Abstract：
BACKGROUND: Schools can support students\' participation in physical activity by offering opportunities consistent with a Whole-of-School (WOS) approach; however, the extent to which physical activity opportunities are provided and how school-level characteristics associate with their use remains unclear. This study examined how elementary schools\' use a WOS approach to promote physical activity, as well as associations between school-level characteristics and physical activity opportunities provided.
METHODS: Survey data was collected from 162 elementary schools participating in the NFL PLAY 60 FitnessGram Project during the 2022-2023 school year. A WOS index (ranging from 0 to 12) was created from responses by school staff on questions about 6 physical activity practices (physical education, recess, before- and after-school programs, classroom-based approaches, active transport). Multivariable regression models examined associations between school characteristics and WOS index scores. Analyses were completed in Spring 2024.
RESULTS: Fully adjusted models indicated a statistically significant difference between the percentage of economically disadvantaged students served and WOS index score. Schools serving between 20% and 39% (p<0.001), 40%-59% (p<0.01), 60%-79% (p<0.01) and ≥80% (p<0.001) economically disadvantaged students scored significantly lower on the WOS index compared to schools with 0%-19% economically disadvantaged students.
CONCLUSIONS: Studies are needed to examine disparities in physical activity practices consistent with a WOS approach to understand the implications on health, academic performance, and other key outcomes. This information can inform the development of strategies to address disparities and ensure youth have equitable access to school-based physical activity opportunities.
METHODS: Survey data was collected from 162 elementary schools participating in the NFL PLAY 60 FitnessGram Project during the 2022-2023 school year. A WOS index (ranging from 0 to 12) was created from responses by school staff on questions about 6 physical activity practices (physical education, recess, before- and after-school programs, classroom-based approaches, active transport). Multivariable regression models examined associations between school characteristics and WOS index scores. Analyses were completed in Spring 2024.
RESULTS: Fully adjusted models indicated a statistically significant difference between the percentage of economically disadvantaged students served and WOS index score. Schools serving between 20% and 39% (p<0.001), 40%-59% (p<0.01), 60%-79% (p<0.01) and ≥80% (p<0.001) economically disadvantaged students scored significantly lower on the WOS index compared to schools with 0%-19% economically disadvantaged students.
CONCLUSIONS: Studies are needed to examine disparities in physical activity practices consistent with a WOS approach to understand the implications on health, academic performance, and other key outcomes. This information can inform the development of strategies to address disparities and ensure youth have equitable access to school-based physical activity opportunities.
摘要：
背景：学校可以通过提供与全校（WOS）方法一致的机会来支持学生参与体育锻炼；但是，提供体育活动机会的程度以及学校水平的特征如何与体育活动机会的使用相关联尚不清楚。这项研究调查了小学如何使用WOS方法来促进体育锻炼，以及学校层面的特点和提供的体育活动机会之间的关联。
方法：调查数据来自2022-23学年参加NFLPLAY60FitnessGram项目的162所小学。WOS指数(范围从0-12)是根据学校工作人员对六种体育活动实践(体育，凹槽,课前和课后课程，以课堂为基础的方法，主动运输)。多变量回归模型检查了学校特征与WOS指数得分之间的关联。分析于2024年春季完成。
结果：完全调整的模型表明，受服务的经济弱势学生百分比与WOS指数得分之间存在统计学上的显着差异。服务在20-39%之间的学校（p<0.001），40-59%（p<0.01），60-79％（p<0.01）和≥80％（p<0.001）的经济弱势学生在WOS指数上的得分明显低于有0-19％经济弱势学生的学校。
结论：需要进行研究，以检查与WOS方法相一致的身体活动实践中的差异，以了解对健康的影响。学业成绩,和其他关键成果。这些信息可以为制定解决差距和确保青年公平获得学校体育活动机会的战略提供信息。
方法：调查数据来自2022-23学年参加NFLPLAY60FitnessGram项目的162所小学。WOS指数(范围从0-12)是根据学校工作人员对六种体育活动实践(体育，凹槽,课前和课后课程，以课堂为基础的方法，主动运输)。多变量回归模型检查了学校特征与WOS指数得分之间的关联。分析于2024年春季完成。
结果：完全调整的模型表明，受服务的经济弱势学生百分比与WOS指数得分之间存在统计学上的显着差异。服务在20-39%之间的学校（p<0.001），40-59%（p<0.01），60-79％（p<0.01）和≥80％（p<0.001）的经济弱势学生在WOS指数上的得分明显低于有0-19％经济弱势学生的学校。
结论：需要进行研究，以检查与WOS方法相一致的身体活动实践中的差异，以了解对健康的影响。学业成绩,和其他关键成果。这些信息可以为制定解决差距和确保青年公平获得学校体育活动机会的战略提供信息。
