woodland health for youth (why): an evaluation of physical health benefits derived from outdoor...

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Woodland Health for Youth (WHY):

an evaluation of physical health benefits derived from outdoor learning in natural environments (LINE) for school-age children

Picture courtesy of SS2N

Plymouth University

• Jennie Aronsson• Maria Tighe• Sue Waite

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Today’s presentation

Jennie Aronsson Alumni clinical-researcher, School of Nursing and Midwifery

Institute of EducationNaomi Wright, Freelance Researcher

• Woodland Health for Youth (WHY) - a multi-agency cross-disciplinary project

• Well-being and physical activity in Ham Woods – extended research project exploring children’s experiences of outdoor learning

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Being a child in Plymouth…

• The health and well-being of children in Plymouth is generally worse than the England average.

• Deprivation in Plymouth is 26.2% - significantly higher than the England average and about 10,200 children under 16 live in poverty.

• Obesity prevalence is strongly correlated with deprivation.

Prevalence of overweight among childrenNational Child Measurement Programme 2011/12

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Child overweight (including obesity)/ excess weight: BMI ≥ 85th centile of the UK90 growth reference

One in five children in Reception is overweight or obese (boys 23.5%, girls 21.6%)

One in three children in Year 6 is overweight or obese (boys 35.4%, girls 32.4%)

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Health and greenspace

• Children who live close to green spaces have higher levels of physical activity and are less likely to experience an increase in BMI over time.

• Children in poverty are nine times less likely to have access to green space, places to play and to live in environments with better air quality

• Growing medical evidence shows that access to the natural environment improves child development, health and wellbeing, prevents disease and helps people recover from illness.

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WHY – Woodland Health For Youth

• Small-scale research project aiming to improve children’s physical activity and utilisation of natural greenspace

• Action research methodology examines the relationship between children’s outdoor learning, levels of physical activity, healthy weight and use of greenspace.

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Partnership projects• Learning from and capitalising upon earlier and

linked projects: • Natural Connections Demonstration Project LINE

(Learning In Natural Environments)http://www.growingschools.org.uk/about/natural-connections • Stepping Stones to Nature http://www.plymouth.gov.uk/steppingstones• Good from Woods http://www.silvanustrust.org.uk/

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Education, Health and Greenspace

Public Health

& NCMP

School Nursing,

LINE,SS2N

Healthy Schools (LINE)

OutdoorLearning

Physical Activity

Children

Learning LTCs -Obesity

Multi-agency cross-disciplinary partnership

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Research aims

• Evaluate the physical health benefits of LINE• In order to:– Identify barriers to outdoor health promotion in

greenspace – Create healthier school environments – Improve parental and child involvement in healthy weight

management strategies

Research elements

• Audit of school grounds and local woodland with SS2N• 1 Natural connections school; year 2 class (age 6-7)• 10 children selected: gender & attainment mix• National Child Measurement Programme data from Reception• Interim measurement • Accelerometer data of moderate to vigorous physical activity• Observational/reflective fieldnotes• Feedback to partners, parents and school

Key accelerometry findings

• Higher MVPA during outdoor lessons than indoor (especially

boys 20.6% ± 6.5 SD in MVPA compared to 14.7% ± 7.1 SD for girls, p=0.009)• Higher MVPA in woodland compared to school grounds

(19.0% ± 7.2 SD in woodland LINE, 13.7% ± 4.8 SD in school ground LINE, p=0.001)• Highest MVPA at break time & lunchtime (33.2%) - but big

individual differences between children (± 17.3 SD) • Outdoor curricular activities may offer more equal way of

increasing overall physical activity levels

Comparison between BMI in Reception year and year 2

Child no BMI classification (Reception)

BMI classification (year 2)

BMI lower or higher

1 Healthy weight Healthy weight Lower

2 Healthy weight Healthy weight Lower

3 Healthy weight Healthy weight Lower

4 Healthy weight Healthy weight Lower

5 Healthy weight Healthy weight Same

6 Healthy weight Healthy weight Higher

7 Healthy weight Overweight Higher

8 Overweight Healthy weight Lower

9 Overweight Overweight Lower

10 Not measured Healthy weight Unable to compare

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Identifying barriers to outdoor health promotion in greenspace

• Accessibility - vastly improved by SS2N through capital works

• Socioeconomic barriers - offer all children regardless of background LINE as part of the curriculum

• Risk-averse culture in the UK - children influencing the attitudes and behaviour of their parents

• Frequency of childhood visits predicts frequency of adult visits to woodlands and green places

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Creating healthier school environments

• Range of different activities developing a multitude of skills• Happy active children:

• 'This is fun!’ (girl looking for insects on a tree)• 'I love nature' (boy in the woodland)• 'I can feel the sun in my face and the fresh air' (girl

in the woodland)• 'I feel tired now from all that running around' (boy

on way back from woodland)

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Creating healthier school environments (cont’d)

• Green school grounds promote physical activity

• However; children were more active in the woodlands than in the school ground

• Woodland LINE offers greater freedom, wilder and more natural space, child-led learning, negotiated boundaries, created activities and managed risk

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Improving parental and child involvement in healthy weight management strategies

• Parents are invited to one LINE session/term to participate and provide feedback

• Children’s feedback at the end of LINE session informs future lesson planning

• Well-being and physical activity in Ham Woods - extended research project that will further explore children's, parents'/carers' and staff/volunteers' views and experiences of woodland LINE.

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Well-being and physical activity in Ham Woods

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Interviews and games

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Observations

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‘The health and well-being of today’s children depend on us

having the courage and imagination to rise to the challenge of doing things

differently, to put sustainability and well-being before economic growth and bring about a more

equal and fair society.’

Professor Sir Michael Marmot (2010): The Marmot Review

Thank you!