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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
Main Authors: Hoffman, Pamela K., Davey, Cynthia S., Larson, Nicole, Grannon, Katherine Y., Hanson, Carlie, Nanney, Marilyn S.
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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 (
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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 &gt;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 (&lt;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 &amp; administration ; Health Education - standards ; Health Policy ; Health Promotion - organization &amp; 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 &amp; administration ; Public Schools ; Rating Scales ; School Districts ; School Health Services - organization &amp; 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. 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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 (&lt;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). 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source Oxford Journals Online; ERIC; JSTOR Archival Journals
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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