Cited by 111School Health and Nursing EducationObesity, Physical Activity, DietHealth and Lifestyle Studies

Health and Academic Achievement: Cumulative Effects of Health Assets on Standardized Test Scores Among Urban Youth in the United States

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Ickovics, Jeannette R., Carroll‐Scott, Amy, Peters, Susan M., Schwartz, Marlene, Gilstad‐Hayden, Kathryn, McCaslin, Catherine·2014·Journal of School Health

Abstract

BACKGROUND: The Institute of Medicine (2012) concluded that we must “strengthen schools as the heart of health.” To intervene for better outcomes in both health and academic achievement, identifying factors that impact children is essential. Study objectives are to (1) document associations between health assets and academic achievement, and (2) examine cumulative effects of these assets on academic achievement. METHODS: Participants include 940 students (grades 5 and 6) from 12 schools randomly selected from an urban district. Data include physical assessments, fitness testing, surveys, and district records. Fourteen health indicators were gathered including physical health (eg, body mass index [BMI]), health behaviors (eg, meeting recommendations for fruit/vegetable consumption), family environment (eg, family meals), and psychological well‐being (eg, sleep quality). Data were collected 3‐6 months prior to standardized testing. RESULTS: On average, students reported 7.1 health assets out of 14. Those with more health assets were more likely to be at goal for standardized tests (reading/writing/mathematics), and students with the most health assets were 2.2 times more likely to achieve goal compared with students with the fewest health assets (both p < .001). CONCLUSIONS: Schools that utilize nontraditional instructional strategies to improve student health may also improve academic achievement, closing equity gaps in both health and academic achievement.

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  • Health problems and risk-taking behavior are associated with low scholastic performance.

    “Health problems (e.g., vision and oral health problems, asthma, teen pregnancy, malnutrition, obesity, chronic stress, and inattention and hyperactivity disorders) and risk-taking behavior (e.g., aggression and violence, unsafe sexual activity, unhealthy eating, physical inactivity, and substance use) are associated with low scholastic performance.12–22”

    From School-Based Health Centers to Advance Health Equity (2016) · cites this paper as [21]

    The Results section (Bivariate Associations Between Health Assets and Standardized Test Scores; page not provided) links weight, fitness, sugary-drink consumption, and several other health measures with test performance. The paper does not establish the full list in the citing sentence: its Limitations and Strengths section explicitly says it lacked measures of substance use and bullying, and the supplied findings do not address several other listed conditions or behaviors. (LLM, conf=0.86)

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Sorted by citations

Authors
Ickovics, J. R., Carroll‐Scott, A., Peters, S. M., Schwartz, M., Gilstad‐Hayden, K., & McCaslin, C.
Affiliations
  • Yale University (US)
  • Drexel University (US)
  • New Haven Public Schools (US)
Corresponding author
Ickovics, Jeannette R.
Venue
Journal of School Health
Publisher
Wiley
Published
2013-12-10
Volume
84
Issue
1
Pages
40-48
ISSN
  • 0022-4391 (ISSN-L)
  • 1746-1561
OpenAlex
W2158217736
Cited by
111
References
5
Citations by year
2026: 2 · 2025: 6 · 2024: 1 · 2023: 4 · 2022: 6 · 2021: 12 · 2020: 13 · 2019: 14 · 2018: 12 · 2017: 13 · 2016: 13 · 2015: 12 · 2014: 3
FWCI
21.43
Type
journal article
Language
en
Open access
Locations
  • Journal of School Health (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Donaghue Foundation, Kresge Foundation
  • National Institutes of Health (R01 HD070740)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
Keywords
health assets, academic performance, standardized test scores, urban youth, school health, health behavior, body mass index, fruit and vegetable intake, family meals, sleep quality, psychological well-being, health equity, elementary school students
MeSH terms
Achievement, Adolescent, Child, Cognition, Educational Measurement, Educational Status, Female, Health Education, Health Status, Humans, Male, Obesity, Physical Fitness, Schools, Students, United States, Urban Population, Health Behavior

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