Editorial

Health promotion in sport: An analysis of peak sporting organisations’ health policies

The authors explore the sporting experiences and community strengths of Indigenous Australian women. The intention is to inform both health promotion and contemporary sport management strategies, and policies and practices, leading to better health outcomes for this cohort. The authors employ an interpretative qualitative methodology, which involves the combination of data from a range of sources, including interviews and focus groups with 22 Indigenous women living in urban and rural areas, narratives from elite Indigenous athletes and coaches, as well as findings from a recent Australian Parliamentary inquiry into Indigenous health and wellbeing. Drawing from an agency/empowerment theoretical framework, the authors posit that, given support and opportunities, Indigenous women can become empowered to improve their mental and physical health through participation in sport. Sport managers can facilitate Indigenous women's agency in the effects of colonisation, which continues to be the basis of health issues for this cohort. Listening to Indigenous women and facilitating opportunities for them to take control of their own participation can help facilitate this process. Indigenous-women's only opportunities, partnerships with health agencies and sports organisations, culturally safe spaces and Indigenous women acting as role models are some factors that may augment Indigenous women's agency, and thus empowerment. Government, sports, community organisations and health agencies which provide these conditions in their program design can help to overcome entrenched social, historical and health inequalities that Indigenous women may experience.

Energy-dense, nutrient-poor food and drink (‘junk food’) brands sponsoring sport is a growing public health concern. This study explored sports administrators' perceptions of the barriers to rejecting junk food sponsorship.

This study used concept mapping.

The Concept Systems Global MAX™ web platform was used to collect and analyse data from 29 sports administrators across all levels of sport in Victoria, Australia.

Brainstorming generated 33 barriers to rejecting junk food sponsorship. After the barriers were synthesised and edited, participants sorted and rated 32 barriers. Multidimensional scaling and hierarchical cluster analysis identified a four-cluster solution: community attitudes and values (seven barriers); junk food is the easy sell (retail; five barriers); financial viability (16 barriers); and organisational capability (policy and governance; four barriers). The financial viability barriers were rated the most important (mean = 3.65 of 5) and the hardest to overcome (1.42). The organisational capability (policy and governance) barriers were rated the least important (2.14) and the easiest to overcome (3.20).

Sports administrators clearly perceive that rejecting junk food sponsorship could place significant financial strain on their organisations. There appears to be considerable scope to build the capacity of sporting organisations to rejecting junk food sponsorship. Despite the literature indicating that most parents think junk food companies are not suitable sponsors, sports administrators perceive that there is a broad public acceptance of junk food sponsorship in sport. The fact that sports administrators perceive a link between junk food sponsorship and the lack of healthy options at club canteens and venue food outlets adds an additional, not previously identified, level of complexity to the junk food sponsorship in sport debate.

Sponsorship by manufacturers of unhealthy food can undermine the health promoting goals of sport. This study aimed to describe Australian children's exposure to organised sport, and compare time spent in specific sports with patterns of sponsorship of children's sport identified in previous studies.

Cross-sectional survey on children's sport participation collected by proxy report using a random-digit-dialling survey of 3416 parents.

Data from the 2009/10 Australian Sports Commission's Exercise, Recreation and Sport Survey were used to calculate weekly total person-time exposure to sports for Australian children, as a product of median weekly exposure (minutes) and the number of children participating. Exposures for children in NSW were calculated based on population distribution. Based on a previous survey of sport clubs in NSW, cumulative weekly exposure to food/beverage sponsorship at sports clubs was estimated for children living in NSW.

77.3% of Australian children aged 5–14 participated in organised sport. In NSW, weekly total person-time exposure for children was highest for outdoor soccer (91,200 children × median frequency of 2 sessions per week of 1 h duration = 182,400 h/week). Considering rates of sponsorship at different sports, children would be exposed to food/beverage sponsorship to the greatest extent for rugby league and outdoor cricket.

Children's high frequency of participation in organised sport and time spent engaging in these activities highlights the potentially huge reach of food/beverage sponsorship promotions. Policy interventions to limit children's exposure to this sponsorship should target those sports that have both the highest levels of children's participation and food/beverage sponsorship arrangements.

Children's high participation in organised sport in Australia makes sport an ideal setting for health promotion. This study aimed to generate consensus on priority health promotion objectives for community sports clubs, based on informed expert judgements.

Delphi survey using three structured questionnaires.

Forty-six health promotion, nutrition, physical activity and sport management/delivery professionals were approached to participate in the survey. Questionnaires used an iterative process to determine aspects of sports clubs deemed necessary for developing healthy sporting environments for children. Initially, participants were provided with a list of potential standards for a range of health promotion areas and asked to rate standards based on their importance and feasibility, and any barriers to implementation. Subsequently, participants were provided with information that summarised ratings for each standard to indicate convergence of the group, and asked to review and potentially revise their responses where they diverged. In a third round, participants ranked confirmed standards by priority.

26 professionals completed round 1, 21 completed round 2, and 18 completed round 3. The highest ranked standards related to responsible alcohol practices, availability of healthy food and drinks at sports canteens, smoke-free club facilities, restricting the sale and consumption of alcohol during junior sporting activities, and restricting unhealthy food and beverage company sponsorship.

Identifying and prioritising health promotion areas that are relevant to children's sports clubs assists in focusing public health efforts and may guide future engagement of sports clubs. Approaches for providing informational and financial support to clubs to operationalise these standards are proposed.