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Health Education & Behavior, Vol. 31, No. 1, 34-46 (2004)
DOI: 10.1177/1090198103255372

"How Can We Stay Healthy when you’re Throwing All of this in Front of Us?" Findings from Focus Groups and Interviews in Middle Schools on Environmental Influences on Nutrition and Physical Activity

Katherine W. Bauer, SM

Division of Adolescent and Young Adult Medicine, Children’s Hospital Boston, Boston

Y. Wendy Yang, BS

Daly City, California

S. Bryn Austin, ScD

Division of Adolescent and Young Adult Medicine, Children’s Hospital Boston, Boston

This study aimed to identify factors in school physical and social environments that may facilitate or compete with programs and policies to improve student physical activity and nutrition. Focus groups and interviews were conducted with students, faculty, and staff of two public middle schools. Participants identified numerous aspects of the school environments as significant. Competition, teasing and bullying, time, and safety were described as major barriers for students to be physically active during physical education class, on sports teams, and before and after school. The quality of the food served, easy access to nonnutritious snacks, limited time for lunch period, and weight concerns emerged as significant reasons why students do not eat nutritious meals in school. When developing programs and policies to improve the health of students, environmental influences that undermine efforts to improve student health behaviors must be addressed.

Key Words: nutrition • physical activity • school environment • school health • adolescence


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