A systematic review and meta-analysis of interventions designed to increase moderate-to-vigorous physical activity in school physical education lessons

Lonsdale, Chris; Rosenkranz, Richard R.; Peralta, Louisa R.; Bennie, Andrew; Fahey, Paul; Lubans, David R.

doi:10.1016/j.ypmed.2012.12.004

Cited by 451Physical Education and PedagogyPhysical Activity and HealthSchool Health and Nursing Education

A systematic review and meta-analysis of interventions designed to increase moderate-to-vigorous physical activity in school physical education lessons

Lonsdale, Chris, Rosenkranz, Richard R., Peralta, Louisa R., Bennie, Andrew, Fahey, Paul, Lubans, David R.·2013·Preventive Medicine

DOI 10.1016/j.ypmed.2012.12.004

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Abstract

Objectives Physical education (PE) that allows students to engage in moderate-to-vigorous physical activity (MVPA) can play an important role in health promotion. Unfortunately, MVPA levels in PE lessons are often very low. In this review, we aimed to determine the effectiveness of interventions designed to increase the proportion of PE lesson time that students spend in MVPA.Methods In March 2012, we searched electronic databases for intervention studies that were conducted in primary or secondary schools and measured the proportion of lesson time students spent in MVPA. We assessed risk of bias, extracted data, and conducted meta-analyses to determine intervention effectiveness.Results From an initial pool of 12,124 non-duplicate records, 14 studies met the inclusion criteria. Students in intervention conditions spent 24% more lesson time in MVPA compared with students in usual practice conditions (standardized mean difference=0.62).Conclusions Given the small number of studies, moderate-to-high risk of bias, and the heterogeneity of results, caution is warranted regarding the strength of available evidence. However, this review indicates that interventions can increase the proportion of time students spend in MVPA during PE lessons. As most children and adolescents participate in PE, these interventions could lead to substantial public health benefits.

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Strategies to increase activity levels in PE can be classified into three broad categories: reducing transition time, maximizing opportunities for activity, and fitness infusion.
“Strategies to increase activity levels in PE can be classified into three broad categories: (i) reducing transition time (e.g., minimizing teacher talk, having more efficient transitions), (ii) maximizing opportunities for activity (e.g., selecting active games, removing elimination), and (iii) fitness infusion (e.g., integrating high-intensity ‘bursts’ of activity within typical games and lesson”
From Framework for the design and delivery of organized physical activity sessions for children and adolescents: rationale and description of the ‘SAAFE’ teaching principles (2017) · cites this paper as [89]
Previous interventions aimed at increasing MVPA during PE lessons have resulted, on average, in a 24% relative increase in the amount of lesson time spent in MVPA.
“Recently, Lonsdale and colleagues [89] published a systematic review and meta-analysis of interventions aimed at increasing MVPA during PE lessons. Previous interventions have resulted, on average, in a 24% relative increase in the amount of lesson time spent in MVPA.”
From Framework for the design and delivery of organized physical activity sessions for children and adolescents: rationale and description of the ‘SAAFE’ teaching principles (2017) · cites this paper as [89]
'Fitness infusion' was found to be the most effective strategy, producing 61% more MVPA time compared with a 14% increase associated with other interventions.
“‘Fitness infusion’ was found to be the most effective strategy (61% more MVPA time compared with 14% increase associated with other interventions) [89].”
From Framework for the design and delivery of organized physical activity sessions for children and adolescents: rationale and description of the ‘SAAFE’ teaching principles (2017) · cites this paper as [89]
Interventions can increase time spent in moderate-to-vigorous physical activity by 24% in physical education lessons.
“Lonsdale et al. (75) indicated that interventions can increase time spent in moderate-to-vigorous PA by 24% in PE lessons, thus substantially influencing the total amount of PA.”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [75]
Teacher training and capacity building are effective strategies to promote physical activity in school children.
“Third, and strongly connected to higher quality PE lessons, reviews specified teacher training and capacity building as effective strategies to promote PA in school children (15, 66, 69, 74–76).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [75]

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Long-Term Athletic Development, Part 2
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A cluster-randomized controlled trial of strategies to increase adolescents’ physical activity and motivation during physical education lessons: the Motivating Active Learning in Physical Education (MALP) trial
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Outcomes and process evaluation of a programme integrating physical activity into the primary school mathematics curriculum: The EASY Minds pilot randomised controlled trial
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‘Physical Activity 4 Everyone’ school-based intervention to prevent decline in adolescent physical activity levels: 12 month (mid-intervention) report on a cluster randomised trial
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A non-equivalent group pilot trial of a school-based physical activity and fitness intervention for 10–11 year old english children: born to move
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Meta-Analysis of Physical Activity Levels in Youth With and Without Disabilities
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Experiences of children with autism spectrum disorders in adapted physical education
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Physical Education for Health Among School-Aged Children and Adolescents: A Scoping Review of Reviews
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Cost Effectiveness of an Elementary School Active Physical Education Policy
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Evidence-Based Policy Making: Assessment of the American Heart Association’s Strategic Policy Portfolio
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Cybercycling Effects on Classroom Behavior in Children With Behavioral Health Disorders: An RCT
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Wearable Digital Technology in PE: Advantages, Barriers, and Teachers’ Ideologies
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A systematic review and meta-analysis of moderate-to-vigorous physical activity levels in elementary school physical education lessons
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Authors: Lonsdale, C., Rosenkranz, R. R., Peralta, L. R., Bennie, A., Fahey, P., & Lubans, D. R.
Affiliations: Western Sydney University (AU)
Kansas State University (US)
University of Newcastle Australia (AU)
Corresponding author: Lonsdale, Chris
ORCID: Lonsdale, Chris
Rosenkranz, Richard R.
Peralta, Louisa R.
Bennie, Andrew
Fahey, Paul
Lubans, David R.
Venue: Preventive Medicine
Publisher: Elsevier BV
Published: 2013-02
Volume: 56
Issue: 2
Pages: 152-161
ISSN: 0091-7435 (ISSN-L)
DOI: 10.1016/j.ypmed.2012.12.004
OpenAlex: W2003138457
Cited by: 451
References: 70
Citations by year: 2026: 19 · 2025: 25 · 2024: 22 · 2023: 29 · 2022: 36 · 2021: 51 · 2020: 43 · 2019: 41 · 2018: 39 · 2017: 34 · 2016: 37 · 2015: 35 · 2014: 32 · 2013: 6 · 2012: 1
FWCI: 2.57
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Research Bank (Australian Catholic University) (submittedVersion)
NOVA (University of Newcastle Australia) (submittedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Physical Education and Pedagogy
Health Sciences › Medicine › Physiology › Physical Activity and Health
Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Keywords: moderate-to-vigorous physical activity, physical education, physical education intervention, children and adolescents, health promotion, intervention effectiveness, primary and secondary schools
MeSH terms: Adolescent, Adolescent Behavior, Health Promotion, Humans, Physical Education and Training, School Health Services, Exercise

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A systematic review and meta-analysis of interventions designed to increase moderate-to-vigorous physical activity in school physical education lessons

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