Nuala Walshe, Jonathan Drennan, Josephine Hegarty, Sinéad O'brien, Clare Crowley, Stephanie Ryng, Paul O'Connor
A cognitive task analysis of final year nursing students' situation awareness in simulated deteriorating patient events: A mixed methods study
Nursing open
background several studies found children united states gain weight faster rate summer school year little known prevalence problem effect highrisk subgroups determinants study compares school year summer weight change lowincome ethnically diverse sample schoolage children massachusetts explores differences raceethnicity weight status exposure school year physical activity pa programming diet pa examined potential mediators summer weight gain methods children participating schoolbased pa program evaluation weight change primary outcome height weight measured three times october 2015 september 2016 capture school year summer interval diet pa patterns assessed midschool year midsummer subsample children mixed linear models used estimate effect season school year vs summer change bmi examine influence raceethnicity weight status program walkrun classroom activity breaks control observed effects structural equation models used explore diet pa mediators seasonal weight change subsample participants results 769 participants 53 noncaucasian 40 overweight obese 58 eligible free reducedprice school meals bmi increased school year summer increased rapidly summer 0046 kgm2 per month p 0007 three tested interactions statistical significance observed season program 2 1490 p 0001 average children exposed school year walkrun program gain weight rapidly summer whereas children control group classroom activity breaks program poorer diet pa patterns observed summer neither diet pa statistically significant mediators bmi change conclusions children highrisk sample gained weight faster rate summer school year discernable demographic differences however phenomenon observed subgroup exposed school year walkrun program research needed clarify determinants summer weight gain understand school year programming effects transferred summer months