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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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LESSONS FROM A RANDOMIZE CONTROL TRIAL IN A SHANTY TOWN.
Bernatzky, M., & Cid, A. (2014)
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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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