000 04473nam a22003017a 4500
999 _c112481
_d112481
003 IE-CoIT
005 20221012062651.0
008 181012s2018 ie ||||| |||| 00| 0|eng||
040 _aIE-CoIT
082 _aTHESES PRESS
100 1 _9125452
_aO'Leary, Mai
_eauthor
245 1 2 _aProject Spraoi :
_ba school based intervention to increase physical activity, improve nutrition and positively impact the health of Irish primary school children /
_cMai O'Leary.
264 1 _aCork :
_bCork Institute of Technology,
_c2018.
300 _axvii, 199, A204 pages :
_bcolor illustrations ;
_c30 cm
336 _atext
_btxt
_2rdacontent
337 _aunmediated
_bn
_2rdamedia
338 _avolume
_bnc
_2rdacarrier
490 0 _aPh.D - Sport, Leisure and Childhood Studies
502 _aThesis
_b(Ph.D) -
_cCork Institute of Technology,
_d2018.
504 _aBibliography: (pages 161-199)
520 3 _a"AIM - The overall aim of this thesis was to determine whether a school-based multi component intervention titled Project Spraoi could increase physical activity (PA), improve nutritional knowledge/attitudes and positively impact the health of Cork primary school-aged children. A secondary aim of this research was to provide an objective assessment of the health status of children and compare markers of health across gender and school socio-economic status (SES). In addition, this study investigated if any association existed between these health markers and cardiorespiratory fitness (CRF). METHODS: Three separate studies were undertaken. STUDY 1: assessed the health markers (height, body mass, waist circumference, blood pressure (BP), heart rate (HR), CRF (550-metre distance run test), accelerometry-determined PA and sedentariness of children (N=655) aged 6 and 10 years olds from 10 primary schools. STUDY 2: investigated the association between CRF and markers of health among children (N=917) from 11 primary schools. STUDY 3: assessed the 2 year impact of Project Spraoi using the RE-AIM (Reach, efficacy, adoption, implementation and maintenance) framework. Evaluation was conducted in 4 primary schools (2 intervention and 2 control). For 2 school years, intervention schools were assigned an 'Energizer' who promoted PA and healthy eating. A subsample of children from the intervention schools (n=106) and matching controls (n=125) had (i) markers of health, (ii) nutritional knowledge/attitudes and (iii) objective PA recorded as baseline and after 2 school years. Process evaluation techniques were also used to explore the impact of the intervention on teachers, parents and children. RESULTS: Study 1: found almost one in five (92%) children to be overweight/obese and less than half (42.2%) achieved the recommended 60 minutes of moderate to vigorous physical activity (MVPA) per day. Boys ran faster and spent more minutes in MVPA than girls (≤0.05) and children attending low SES schools had greater waist circumference scores and slower run times (p<0.05) compared to their mid/high SES counterpoints. Study 2: revealed a positive association between run standard deviation scores (SDS) (slower run time) and both waist-height ratio (WHtR) (P<0.0005) and school SES (p=0.008) among 6 year olds. Among 10 year olds, WHtR (p<0.0005), school SES (p<0.0005) along with MVPA (p=0.001) and resting HR (p<0.0005) were all positive predictors of run SDS. Study 3: reported that Project Spraoi reached 473 children and 43 school staff and in comparison to control was associated with smaller waist circumference SDS (p<0.0005), lower resting HR (p=0.003) and favourable nutritional attitudes among 10 year olds. Process evaluation revealed that all teachers, parents and children reported positive outcomes for PA behaviour and nutritional knowledge/attitudes. CONCLUSION: The current research confirms the need for intervention among Irish primary school-aged children. Policy efforts to improve health should target girls, increased CRF and must priorities children attending low SES schools. The positive impact of Project Spraoi on fat mass and resting HR among participants supports the need for its continued delivery". Abstract.
650 0 _938064
_aHealth promotion
_xSchool children
_zIreland
650 0 _941052
_aPhysical fitness for children
650 0 _935211
_aChildren
_xNutrition
650 0 _aNutrition
_xHealth aspects
_xChildren
_zIreland
_940500
650 0 _9123900
_aSedentary behavior in children
942 _2ddc