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School district wellness policy quality and weight-related outcomes among high school students in Minnesota
Weight-related outcomes were examined among high school students in Minnesota public school districts according to the quality of district wellness policies. Wellness policy strength and comprehensiveness were scored using the Wellness School Assessment Tool (WellSAT) for 325 Minnesota public school...
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Published in: | Health education research 2016-04, Vol.31 (2), p.234-246 |
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description | Weight-related outcomes were examined among high school students in Minnesota public school districts according to the quality of district wellness policies. Wellness policy strength and comprehensiveness were scored using the Wellness School Assessment Tool (WellSAT) for 325 Minnesota public school districts in 2013. The associations between WellSAT scores and district-level means of high school student responses to a statewide survey of health behaviors were examined in this ecologic study. WellSAT Total Strength and Total Comprehensiveness scores were positively associated with both student mean Body Mass Index (BMI) percentile (Strength: P = 0.018, Comprehensiveness: P = 0.031) and mean percent overweight or obese (Strength: P = 0.008, Comprehensiveness: P = 0.026), but only in districts with >50% of students eligible for Free or Reduced-Price Lunches (FRPLs), or ‘high FRPL districts’. WellSAT Physical Education and Physical Activity subscale scores were also positively associated with the mean days per week students engaged in physical activity for ≥ 60 min in high FRPL districts (Strength: P = 0.008, Comprehensiveness: P = 0.003) and in low FRPL districts ( |
doi_str_mv | 10.1093/her/cyv101 |
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Wellness policy strength and comprehensiveness were scored using the Wellness School Assessment Tool (WellSAT) for 325 Minnesota public school districts in 2013. The associations between WellSAT scores and district-level means of high school student responses to a statewide survey of health behaviors were examined in this ecologic study. WellSAT Total Strength and Total Comprehensiveness scores were positively associated with both student mean Body Mass Index (BMI) percentile (Strength: P = 0.018, Comprehensiveness: P = 0.031) and mean percent overweight or obese (Strength: P = 0.008, Comprehensiveness: P = 0.026), but only in districts with >50% of students eligible for Free or Reduced-Price Lunches (FRPLs), or ‘high FRPL districts’. WellSAT Physical Education and Physical Activity subscale scores were also positively associated with the mean days per week students engaged in physical activity for ≥ 60 min in high FRPL districts (Strength: P = 0.008, Comprehensiveness: P = 0.003) and in low FRPL districts (<35% eligible) for Strength score: (P = 0.027). In medium FRPL districts (35–50% eligible), Nutrition Education and Wellness Promotion Strength and Comprehensiveness subscale scores were positively associated with, respectively, daily servings of vegetables (P = 0.037) and fruit (P = 0.027); and WellSAT Total scores were positively associated with daily vegetable servings (Strength: P = 0.037, Comprehensiveness: P = 0.012). Administrators of economically disadvantaged school districts with a higher percentage of overweight students may be recognizing the need for stronger wellness policies and the specific importance of implementing policies pertaining to physical activity as a means to improve student health.</description><identifier>ISSN: 0268-1153</identifier><identifier>EISSN: 1465-3648</identifier><identifier>DOI: 10.1093/her/cyv101</identifier><identifier>PMID: 26850060</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adolescent ; Body Composition ; Body Mass Index ; Cross-Sectional Studies ; Diet ; Disadvantaged Schools ; Ecology ; Economically Disadvantaged ; Exercise ; Health Behavior ; Health Education - organization & administration ; Health Education - standards ; Health Policy ; Health Promotion - organization & administration ; Health Promotion - standards ; Health technology assessment ; High School Students ; Humans ; Lunch Programs ; Minnesota ; Nutrition Instruction ; Nutrition Policy ; Obesity ; Obesity - epidemiology ; Original ; ORIGINAL ARTICLES ; Overweight - epidemiology ; Physical Activities ; Physical Activity Level ; Physical Education ; Physical Education and Training - organization & administration ; Public Schools ; Rating Scales ; School Districts ; School Health Services - organization & administration ; School Health Services - standards ; School Policy ; Scores ; State Surveys ; Wellness</subject><ispartof>Health education research, 2016-04, Vol.31 (2), p.234-246</ispartof><rights>The Author 2016</rights><rights>The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.</rights><rights>The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-2e2bcc3c30c7fc0c7493214968626b6f908b9f596074da6815c114e6b0d4b1833</citedby><cites>FETCH-LOGICAL-c455t-2e2bcc3c30c7fc0c7493214968626b6f908b9f596074da6815c114e6b0d4b1833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/48509672$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/48509672$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,58238,58471</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1096419$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26850060$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hoffman, Pamela K.</creatorcontrib><creatorcontrib>Davey, Cynthia S.</creatorcontrib><creatorcontrib>Larson, Nicole</creatorcontrib><creatorcontrib>Grannon, Katherine Y.</creatorcontrib><creatorcontrib>Hanson, Carlie</creatorcontrib><creatorcontrib>Nanney, Marilyn S.</creatorcontrib><title>School district wellness policy quality and weight-related outcomes among high school students in Minnesota</title><title>Health education research</title><addtitle>Health Educ Res</addtitle><description>Weight-related outcomes were examined among high school students in Minnesota public school districts according to the quality of district wellness policies. Wellness policy strength and comprehensiveness were scored using the Wellness School Assessment Tool (WellSAT) for 325 Minnesota public school districts in 2013. The associations between WellSAT scores and district-level means of high school student responses to a statewide survey of health behaviors were examined in this ecologic study. WellSAT Total Strength and Total Comprehensiveness scores were positively associated with both student mean Body Mass Index (BMI) percentile (Strength: P = 0.018, Comprehensiveness: P = 0.031) and mean percent overweight or obese (Strength: P = 0.008, Comprehensiveness: P = 0.026), but only in districts with >50% of students eligible for Free or Reduced-Price Lunches (FRPLs), or ‘high FRPL districts’. WellSAT Physical Education and Physical Activity subscale scores were also positively associated with the mean days per week students engaged in physical activity for ≥ 60 min in high FRPL districts (Strength: P = 0.008, Comprehensiveness: P = 0.003) and in low FRPL districts (<35% eligible) for Strength score: (P = 0.027). In medium FRPL districts (35–50% eligible), Nutrition Education and Wellness Promotion Strength and Comprehensiveness subscale scores were positively associated with, respectively, daily servings of vegetables (P = 0.037) and fruit (P = 0.027); and WellSAT Total scores were positively associated with daily vegetable servings (Strength: P = 0.037, Comprehensiveness: P = 0.012). Administrators of economically disadvantaged school districts with a higher percentage of overweight students may be recognizing the need for stronger wellness policies and the specific importance of implementing policies pertaining to physical activity as a means to improve student health.</description><subject>Adolescent</subject><subject>Body Composition</subject><subject>Body Mass Index</subject><subject>Cross-Sectional Studies</subject><subject>Diet</subject><subject>Disadvantaged Schools</subject><subject>Ecology</subject><subject>Economically Disadvantaged</subject><subject>Exercise</subject><subject>Health Behavior</subject><subject>Health Education - organization & administration</subject><subject>Health Education - standards</subject><subject>Health Policy</subject><subject>Health Promotion - organization & administration</subject><subject>Health Promotion - standards</subject><subject>Health technology assessment</subject><subject>High School Students</subject><subject>Humans</subject><subject>Lunch Programs</subject><subject>Minnesota</subject><subject>Nutrition Instruction</subject><subject>Nutrition Policy</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Original</subject><subject>ORIGINAL ARTICLES</subject><subject>Overweight - epidemiology</subject><subject>Physical Activities</subject><subject>Physical Activity Level</subject><subject>Physical Education</subject><subject>Physical Education and Training - organization & administration</subject><subject>Public Schools</subject><subject>Rating Scales</subject><subject>School Districts</subject><subject>School Health Services - organization & administration</subject><subject>School Health Services - standards</subject><subject>School Policy</subject><subject>Scores</subject><subject>State Surveys</subject><subject>Wellness</subject><issn>0268-1153</issn><issn>1465-3648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>7SW</sourceid><recordid>eNqFkU1vFSEUhomxsdfqxr2GpTGZljN8DGxMmqZ-pcaFuiYMw9yhzgy3wNTcfy916tWu3EDC-_DkwIvQCyCnQBQ9G1w8s_tbIPAIbYAJXlHB5GO0IbWQFQCnx-hpSteEgFDQPEHH5ZwTIsgG_fhqhxBG3PmUo7cZ_3TjOLuU8C6M3u7xzWJGn_fYzF3J_HbIVXSjya7DYck2TC5hM4V5i4cS4rTqUl46N-eE_Yw_-7kIQzbP0FFvxuSe3-8n6Pu7y28XH6qrL-8_XpxfVZZxnqva1a211FJim96WhSlaA1NCilq0oldEtqrnSpCGdUZI4BaAOdGSjrUgKT1Bb1fvbmkn19kySDSj3kU_mbjXwXj9MJn9oLfhVjMliWxIEby-F8Rws7iU9eSTLR9jZheWpEECSMW5YP9Hm4YLCvDb-mZFbQwpRdcfJgKi74rUpUi9FlngV_--4YD-aa4AL1fAldoO8eWnIhIM1N_8OuUQDwAr15VoavoLFr6vdw</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Hoffman, Pamela K.</creator><creator>Davey, Cynthia S.</creator><creator>Larson, Nicole</creator><creator>Grannon, Katherine Y.</creator><creator>Hanson, Carlie</creator><creator>Nanney, Marilyn S.</creator><general>Oxford University Press</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TS</scope><scope>5PM</scope></search><sort><creationdate>20160401</creationdate><title>School district wellness policy quality and weight-related outcomes among high school students in Minnesota</title><author>Hoffman, Pamela K. ; Davey, Cynthia S. ; Larson, Nicole ; Grannon, Katherine Y. ; Hanson, Carlie ; Nanney, Marilyn S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-2e2bcc3c30c7fc0c7493214968626b6f908b9f596074da6815c114e6b0d4b1833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Body Composition</topic><topic>Body Mass Index</topic><topic>Cross-Sectional Studies</topic><topic>Diet</topic><topic>Disadvantaged Schools</topic><topic>Ecology</topic><topic>Economically Disadvantaged</topic><topic>Exercise</topic><topic>Health Behavior</topic><topic>Health Education - organization & administration</topic><topic>Health Education - standards</topic><topic>Health Policy</topic><topic>Health Promotion - organization & administration</topic><topic>Health Promotion - standards</topic><topic>Health technology assessment</topic><topic>High School Students</topic><topic>Humans</topic><topic>Lunch Programs</topic><topic>Minnesota</topic><topic>Nutrition Instruction</topic><topic>Nutrition Policy</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Original</topic><topic>ORIGINAL ARTICLES</topic><topic>Overweight - epidemiology</topic><topic>Physical Activities</topic><topic>Physical Activity Level</topic><topic>Physical Education</topic><topic>Physical Education and Training - organization & administration</topic><topic>Public Schools</topic><topic>Rating Scales</topic><topic>School Districts</topic><topic>School Health Services - organization & administration</topic><topic>School Health Services - standards</topic><topic>School Policy</topic><topic>Scores</topic><topic>State Surveys</topic><topic>Wellness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hoffman, Pamela K.</creatorcontrib><creatorcontrib>Davey, Cynthia S.</creatorcontrib><creatorcontrib>Larson, Nicole</creatorcontrib><creatorcontrib>Grannon, Katherine Y.</creatorcontrib><creatorcontrib>Hanson, Carlie</creatorcontrib><creatorcontrib>Nanney, Marilyn S.</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Health education research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hoffman, Pamela K.</au><au>Davey, Cynthia S.</au><au>Larson, Nicole</au><au>Grannon, Katherine Y.</au><au>Hanson, Carlie</au><au>Nanney, Marilyn S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1096419</ericid><atitle>School district wellness policy quality and weight-related outcomes among high school students in Minnesota</atitle><jtitle>Health education research</jtitle><addtitle>Health Educ Res</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>31</volume><issue>2</issue><spage>234</spage><epage>246</epage><pages>234-246</pages><issn>0268-1153</issn><eissn>1465-3648</eissn><abstract>Weight-related outcomes were examined among high school students in Minnesota public school districts according to the quality of district wellness policies. Wellness policy strength and comprehensiveness were scored using the Wellness School Assessment Tool (WellSAT) for 325 Minnesota public school districts in 2013. The associations between WellSAT scores and district-level means of high school student responses to a statewide survey of health behaviors were examined in this ecologic study. WellSAT Total Strength and Total Comprehensiveness scores were positively associated with both student mean Body Mass Index (BMI) percentile (Strength: P = 0.018, Comprehensiveness: P = 0.031) and mean percent overweight or obese (Strength: P = 0.008, Comprehensiveness: P = 0.026), but only in districts with >50% of students eligible for Free or Reduced-Price Lunches (FRPLs), or ‘high FRPL districts’. WellSAT Physical Education and Physical Activity subscale scores were also positively associated with the mean days per week students engaged in physical activity for ≥ 60 min in high FRPL districts (Strength: P = 0.008, Comprehensiveness: P = 0.003) and in low FRPL districts (<35% eligible) for Strength score: (P = 0.027). In medium FRPL districts (35–50% eligible), Nutrition Education and Wellness Promotion Strength and Comprehensiveness subscale scores were positively associated with, respectively, daily servings of vegetables (P = 0.037) and fruit (P = 0.027); and WellSAT Total scores were positively associated with daily vegetable servings (Strength: P = 0.037, Comprehensiveness: P = 0.012). Administrators of economically disadvantaged school districts with a higher percentage of overweight students may be recognizing the need for stronger wellness policies and the specific importance of implementing policies pertaining to physical activity as a means to improve student health.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>26850060</pmid><doi>10.1093/her/cyv101</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Body Composition Body Mass Index Cross-Sectional Studies Diet Disadvantaged Schools Ecology Economically Disadvantaged Exercise Health Behavior Health Education - organization & administration Health Education - standards Health Policy Health Promotion - organization & administration Health Promotion - standards Health technology assessment High School Students Humans Lunch Programs Minnesota Nutrition Instruction Nutrition Policy Obesity Obesity - epidemiology Original ORIGINAL ARTICLES Overweight - epidemiology Physical Activities Physical Activity Level Physical Education Physical Education and Training - organization & administration Public Schools Rating Scales School Districts School Health Services - organization & administration School Health Services - standards School Policy Scores State Surveys Wellness |
title | School district wellness policy quality and weight-related outcomes among high school students in Minnesota |
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