Cited by 350Physical Activity and HealthYouth Development and Social SupportObesity, Physical Activity, Diet

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After-School Program Impact on Physical Activity and Fitness

Beets, Michael W., Beighle, Aaron, Erwin, Heather E., Huberty, Jennifer L.·2009·American Journal of Preventive Medicine

DOI 10.1016/j.amepre.2009.01.033

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Abstract

Context The majority of children do not participate in sufficient amounts of daily, health-enhancing physical activity. One strategy to increase activity is to promote it within the after-school setting. Although promising, the effectiveness of this strategy is unclear. A systematic review was performed summarizing the research conducted to date regarding the effectiveness of after-school programs in increasing physical activity.Evidence acquisition Databases, journals, and review articles were searched for articles published between 1980 and February 2008. Meta-analysis was conducted during July of 2008. Included articles had the following characteristics: findings specific to an after-school intervention in the school setting; subjects aged <or=18 years; an intervention component designed to promote physical activity; outcome measures of physical activity, related constructs, and/or physical fitness. Study outcomes were distilled into six domains: physical activity, physical fitness, body composition, blood lipids, psychosocial constructs, and sedentary activities. Effect sizes (Hedge's g) were calculated within and across studies for each domain, separately.Evidence synthesis Of the 797 articles found, 13 unique articles describing findings from 11 after-school interventions were reviewed. Although physical activity was a primary component of all the tested interventions, only eight studies measured physical activity. From the six domains, positive effect sizes were demonstrated for physical activity (0.44 [95% CI=0.28-0.60]); physical fitness (0.16 [95% CI=0.01-0.30]); body composition (0.07 [95% CI=0.03-0.12]); and blood lipids (0.20 [95% CI=0.06-0.33]).Conclusions The limited evidence suggests that after-school programs can improve physical activity levels and other health-related aspects. Additional studies are required that provide greater attention to theoretical rationale, levels of implementation, and measures of physical activity within and outside the intervention.

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“Thus, these contextspecific settings present an opportunity for interventions targeting obesity prevention by replacing SB with PA [38, 39].”
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“2016) and one low—(Beets et al. 2009) methodological quality meta-analyses reported a non-significant effect size (Table 3).”
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Sedentary time and vigorous physical activity are independently associated with cardiorespiratory fitness in middle school youth
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“A meta-analysis supported the conclusion that interventions in afterschool settings have produced increases in children’s PA and physical fitness (69).”
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“Although there has been considerable focus on interventions to increase youth PA in afterschool programming throughout the school year [6,7], there has been much less research on ensuring that youth participate in adequate amounts of PA during the summer months when the majority of schools within the U.”
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“60).(17) There were no reviews of studies that evaluated the effect of parental involvement with interventions to increase children’s physical activity.”
Background
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“This review adds to the understanding contributed by previous reviews of evidence on obesity interventions for African American children and/or adolescents (12,13,18, 60,61) or that have established the general benefits of afterschool interventions (9,10,62).”
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“These are (1) environment/ climate; (2) relationships; (3) professional development; (4) programming/activities; (5) linkages between school and afterschool; (6) youth participation/engagement; (7) parent, family, and community partnerships; (8) program growth/sustainability; (9) measuring outcomes; and (10) evaluatio…”
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“Although recreational activities are offered within after-school programs, there continues to be a lack of physical activity among individuals attending after-school programs (Beets et al. 2009).”
Background
Integrative Public Health-Aligned Physical Education and Implications for the Professional Preparation of Future Teachers and Teacher Educators/Researchers in the Field
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Feasibility and outcomes of an out-of-school and home-based obesity prevention pilot study for rural children on an American Indian reservation
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The impact of an after-school physical activity program on health-related fitness of mother/daughter pairs: CASPIAN study
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“After-school programs are increasingly suggested as a solution to the existing limitations in schools' PA education and are considered as potentially useful and feasible options for PA promotion, although the effectiveness of such programs needs further investigation (Beets et al., 2009).”
Background
Physical Activity Before and After School
Beighle, A. E., & Moore, M. (2012) · Journal of Physical Education Recreation & Dance · doi:10.1080/07303084.2012.10598792 · Cited by 26
“The results of research examining the effectiveness of ASPs in providing PA for youths is mixed, with some studies finding very positive effects and others finding no effects (Beets et al., 2009).”
Background
A Church‐Based Intervention to Change Attitudes about Physical Activity among Black Adolescent Girls: A Feasibility Study
Thompson, W. M., Berry, D. C., & Hu, J. (2012) · Public Health Nursing · doi:10.1111/phn.12009 · Cited by 26
Effect on physical activity of a randomized afterschool intervention for inner city children in 3rd to 5th grade
Crouter, S. E., de Ferranti, S. D., Whiteley, J., Steltz, S. K., Osganian, S. K., Feldman, H. A., & Hayman, L. L. (2015) · PLoS ONE · doi:10.1371/journal.pone.0141584 · Cited by 25

Authors: Beets, M. W., Beighle, A., Erwin, H. E., & Huberty, J. L.
Affiliations: University of South Carolina (US)
University of Kentucky (US)
University of Nebraska at Omaha (US)
Corresponding author: Beets, Michael W.
ORCID: Beets, Michael W.
Erwin, Heather E.
Huberty, Jennifer L.
Venue: American Journal of Preventive Medicine
Publisher: Elsevier BV
Published: 2009-06
Volume: 36
Issue: 6
Pages: 527-537
ISSN: 0749-3797 (ISSN-L)
DOI: 10.1016/j.amepre.2009.01.033
OpenAlex: W2091190118
Cited by: 350
References: 49
Citations by year: 2026: 5 · 2025: 8 · 2024: 17 · 2023: 13 · 2022: 13 · 2021: 29 · 2020: 31 · 2019: 24 · 2018: 19 · 2017: 14 · 2016: 29 · 2015: 30 · 2014: 34 · 2013: 25 · 2012: 32
FWCI: 2.16
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: American Journal of Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Social Sciences › Psychology › Developmental and Educational Psychology › Youth Development and Social Support
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords: after-school programs, physical activity, physical fitness, children, adolescents, body composition, serum lipids, sedentary behavior, psychosocial outcomes, school-based intervention, health promotion
MeSH terms: Adolescent, Body Composition, Child, Female, Health Promotion, Humans, Lipids, Male, Physical Fitness, Schools, United States, Health Behavior, Exercise

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After-School Program Impact on Physical Activity and Fitness

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