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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

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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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
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: Social Sciences › Education › Physical Education and Pedagogy
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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