Are We There Yet? Compliance with Physical Activity Standards in YMCA Afterschool Programs.

Authors:
Michael W Beets
Michael W Beets
University of South Carolina
United States
Robert Glenn Weaver
Robert Glenn Weaver
University of South Carolina
United States
Gabrielle Turner-McGrievy
Gabrielle Turner-McGrievy
University of South Carolina
United States
Dr. Justin B Moore, PhD, MS
Dr. Justin B Moore, PhD, MS
Wake Forest School of Medicine
Associate Professor
Implementation Science, Epidemiology
Winston-Salem, NC | United States
Collin Webster
Collin Webster
University of South Carolina
United States
Keith Brazendale, Ph.D., M.Sc.
Keith Brazendale, Ph.D., M.Sc.
University of South Carolina
Research Assistant Professor
Obesogenic behaviors
Columbia, SC | United States
Jessica Chandler
Jessica Chandler
University of South Carolina
Clemson | United States
Mahmud Khan
Mahmud Khan
Institute of Medical Biology
Cheras | Malaysia

Child Obes 2016 08 20;12(4):237-46. Epub 2016 Apr 20.

3 Department of Kinesiology and Health Promotion, University of Kentucky , Lexington, KY.

Background: In 2011, the YMCA of the United States adopted physical activity standards for all their afterschool programs (ASPs), which call for children to accumulate 30 minutes of moderate-to-vigorous physical activity (MVPA) while attending YMCA ASPs. The extent to which youth attending YMCA ASPs achieve this standard is unknown.

Methods: Using a cluster-stratified design, 20 ASPs were sampled from all YMCA-operated ASPs across South Carolina (N = 102). ASPs were visited on four unannounced, nonconsecutive weekdays. Accelerometer-derived minutes spent in MVPA were dichotomized to ≥30 min/d of MVPA and <30 min/d of MVPA. Program characteristics were measured through document review and direct observation and compared to MVPA levels using random-effects quantile regression.

Results: Boys (n = 607) and girls (n = 475) accumulated a median of 25.3 and 17.1 min/d of MVPA, respectively, which translated into 33% (range 6.2%-67.3%) and 17% (0%-42.6%) achieving the 30 min/d of MVPA standard, respectively. Increase in time scheduled for activity (10.7-11.7 min/d of MVPA), limited sedentary choices during activity time (6.9-8.9 min/d of MVPA), and staff activity-promotion training (4.8-7.9 min/d of MVPA) were associated with higher accumulated minutes of MVPA for boys and girls. Program revenue, percent activity structure that was for free play, and indoor/outdoor space were inconsistently related to meeting the MVPA standard.

Conclusions: Modifiable programmatic structures were associated with higher amounts of MVPA. These findings suggest that simple programmatic changes could help ASPs to achieve the MVPA standard, regardless of infrastructure or finances.

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Source
http://dx.doi.org/10.1089/chi.2015.0223DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4964753PMC

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August 2016
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