medicine is an open-access journal which will publish the latest and most impactful biomedical research. We are a multidisciplinary journal with special interest in multiomics, bioinformatics, medical AI, stem cell and regenerative medicine, and gene therapy. Our articles in medicine and biology will be reviewed and assessed on the basis of novelty, timeliness and significance to human health and diseases. We will cover the latest advances in biomedical research that improve our understanding of diseases, address unmet medical needs, and have the potential to transform healthcare. We have assembled a world-class editorial board, led by our Editors-In-Chief Professor Robin Ali, Professor Michael Karin, and Professor Kang Zhang. The editorial board members consist of an international group of leading experts in their research domains. Our mission at the editorial board is to ensure your best research is subjected to the highest quality and rigorous peer-review in a timely fashion. We also have dedicated editorial staff who co-ordinate the peer review process, production of your accepted articles and marketing of MedComm – Future Medicine. We will ensure that your paradigm-shifting discoveries will receive the highest quality production, and reach the widest readership. MedComm – Future Medicine is born at a time of global healthcare emergency. The Covid-19 pandemic has put into focus the importance of international collaborative efforts, which have resulted in an unprecedented increase in research output. Effective review and dissemination of this information is indispensable to maximizing research impact and public engagement. MedComm – Future Medicine aspires to be at the nexus of translational research advances. The success of MedComm – Future Medicine will be a testament to the global community of scientists and researchers who contribute to the journal's contents, review process and citations. We hope you will enjoy reading our contents and consider submitting your next paradigm-shifting research findings to MedComm – Future Medicine. Together, we hope to transform the future of medicine!
Growing empirical evidence documents built environment effects on adults' physical activity, but little is known about environment effects on children's physical activity. Indeed, environments in which adults are active may differ significantly from the environments in which children are active, necessitating a sophisticated approach to public health and environment approaches to increase physical activity across the lifespan. Purpose To examine the relations between the number of places children are active and their levels of physical activity, neighborhood environment, and individual characteristics. Methods Parents of 201 children 4–18 years old were recruited from high and low walkable neighborhoods in King County, WA. Parents reported on the places where their children are active and the places' convenience to their home, their children's activity level, and individual characteristics. Results From a list of 15 potential places in which children could be active in a typical month, friends' homes, own yards, parks, and playgrounds were more frequently visited by children in order to be active than the street and gyms or other paid facilities. The number of places children went to be active was positively related to the number of activity-related facilities convenient to home (<10 minute walk from home) (p<.019), but the number of different children's activity places decreased with child age (p<.007). The number of places a child went to be active was positively related to their level of physical activity (p<.001). In contrast, children went to fewer places to be active when living in neighborhoods marked by environmental factors associated with higher adult physical activity, particularly adults walking for transport (e.g., higher residential density, higher land use mix) (p<.04). Conclusions Children's physical activity appears to benefit from a greater variety of places in which to be active and greater convenience of such activity places. However, the built environment in which adults are more active in the form of walking for transport may not necessarily translate into increased variety in the places in which children are active. Further evaluation of physical activity environments and the potential unique impact of such environments on children is warranted. Supported by NIH grant HL67350.
Increasing physical activity in physical education (PE) classes is an important public health goal because large numbers of young people participate in PE. Several PE programs have been shown to be effective in promoting physical activity, but the next step is to disseminate programs widely. The present study assessed the sustainability of the SPARK PE program for elementary schools. Two hundred seventy-seven schools were identified that received SPARK training, materials, and follow-up assistance over one year prior to the survey. An independent evaluator sent two mailings to one teacher at all schools and received a 48 percent return rate (N = 111). Seventy-two percent were female, and 25 percent were PE specialists. Seventy-eight percent reported being current users of SPARK, and 75 percent of respondent had used SPARK more than 2 years. SPARK users conducted PE class more often (3.4 d/wk) than non-users (2.7 d/wk; p < 0.002). Use of SPARK was not related to teacher certification type, gender, years teaching, or school socioeconomic level. Physically active teachers were more likely to use SPARK (p < 0.03). Teachers were more likely to use SPARK if sufficient equipment was available (p < 0.03), and there was a trend for SPARK users to report more principal support for PE than non-users (p < 0.08). There was high sustainability of the SPARK program among teachers and schools of all types. Potential self-selection bias is a limitation. Ensuring adequate equipment and principal support for PE, and promoting teacher physical activity, may be ways of enhancing sustainability of health-related PE programs. Supported by International Life Sciences Institute and Childhood Obesity Prevention Initiative.