地域医療と健康教育

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The Healthy Schools Healthy Families Program - Physical Activity Integration Into Elementary Schools In New York City

Elizabeth Jarpe-Ratner, Arlen Zamula, Dodi Meyer, Andres Nieto and Mary McCord

Increasing physical activity delivers proven results in combating childhood obesity. The high prevalence of childhood obesity and the lack of effective treatment mandate a prevention approach that targets all children. School based programming is an important tool to reach all children. Healthy Schools Healthy Families (HSHF) partnered with teachers, community groups and school leadership to increase physical activity during school hours, targeting all children in seven low resource inner city schools. The intervention targeted 5000 children in seven inner city schools in New York City. Results are reported from 2009-2010. A multi-faceted approach targeted in-class, recess and gym time with programming varying from school to school, tailored to specific school needs. Minutes of physical activity were tracked using a classroom-based logging system, with incentives provided to teachers, school-aides and schools documenting the most activity. HSHF schools averaged 110.8 minutes/week/class with significant variation between schools. HSHF successfully generated by, at all school levels, with 2010 data reaching the CDC recommendation for physical activity during school hours, despite severe resource limitations in program schools. HSHF offers a feasible model for increasing activity for all children in low-resource, inner city schools and for tracking results.