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

The DOI matches its Crossref record; 433 of the 439 references it cites were found in a registry or an index.

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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Research works printed but not linked: 52

  1. Caballero, 2001, The Pathways obesity prevention study: overview of design and measurements, FASEB Journal, 15, A1091
  2. Walter, 1987, Primary prevention of cardiovascular disease among children: three year results of a randomized intervention trial, 161
  3. Aganovic, 2002, The effect of weight loss on cardiovascular risk factors: "Healthy Weight Loss School", International Journal of Obesity, 26, S200
  4. Bindler, 2000, Interventions to decrease cardiovascular risk factors in children: the Northwest Pediatric Heart project, National Academies of Practice Forum: Issues in Interdisciplinary Care, 2, 43
  5. Calfas, 1991, The development of scales to measure knowledege and preference for diet and physical activity behavior in 4- to 8-year old children, Journal of Developmental and Behavioral Pediatrics, 12, 185
  6. Coe, 2005, Effect of physical education class enrollment and seasonality on physical activity levels in middle school children, Pediatric Exercise Science, 17, 93
  7. Crawford, 1997, An approach to providing dietary and physical-activity dairy instruction to adolescent girls enrolled in a longitudinal study: The National Heart, Lung and Blood Institute Growth and Health Study, American Journal of Clinical Nutrition, 65, S1297
  8. Dunn, 2006, Design and implementation of a nutrition and physical activiey curriculum for child care settings, Preventing Chronic Disease, 3, 1
  9. Ernst, 2003, Examination of physical activity during a physical activity intervention and recess, Research Quarterly for Exercise & Sport., 74, A43
  10. Ewart, 1998, Effects of school-based aerobic exercise on blood pressure in adolescent girls at risk for hypertension, American Journal of Public Health, 88, 949, 10.2105/AJPH.88.6.949 · DOI
  11. Fairclough, 2002, Promoting lifetime physical activity through physical education. Are we providing the right opportunities?, British Journal of Teaching Physical Education, 32, 38
  12. Frauhiger L The effects of daily physical activity on student academic achievement and physical health (Thesis) 2002
  13. Greene, 1995, The effect of a ten-week physical fitness program on fitness profiles, self-concept, and body-esteem in children, Journal of the International Council for Health, Physical Education, Recreation, Sport & Dance, 31, 42
  14. Jackson, 2001, Effects of a physical activity programme on activity and motor skills in young children: a controlled trial, FASEB Journal, 15, A951
  15. Jones, 1988, Regular aerobic exercise and blood pressure in children. An efficacy school-based randomized clinical trial, American Journal of Epidemiology, 128, 898
  16. Jordan MC A comparison of intermittent exercise and relaxation versus steady state exercise on fitness levels and attitudes in seventh grade girls Brigham Young University (Thesis) 1995
  17. Kaplan, 1996, Effects of a 3-month exercise and nutrition program for childhood obesity on anthropometrics, physical fitness, and serum lipids, International Pediatrics, 11, 31
  18. Kimm, 1997, Longitudinal assessment of physical activity (PA) in young girls, American Journal of Epidemiology, 145, S25
  19. Liskova, 2002, Long-term effectiveness of obesity intervention program in children, International Journal of Obesity, 26, S10
  20. Ludwig, 2004, Assessment of Calgary elementary physical education programs, Canadian Journal of Applied Physiology, 29, S63
  21. MacConnie, 1991, The effect of parental inclusion in an exercise and nutrition intervention program, Medicine and Science in Sports and Exercise, 23, S30
  22. Mahon, 1993, The effects of daily physical education on health related physical fitness in first-grade children, Research Quarterly for Exercise and Sport, March Supplemen, A
  23. McKenzie, 1993, Effects of a curriculum and inservice program on the quantity and quality of elementary physical education classes, Research Quarterly for Exercise and Sport, 64, 178, 10.1080/02701367.1993.10608795 · DOI · Paper page
  24. Mecredy, 1993, Efficacy and community development: heart health interventions and adolescents, Public Health and Epidemiology Report Ontario, 4, 16
  25. Metzker, 2000, The effects of a transtheoretical model physical activity intervention program on the physical activity behavior of female adolescents, Research Quarterly for Exercise & Sport, 71, A
  26. 2003, Home to School: using handheld palm computers to gather information on environmental factors affecting walking to school among elementary school children, Health Education and Behavior, 4, 405
  27. Mott, 1991, Effectiveness of a personalized fitness module on knowledge, attitude, and cardiovascular endurance of fifth-grade students: "Hear Smart", Perceptual Motor Skills, 73, 847
  28. Oxizoglou, 2005, A comparative study of a handball program and a physical education curriculum and their influence on the anthropometric characteristics formation of pupils aged 12-14, Inquiries in Sport & Physical Education, 3, 123
  29. Parlee-Hirth, 2002, California children's 5 a day - power play! campaign, American Journal of Health Promotion, 16, 371
  30. Robinson, 1999, Reducing children's television viewing to prevent obesity: a randomized controlled trial, JAMA, 282, 1561, 10.1001/jama.282.16.1561 · DOI · Paper page
  31. Sacher, 2003, An integrated programme of nutrition, exercise and behavioural modification in a small group of obese 7-11-year-old children, Proceedings of the Nutrition Society, 62, 3A
  32. Saksvig, 2003, A successful school-based diabetes prevention intervention for native Canadian children, Diabetes, 52, A209
  33. Shephard, 1985, Long-term studies of physical activity in children: The Trois-Rivieres experience, 252
  34. Trudeau, 1999, Daily primary school physical education: effects on physical activity during adult life, Medicine and Science in Sports and Exercise, 31, 111, 10.1097/00005768-199901000-00018 · DOI
  35. Mil, 1999, Physical activity and the prevention of childhood obesity: eurpose versus the United States, International Journal of Obesity, 23, S41
  36. Werner, 1988, Health related fitness benefits in upper elementary school children in a dialy physical education program, The Physical Educator, 45, 89
  37. Westcott, 1995, School-based conditioning programs for physically unfit children, Strength and Conditioning, 46, 345
  38. Arbeit, 1992, The Heart Smart cardiovascular school health promotion: behavior correlates of risk factor change., Preventive Medicine, 21, 18, 10.1016/0091-7435(92)90003-Z · DOI
  39. 1997, Promote lifelong physical activity among young people, risk behavior surveillance - United States, Morbidity and Mortality Weekly Report, 46, 1
  40. Centers for Disease Control Chapter 6: Understanding and promoting physical activity Surgeon General's Report on Physical Activity & Health 1999 210 59
  41. Fernandes, 2000, Diagnosis and treatment of hypertension in children and adolscents, Canadian Journal of Cardiology, 16, 801
  42. Gutin, 1997, Effects of physical training on cardiovascular health in obese children, 382
  43. Kannas, 1992, Leisure-time physical activity and related behavior in four European countries. Cuneo, Italy. In Cale L, Almond, L.: Physical activity levels of secondary-aged children: A review., Health Education Journal, 51, 192, 10.1177/001789699205100410 · DOI
  44. Klepp, 1993, The Oslo Youth Study: a 12 year follow-up study of a school-based health education program, 94
  45. Marella, 1992, Evaluation de l'aptitude physique: eurofit, batterie experientagle. Rome: Scuola Dello Slopoer. In Cale & Almond. Physical activity levels of secondary-aged children: a review., Health Education Journal, 51, 192
  46. McKenzie, 1996, School physical education: effect of the Child and Adolescent Trial for Cardiovascular Health, Preventive Medicine, 25, 423, 10.1006/pmed.1996.0074 · DOI
  47. Sallis, 1993, Project SPARK: effects of physical education on adiposity in children, Annals of the New York Academy of Sciences, 699, 127, 10.1111/j.1749-6632.1993.tb18844.x · DOI
  48. Stone, 1998, Effects of physical activity interventions in youth: review and synthesis, American Journal of Preventive Medicine, 15, 298, 10.1016/S0749-3797(98)00082-8 · DOI
  49. Thomas H Siracusa L Ross G Beath L Hanna L Michaud M Effectiveness of school-based interventions in reducing adolescent risk behaviors: a systematic review of reviews Effective Public Health Practice Project (EPHPP) 1999
  50. Thomas, 2004, A process for systematically reviewing the literature: Providing the research evidence for public health nursing interventions, Worldviews on Evidence-Based Nursing, 1, 176, 10.1111/j.1524-475X.2004.04006.x · DOI · Paper page
  51. Walter, 1987, Primary prevention of cardiovascular disease among children: three year results of a randomized intervention trial, 161
  52. Schonfeld-Warden, 1997, Pediatric obesity: an overview of etiology and treatment, Pediatric Endocrinology, 44, 339

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Metadata

Authors
Dobbins, M., DeCorby, K., Robeson, P., Husson, H., & Tirilis, D.
Affiliations
McMaster University (CA)
ORCID
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 › Public Health, Environmental and Occupational Health › Physical Activity and Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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