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School-Level Factors within Comprehensive School Health Associated with the Trajectory of Moderate-to-Vigorous Physical Activity over Time: A Longitudinal, Multilevel Analysis in a Large Sample of Grade 9 and 10 Students in Canada

Author

Listed:
  • Melissa Pirrie

    (School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

  • Valerie Carson

    (Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB T6G 2H9, Canada)

  • Joel A. Dubin

    (School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada
    Department of Statistics and Actuarial Science, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

  • Scott T. Leatherdale

    (School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada)

Abstract

(1) The majority of Canadian youth are insufficiently active, and moderate-to-vigorous physical activity (MVPA) decreases substantially during secondary school. School factors within the comprehensive school health (CSH) framework may help attenuate this decline. This study aimed to examine how youth MVPA changes over a three-year period and evaluate the school characteristics associated with preventing the decline in MVPA over time, guided by the CSH framework. (2) This study uses COMPASS survey data from 78 secondary schools in Ontario and Alberta that participated in Year 2 (2013/14), Year 3 (2014/15), and Year 4 (2015/16), and 17,661 students attending these schools. Multilevel (linear mixed effects) models were used to determine the association between school-level factors and student MVPA (weekly minutes) over time, stratified by gender. (3) Both male and female students had a significant decline in MVPA across the 3 years, with a greater decrease observed among female students. Within the CSH framework, the school’s social environment, partnerships, and policies were associated with student MVPA over time, however the specific school factors and directions of associations varied by gender. (4) School-based interventions (e.g., public health partnerships) may help avoid the decline in MVPA observed in this critical period and support student health.

Suggested Citation

  • Melissa Pirrie & Valerie Carson & Joel A. Dubin & Scott T. Leatherdale, 2021. "School-Level Factors within Comprehensive School Health Associated with the Trajectory of Moderate-to-Vigorous Physical Activity over Time: A Longitudinal, Multilevel Analysis in a Large Sample of Gra," IJERPH, MDPI, vol. 18(23), pages 1-16, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12761-:d:694369
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    References listed on IDEAS

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    1. Mikel Vaquero-Solís & Damián Iglesias Gallego & Miguel Ángel Tapia-Serrano & Juan J. Pulido & Pedro Antonio Sánchez-Miguel, 2020. "School-based Physical Activity Interventions in Children and Adolescents: A Systematic Review," IJERPH, MDPI, vol. 17(3), pages 1-31, February.
    2. Roman Pabayo & Michel Janosz & Sherri Bisset & Ichiro Kawachi, 2014. "School Social Fragmentation, Economic Deprivation and Social Cohesion and Adolescent Physical Inactivity: A Longitudinal Study," PLOS ONE, Public Library of Science, vol. 9(6), pages 1-12, June.
    3. Pate, R.R. & Ward, D.S. & Saunders, R.P. & Felton, G. & Dishman, R.K. & Dowda, M., 2005. "Promotion of physical activity among high-school girls: A randomized controlled trial," American Journal of Public Health, American Public Health Association, vol. 95(9), pages 1582-1587.
    4. Gisela Nyberg & Örjan Ekblom & Karin Kjellenberg & Rui Wang & Håkan Larsson & Britta Thedin Jakobsson & Björg Helgadóttir, 2021. "Associations between the School Environment and Physical Activity Pattern during School Time in Swedish Adolescents," IJERPH, MDPI, vol. 18(19), pages 1-14, September.
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