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      The Role of School Environment in Physical Activity among Brazilian Adolescents

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          Abstract

          Objective

          To analyze the association of physical activity facilities and extracurricular sports activities in schools with physical activity among adolescents.

          Methodology/Principal Findings

          We used data collected for the National Survey of School Health in 2012. The national representative sample comprised 109,104 Brazilian students from 2,842 schools. We calculated the prevalence of participation in physical education classes, leisure-time physical activity, and total physical activity level. We also evaluated the following physical activity facilities: sports courts, running/athletics tracks, schoolyard with teacher-directed physical activities, swimming pools, locker rooms; and the offer of extracurricular sports activities. Schools with at least one physical activity facility had increased odds of participation in physical education (OR 1.59; 95% CI 1.20 to 2.10). However, in order to increase leisure-time physical activity (OR1.14; 95% CI 1.03 to 1.26) and total physical activity level (OR 1.15; 95% CI 1.06 to 1.24) at least four and two facilities, respectively, were necessary. Extracurricular sports activities in schools were positively associated with leisure-time physical activity and physical activity level. The number of sports courts and swimming pool in a school were associated with participation in physical education classes. Availability of sports courts, running/athletics tracks, and swimming pool in schools were associated with leisure-time physical activity. Total physical activity was associated with schools with sports courts, schoolyard with teacher-directed physical activities, and swimming pool.

          Conclusions

          School-level characteristics have important potential to increase the possibility of engagement in physical activity in and out of school, and therefore have a fundamental role in promoting these practices.

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          Most cited references19

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          Methodology of the Youth Risk Behavior Surveillance System--2013.

          Priority health-risk behaviors (i.e., interrelated and preventable behaviors that contribute to the leading causes of morbidity and mortality among youths and adults) often are established during childhood and adolescence and extend into adulthood. The Youth Risk Behavior Surveillance System (YRBSS), established in 1991, monitors six categories of priority health-risk behaviors among youths and young adults: 1) behaviors that contribute to unintentional injuries and violence; 2) sexual behaviors that contribute to human immunodeficiency virus (HIV) infection, other sexually transmitted diseases, and unintended pregnancy; 3) tobacco use; 4) alcohol and other drug use; 5) unhealthy dietary behaviors; and 6) physical inactivity. In addition, YRBSS monitors the prevalence of obesity and asthma among this population. YRBSS data are obtained from multiple sources including a national school-based survey conducted by CDC as well as schoolbased state, territorial, tribal, and large urban school district surveys conducted by education and health agencies. These surveys have been conducted biennially since 1991 and include representative samples of students in grades 9-12. In 2004, a description of the YRBSS methodology was published (CDC. Methodology of the Youth Risk Behavior Surveillance System. MMWR 2004;53 [No RR-12]). Since 2004, improvements have been made to YRBSS, including increases in coverage and expanded technical assistance.This report describes these changes and updates earlier descriptions of the system, including questionnaire content; operational procedures; sampling, weighting, and response rates; data-collection protocols; data-processing procedures; reports and publications; and data quality. This report also includes results of methods studies that systematically examined how different survey procedures affect prevalence estimates. YRBSS continues to evolve to meet the needs of CDC and other data users through the ongoing revision of the questionnaire, the addition of new populations, and the development of innovative methods for data collection.
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            The association of school environments with youth physical activity.

            This study assessed the association of school environmental characteristics with student physical activity on campus. Physical activity areas (n = 137) at 24 public middle schools were assessed for area type, size, and improvements (e.g., basketball courts). Student physical activity and the presence of equipment and supervision were directly observed before school, after lunch, and after school. Environmental characteristics explained 42% of the variance in the proportion of girls who were physically active and 59% of the variance for boys. School environments with high levels of supervision and improvements stimulated girls and boys to be more physically active.
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              Prevalence of insufficient physical activity and associated factors in Brazilian adolescents.

              We aimed to describe levels of physical activity (PA) in adolescents living in southern Brazil and to explore associations between PA levels and demographic, socioeconomic, health-related, and parental variables. A further aim was to test the validity and reliability of the questionnaire used. We conducted a population-based, cross-sectional study including 857 adolescents selected randomly. Insufficient PA was defined as <300 min/wk of MVPA. PA data collected by questionnaire were compared with pedometer counts and with a longer version of the questionnaire in a subsample of 92 adolescents. Reliability of the questionnaire was good, and its validity in comparison with a longer questionnaire was also satisfactory. In comparison with pedometer data, the questionnaire presented moderate agreement. The prevalence of insufficient PA in the whole sample was 69.8% (95% CI = 66.7-72.9). Boys were more active than girls. The prevalence of insufficient PA increased with age in girls but not in boys. Among boys, those from low socioeconomic levels were more likely to be sedentary. Among girls, paternal PA was directly associated with adolescent activity levels. Urgent strategies aimed at increasing levels of activity of adolescents are necessary in Brazil given the high prevalence of insufficient PA detected in this study. The variables associated with insufficient PA varied between boys and girls.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                22 June 2015
                2015
                : 10
                : 6
                : e0131342
                Affiliations
                [1 ]Faculdade de Medicina da Universidade de São Paulo, Departamento de Medicina Preventiva, São Paulo, Brasil
                [2 ]Universidade Federal de Uberlândia, Faculdade de Medicina, Minas Gerais, Brazil
                [3 ]Universidade Federal de Santa Catarina, Centro de Desportos, Santa Catarina, Brazil
                [4 ]Universidade Federal de Minas Gerais, Departamento de Nutrição, Minas Gerais, Brazil
                [5 ]Faculdade de Saúde Pública da Universidade de São Paulo, Departamento de Saúde Materno-Infantil, São Paulo, Brazil
                Leibniz Institute for Prevention Research and Epidemiology (BIPS), GERMANY
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Conceived and designed the experiments: LFMR CMA KSS MFTP OCL RBL. Analyzed the data: LFMR CMA. Wrote the paper: LFMR CMA KSS MFTP OCL IFJ RMC RBL JEN.

                Article
                PONE-D-15-05499
                10.1371/journal.pone.0131342
                4476687
                26098906
                4eb180fe-0c6a-4ddc-96e5-52516f5569a3
                Copyright @ 2015

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

                History
                : 20 February 2015
                : 1 June 2015
                Page count
                Figures: 0, Tables: 5, Pages: 14
                Funding
                This study was funded by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq - process number 444794/2014-0). CMA received a doctoral scholarship from Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq).
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                All relevant data are within the paper.

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