"EXERCISE IS MEDICINE® ON CAMPUS: A NATIONAL ANALYSIS AND ASSESSMENT OF" by Isaac M. Lennox

Date of Award

2023

Document Type

Open Access Master's Thesis

Degree Name

Master of Science in Kinesiology (MS)

Administrative Home Department

Department of Kinesiology and Integrative Physiology

Advisor 1

Steven Elmer

Advisor 2

Kelly Kamm

Committee Member 1

Erich Petushek

Abstract

Introduction: The American College of Sports Medicine (ACSM) founded the Exercise is Medicine® on Campus (EIM-OC) initiative, which calls upon colleges and universities to promote physical activity on their campuses. The distribution of EIM-OC programs across the U.S. has not been reported. In addition, the impact that EIM-OC programs have on community-level physical activity prevalence is unknown. The purpose of my thesis was to evaluate and enhance the EIM-OC initiative to promote physical activity and overall health in the U.S. Methods: Recognized EIM-OC programs in the U.S. (n=131) were described based on local, county, state, and regional-level variables. Local variables included recognition level, school population, presence of a kinesiology-related degree, type of on-campus health care services, presence of a medical school on campus, as well as city population. County-level variables included population and designation of metro or non-metro county. The state and ACSM region that the program was in was also collected. Using a cross-sectional study design, physical activity prevalence of 1,296 eligible U.S. counties was predicted by the presence of an EIM-OC program among other health factors using multivariate linear regression. Results: Thirty-seven U.S. states had an EIM-OC program, while 27 states had a gold level program. Eighty-six percent of EIM-OC programs had a kinesiology-related degree program, with 76% of programs having student centered health services. School (p=0.21), city (p=0.14), and county (p=0.32) populations did not differ between recognition levels. Nearly 90% of total and gold EIM-OC programs were in metropolitan counties and 10% were in non-metropolitan counties. Adjusted multivariate regression modelling indicated that bronze (p=0.89), silver (p=0.07), and gold (p=0.67) level EIM-OC programs were not significant predictors of county-level physical activity prevalence. However, when accounting for other health factors (e.g., smoking, education, rurality), the model explained 78% of the variability in county-level physical activity prevalence (pDiscussion:Collectively, these results indicate that colleges and universities of all sizes can use EIM-OC to successfully promote physical activity on their campuses. Further promotion to help increase frequencies of participating EIM-OC campuses in states, regions, and non-metro areas across the U.S. is warranted.

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