School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6-18

Dobbins, Maureen; DeCorby, Kara; Robeson, Paula; Husson, Heather; Tirilis, Daiva

doi:10.1002/14651858.cd007651

Cited by 346Physical Activity and HealthSchool Health and Nursing EducationObesity, Physical Activity, Diet

School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6-18

Dobbins, Maureen, DeCorby, Kara, Robeson, Paula, Husson, Heather, Tirilis, Daiva·2009·Cochrane Database of Systematic Reviews

DOI 10.1002/14651858.cd007651

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Abstract

BACKGROUND: The World Health Organization estimates that 1.9 million deaths worldwide are attributable to physical inactivity. Chronic diseases associated with physical inactivity include cancer, diabetes and coronary heart disease. OBJECTIVES: The purpose of this systematic review is to summarize the evidence of the effectiveness of school-based interventions in promoting physical activity and fitness in children and adolescents. SEARCH STRATEGY: The search strategy included searching several databases. In addition, reference lists of included articles and background papers were reviewed for potentially relevant studies, as well as references from relevant Cochrane reviews. Primary authors of included studies were contacted as needed for additional information. SELECTION CRITERIA: To be included, the intervention had to be relevant to public health practice, implemented, facilitated, or promoted by staff in local public health units, implemented in a school setting and aimed at increasing physical activity, report on outcomes for children and adolescents (aged 6 to 18 years), and use a prospective design with a control group. DATA COLLECTION AND ANALYSIS: Standardized tools were used by two independent reviewers to rate each study's methodological quality and for data extraction. Where discrepancies existed discussion occurred until consensus was reached. The results were summarized narratively due to wide variations in the populations, interventions evaluated and outcomes measured. MAIN RESULTS: 13,841 titles were identified and screened and 482 articles were retrieved. Multiple publications on the same project were combined and counted as one project, resulting in 395 distinct project accounts (studies). Of the 395 studies 104 were deemed relevant and of those, four were assessed as having strong methodological quality, 22 were of moderate quality and 78 were considered weak. In total 26 studies were included in the review. There is good evidence that school-based physical activity interventions have a positive impact on four of the nine outcome measures. Specifically positive effects were observed for duration of physical activity, television viewing, VO2 max, and blood cholesterol. Generally school-based interventions had no effect on leisure time physical activity rates, systolic and diastolic blood pressure, body mass index, and pulse rate. At a minimum, a combination of printed educational materials and changes to the school curriculum that promote physical activity result in positive effects. AUTHORS' CONCLUSIONS: Given that there are no harmful effects and that there is some evidence of positive effects on lifestyle behaviours and physical health status measures, ongoing physical activity promotion in schools is recommended at this time.

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Several reviews provide evidence for the integration of more physical activity into the school curriculum.
“Furthermore, several reviews provide evidence for the integration of (more) PA into the curriculum (15, 66, 69, 74, 77, 78).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [77]

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Cochrane review: School‐based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6‐18
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School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18
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Summary of ‘School‐based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6–18’, including tables of key findings and quality of included trials
Dobbins, M., DeCorby, K., Robeson, P., Husson, H., Tirilis, D., van Dalen, E. C., & Kremer, L. C. M. (2009) · Evidence-Based Child Health A Cochrane Review Journal · doi:10.1002/ebch.426 · Cited by 2 · see citing works
School-Based Intervention Programs for Preventing Obesity and Promoting Physical Activity and Fitness: A Systematic Review
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Authors: Dobbins, M., DeCorby, K., Robeson, P., Husson, H., & Tirilis, D.
Affiliations: McMaster University (CA)
ORCID: Dobbins, Maureen
Robeson, Paula
Venue: Cochrane Database of Systematic Reviews
Publisher: John Wiley & Sons, Ltd
Published: 2009-01-21
Issue: 1
Pages: CD007651-CD007651
ISSN: 1361-6137 (ISSN-L)
DOI: 10.1002/14651858.cd007651
OpenAlex: W4253748351
Cited by: 343
References: 439
Citations by year: 2026: 5 · 2025: 10 · 2024: 8 · 2023: 18 · 2022: 11 · 2021: 22 · 2020: 16 · 2019: 18 · 2018: 22 · 2017: 17 · 2016: 31 · 2015: 26 · 2014: 28 · 2013: 34 · 2012: 31
Type: reference entry
Language: en
Update notices: new_version (2013-02-28)
Open access: closed
Locations: Cochrane Database of Systematic Reviews (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Physiology › Physical Activity and Health
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
Keywords: school-based intervention, physical activity promotion, children, adolescents, physical fitness, VO2max, serum cholesterol, television viewing, physical inactivity, public health interventions, school curriculum, teaching materials
MeSH terms: Adolescent, Child, Health Promotion, Humans, Motor Activity, Physical Fitness, Schools, Program Evaluation, Exercise, Randomized Controlled Trials as Topic

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School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6-18

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