Hemal Shroff, PhD
Assistant Professor
School of Health Systems Studies
Tata Institute of Social Sciences





Relationship between physical activity (sport)
and healthy behaviour
Literature on sport and avoiding illness
Lit...





Building body image
Positive habit forming
Link with NCD’s later in life






Assess and map the play patterns of children
Explore the food, alcohol and substance
consumption patterns of the...
The sample consisted of 300 adolescents
The mean age was 12.82 (SD = 1.04)
150 were from the magic bus programme and 150
w...
Tobacco use (smoked, smokeless) – ever freq.,
duration, number of cigarettes/bidis,
 Alcohol – ever, frequency, duration
...
Engaged in some group physical activity = 264
adolescents.
 Mean time spent on play (whole sample) reported in
minutes/we...
Who played with
Other children
(boys and/or
girls)
Friends:

What was played
Cricket or
equivalent (batting
and bowling)
F...
A total of 7 children reported ever trying alcohol. Of
these 3 reported current use of alcohol.
 When asked how much they...





In the total sample, 50 children reported ever trying
tobacco products.
When asked how much they had tried it, the...
There were a total of 19 adolescents currently using
tobacco (smoked and/or smokeless). Approximately
7 children reported ...
40
35
30
25
20
15
10
5
0

6

Magic bus non-magic
bus
Ever tried
alcohol

5
4
3

Current use
alcohol

2
1

0
Magic bus

Non...
A total of 5 children from the sample reported ever
trying inhalants.
 They used terms like "gul" or "solution" to descri...
Healthy food intake (fruits, vegetables, milk, milk
products and eggs) was roughly the same for the
children enrolled in t...





Engaging in physical activity was significantly
related to unhealthy and healthy food intake.
There were no relati...
The children not enrolled in the magic bus
programmes reported eating significantly more
unhealthy food.
 More children f...
 The connection between engaging in physical
activity and other health-related behaviours exists.
 This connection appea...




What does all this mean for NCD’s?
What are the steps forward in terms of
the magic bus programmes?
What are the st...
THANK YOU
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Next Step 2014 presentation by Dr. Hemal Shroff from Tata Institute of Social Sciences

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Next Step 2014 presentation by Dr. Hemal Shroff from Tata Institute of Social Sciences

  1. 1. Hemal Shroff, PhD Assistant Professor School of Health Systems Studies Tata Institute of Social Sciences
  2. 2.     Relationship between physical activity (sport) and healthy behaviour Literature on sport and avoiding illness Literature on sport and avoiding risky behaviour Literature on sport and promoting healthy behaviour
  3. 3.    Building body image Positive habit forming Link with NCD’s later in life
  4. 4.     Assess and map the play patterns of children Explore the food, alcohol and substance consumption patterns of the children Ascertain the relationship as well as the influence between the above two factors (i.e. play and nutritious food/alcohol/substance usage). Compare the food and substance consumption patterns between children enrolled in Magic bus programme and those not enrolled in the programme.
  5. 5. The sample consisted of 300 adolescents The mean age was 12.82 (SD = 1.04) 150 were from the magic bus programme and 150 were not.  There were 123 girls and 177 boys, but these were approximately similarly divided in the two groups (MB = 93 boys and 57 girls; non MB = 85 boys and 66 girls)  There were 100 adolescents each from Maharashtra, Andhra Pradesh and Delhi.   
  6. 6. Tobacco use (smoked, smokeless) – ever freq., duration, number of cigarettes/bidis,  Alcohol – ever, frequency, duration  Inhalants – ever, frequency, time  Play patterns – kind of play, who with, frequency (weekly), time  Food consumption – healthy food intake, unhealthy food intake  Other variables – age, family income, pocket money, BMI, school enrollment status, grade 
  7. 7. Engaged in some group physical activity = 264 adolescents.  Mean time spent on play (whole sample) reported in minutes/weekly: (SD = )  There was a significant difference in time spent on physical activity between the two groups.  The mean value for MB children was 528 minutes/weekly (SD = 396) while for non-magic bus children the mean value was 348 minutes/weekly (SD = 449). 
  8. 8. Who played with Other children (boys and/or girls) Friends: What was played Cricket or equivalent (batting and bowling) Football Kho-kho Kabaddi Bhaiya/CYL Teacher/Sir/Mad am Running Badminton/surya namaskar/langdi Players/members Leaders
  9. 9. A total of 7 children reported ever trying alcohol. Of these 3 reported current use of alcohol.  When asked how much they had tried it, the highest percentage of children had tried it only once (N = 3; 42%).  Among those currently consuming alcohol, the frequency of use was 1.5 days in a month.  There was no significant difference between magic bus and non-magic bus children in any of the alcohol consumption variables. 
  10. 10.    In the total sample, 50 children reported ever trying tobacco products. When asked how much they had tried it, the highest percentage of children had tried it for more than one month (N = 31; 63%) and the average duration was 2 months. More MB children have ever tried tobacco (39) in comparison with non-MB adolescents (11) and this difference is significant.
  11. 11. There were a total of 19 adolescents currently using tobacco (smoked and/or smokeless). Approximately 7 children reported consuming tobacco in both smoked and smokeless forms.  The difference between the two groups was small and non-significant (4 versus 3 for MB and non-MB children respectively for tobacco in smoked forms).  The difference in smokeless tobacco consumption is also small and non-significant (10 vs 8 for MB and non MB children). 
  12. 12. 40 35 30 25 20 15 10 5 0 6 Magic bus non-magic bus Ever tried alcohol 5 4 3 Current use alcohol 2 1 0 Magic bus Non-magic bus Ever tried tobacco Current use tobacco
  13. 13. A total of 5 children from the sample reported ever trying inhalants.  They used terms like "gul" or "solution" to describe the products they were using.  Out of these 5 children, 3 reported current use. The ones reporting current use stated they had been using them for 2 months.  There were no differences in the number of adolescents using inhalants between the two groups. 
  14. 14. Healthy food intake (fruits, vegetables, milk, milk products and eggs) was roughly the same for the children enrolled in the magic bus programme and those not enrolled (MB = 22.07; Non-MB = 22.66).  Unhealthy food intake (fried food, cakes, biscuits, aereated and non-aereated sweetened drinks) was significantly different between the children enrolled in the magic bus programmes and those not enrolled (MB = 13.8; Non-MB= 14.97). Thus, adolescents enrolled in the Magic bus programmes ate less unhealthy food. 
  15. 15.    Engaging in physical activity was significantly related to unhealthy and healthy food intake. There were no relationships between physical activity and amount of tobacco/alcohol/inhalants used or duration or frequency. This may be due to the small numbers of adolescents engaging in use.
  16. 16. The children not enrolled in the magic bus programmes reported eating significantly more unhealthy food.  More children from the Magic bus programmes had attempted using tobacco, but the number of current users were not very different between the two groups.  Pattern of use in tobacco was found to be similar as for alcohol.  The number of adolescents who had ever tried inhalants and those currently using them were approximately the same in both groups. 
  17. 17.  The connection between engaging in physical activity and other health-related behaviours exists.  This connection appears to support the notion that engaging in physical activity helps individuals make better choices in terms of not engaging in substance use and eating better.
  18. 18.    What does all this mean for NCD’s? What are the steps forward in terms of the magic bus programmes? What are the steps forward in terms of future research?
  19. 19. THANK YOU

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