Scholars@Duke
Emily Meredith D'Agostino

Emily Meredith D'Agostino

Associate Professor in Orthopaedic Surgery
Orthopaedic Surgery, Occupational Therapy
emily.m.dagostino@duke.edu
311 Trent Dr., 2nd FL, Occupational Therapy Doctorate Division, Durham, NC 27710

Selected Publications

Predictors of Population Mental Health in Montana: An Occupational Justice Perspective.

Journal Article OTJR (Thorofare N J) · October 2024 Population-level analyses can demonstrate occupational injustices and their impact on population health. The objective of this article is to examine whether population-level occupational factors are related to the mental health of Montanans. We used linear ... Full text Link to item Cite

Neighborhood Public Transportation Access and Adolescent Body Mass Index: Results from the FLASHE Study.

Journal Article Child Obes · July 2024 Background: Prior investigators have examined the relationship between neighborhood public transportation access and physical activity among adolescents, but research is lacking on the association with obesity in this age group. This study examines the ass ... Full text Link to item Cite

Associations Between Neighborhood Opportunity and Indicators of Physical Fitness for New York City Public School Youth.

Journal Article Child Obes · July 2024 Background: Fewer than 1/4th of US children and adolescents meet physical activity (PA) guidelines, leading to health disparities that track into adulthood. Neighborhood opportunity may serve as a critical modifiable factor to improve fitness attainment an ... Full text Link to item Cite

Mitigation measures against Coronavirus Disease 2019 (COVID-19) in overnight faith-based camps: summer 2021.

Journal Article Public Health · July 2024 OBJECTIVE: In this study, we describe community-based nonpharmaceutical interventions (NPIs) incorporated into COVID-19 mitigation protocols, and SARS-CoV-2 incidence at five faith-based summer camps in the US. STUDY DESIGN: Retrospective cohort study. MET ... Full text Link to item Cite

Increasing disparities in obesity and severe obesity prevalence among public elementary and middle school students in New York City, school years 2011-12 through 2019-20.

Journal Article PLoS One · 2024 Recent national trends in the United States indicate a significant increase in childhood obesity, a major public health concern with documented physical and mental comorbidities and sociodemographic disparities. We aimed to estimate the prevalence of obesi ... Full text Link to item Cite

The longitudinal association between neighbourhood quality and cardiovascular risk factors among youth receiving obesity treatment.

Journal Article Pediatr Obes · December 2023 BACKGROUND: Neighbourhood factors are associated with cardiovascular health in adults, but these relationships are under-explored in youth. OBJECTIVES: To characterize the associations between neighbourhood factors and child and adolescent health among you ... Full text Link to item Cite

The longitudinal association between asthma severity and physical fitness by neighborhood factors among New York City public school youth.

Journal Article Ann Epidemiol · December 2023 PURPOSE: This paper aims to examine the association between asthma severity and one-year lagged fitness in New York City Public school youth by neighborhood opportunity. METHODS: Using the Child Opportunity Index 2.0 and individual-level repeated measures ... Full text Link to item Cite

You & Me: Test and Treat study protocol for promoting COVID-19 test and treatment access to underserved populations.

Journal Article BMC Public Health · October 28, 2023 BACKGROUND: Infections and deaths from the COVID-19 pandemic have disproportionately affected underserved populations. A community-engaged approach that supports decision making around safe COVID-19 practices is needed to promote equitable access to testin ... Full text Link to item Cite

Examining COVID-19 testing and vaccination behaviors by heritage and linguistic preferences among Hispanic, Latino, or Spanish RADx-UP participants.

Journal Article Prev Med Rep · October 2023 The Hispanic, Latino, or Spanish (hereafter, "Hispanic") populations in the U.S. bear a disproportionate burden of COVID-19-related outcomes, including disease incidence and mortality. Developing culturally appropriate national public health services for H ... Full text Link to item Cite

School-level self-reported versus objective measurements of body mass index in public high school students.

Journal Article Prev Med · September 2023 Population-level surveillance of student weight status (particularly monitoring students with a body mass index (BMI) ≥95th percentile) remains of public health interest. However, there is mounting concern about objectively measuring student BMI in schools ... Full text Link to item Cite

Longitudinal Associations Between Neighborhood Child Opportunity and Physical Fitness for New York City Public School Youth.

Journal Article Am J Epidemiol · August 4, 2023 Neighborhood environments can support fitness-promoting behavior, yet little is known about their influence on youth physical fitness outcomes over time. We examined longitudinal associations between neighborhood opportunity and youth physical fitness amon ... Full text Link to item Cite

In-Person Instruction and Educational Outcomes of K-8 Students During the COVID-19 Pandemic.

Journal Article Pediatrics · July 1, 2023 OBJECTIVES: Quantify the relationship between district policy permitting in-person instruction and educational outcomes during the 2020 to 2021 academic year for kindergarten through eighth grade students. METHODS: An ecological, repeated cross-sectional a ... Full text Link to item Cite

A Multi-Study Synthesis of Facilitators and Barriers to SARS-CoV-2 Testing Enrollment in School Settings.

Journal Article Pediatrics · July 1, 2023 OBJECTIVES: Understanding the motivators and barriers to testing enrollment from different stakeholder perspectives is essential to increasing participation in school-based testing programs, particularly among underserved populations. This multistudy analy ... Full text Link to item Cite

Common Data Element Collection in Underserved School Communities: Challenges and Recommendations.

Journal Article Pediatrics · July 1, 2023 OBJECTIVES: To provide recommendations for future common data element (CDE) development and collection that increases community partnership, harmonizes data interpretation, and continues to reduce barriers of mistrust between researchers and underserved co ... Full text Link to item Cite

Reflections From School Communities in Underserved Populations on Childhood COVID-19 Vaccination.

Journal Article Pediatrics · July 1, 2023 OBJECTIVES: Outbreaks in vaccine-preventable diseases among children have increased, primarily among under- or unvaccinated subgroups. The influence and interaction of a child's school community on parental health care decisions, such as vaccination, has n ... Full text Link to item Cite

If You Build It, They Will Come: Physical Educators’ Perceptions Regarding How to Design an Optimal Online Physical Education Resource

Journal Article The Physical Educator · May 20, 2023 In the age of COVID-19, online physical education (OLPE) has emerged as a major part of the day-to-day professional practice of P–12 physical education teachers and physical education teacher education (PETE) faculty. Yet little is known about what ... Full text Cite

The longitudinal association between asthma severity and physical fitness among new York City public school youth.

Journal Article Prev Med · May 2023 Severe persistent childhood asthma is associated with low physical activity and may be associated with poor physical fitness. Research on the asthma severity-fitness association longitudinally and across sociodemographic subgroups is needed to inform fitne ... Full text Link to item Cite

Longitudinal Association between Weight Status, Aerobic Capacity, Muscular Strength, and Endurance among New York City Youth, 2010-2017.

Journal Article Child Obes · April 2023 Background: Child weight status is inversely associated with fitness, but less is known about this relationship across fitness domains. This study examined the longitudinal association between weight status and fitness domains in a large, diverse sample of ... Full text Link to item Cite

NYC FITNESSGRAM: Population-Level Physical Fitness Surveillance for New York City Youth.

Journal Article Am J Epidemiol · February 24, 2023 NYC FITNESSGRAM, monitored by the New York City (NYC) Department of Education and the NYC Department of Health and Mental Hygiene, functions as the NYC Department of Education's citywide youth fitness surveillance program. Here we present the methods, char ... Full text Link to item Cite

Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial.

Journal Article Implement Sci · February 24, 2023 BACKGROUND: Safe and effective treatment exists for childhood obesity, but treatment recommendations have largely not been translated into practice, particularly among racial and ethnic minorities and low-wealth populations. A key gap is meeting the recomm ... Full text Open Access Link to item Cite

Severe obesity and fitness in New York City public school youth, 2010-2018.

Journal Article BMC Public Health · February 16, 2023 BACKGROUND: Obesity is associated with poorer youth fitness. However, little research has examined the magnitude of this relationship in youth with severe obesity. Therefore, we sought to determine the relationship between increasing weight status and fitn ... Full text Link to item Cite

Feasibility of a Park-Based Active Transportation Intervention to Promote Youth Physical Activity and Access to Parks and Recreation

Journal Article Journal of Park and Recreation Administration · January 1, 2023 This study conducted a needs assessment and feasibility testing of Going Places, a novel park-based active transportation intervention that aims to improve physical activity and access to parks and recreation. Participants (n=19) were recruited from park s ... Full text Cite

Flipping the Script: An Initial Exploration of Flipped Learning as an Enhanced Alternative to Traditional Physical Education Lessons.

Journal Article Int J Environ Res Public Health · November 17, 2022 BACKGROUND: Physical activity (PA) is related to a variety of positive outcomes for youth and physical education (PE) represents a primary school-based environment where students can engage in moderate-to-vigorous physical activity (MVPA). Limitations exis ... Full text Link to item Cite

Increasing access and uptake of SARS-CoV-2 at-home tests using a community-engaged approach.

Journal Article Prev Med Rep · October 2022 Inequalities around COVID-19 testing and vaccination persist in the U.S. health system. We investigated whether a community-engaged approach could be used to distribute free, at-home, rapid SARS-CoV-2 tests to underserved populations. Between November 18-D ... Full text Open Access Link to item Cite

Standardizing, harmonizing, and protecting data collection to broaden the impact of COVID-19 research: the rapid acceleration of diagnostics-underserved populations (RADx-UP) initiative.

Journal Article J Am Med Inform Assoc · August 16, 2022 OBJECTIVE: The Rapid Acceleration of Diagnostics-Underserved Populations (RADx-UP) program is a consortium of community-engaged research projects with the goal of increasing access to Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) tests in un ... Full text Link to item Cite

Latino Children's Obesity Risk Varies by Place of Birth: Findings from New York City Public School Youth, 2006-2017.

Journal Article Child Obes · July 2022 Introduction: Research showing that place of birth (POB) predicts excess weight gain and obesity risk among Latino adults has not prompted similar research in Latino children, although childhood is a critical period for preventing obesity. Objective: To id ... Full text Link to item Cite

Association between parenthood and cardiovascular disease risk: Analysis from NHANES 2011-2016.

Journal Article Prev Med Rep · June 2022 The objective of this study was to examine the association between parenthood and cardiovascular disease (CVD) risk factors among a nationally representative sample of United States adults. A cross sectional analysis was conducted with adults aged 20-59 ye ... Full text Link to item Cite

Context, importance, and process for creating a body mass index surveillance system to monitor childhood obesity within the New York City public school setting

Journal Article Preventive Medicine Reports · April 1, 2022 The Office of School Health, a joint program of the Departments of Health and Education, administers New York City's (NYC) body mass index (BMI) surveillance system to monitor childhood obesity. We describe the context, importance, and process for creating ... Full text Cite

Abstract EP17: Associations Between Neighborhood Child Opportunity And Cardiovascular Fitness For New York City Public School Youth

Conference Circulation · March 2022 Introduction: Fewer than 1/4th of US youth meet physical activity guidelines, leading to physical fitness-related cardiovascular disease disparities tracking into adulthood. Neighborhood opportunity m ... Full text Cite

School-Academic Partnerships in Support of Safe Return to Schools During the COVID-19 Pandemic.

Journal Article Pediatrics · February 1, 2022 Safely returning underserved youth to school during the coronavirus disease 2019 (COVID-19) pandemic through diagnostic testing and health education is imperative to mitigate the ongoing negative impact of COVID-19 and reduce health inequalities in underse ... Full text Link to item Cite

Mobilizing Established School Partnerships to Reach Underserved Children During a Global Pandemic.

Journal Article Pediatrics · February 1, 2022 The coronavirus disease 2019 pandemic has led to drastic public health measures, including school closures to slow the spread of severe acute respiratory syndrome coronavirus 2 infection. Reopening educational settings by using diagnostic testing approache ... Full text Link to item Cite

The Association Between Neighborhood Public Transportation Usage and Youth Physical Activity.

Journal Article Am J Prev Med · November 2021 INTRODUCTION: Routine adolescent physical activity is a well-established predictor of positive health across the lifespan, although wide disparities in youth physical activity engagement persist across sex and race/ethnicity. Transportation barriers may be ... Full text Link to item Cite

Promoting healthy trajectories for urban middle school youth through county-funded, parks-based after-school programming.

Journal Article J Community Psychol · September 2021 Ongoing pressure for public schools to prioritize academics has increased attention on after-school settings as a critical space for social-emotional learning (SEL). After-school programs are uniquely positioned to build protective and promotive factors th ... Full text Link to item Cite

Virtual Physical Education During COVID-19: Exploring Future Directions for Equitable Online Learning Tools

Journal Article Frontiers in Sports and Active Living · August 26, 2021 Introduction: School closures prompted by the COVID-19 pandemic reduced opportunities for US youth to be physically active and disproportionately impacted health disparities in this population. Physical education provides the largest intervention to suppor ... Full text Cite

Predictors and Patterns of Physical Activity From Transportation Among United States Youth, 2007-2016.

Journal Article J Adolesc Health · August 2021 PURPOSE: Physical activity is strongly associated with health benefits in youth, although wide disparities in physical activity persist across sex, race/ethnicity, and income. Active transportation is an important source of youth physical activity. We aime ... Full text Link to item Cite

Longitudinal Effects of Transportation Vulnerability on the Association Between Racial/Ethnic Segregation and Youth Cardiovascular Health.

Journal Article J Racial Ethn Health Disparities · June 2021 BACKGROUND: Transportation vulnerability (defined as lack of personal/public transportation access) is particularly prevalent in areas with high racial/ethnic segregation where communities typically lack proximity to quality education, jobs, healthy food, ... Full text Link to item Cite

The Feasibility of Collecting Longitudinal Cardiovascular and Fitness Outcomes From a Neighborhood Park-Based Fitness Program in Ethnically Diverse Older Adults: A Proof-of-Concept Study.

Journal Article J Aging Phys Act · June 1, 2021 This proof-of-concept study examined feasibility of assessing longitudinal changes in body mass index, strength, mobility, and cardiovascular health outcomes in older, racial/ethnic minority adults participating in a park-based physical activity program. S ... Full text Link to item Cite

The association between neighborhood quality, youth physical fitness, and modifiable cardiovascular disease risk factors.

Journal Article Ann Epidemiol · May 2021 PURPOSE: Striking disparities persist in cardiovascular disease risk factors among minority youth. We examined the association between multiple indicators of neighborhood quality and minority youth fitness. METHODS: The primary exposure was the Child Oppor ... Full text Link to item Cite

Symptomatic SARS-CoV-2 Transmission in Youth and Staff Attending Day Camps.

Journal Article Pediatrics · April 2021 BACKGROUND AND OBJECTIVES: As schools reopen nationwide, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in youth settings remains a concern. Here, we describe transmission of SARS-CoV-2 among >6800 youth and staff at YMCA of the Tri ... Full text Link to item Cite

Objective Measurement of Physical Activity Attributed to a Park-Based Afterschool Program.

Journal Article J Phys Act Health · March 1, 2021 BACKGROUND: Only 24% of US youth meet physical activity recommendations set by the Centers for Disease Control and Prevention. Research demonstrates that community-based programs provide underresourced minority youth with opportunities for routine physical ... Full text Link to item Cite

Invited Commentary: Epidemiologic Methods as Applied to Epidemiology Education-Goals and Expectations to Advance and Diversify the Field.

Journal Article Am J Epidemiol · February 1, 2021 In their accompanying article, Brown and Cox (Am J Epidemiol. 2021;190(2):305-312) offer strategies for improving introductory epidemiology instruction in large undergraduate classes using a team-based instructional approach. Effective epidemiology instruc ... Full text Link to item Cite

Physical education in the COVID era: Considerations for online program delivery using the comprehensive school physical activity program framework

Journal Article Journal of Teaching in Physical Education · January 1, 2021 In the wake of COVID-19, online physical education (OLPE) has become essential to the sustainability of school physical education programs. The purpose of this article is to consider factors that may be influential in efforts to deliver OLPE to students. T ... Full text Cite

The association between student body mass index and tests of flexibility assessed by the FITNESSGRAM®: New York City public school students, 2017-18.

Journal Article PLoS One · 2021 FITNESSGRAM® is the most widely used criterion-referenced tool to assess/report on student health-related fitness across the US. Potential weight-related biases with the two most common tests of musculoskeletal fitness-the trunk extension and Back-Saver Si ... Full text Link to item Cite

Teens learning epidemiology? A cohort study on epidemiology instruction for high school youth.

Journal Article Ann Epidemiol · July 2020 PURPOSE: The aim of the study was to determine if epidemiology instruction for high school students can improve science literacy skills compared with other science, technology, engineering, and math courses. METHODS: The Test of Scientific Literacy Skills ... Full text Link to item Cite

Continued Decline in Obesity and Severe Obesity Prevalence Among New York City Public School Youth in Grades K-8: 2011-2017.

Journal Article Obesity (Silver Spring) · March 2020 OBJECTIVE: This study aimed to estimate population-level prevalence of obesity and severe obesity for New York City youth and examine the most recent trends over time. METHODS: All public school youth in grades kindergarten through eighth (K-8) (2011-2012 ... Full text Link to item Cite

Association of a Park-Based Violence Prevention and Mental Health Promotion After-School Program With Youth Arrest Rates.

Journal Article JAMA Netw Open · January 3, 2020 This cohort study estimates the association of a park-based violence prevention and mental health promotion after-school program with youth arrest rates in Miami-Dade County, Florida. ... Full text Link to item Cite

Physical fitness disparities among New York City public school youth using standardized methods, 2006-2017.

Journal Article PLoS One · 2020 Standardized physical fitness monitoring provides a more accurate proxy for youth health when compared with physical activity. Little is known about the utilization of broad-scale individual-level youth physical fitness testing to explore health disparitie ... Full text Link to item Cite

Population Thinking Instruction in High Schools: a Public Health Intervention with Triple Benefits.

Journal Article J Urban Health · December 2019 America faces a series of intersecting problems that relate to health inequities, failing schools, and an inadequate science, technology, engineering, and math (STEM) workforce, particularly in cities and among low-income Black and Latino youth. Here, we p ... Full text Link to item Cite

High School Epidemiology: Helping Students Practice Science Through Guided Inquiry and Authentic Learning Strategies

Journal Article Pedagogy in Health Promotion · December 1, 2019 A call has been made over the last decade for the expansion of epidemiology coursework into high schools in the United States. Epidemiology instruction has been shown to increase student scientific and health literacy, promote critical thinking skills, enh ... Full text Cite

Changes in cardiovascular health and physical fitness in ethnic youth with intellectual disabilities participating in a park-based afterschool programme for two years.

Journal Article J Appl Res Intellect Disabil · November 2019 BACKGROUND: Youth with intellectual disabilities are more likely to be an unhealthy weight and less physically active than youth without intellectual disability. OBJECTIVE: The effects of Fit2Play, a park-based afterschool programme on cardiovascular/fitne ... Full text Link to item Cite

The effects of student, school and neighborhood poverty on the association between fitness and absenteeism in New York City middle school youth.

Journal Article Prev Med · October 2019 Recent research demonstrates that youth fitness improvements are associated with lower absenteeism. This study assessed whether the effects of poverty on the longitudinal fitness-absenteeism relationship are consistent across poverty measures at the studen ... Full text Link to item Cite

Teaching on the Continuum: Epidemiology Education From High School Through Graduate School.

Journal Article Am J Epidemiol · June 1, 2019 Epidemiology education is increasingly recognized as a core science necessary for career preparation throughout the health sector, and graduate epidemiology instruction is continually being reevaluated to ensure students receive appropriate training. Recen ... Full text Link to item Cite

Two-Year Changes in Neighborhood Juvenile Arrests After Implementation of a Park-Based Afterschool Mental Health Promotion Program in Miami-Dade County, Florida, 2015-2017.

Journal Article Am J Public Health · June 2019 Objectives. To examine the association of Fit2Lead, an afterschool park-based youth mental health promotion program, and neighborhood juvenile arrests (2015-2017) in Miami-Dade County, Florida. Methods. We tracked juvenile (ages 12-17 years) arrest rates o ... Full text Link to item Cite

After-school poly-strengths programming for urban teens at high risk for violence exposure.

Journal Article Transl Behav Med · May 16, 2019 Violence exposure increases teens' risk for emotion dysregulation, anxiety, depression, and aggression towards peers. Teens of color are disproportionately more likely to be exposed to violence and less likely to receive mental health services. Community a ... Full text Link to item Cite

Does transportation vulnerability explain the relationship between changes in exposure to segregation and youth cardiovascular health?

Journal Article Health Place · May 2019 Transportation vulnerability (lack of community/personal access to transportation that in turn increases the risk for health or financial consequences in the event of hardship/disease/disasters) may be an important mechanistic factor linking residential se ... Full text Link to item Cite

Recruiting epidemiologists: A developmental perspective on expanding epidemiology exposure for adolescents.

Journal Article Prev Med · April 2019 Adolescents are at a unique developmental stage that is well-primed for epidemiology instruction. Although a handful of pioneers have focused on expanding epidemiology instruction to teen audiences, there are still no systematic efforts in the United State ... Full text Link to item Cite

Abstract P125: Cardiovascular Health Improves in High Transportation Vulnerable Girls With Decreased Exposures to Residential Segregation

Journal Article Circulation · March 5, 2019 Introduction: Transportation equity ensures that all citizens benefit from a clean, fair, safe and healthy environment. Residential segregation also impacts health, and transportation disadvantage is ... Full text Cite

Abstract 018: New York City Youth Cardiovascular Fitness and Subsequent School Absenteeism Have an Inverse, Dose-Response Relationship, Regardless of How Poverty is Measured

Journal Article Circulation · March 5, 2019 Introduction: Recent research demonstrates that cardiovascular fitness improvements are associated with lower absenteeism, particularly for girls attending schools located in high poverty neighborhood ... Full text Cite

The Effect of a Park-Based Physical Activity Program on Cardiovascular, Strength, and Mobility Outcomes Among a Sample of Racially/Ethnically Diverse Adults Aged 55 or Older.

Journal Article Prev Chronic Dis · December 27, 2018 INTRODUCTION: Many older adults are not physically active despite the well-documented health benefits of regular exercise. We examined cardiovascular, strength, and mobility outcomes among a sample of racially/ethnically diverse adults aged 55 or older par ... Full text Link to item Cite

Sex differences in fitness outcomes among minority youth after participation in a park-based after-school program.

Journal Article Ann Epidemiol · July 2018 PURPOSE: This study aimed to describe sex differences in fitness outcomes after participation in Fit2Play, a park-based after-school health and wellness program. METHODS: Youth who participated in Fit2Play for either 1, 2, or 3 school years between 2010 an ... Full text Link to item Cite

The Association of Health-Related Fitness and Chronic Absenteeism Status in New York City Middle School Youth.

Journal Article J Phys Act Health · July 1, 2018 BACKGROUND: Extensive research demonstrates the benefits of fitness on children's health and academic performance. Although decreases in health-related fitness may increase school absenteeism, multiple years of prospective, child-level data are needed to e ... Full text Link to item Cite

Natural experiment examining the longitudinal association between change in residential segregation and youth cardiovascular health across race/ethnicity and gender in the USA.

Journal Article J Epidemiol Community Health · July 2018 BACKGROUND: Identifying how racial/ethnic residential segregation and mobility may impact health can guide innovative strategies for reducing youth disparities. METHODS: This natural experiment examined the association between change in residential segrega ... Full text Link to item Cite

Effect of participation in a park-based afterschool program on cardiovascular disease risk among severely obese youth.

Journal Article Public Health · June 2018 OBJECTIVES: The prevalence of severe obesity in youth is rising, despite reports of obesity rates stabilizing overall. While reports on treatment outcomes for youth with severe obesity (bariatric surgery, behavioral and pharmacological treatments) exist, v ... Full text Link to item Cite

Impact of change in neighborhood racial/ethnic segregation on cardiovascular health in minority youth attending a park-based afterschool program.

Journal Article Soc Sci Med · May 2018 Research on the mechanistic factors associating racial/ethnic residential segregation with health is needed to identify effective points of intervention to ultimately reduce health disparities in youth. We examined the association of changes in racial/ethn ... Full text Link to item Cite

Public Health Education: Teaching Epidemiology in High School Classrooms.

Journal Article Am J Public Health · March 2018 Epidemiology instruction has expanded at the undergraduate level in part because it increases student critical thinking and scientific literacy, promotes students' perception of public health as both practical and relevant, and empowers students as indepen ... Full text Link to item Cite

The association of fitness and school absenteeism across gender and poverty: a prospective multilevel analysis in New York City middle schools.

Journal Article Ann Epidemiol · March 2018 PURPOSE: One-fifth to one-third of students in high poverty, urban school districts do not attend school regularly (missing ≥6 days/year). Fitness is shown to be associated with absenteeism, although this relationship may differ across poverty and gender s ... Full text Link to item Cite

Longitudinal analysis of cardiovascular disease risk profile in neighbourhood poverty subgroups: 5-year results from an afterschool fitness programme in the USA.

Journal Article J Epidemiol Community Health · March 2018 BACKGROUND: The WHO calls for affordable population-based prevention strategies for reducing the global burden of cardiovascular disease (CVD) on morbidity and mortality; however, effective, sustainable and accessible community-based approaches for CVD pre ... Full text Link to item Cite

Longitudinal Impact of a Park-Based Afterschool Healthy Weight Program on Modifiable Cardiovascular Disease Risk Factors in Youth.

Journal Article J Community Health · February 2018 Community-based programs hold significant potential to prevent cardiovascular disease (CVD) risk in youth. We describe here the longitudinal change in several modifiable CVD risk factors after participation in up to 3 years of Fit2Play™, a park-based after ... Full text Link to item Cite

Individual-Level Fitness and Absenteeism in New York City Middle School Youths, 2006-2013.

Journal Article Prev Chronic Dis · January 11, 2018 INTRODUCTION: Youth health-related fitness positively affects academic outcomes, although limited research has focused on the relationship between fitness and school absenteeism. We examined the longitudinal association between individual children's fitnes ... Full text Link to item Cite

Exercise-associated amenorrhea: are altered leptin levels an early warning sign?

Journal Article Phys Sportsmed · October 2002 Although the exact cause of the female athlete triad (amenorrhea, disordered eating, and osteoporosis) is unknown, recent research implicates leptin, a hormone that is secreted by adipocytes. Leptin may be an important indicator of nutritional status and m ... Full text Link to item Cite