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Volume 33, Issue 2, Pages 106-113.e1 (August 2007)


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Characteristics of School Campuses and Physical Activity Among Youth

Angie L. Cradock, ScDaCorresponding Author Informationemail address, Steven J. Melly, MSb, Joseph G. Allen, BSb, Jeffrey S. Morris, PhDc, Steven L. Gortmaker, PhDa

Background

Previous research suggests that school characteristics may influence physical activity. However, few studies have examined associations between school building and campus characteristics and objective measures of physical activity among middle school students.

Methods

Students from ten middle schools (n=248, 42% female, mean age 13.7 years) wore TriTrac-R3D accelerometers in 1997 recording measures of minute-by-minute physical movements during the school day that were then averaged over 15-minute intervals (n=16,619) and log-transformed. School characteristics, including school campus area, play area, and building area (per student) were assessed retrospectively in 2004–2005 using land-use parcel data, site visits, ortho-photos, architectural plans, and site maps. In 2006, linear mixed models using SAS PROC MIXED were fit to examine associations between school environmental variables and physical activity, controlling for potentially confounding variables.

Results

Area per enrolled student ranged from 8.8 to 143.7 m2 for school campuses, from 12.1 to 24.7 m2 for buildings, and from 0.4 to 58.9 m2 for play areas. Play area comprised from 3% to 62% of total campus area across schools. In separate regression models, school campus area per student (β=0.2244, p<0.0001); building area per student (β=2.1302, p<0.02); and play area per student (β=0.347, p<0.0001) were each directly associated with log-TriTrac-R3D vector magnitude. Given the range of area density measures in this sample of schools, this translates into an approximate 20% to 30% increase in average vector magnitude, or walking 2 extra miles over the course of a week.

Conclusions

Larger school campuses, school buildings, and play areas (per enrolled student) are associated with higher levels of physical activity in middle school students.

a Department of Society, Human Development and Health, Harvard School of Public Health, Boston, Massachusetts

b Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts

c Department of Biostatistics and Applied Mathematics, University of Texas MD Anderson Cancer Center, Houston, Texas

Corresponding Author InformationAddress correspondence and reprint requests to: Angie L. Cradock, ScD, Department of Society, Human Development and Health, Harvard School of Public Health, Boston MA 02115.

 The full text of this article is available via AJPM Online at www.ajpm-online.net; 1 unit of Category-1 CME credit is also available, with details on the website.

PII: S0749-3797(07)00232-2

doi:10.1016/j.amepre.2007.04.009


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