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Objective: To adopt an intersectional approach to examine differences in aerobic and muscle-strengthening participation based on the intersection of gender and race/ethnicity among college students. Methods: Data from the American College Health Association (ACHA) National College Health Assessment collected between 2015 and 2018 were analyzed. Differences in the prevalence of meeting activity recommendations based on the intersection of gender and race/ethnicity were computed and displayed graphically. Odds of meeting activity recommendations were determined by calculating odds ratios controlling for age, year of enrollment, sexual orientation, and health status. Results: Aerobic and muscle-strengthening activity differed significantly between races within genders, and between genders within races. With minor exceptions, men were more likely to meet aerobic and muscle-strengthening activity recommendations than women of the same race/ethnicity. Disparities based on race varied considerably between genders. Conclusions: The intersection of gender and race/ethnicity should be considered when examining and addressing physical activity disparities.

Objective: To examine aerobic and muscle-strengthening activity disparities among college cis-gender and transgender students adjusting for other socio-demographic characteristics (age, race/ethnicity, sexual orientation). Methods: National Collegiate Health Assessment (NCHA) data collected between Fall 2015 and Fall 2018 were analyzed using chi-square tests for independence and odds ratios. Results: Cis-gender women were significantly less likely to meet aerobic and muscle-strengthening activity recommendations compared to cisgender men. Transgender men and transgender women were less likely to meet aerobic and muscle-strengthening activity recommendations compared to cisgender peers. Differences were also revealed among transgender individuals, with transgender women more and less likely to meet aerobic and muscle-strengthening recommendations respectively compared to transgender men. Conclusions: Considerable aerobic and muscle-strengthening activity participation disparities exist between cisgender and transgender emerging adults. The unique constraints that transgender college students experience in relation to both aerobic and muscle-strengthening activity participation require further examination to ensure the provision of equitable opportunities to be physically active.

Objectives: To examine the discrepancy between 'told' and screened blood pressure (BP) category, and the association between body composition and told BP category. Methods: Between 08/2019-03/2020 college students (n = 1057) were asked what category they had previously been told their BP falls into prior to having their BP and body composition (waist circumference, body mass index (BMI), and body fat percentage) objectively assessed. Results: A disproportionate number (>80%) who were told that they had normal BP were categorized as having elevated BP. Men told they had borderline/high BP had less favorable body compositions than those told they had low/normal BP. Less favorable body composition was associated with increased likelihood of men being told that they had borderline/high BP. Conclusions: Better BP screening policies and procedures would ensure healthcare providers discuss elevated BP with emerging adults regardless of body composition and avoid missing opportunities to delivery of early and cost-effective interventions.

Purpose: Universities and colleges play a major role in facilitating the behaviors of students into adulthood. Active travel (AT; walking or bicycling for transportation) can provide substantial health benefits, though inequities among bicycling are shown in many underserved populations (racial/ethnic minorities, women, LGBTQ+, disabled, low-income). This study aimed to understand universities' capacity for underserved populations programming on campuses. Methods: Representatives from U.S. universities/colleges participated in an online survey which addressed basic information about university demographics/culture, common barriers and desired tools to reaching underserved students, priorities, and important outcomes. Results: University respondents (n = 51) indicated a lack of programming and implementation of strategies to reach underserved campus populations. Typically, universities ranked equity as a low priority and limited strategies for promoting bicycling reached/targeted underserved populations. Conclusion: There is a notable lack of programs and strategies to engage underserved populations on campus that should be addressed to better serve student health outcomes.

Objective: Examine college women's perceptions of factors contributing to gender inequities in physical activity and campus recreational facility use. Methods: Semi-structured interviews were conducted with female undergraduate students at a large university located in the Northeast of the United States. Qualitative data were analyzed using thematic analyses using the socio-ecological model as a conceptual framework. Results: Women (N = 18; 6 non-Hispanic White, 5 Black, 7 Asian American; 20.6 ± 1.2 years old) cited intrapersonal, interpersonal, and environmental factors impacting their physical activity and campus recreation facility use due to their gender. Built environmental factors included facility proximity, facility layout and equipment, and crowdedness. Male peers impacted women by making them feel uncomfortable/intimidated and harassed. Intrapersonal factors included a perceived lack of skills/competence/knowledge, lack of confidence, and self-consciousness. Conclusions: Findings demonstrate the need for institutions to implement and enforce policies that achieve a cultural shift in the social environment to provide equitable physical activity participation opportunities.

Objective: Examine differences in physical activity (PA) constraints experienced as freshmen among college upperclassmen based on sex, race/ethnicity, adiposity, and fitness. Participants and methods: Upperclassmen (n = 524) from self-reported demographics, PA, subjective changes in PA, and freshman PA constraints via an online survey, and had adiposity and predicted aerobic fitness objectively assessed. Results: Self-reported reductions in PA since high school and freshmen year were associated with a lack of motivation as a freshman, lower current PA levels, and poorer aerobic fitness compared to those who maintained or increased PA. Women were less active than men and reported greater constraints, while non-Hispanic white students had greater vigorous PA than minority students. Multiple regression analyses revealed that motivation constraints predicted PA regardless of sex and race/ethnicity. Conclusions: Findings highlight the importance of college administrators and health promoters alleviating freshman PA constraints, particularly among women, to promote the adoption of an active lifestyle.

Objective: To examine disparities in physical activity, campus recreation facility (CRF) use, and CRF comfort of college students. Methods: Students (n = 319) responded to an online survey that assessed their demographics, physical activity behaviors, CRF use, comfort using CRFs, as well as reasons for discomfort, and strategies used to feel comfortable. Results: Women reported less muscle-strengthening activity, lower frequency of weight use and informal sport participation, and higher frequency of cardio and group exercise participation. Women also reported lower comfort using CRFs, particularly weights areas. The presence of men, a perceived lack of skill (competence), and self-consciousness/judgement emerged as dominant themes explaining women's discomfort. Disassociation using music, going with friends for social support, knowledge acquisition regarding equipment, and clothing selection emerged as strategies used to increase comfort. Conclusions: Meaningful differences in physical activity behaviors, facility use, and comfort using facilities emerged. Administrators should consider changing environments and/or policies to provide equitable physical activity opportunities.

Many university students are insufficiently physically active to the detriment of their physical and mental health. University students' physical activity motives are important for understanding students' physical activity levels and patterns, and for offering insight into how students' physical activity, and health, could be enhanced. The purpose of this study was to examine how first-year university students' physical activity and motives had changed following the transition from high school to university. Methods: An online questionnaire was completed by 121 first-year students at a New Zealand university. The data related to: duration, frequency, and types of physical activity in relation to high school and university; socio-demographic variables; and, students' physical activity motives were assessed. Changes in physical activity and motives following the transition were assessed using open-ended questions. Following the transition, physical activity decreased significantly, and students' physical activity preferences/patterns and motives changed from team/group to more individual physical activities, and to less competitive and/or more social activities. Analysis revealed five motive factors: competence-mastery; social recognition; body/health-related; psychological; and interpersonal. Differences in motives based on socio-demographic variables and physical activity were also revealed. In summary, physical activity patterns and preferences, as well as motives, changed considerably following the transition. University administrators should appreciate these changes and allocate resources to encourage and facilitate such changes by providing a diverse range of opportunities to be physically active that suit students' preferences.

College years are a formative life stage; however, students who identify as a sexual minority participate in insufficient physical activity. This study examined differences in level of comfort 1) with/in campus recreation facilities overall, and 2) using specific amenities, by sexual orientation. Students at four public universities completed online surveys assessing perceived comfort using their campus recreation facility. Among participants (n = 160), Kruskal-Wallis analyses showed comfort using campus recreation facilities, free weights, non-intramural sports,and intramural sports was significantly higher among heterosexual students compared to sexual minority students (all p < 0.005). These findings highlight inequities in comfort using campus recreation facilities and provide evidence of the need for inclusive recreation spaces for all students regardless of sexual orientation. Future research is needed to assess LBGTQ+ student's health disparities related to campus recreation facility use and how to increase perceived comfort for all students. [ABSTRACT FROM AUTHOR]

Objectives: Examine the prevalence of body weight perception discordance, and its relationship with physical activity and mental health among college women. Participants and methods: Data were collected from a convenience sample of female undergraduates enrolled in general education health and wellness courses at a large, northeastern United States university (n = 1607) via direct email using previously validated measures that assessed: demographics; physical activity; weight goals and perceptions; mental health and sleep; and, physical activity enjoyment, self-efficacy, and goal setting. Analyses included one-way analysis of variance analyses and chi-square tests for independence. Results: Though most women had accurate weight status perceptions (n = 987, 62.6%), there was a tendency to overestimate weight status (n = 482, 31.2%) that was associated with greater depressive symptoms. Conclusion: A relatively large minority of women demonstrated discordant weight status perceptions, which were associated with adverse mental health outcomes. Colleges should consider improving healthy weight status perception education among women to improve mental health.

Objective: Scoping review of freshmen weight and body composition change determinants in order to inform practice, policymaking, and research that improve health and well-being. Methods: A systematic search of the literature identified potential sources. Duplicates were removed before a title and abstract review. A full-text review was then conducted on the remaining sources. Retained sources were then reviewed systematically before synthesis. Results: Eightyfive sources were synthesized. Variation in study design, measurement, reporting, and analyses of determinants, in particular dietary characteristics and physical activity, complicate comparisons. Dietary characteristics and physical activity appear to influence freshmen weight and body composition changes, while evidence indicates alcohol consumption is associated with deleterious weight and body composition changes. Conclusions: Design, measurement, analyses, and reporting can be improved considerably to better examine relationship between body composition changes and determinants in order to provide insight into, and inform, interventions and policies to benefit students' health and well-being.

The purpose of this study was to examine the physical activity behaviors and campus recreation use of students enrolled in a summer transition (high school to university) program. The physical activity behaviors and socio-demographic characteristics of summer transition program students from a large Northeastern United States university were collected via an online survey. Descriptive statistics were computed, and disparities between genders were examined using independent samples t-tests. Women participated in less aerobic and muscle-strengthening activity compared to men (p <.05); and, among those who used the primary campus recreation facility, women reported lower use of both weights and informal sports areas, and higher use of group exercise compared to men (p <.05). Cardio area and indoor running track use did not differ between men and women. In summary, there appears to be an opportunity for university summer transitional programs to address disparities in physical activity by expanding coverage to address a currently unmet need for physical activity promotion. [ABSTRACT FROM AUTHOR]

In this study of North American campus recreation staff, we examined staff perceptions of transgender and nonbinary student inclusivity, and explored differences in perceived inclusivity based on institutional characteristics, policies, amenities, and staff characteristics. Staff were recruited to participate in an online survey that assessed: institutional characteristics, amenities, and policies; personal characteristics; and, their perception of their campus recreation facilities' inclusivity of transgender and nonbinary students. Perceived inclusivity was greater at nonreligiously affiliated institutions, and at institutions that had antidiscrimination/antiharassment policies and/or all-gender locker/restrooms within the campus recreation department. Men and heterosexual staff reported greater perceived inclusivity than women and sexual minority staff. In summary, antidiscrimination and antiharassment policies and all-gender locker/rest rooms appear to contribute to creating the perception of a more inclusive campus recreation environment. Continued work on staff awareness/knowledge relating to inclusion of transgender and nonbinary students appears to be necessary, and application of policies that support inclusivity should be a priority. [ABSTRACT FROM AUTHOR]

Objective: To examine the association between vaping and health behaviors (physical activity, fruit and vegetable consumption, sleep, cigarette use, alcohol consumption) and mental health among college students. Methods: Socio-demographic characteristics, vaping, health behaviors, perceived stress, and depressive symptoms of undergraduates enrolled at a large university located in the Northeast of the United States were assessed via an online survey. Results: Of all participants (n = 1775), less than a fifth (n = 314, 17.7%) reported any vaping in the past month. More men reported vaping than women (23.2% vs. 14.5%). Those who vaped reported fewer nights of restful sleep and greater alcohol consumption. Those who smoked and binge drank were more likely to report vaping. Perceived stress was greater among women who vaped, and depressive symptoms were greater among those who vaped regardless of gender. Conclusions: Vaping was associated with smoking, alcohol consumption, and poorer mental health among young adults. [ABSTRACT FROM AUTHOR]

The words used to refer to weight and individuals with large bodies can be used to reinforce weight stigma. Given that most previous research has examined preferred terminology within homogenous groups, this research sought to examine terminology preferences across populations. This paper reports on data gathered with the general public, family physicians, and obesity researchers/practitioners. Participants were asked about the words they commonly: (1) used to refer to people with large bodies (general public); (2) heard in their professional contexts (physicians and obesity specialists); and (3) perceived to be the most socially or professionally acceptable (all samples). Similarities and differences were evident between samples, especially related to weight-related clinical terms, the word fat, and behavioral stereotypes. The results provide some clarity into the differences between populations and highlight the need to incorporate use of strategies that may move beyond person-first language to humanize research and clinical practice with people with large bodies. [ABSTRACT FROM AUTHOR]

Given continued physical activity disparities among college students based on gender identity, race, and sexual orientation, it is important to identify policies and practices to support more equitable physical activity participation opportunities. This mixed-methods study examined perceptions of equity policies and practices among North American campus recreation staff (n = 254). Institution and staff characteristics along with department values, existence of written policies, and perceptions of current and potential equity policies/practices were collected via an online survey in November 2020. Quantitative data were analyzed with descriptive statistics and importance-performance analysis; qualitative data were analyzed using thematic analyses. Findings indicate an apparent disconnect between campus recreation departments' stated values and written policies, and reveal gaps between perceived importance and performance of equity priorities. However, qualitative responses included many promising equity practices which could help facilitate physical activity participation for all students through creation of an inclusive, safe, and welcoming environment for diverse student populations. [ABSTRACT FROM AUTHOR]

Objective To examine the association of CRF and adiposity with cardiometabolic risk factors and metabolic syndrome among emerging adults. Participants: 5681 (60.1% Men; 21 ± 1years) college students from a large university located in the northeast of the United States. Methods: Participants completed an objective health assessment that involved the assessment cardiometabolic risk factors, CRF, and adiposity. Data of 5681 students' (60.1% Men; 21 ± 1years) who had CRF, adiposity, all risk factors necessary to determine metabolic syndrome evaluated were analyzed using logistic regression analyses. Results: Poor CRF and elevated adiposity were associated with cardiometabolic risk factors and metabolic syndrome regardless of sex, with the association between adiposity and risk factors found to be stronger compared to CRF. Conclusions: Targeted and tailored screening and interventions are urgently needed to reduce adiposity and increase CRF to avoid serious short and long-term negative health outcomes in this population. [ABSTRACT FROM AUTHOR]

Objective: To review the physical activity promotion efforts of Power 5 conference institutions' summer transition programs. Methods: The websites of Power 5 Conference and affiliate member institutions (N = 78) were systematically reviewed and information on summer transition programs pertaining to health were extracted. Results: Most (n = 45, 57.7%) institutions had a summer transition program of some kind. Among those who had summer transition programs, 14 (31.1%) had a nonphysical activity health course (i.e. health and/or nutrition), while courses that incorporated a physical activity component were uncommon (n = 6, 13.3%). Only two institutions covered physical activity, nutrition, and health in at least one offered course. Conclusions: There is an opportunity for tertiary institution-level summer transitional programs to expand coverage to address a currently unmet need for physical activity promotion while avoiding perpetuation of existing inequities. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has had a significant impact on the operation and availability of campus recreation services at North American colleges and universities. This study examined the challenges faced and solutions implemented by campus recreation departments as a result of the COVID-19 pandemic from the perspective of campus recreation staff from across North America. Institution and staff characteristics along with challenges and solutions were collected from 174 campus recreation department staff via an online survey in November 2020. Qualitative data were analyzed using thematic analyses. As a result of the pandemic, campus recreation departments have experienced challenges regarding finances, staffing, student engagement, and health and safety. To address these challenges, departments have limited facility access and capacity, reduced spending, adjusted staffing levels and responsibilities, transitioned to virtual or modified in-person programming, leveraged intrauniversity collaborations, and implemented new health and safety protocols. Solutions have the potential to help institutions meet the needs of students during the pandemic and beyond. Virtual programming and reservation systems may be especially useful post-pandemic, and lessons learned regarding multi-faceted COVID-19 policy enforcement could help advance compliance with other policies, such as harassment. [ABSTRACT FROM AUTHOR]

The considerable changes in physical activity (PA) during the transition to university are likely associated with changes in PA constraints during this transition. The purpose of this study was to examine changes in PA and associated constraints among first-year university students during the transition to university. Data concerning sociodemographic characteristics, PA behaviors, and changes in PA and constraints were collected from 121 first-year New Zealand university students via an online survey. Data were analyzed using quantitative and qualitative methods. Findings revealed that following the transition, PA declined significantly, that PA participation patterns/trends had changed (from team/group sports to individual activities and to less competitive and/or more social activities), and that changes in constraints (intrapersonal, interpersonal, and time management) may have influenced changes. Findings shed light on how changes in constraints potentially influence PA following the transition and provide evidence to inform the development of policies and interventions to promote student PA. [ABSTRACT FROM AUTHOR]

Background: Investigating the impact of the COVID-19 pandemic on both physical activity (PA) and mental health is important to demonstrate the need for interventions. This study examined the apparent impact of the pandemic on college students' PA, perceived stress, and depressive symptoms. Methods: From 2015 through 2020, data were collected at the beginning and end of the spring semester at a large Northeastern US university via an online survey assessing student demographics, PA, perceived stress, and depressive symptoms. Mixed ANOVA examined differences in PA and mental health changes over the spring semester between "normal" and COVID-19 circumstances. Two-way ANOVA examined the interaction between circumstance and changes in PA in relation to changes in mental health. Results: Participants (n = 1019) were predominately women and non- Hispanic white. There was a significant decline in PA and an increase in perceived stress under COVID-19, but not normal, circumstances and a significant increase in depressive symptoms under COVID-19, but not normal, circumstances among women. Conclusions: A significant decline in PA and mental health among college students occurred under COVID-19 circumstances, and PA did not appear to protect against deterioration in mental health. Proactive and innovative policies, programs, and practices to promote student health and well-being must be explored immediately. [ABSTRACT FROM AUTHOR]

Occupational physical activity (OPA) is related to positive health outcomes and meeting overall physical activity recommendations. OPA participation typically varies across racial/ethnic groups and by gender, though little research has examined differences in OPA among college students. A cross-sectional, online survey of college students examined demographics and OPA. Participants (n = 3739) were predominately Non-Hispanic White (77.1%) and female (57.8%) aged 20.97 ± 1.52. Employed students reported greater total PA compared with non-employed students. Males reported significantly greater vigorous OPA, overall OPA, and total PA compared with females. Among employed students, OPA contributed significantly to overall PA levels. Males reported significantly greater OPA compared with females and there were several significant differences by race/ethnicity. Academic performance was related to OPA. These findings provide some insight on the OPA levels of a population group that has not been thoroughly examined. [ABSTRACT FROM AUTHOR]

University (i.e., college) students often encounter constraints to physical activity and sport participation that alter, or totally prevent, participation. The purpose of this study was to examine first-year university students' negotiation of participation constraints and how their negotiation strategies had changed following the transition from high school to a university (transition). Data were collected from 121 first-year students at a New Zealand university using an online questionnaire. Data were collected on the duration, frequency, and types of physical activity in relation to high school and university, sociodemographic variables, and students' use of negotiation strategies. Changes in negotiation and participation following the transition were assessed using open-ended questions. Following the transition, students' participation preferences/patterns had changed. Analysis revealed three prominent negotiation factors: well-being management, interpersonal, and time prioritization and financial management. Differences in negotiation based on sociodemographic variables and participation were also revealed. The relationships between motives, negotiation, constraints, and participation were also explored. [ABSTRACT FROM AUTHOR]