title: Predictors for moderate- and vigorous-intensity physical activity during an 18-month coordinated school health intervention.
abstract: OBJECTIVE
  To evaluate if the HEROES Initiative, a school-based childhood obesity prevention program based on the U. S. Centers for Disease Control and Prevention (CDC)'s coordinated school health approach was able to effectively increase physical activity among elementary and middle school students who were exposed to the program for 18 months and to determine student and school-level predictors of success.
  
  
  METHODS
  Students who participated in physiological data collection were invited to participate in a survey at baseline, 6 months, and 18 months (N=1091, 8 schools). The dropout rate at 18 months was 39.1% when graduates were counted. Data was analyzed using generalized estimating equations.
  
  
  RESULTS
  A significant increase (p=.0067) was observed in vigorous-intensity physical activity (VPA) but a non-significant increase (p=.1753) was observed in moderate-intensity physical activity (MPA). Each school's implementation fidelity score was also only associated with VPA increases. Students' screen time and vegetable/fruit intake were independently associated with both VPA and MPA increases. Body mass index of students was not predictive of VPA or MPA changes.
  
  
  CONCLUSIONS
  An 18-month school-based intervention that employs the CDC's coordinated school health approach appears to be effective in increasing physical activity among elementary and middle school children.
authors.affiliation: Ewha Womans University, Seoul, South Korea. Electronic address: dseo@ewha.ac.kr.
authors.forename: Dong-Chul
authors.initials: DC
authors.lastname: Seo
authors.forename: Mindy H
authors.initials: MH
authors.lastname: King
authors.forename: Nayoung
authors.initials: N
authors.lastname: Kim
authors.forename: Danielle
authors.initials: D
authors.lastname: Sovinski
authors.forename: Rhonda
authors.initials: R
authors.lastname: Meade
authors.forename: Alyssa M
authors.initials: AM
authors.lastname: Lederer
mesh_terms: D000367:Age Factors; D015992:Body Mass Index; D002648:Child; D003430:Cross-Sectional Studies; D015444:Exercise / Q000523:psychology; D005260:Female; D005518:Food Preferences / Q000523:psychology; D005638:Fruit; D015438:Health Behavior; D006284:Health Plan Implementation / Q000458:organization & administration; D006801:Humans; D007196:Indiana; D008297:Male; D009043:Motor Activity; D063766:Pediatric Obesity / Q000453:epidemiology / Q000517:prevention & control*; D010806:Physical Education and Training / Q000379:methods* / Q000458:organization & administration*; D015397:Program Evaluation; D012572:School Health Services / Q000458:organization & administration*; D012737:Sex Factors; D014675:Vegetables
keywords: Intervention; Obesity; Physical activity; School health