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Appalachian youth are highconsumers of added dietary sugar and are very sedentary. Mentoring to be Active trains teens to deliver atheoretically based program to promote home-based physical activity (PA) and reduce dietary sugar among rural Appalachian youth. For this pre-test/post-test pilot study, 52 seventh graders from two Appalachian schools participated as mentees. Twenty-two 10th grade students served as peer mentors. The study estimated sedentary activity,and physical activity by accelerometers and dietary sugars (snacks, beverages) during 'out of school' time. Descriptive statistics and effect sizes (ES) were calculated. When the pre-post standard deviations differed, Hedge's g were reported. Sedentary activity decreased 36.7% (ES =.798). Moderate activity levels increased 16.5% (ES =.359). Vigorous activity increased 88% (ES =.359). Sugary- beverages declined over 4 ½ servings. Sugary snacks declined 2 ¼ servings. Peer mentoring is a strategy to promote social support for healthier behaviors among youth at risk for obesity and co-morbidities. Accelerometers rigorously assessed physical activity during 'out of school' time in rural youth. [ABSTRACT FROM AUTHOR]

Introduction: This study describes sugar‐sweetened beverage (SSB) behaviors of children and compares child‐reported SSB behaviors to parent‐reported SSB behaviors during school days and nonschool days. Method: Six elementary schools from Tennessee participated with 444 students and 287 parents. Descriptive statistics included means, standard deviation (SD), ranges of values, and measures of central tendency. To explore the relationship between parent and child report, intraclass correlation coefficients (ICC) were analyzed. The mean (SD) differences and limits of agreement were calculated using paired t tests with Bonferroni corrections for multiple outcomes of interest. A p < 0.05 was significant. Results: Reporting differed with SSB type of school day. Children reported higher quantities of sweet tea and "coke/soda." Both agreed on SSB abstention, except for juice. ICCs ranged from 0.383 to 0.513 (p = 0.000). The lowest and highest ICCs were for sweet tea, based on school days or nonschool days. Discussion: To determine the best estimate of SSBs, information should be obtained from children and parents to improve accuracy and enhance education about health behaviors. [ABSTRACT FROM AUTHOR]