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After-School Program Impact on Physical Activity and Fitness
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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“In this context, improving students' attendance rates is highly important as the effectiveness of a program depends strongly on attendance (81).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [81]
In the citing paper
“After-school programs focused on PA and/or sports are also effective (15, 70, 80, 81).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [81]
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“It was proposed that programs would benefit from accepted behavior-change theory being leveraged to administer physical activity to children, while also improving evidence-based psychological predictors of their voluntary physical activity outside of the school setting.(12) There has been only sporadic theory-based re…”
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“This is consistent with previous research which shows that nutritional interventions significantly enhance both physical activity and literacy (27–29).”
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Physical Activity, Cognition, and School Performance: From Neurons to Neighborhoods
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Steps towards permanently increasing physical activity in the population
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A Pictorial View of the Physical Activity Socialization of Young Adolescents Outside of School
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“A lack of empirical studies focused on the out-of-school setting also hampers our understanding (Beets et al., 2009; Jago & Baranowski, 2004; van Sluijs et al., 2007).”
BackgroundHealth effects of children’s summer holiday programs: a systematic review and meta-analysis
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A Biopsychosocial Model of Dietary Restraint in Early Adolescent Boys
Mitchell, S. H., Petrie, T. A., Greenleaf, C. A., & Martin, S. B. (2015) · The Journal of Early Adolescence · doi:10.1177/0272431615619232 · Cited by 10
“For example, in their review of prevention programs targeting CRF in fifth-grade boys and girls, Beets et al. (2009) found that male and female adolescents who attended 40% or more of the intervention sessions had the greatest improvement in physical fitness, including CRF, in comparison with the…”
Frömel, K., Pelclová, J., Skalik, K., Lokvencová, P. N., & Mitáš, J. (2012) · Acta Gymnica · doi:10.5507/ag.2012.001 · Cited by 10
“…regular participation in PE classes at school, children and youth increase their overall daily PA (Fairclough & Stratton, 2005a; 2005b), and PA programmes in afterschool time might have greater potential for improving physical activity levels and other health-related as pects (Beets et al., 2009).”
BackgroundWeight Control in Adolescents: Focus Groups With Korean Adolescents and Their Teachers
Chae, S., Yeo, J., Hwang, J., Lee, J., Lim, J., & Kwon, I. (2016) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2016.12.003 · Cited by 10
Riiser, K., Helseth, S., Ellingsen, H., Fallang, B., & Løndal, K. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-016585 · Cited by 12
“Interventions directed at after-school programmes (ASPs) have the potential to become a means of increasing physical activity among young children.(14) Previous research has indicated that ASP interventions emphasising competence building among the staff can lead to increased levels of physical activity for the childr…”
BackgroundLøndal, K., Haugen, A. L. H., Lund, S., & Riiser, K. (2020) · PLoS ONE · doi:10.1371/journal.pone.0232486 · Cited by 11
Burns, K. E., Vermeer, J., Battista, K., & Leatherdale, S. T. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18063314 · Cited by 10
Minority Youth, Physical Activity, and Fitness Levels: Targeted Interventions Needed
FAHLMAN, M. M., Hall, H., & Gutuskey, L. (2015) · American Journal of Health Education · doi:10.1080/19325037.2015.1077758 · Cited by 10
Laurent, C. W. S., Burkart, S. A., & Alhassan, S. (2019) · International journal of exercise science · doi:10.70252/voii8947 · Cited by 10
“Furthermore, previous studies examining physical activity and cognition have mainly been implemented either during classroom time or immediately after-school (2, 3, 7, 15, 21, 31).”
BackgroundGates, M., Hanning, R. M., Gates, A., Stephen, J., Fehst, A., & Tsuji, L. J. S. (2015) · Journal of Community Health · doi:10.1007/s10900-015-0063-8 · Cited by 14
Rocliffe, P., Tapia‐Serrano, M. Á., García‐González, L., Adamakis, M., Walsh, L., Bannon, A., Mulhall, E., Sherwin, I., O’Keeffe, B. T., McNamara, P., et al. (2024) · Adolescent Research Review · doi:10.1007/s40894-023-00231-x · Cited by 26
Acker, R. V., Bourdeaudhuij, I. D., Martelaer, K. D., Seghers, J., Cocker, K. A. D., & Cardon, G. (2012) · Journal of School Health · doi:10.1111/j.1746-1561.2012.00711.x · Cited by 9
Collins, C. E., Burrows, T. L., Bray, J., Asher, R. C., Young, M. D., & Morgan, P. J. (2013) · The JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/jbisrir-2013-709 · Cited by 9
SHAPE America’s 50 Million StrongTM: Critical Research Questions Related to Youth Physical Activity
Erwin, H. E., Brusseau, T. A., Carson, R. L., Hodge, S. R., & Kang, M. (2018) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2018.1490607 · Cited by 12
“Many researchers have studied the effects of afterschool programs on PA, fitness, and health outcomes (Beets et al., 2009); however, previous studies have not clearly separated PA during school, before and after school, and in free living.”
BackgroundMarttinen, R. H. J., Simon, M., Phillips, S., & Fredrick, R. N. (2020) · Journal of Teaching in Physical Education · doi:10.1123/jtpe.2019-0211 · Cited by 10
Aptidão física relacionada à saúde de escolares de escola pública de tempo integral
Fonseca, H. A. R., Dellagrana, R. A., de Lima, L. R. A., & Kaminagakura, E. I. (2010) · Acta Scientiarum Health Sciences · doi:10.4025/actascihealthsci.v32i2.6873 · Cited by 9
“Em um estudo de meta análise conduzida por Beets et al. (2009) verificaram em diferentes estudos controlados que programas de atividade física em períodos após os horários de aulas aumentavam o nível de aptidão física e outros parâmetros relacionados à saúde.”
BackgroundWhat do we know abouthowto promote physical activity to adolescents? A mapping review
Bush, P. L., & Bengoechea, E. G. (2015) · Health Education Research · doi:10.1093/her/cyv036 · Cited by 9
Pedersen, M., Brown, B. D., Harris, K. J., France, S., Tryon, M., & Cooksley, A. (2019) · Global Pediatric Health · doi:10.1177/2333794x19847451 · Cited by 9
“For many rural families, out-of-school programs (OSPs) may provide an intervention platform that can serve as an implementation point to transfer healthy lifestyle changes to parents at home.(23) However, very few OSP interventions have tested strategies to enhance the transfer of child healthy behaviors learned in th…”
BackgroundMarttinen, R. H. J., WILSON, K. S., Fisher, K. L., Beitzel, M. M., & Fredrick, R. N. (2022) · Evaluation and Program Planning · doi:10.1016/j.evalprogplan.2022.102052 · Cited by 11
Romero-Pérez, E. M., Enríquez, O. N., Gastélum-Cuadras, G., Horta-Gim, M. A., Gonzalez-Bernal, J. J., & Fernández, J. A. D. P. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17155300 · Cited by 8
Saint‐Maurice, P. F., Welk, G. J., Bai, Y., & Allums‐Featherston, K. (2014) · Open Journal of Preventive Medicine · doi:10.4236/ojpm.2014.411099 · Cited by 8
“Schools have been increasingly emphasized as a promising target for coordinated programming [2] [3] and studies have evaluated numerous school-based interventions [4] [5] and policies focused on youth fitness [3] [6] [7].”
BackgroundLoprinzi, P. D., & Frith, E. (2016) · American Journal of Health Promotion · doi:10.1177/0890117116684241 · Cited by 8
“In addition to physical education at school, after-school programs have the capacity to reach large numbers of children and are thought to provide opportunities for children to engage in regular physical activity.(30) Finally, emerging work demonstrates that integrating physical activity during the instructional curri…”
BackgroundEconomos, C. D., Hennessy, E., Chui, K. K. H., Dwyer, J. T., Marcotte, L., Must, A., Naumova, E. N., & Goldberg, J. P. (2020) · BMC Pediatrics · doi:10.1186/s12887-020-1964-y · Cited by 8
Grimes, A. R., Lightner, J. S., Eighmy, K. E., Wray, B., Valleroy, E., & Baughn, M. (2022) · JMIR Research Protocols · doi:10.2196/37126 · Cited by 7
“Schools are an ideal place to promote physical literacy [7] and physical activity to help students achieve physical activity recommendations [8-11], and physical activity in after-school programming is an effective strategy to increase youth physical activity [12-14].”
BackgroundResult(Wie) wirkt gesundheitsfördernde Schule?
Kliche, T., Hart, D., Kiehl, U., Wehmhöner, M., & Koch, U. (2010) · Prävention und Gesundheitsförderung · doi:10.1007/s11553-010-0243-4 · Cited by 8
Evaluation of an Afterschool Children’s Healthy Eating and Exercise Program
Dai, C., Nabors, L., King, K. A., Vidourek, R. A., Chen, C., Hoang, N., & Mastro, K. G. (2014) · International Journal of Child Health and Nutrition · doi:10.6000/1929-4247.2014.03.04.1 · Cited by 8
Camliguney, A. F., Mengütay, S., & Pehlivan, A. (2012) · Procedia - Social and Behavioral Sciences · doi:10.1016/j.sbspro.2012.06.323 · Cited by 8
Metadata
- 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.
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2009-06
- Volume
- 36
- Issue
- 6
- Pages
- 527-537
- ISSN
- 0749-3797 (ISSN-L)
- 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
- 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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