The impact of state physical education requirements on youth physical activity and overweight
Abstract
To combat childhood overweight in the US, which has risen dramatically in the past three decades, many medical and public health organizations have called for students to spend more time in physical education (PE) classes. This paper is the first to examine the impact of state PE requirements on student PE exercise time. It also exploits variation in state laws as quasi-natural experiments in order to estimate the causal impact of PE on overall student physical activity and weight. We study nationwide data from the Youth Risk Behavior Surveillance System for 1999, 2001, and 2003 merged with data on state minimum PE requirements from the 2001 Shape of the Nation Report. We find that high school students with a binding PE requirement report an average of 31 additional minutes per week spent physically active in PE class. Our results also indicate that additional PE time raises the number of days per week that girls report having exercised vigorously or having engaged in strength-building activity. We find no evidence that PE lowers BMI or the probability that a student is overweight. We conclude that raising PE credit requirements may make girls more physically active overall but there is not yet the scientific base to declare raising PE requirements an anti-obesity initiative for either boys or girls.
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Cawley 2007, Gonzalez-Suarez 2009, and Harris 2009 found that increased MVPA in children and adolescents does not necessarily translate into reduced BMI.
“Others have found that while children and adolescents can experience increased levels of MVPA, this does not necessarily translate into reduced BMI (Cawley 2007;Gonzalez-Suarez 2009;Harris 2009).”
From School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18 (2013) · cites this paper as Cawley 2007
Cites
Regression Analysis of Count Data
Cameron, A. C., & Trivedi, P. K. (2013) · doi:10.1017/cbo9781139013567 · Cited by 6,640 · see citing works
CDC GROWTH CHARTS FOR THE UNITED STATES: METHODS AND DEVELOPMENT 2000
Kuczmarski, R. J., Ogden, C. L., Guo, S. S., Strawn, L. G., Flegal, K. M., & Mei, Z. (2002) · Cited by 6,426 · see citing works
Regression Analysis of Count Data: Author Index
Cameron, A., & Trivedi, P. (1998) · Cambridge University Press eBooks · doi:10.1017/cbo9780511814365 · Cited by 6,406 · see citing works
Physical Activity and Health: A Report of the Surgeon General
(1995) · PsycEXTRA Dataset · doi:10.1037/e525162010-001 · Cited by 5,488 · see citing works
Instrumental Variables Regression with Weak Instruments
Staiger, D., & Stock, J. (1994) · doi:10.3386/t0151 · Cited by 5,302 · see citing works
Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002.
Hedley, A. A., Ogden, C., Johnson, C. L., Carroll, M., Curtin, L. R., & Flegal, K. (2004) · Journal of the American Medical Association (JAMA) · doi:10.1001/jama.291.23.2847 · Cited by 4,670 · see citing works
A Survey of Weak Instruments and Weak Identification in Generalized Method of Moments
Stock, J. H., Wright, J. H., & Yogo, M. (2002) · Journal of Business and Economic Statistics · doi:10.1198/073500102288618658 · Cited by 4,151 · see citing works
Identification and estimation of local average treatment effects
Imbens, G. W., & Angrist, J. D. (1994) · Econometrica · doi:10.2307/2951620 · Cited by 4,101 · see citing works
Prevalence and Trends in Overweight Among US Children and Adolescents, 1999-2000
Ogden, C. L. (2002) · JAMA · doi:10.1001/jama.288.14.1728 · Cited by 4,060 · see citing works
(2006) · PubMed · Cited by 3,378 · see citing works
Childhood obesity: public-health crisis, common sense cure
Ebbeling, C. B., Pawlak, D. B., & Ludwig, D. S. (2002) · The Lancet · doi:10.1016/s0140-6736(02)09678-2 · Cited by 2,980 · see citing works
Identification and Estimation of Local Average Treatment Effects
Angrist, J. D., & Imbens, G. W. (1995) · National Bureau of Economic Research · doi:10.3386/t0118 · Cited by 2,898 · see citing works
Socioeconomic Status and Obesity: A Review of the Literature
Sobal, J., & Stunkard, A. J. (1989) · Psychological Bulletin · doi:10.1037/0033-2909.105.2.260 · Cited by 2,346 · see citing works
Healthy People 2010: Understanding and Improving Health
UNSPECIFIED (2000) · PsycEXTRA Dataset · doi:10.1037/e319432004-001 · Cited by 2,199 · see citing works
The effectiveness of interventions to increase physical activityA systematic review1 and 2
KAHN, E., RAMSEY, L., BROWNSON, R., HEATH, G., HOWZE, E., POWELL, K., STONE, E., RAJAB, M., & CORSO, P. (2002) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(02)00434-8 · Cited by 2,022 · see citing works
Youth Risk Behavior Surveillance — United States, 2001
Grunbaum, J. A., Kann, L. K., Kinchen, S. A., Williams, B., Ross, J. G., Lowry, R., & Kolbe, L. J. (2002) · Journal of School Health · doi:10.1111/j.1746-1561.2002.tb07917.x · Cited by 1,412 · see citing works
Preventing Childhood Obesity: Health in the Balance
Koplan, J. P., Liverman, C. T., & Kraak, V. A. (2004) · PsycEXTRA Dataset · doi:10.1037/e407782005-001 · Cited by 1,383 · see citing works
Prentice, A. M., & Jebb, S. A. (2001) · Obesity Reviews · doi:10.1046/j.1467-789x.2001.00031.x · Cited by 1,267 · see citing works
Methodology of the Youth Risk Behavior Surveillance System
Brener, N. D., Kann, L. K., Kinchen, S. A., Grunbaum, J. A., Whalen, L., Eaton, D. K., Hawkins, J., & Ross, J. G. (2004) · PsycEXTRA Dataset · doi:10.1037/e548562006-001 · Cited by 1,183 · see citing works
Childhood Obesity and Self-Esteem
Strauss, R. S. (2000) · PEDIATRICS · doi:10.1542/peds.105.1.e15 · Cited by 1,139 · see citing works
Holtz, T. H., Kachur, S. P., MacArthur, J. R., Roberts, J. M., Barber, A. M., Steketee, R. W., & Parise, M. E. (2001) · PsycEXTRA Dataset · doi:10.1037/e548252006-001 · Cited by 1,018 · see citing works
US Department of Health & Human Services; Public Health Service; Office of Surgeon General (2001) · PsycEXTRA Dataset · doi:10.1037/e301232004-001 · Cited by 1,001 · see citing works
Beyond BMI: The value of more accurate measures of fatness and obesity in social science research
Burkhauser, R. V., & Cawley, J. (2007) · Journal of Health Economics · doi:10.1016/j.jhealeco.2007.05.005 · Cited by 849 · see citing works
Self-citationDoes More Intensive Treatment of Acute Myocardial Infarction in the Elderly Reduce Mortality?
McClellan, M. (1994) · JAMA · doi:10.1001/jama.1994.03520110039026 · Cited by 777 · see citing works
Lee, S. M., Burgeson, C. R., Fulton, J. E., & Spain, C. G. (2007) · Journal of School Health · doi:10.1111/j.1746-1561.2007.00229.x · Cited by 653 · see citing works
Economic Burden of Obesity in Youths Aged 6 to 17 Years: 1979–1999
Wang, G., & Dietz, W. H. (2002) · PEDIATRICS · doi:10.1542/peds.109.5.e81 · Cited by 631 · see citing works
Reliability and validity of self-reported height and weight among high school students
Brener, N. D., McManus, T., Galuska, D. A., Lowry, R., & WECHSLER, H. (2003) · Journal of Adolescent Health · doi:10.1016/s1054-139x(02)00708-5 · Cited by 557 · see citing works
Youth risk behavior surveillance--United States, 2001.
Grunbaum, J. A., Kann, L. K., Kinchen, S., Williams, B., Ross, J., Lowry, R., & Kolbe, L. J. (2002) · PubMed · Cited by 525 · see citing works
Dhrymes, P. J. (1988) · International Journal of Forecasting · doi:10.1016/0169-2070(88)90090-8 · Cited by 466 · see citing works
The validity of self-reported weight in US adults: a population based cross-sectional study
Villanueva, E. (2001) · BMC Public Health · doi:10.1186/1471-2458-1-11 · Cited by 336 · see citing works
Childhood Obesity: A New Pandemic of the New Millennium
Kimm, S. Y. S., & Obarzanek, E. (2002) · PEDIATRICS · doi:10.1542/peds.110.5.1003 · Cited by 288 · see citing works
Beyond BMI: The Value of More Accurate Measures of Fatness and Obesity in Social Science Research
Cawley, J., & Burkhauser, R. V. (2006) · National Bureau of Economic Research · doi:10.3386/w12291 · Cited by 286 · see citing works
Self-citationDale, D., Corbin, C. B., & DALE, K. S. (2000) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2000.10608904 · Cited by 281 · see citing works
Contribution of School Programmes to Physical Activity Levels and Attitudes in Children and Adults
Trudeau, F., & Shephard, R. J. (2005) · Sports Medicine · doi:10.2165/00007256-200535020-00001 · Cited by 244 · see citing works
Datar, A., & Sturm, R. (2004) · American Journal of Public Health · doi:10.2105/ajph.94.9.1501 · Cited by 217 · see citing works
(2001) · PsycEXTRA Dataset · doi:10.1037/e548172006-001 · Cited by 206 · see citing works
Progress in Preventing Childhood Obesity: How Do We Measure Up?
(2006) · Obesity Management · doi:10.1089/obe.2006.2.232 · Cited by 175 · see citing works
Physical Education and Activity: Results from the School Health Policies and Programs Study 2000
Burgeson, C. R., Wechsler, H., Brener, N. D., Young, J. C., & Spain, C. G. (2001) · Journal of School Health · doi:10.1111/j.1746-1561.2001.tb03505.x · Cited by 156 · see citing works
Eating Disorders and Obesity: A Comprehensive Handbook
Bonner, G. (2002) · Nutrition Bulletin · doi:10.1046/j.1467-3010.2002.00243.x · Cited by 149 · see citing works
Physical Activity for Children: A Statement of Guidelines for Children Ages 5-12
Corbin, C. B., & Pangrazi, R. P. (2004) · Cited by 146 · see citing works
Prediction Equations Do Not Eliminate Systematic Error in Self‐Reported Body Mass Index
Plankey, M. W., Stevens, J., Fiegal, K. M., & Rust, P. F. (1997) · Obesity Research · doi:10.1002/j.1550-8528.1997.tb00556.x · Cited by 136 · see citing works
The physical activity of fifth-grade students during physical education classes.
Simons‐Morton, B. G., Taylor, W. C., Snider, S. A., & Huang, I. (1993) · American Journal of Public Health · doi:10.2105/ajph.83.2.262 · Cited by 113 · see citing works
Participation in High School Physical Education - United States, 1991-2003
Lowry, R., Brener, N. D., Lee, S., Epping, J. N., Fulton, J. E., & Eaton, D. K. (2005) · Journal of School Health · doi:10.1111/j.1746-1561.2005.tb00009.x · Cited by 91 · see citing works
Physical Fitness and Activity in Schools
(2000) · PEDIATRICS · doi:10.1542/peds.105.5.1156 · Cited by 80 · see citing works
Promoting Better Health for Young People Through Physical Activity and Sports
(2000) · PsycEXTRA Dataset · doi:10.1037/e305112004-001 · Cited by 70 · see citing works
Instrumental Variables, Bootstrapping, and Generalized Linear Models
Hardin, J. W., Schmiediche, H., & Carroll, R. J. (2003) · The Stata Journal Promoting communications on statistics and Stata · doi:10.1177/1536867x0400300405 · Cited by 65 · see citing works
Physical Education Statement by the President's Council on Physical Fitness and Sports
Haney, L. (2001) · NASNewsletter · doi:10.1177/104747570101600107 · Cited by 11 · see citing works
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Cited by
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Barlow, S. E., & and the Expert Committee (2007) · Pediatrics · doi:10.1542/peds.2007-2329c · Cited by 4,497 · see citing works
Dobbins, M., Husson, H., DeCorby, K., & LaRocca, R. L. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007651.pub2 · Cited by 1,358 · see citing works
Ten Putative Contributors to the Obesity Epidemic
McAllister, E. J., Dhurandhar, N. V., Keith, S. W., Aronne, L. J., Barger, J., Baskin, M., Benca, R. M., Biggio, J., Boggiano, M. M., Eisenmann, J. C., et al. (2009) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408390903372599 · Cited by 710 · see citing works
Assessing the Relationship Between a Composite Score of Urban Park Quality and Health
Mullenbach, L. E., Mowen, A. J., & Baker, B. L. (2018) · Preventing Chronic Disease · doi:10.5888/pcd15.180033 · Cited by 23 · see citing works
Physical Activity: Economic and Policy Factors
McInnes, M., & Shinogle, J. (2009) · doi:10.3386/w15039 · Cited by 16 · see citing works
- Authors
- Cawley, J., Meyerhoefer, C., & Newhouse, D.
- Affiliations
- Cornell University (US)
- Agency for Healthcare Research and Quality (US)
- International Monetary Fund (US)
- Corresponding author
- Cawley, John
- Venue
- Health Economics
- Publisher
- Wiley
- Published
- 2007-11-23
- Volume
- 16
- Issue
- 12
- Pages
- 1287-1301
- ISSN
- 1057-9230 (ISSN-L)
- 1099-1050
- OpenAlex
- W2153338394
- Cited by
- 169
- References
- 47
- Citations by year
- 2025: 4 · 2024: 5 · 2023: 4 · 2022: 5 · 2021: 11 · 2020: 11 · 2019: 10 · 2018: 10 · 2017: 1 · 2016: 8 · 2015: 11 · 2014: 8 · 2013: 13 · 2012: 17
- FWCI
- 12.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Economics (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- American Heart Association
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Physical Education and Pedagogy
- Keywords
- physical education requirements, state education policy, children's physical activity, childhood overweight, obesity prevention, high school students, sex differences in physical activity, high-intensity exercise, body mass index
- MeSH terms
- Adolescent, Female, Humans, Male, Motor Activity, Physical Education and Training, Regression Analysis, Schools, State Government, Students, United States, Exercise, Body Mass Index, Guidelines as Topic, Sex Distribution, Behavioral Risk Factor Surveillance System, Overweight
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