The DOI matches its Crossref record; 49 of the 49 references it cites were found in a registry or an index.
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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]
Citations
Cites
Meta-analysis in clinical trials
DerSimonian, R., & Laird, N. (1986) · Controlled Clinical Trials · doi:10.1016/0197-2456(86)90046-2 · Cited by 39,552
Distribution Theory for Glass's Estimator of Effect Size and Related Estimators
Hedges, L. V. (1981) · Journal of Educational Statistics · doi:10.2307/1164588 · Cited by 5,695
Physical Activity and Health: A Report of the Surgeon General
(1995) · PsycEXTRA Dataset · doi:10.1037/e525162010-001 · Cited by 5,488
Assessing heterogeneity in meta-analysis: Q statistic or I² index?
Huedo-Medina, T. B., Sánchez-Meca, J., Marín-Martínez, F., & Botella, J. (2006) · Psychological Methods · doi:10.1037/1082-989x.11.2.193 · Cited by 4,256
Evidence Based Physical Activity for School-age Youth
Strong, W. B., Malina, R. M., Blimkie, C. J. R., Daniels, S. R., Dishman, R. K., Gutin, B., Hergenroeder, A. C., Must, A., Nixon, P. A., Pivarnik, J. M., et al. (2005) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2005.01.055 · Cited by 4,222
Cox, D. R. (2008) · Springer eBooks · doi:10.1007/978-0-387-32833-1_5 · Cited by 2,687
Morris, S. B., & DeShon, R. P. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.1.105 · Cited by 2,502
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
Dane, A. V., & Schneider, B. H. (1998) · Clinical Psychology Review · doi:10.1016/s0272-7358(97)00043-3 · Cited by 1,557
Chen, H.-T. (1990) · Medical Entomology and Zoology · Cited by 1,227
Cited by
Sorted by citations
Evidence-based intervention in physical activity: lessons from around the world
Heath, G. W., Parra, D. C., Sarmiento, O. L., Andersen, L. B., Owen, N., Goenka, S., Montes, F., & Brownson, R. C. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60816-2 · Cited by 1,199
Hoelscher, D. M., Kirk, S., Ritchie, L. D., & Cunningham-Sabo, L. D. (2013) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2013.08.004 · Cited by 321
“Of interest, Beets and colleagues, in a review of 11 studies of afterschool programs, found evidence of a small improvement in body composition, suggesting that augmenting the physical activity that children get in school can provide a benefit in terms of obesity prevention.(64)”
BackgroundMessing, S., Rütten, A., Abu-Omar, K., Ungerer-Röhrich, U., Goodwin, L., Burlacu, I., & Gediga, G. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00055 · Cited by 259
Benefits and Environmental Determinants of Physical Activity in Children and Adolescents
Loprinzi, P. D., Cardinal, B. J., Loprinzi, K. L., & Lee, H. E. (2012) · Obesity Facts · doi:10.1159/000342684 · Cited by 279
Daly-Smith, A., Quarmby, T., Archbold, V. S. J., Corrigan, N., Wilson, D., Resaland, G. K., Bartholomew, J. B., Singh, A. S., Tjomsland, H. E., Sherar, L. B., et al. (2020) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-020-0917-z · Cited by 238
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review