Improving the fitness and physical activity levels of primary school children: results of the fit-4-fun group randomized controlled trial
Open accessAbstract
Objective To evaluate the impact of a multi-component school-based physical activity intervention (Fit-4-Fun) on health-related fitness and objectively measured physical activity in primary school children.Methods Four Hunter primary schools were recruited in April, 2011 and randomized by school into treatment or control conditions. Participants included 213 children (mean age = 10.72 years ± 0.6; 52.2% female) with the treatment group (n = 118) completing the 8-week Fit-4-Fun Program. Participants were assessed at baseline and 6-month follow-up, with a 91% retention rate. Cardio-respiratory fitness (CRF) (20 m shuttle run) was the primary outcome, and secondary outcomes included body composition (BMI, BMI(Z)), muscular fitness (7-stage sit-up test, push-up test, basketball throw test, Standing Jump), flexibility (sit and reach) and physical activity (7 days pedometry).Results After 6-months, significant treatment effects were found for CRF (adjusted mean difference, 1.14 levels, p < 0.001), body composition (BMI mean, -0.96 kg/m(2), p < 0.001 and BMI z-score mean -0.47 z-scores, p < 0.001), flexibility (sit and reach mean, 1.52 cm, p = 0.0013), muscular fitness (sit-ups) (mean 0.62 stages, p = 0.003) and physical activity (mean, 3253 steps/day, p < 0.001). There were no group by time effects for the other muscular fitness measures.Conclusions A primary school-based intervention focusing on fitness education significantly improved health-related fitness and physical activity levels in children.
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Overall, multicomponent approaches led to an inconclusive evidence rating of MVPA.
“This most commonly took the form of a combination of expanding and enhancing PA opportunities, but overall these approaches led to an inconclusive evidence rating of MVPA.63, 65, 74, 77, 81, 82, 85,88, 89, 90,93, 96, 97, 101, 108”
From A mixed-studies systematic review and meta-analysis of school-based interventions to promote physical activity and/or reduce sedentary time in children (2020) · cites this paper as [74]
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- Authors
- Eather, N., Morgan, P. J., & Lubans, D. R.
- Affiliations
- University of Newcastle Australia (AU)
- Corresponding author
- Morgan, Philip J.
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2013-01
- Volume
- 56
- Issue
- 1
- Pages
- 12-19
- ISSN
- 0091-7435 (ISSN-L)
- OpenAlex
- W2041625121
- Cited by
- 110
- References
- 88
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 2 · 2023: 10 · 2022: 12 · 2021: 12 · 2020: 9 · 2019: 8 · 2018: 6 · 2017: 9 · 2016: 8 · 2015: 11 · 2014: 12 · 2013: 4
- FWCI
- 5.79
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Figshare (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Keywords
- school-based physical activity intervention, elementary school students, health-related physical fitness, cardiorespiratory fitness, body composition, muscular fitness, flexibility, physical activity, fitness education, pedometry, 20-m shuttle run test, sit-and-reach test
- MeSH terms
- Child, Female, Health Promotion, Humans, Male, New South Wales, Physical Fitness, Program Evaluation, Exercise
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