Adverse Childhood Experiences and Quality of Life: A Mediating Role of Physical Activity.

PURPOSE: Examine whether barriers to physical activity (PA) and PA level serve as serial mediators to the relationship between adverse childhood experiences (ACEs) and perceived quality of physical health. Design: Cross-sectional. Setting: A public university in Southeast United States. SUBJECTS: Seventy-five participants (18- 49 years). Measures: Self-report measures related to ACEs, barriers to PA, amount of PA, and perceived quality of physical health. ANALYSIS: Serial mediation analysis. Barriers to PA was a first-order mediator, and PA level was a second-order mediator between ACEs and perceived quality of physical health. RESULTS: Barriers to PA and PA levels serially mediated the relationship between ACEs and perceived quality of physical health (c = -1.01, SE = .251, P = .0002, 95% CI [-1.50, -.499]). The direct effect of ACEs on perceived quality of physical health was nonsignificant when mediators were controlled (c' = -.383, SE = .252, P = .133, 95% CI [-.886, .120]). Higher ACE scores were associated with more barriers to PA, lower PA levels, and in turn, lower perceived quality of physical health. CONCLUSION: The current study highlights specific pathways that contribute to the relationship between ACEs and perceived quality of physical health. Albeit limited by the sample size, preliminary data support prioritization of interventions that reduce barriers to PA when trying to increase PA in populations that are prone to early adversity.

Running Toward Equity: Socioeconomic Diversity and Parental Perception of a Physical Activity-Based Positive Youth Development Program for Girls.

The Girls on the Run (GOTR) is a national positive youth development program to promote self-confidence, resilience, and self-esteem for girls through physical activity. It also includes an opportunity for parental support through involvement in a 5K event at the end of the program. There is significant evidence on the importance of family support and parent role modeling for children's physical activity, but little is known on how children can encourage adult physical activity. This study aimed to explore parents' perceptions of their daughters' participation in GOTR, and their attitudes toward physical activity while exploring variations in these perceptions between parents in different socioeconomic groups. Parents were recruited from high and low-resource sites for participation in online focus group discussions. Questions included perspectives on their daughter's participation in GOTR, their physical activity, and participation in the GOTR 5K event. Discussions were recorded, transcribed, and thematically analyzed from two focus groups with parents from low-resource sites (N=10) and two with parents from high-resource sites (N= 15). A common theme across resource groups was that GOTR enhances self-confidence, communication skills, and physical activity. More parents from the high-resource sites reported being physically active and having supportive environments than parents from low-resource sites. While some parents noted the intention to participate in the 5K with their daughter, more parents in the low-resource group reported barriers to physical activity and participation in the 5K event. There is an opportunity to encourage and facilitate parental 5K participation to create a ripple effect for the benefits of the GOTR program.