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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
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: (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”
In the citing paper
“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.”
In the citing paper
“‘Fitness infusion’ was found to be the most effective strategy (61% more MVPA time compared with 14% increase associated with other interventions) [89].”
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“Secondly, improving the quality of PE lessons can be effective (15, 75).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [75]
In the citing paper
“This supports previous research which has shown the impact of modified PE lessons designed to increase MVPA, with students engaging in 24% more MVPA during modified PE compared with students in usual PE practice conditions (Lonsdale et al., 2013).”
From The effectiveness of school-based physical activity interventions for adolescent girls: a systematic review and meta-analysis (2017) · cites this paper as Lonsdale et al., 2013
Citations
Cites
Measuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139
Bias in meta-analysis detected by a simple, graphical test
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997) · BMJ · doi:10.1136/bmj.315.7109.629 · Cited by 56,722
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000100 · Cited by 28,164
Intrinsic Motivation and Self-Determination in Human Behavior
Deci, E. L., & Ryan, R. M. (1985) · doi:10.1007/978-1-4899-2271-7 · Cited by 26,772
The Ecology of Human Development: Experiments by Nature and Design
Bronfenbrenner, U. (1979) · Harvard University Press eBooks · doi:10.4159/9780674028845 · Cited by 26,084
Kytle, J., & Bandura, A. (1978) · Contemporary Sociology · doi:10.2307/2065952 · Cited by 25,422
Intrinsic Motivation and Self-Determination in Human Behavior
Miller, K. A. J., Deci, E. L., & Ryan, R. M. (1988) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2070638 · Cited by 15,406
CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials
the CONSORT Group, Schulz, K. F., Altman, D. G., & Moher, D. (2010) · BMC Medicine · doi:10.1186/1741-7015-8-18 · Cited by 13,371
The ecology of human development : experiments by nature and design
Bronfenbrenner, U. (1979) · Cited by 12,580
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2009.06.006 · Cited by 10,578
The ecology of human development: Experiments by nature and design
Garbarino, J. (1980) · Children and Youth Services Review · doi:10.1016/0190-7409(80)90036-5 · Cited by 5,558
Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.1. The Cochrane Collaboration
Higgins, J., Green, S. R., & Higgins, J. (2008) · Cited by 5,544
Self-Efficacy and Academic Motivation
Schunk, D. H. (1991) · Educational Psychologist · doi:10.1080/00461520.1991.9653133 · Cited by 4,292
Achievement goals in the classroom: Students' learning strategies and motivation processes.
Ames, C., & Archer, J. (1988) · Journal of Educational Psychology · doi:10.1037/0022-0663.80.3.260 · Cited by 3,564
The competitive ethos and democratic education
(1989) · Choice Reviews Online · doi:10.5860/choice.27-1049 · Cited by 2,789
Motivation and Education: The Self-Determination Perspective
Deci, E. L., Vallerand, R. J., Pelletier, L. G., & Ryan, R. M. (1991) · Educational Psychologist · doi:10.1080/00461520.1991.9653137 · Cited by 2,740
Teacher professional development in Teaching and Teacher Education over ten years
Avalos, B. (2011) · Teaching and Teacher Education · doi:10.1016/j.tate.2010.08.007 · Cited by 2,267
Healthy People 2010: Understanding and Improving Health
UNSPECIFIED (2000) · PsycEXTRA Dataset · doi:10.1037/e319432004-001 · Cited by 2,170
Understanding Motor Development: Infants, Children, Adolescents, Adults
Gallahue, D. L., & Ozmun, J. C. (1994) · Medical Entomology and Zoology · Cited by 1,556
Fundamental Movement Skills in Children and Adolescents: Review of Associated Health Benefits
Lubans, D. R., Morgan, P. J., Cliff, D. P., Barnett, L. M., & Okely, A. D. (2010) · Sports Medicine · doi:10.2165/11536850-000000000-00000 · Cited by 1,548
Self-citationDobbins, M., Husson, H., DeCorby, K., & LaRocca, R. L. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007651.pub2 · Cited by 1,358
Moderate-to-Vigorous Physical Activity From Ages 9 to 15 Years
Nader, P. R. (2008) · JAMA · doi:10.1001/jama.300.3.295 · Cited by 1,213
van Sluijs, E. M. F., McMinn, A. M., & Griffin, S. J. (2007) · BMJ · doi:10.1136/bmj.39320.843947.be · Cited by 1,120
CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials.
Schulz, K. F., Altman, D. G., & Moher, D. (2010) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2010.02.005 · Cited by 1,022
Sallis, J. F., McKenzie, T. L., Alcaraz, J. E., Kolody, B., Faucette, N., & Hovell, M. F. (1997) · American Journal of Public Health · doi:10.2105/ajph.87.8.1328 · Cited by 914
Kriemler, S., Meyer, U., Martin, E., van Sluijs, E. M. F., Andersen, L. B., & Martin, B. W. (2011) · British Journal of Sports Medicine · doi:10.1136/bjsports-2011-090186 · Cited by 827
Age-related decline in physical activity: a synthesis of human and animal studies
Sallis, J. F. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200009000-00012 · Cited by 808
Interventions to change health behaviours: evidence-based or evidence-inspired?
Michie, S., & Abraham, C. (2004) · Psychology and Health · doi:10.1080/0887044031000141199 · Cited by 783
Pate (2006) · doi:10.1161/circulationaha.106.177052 · Cited by 755
Singh, A. (2012) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpediatrics.2011.716 · Cited by 604
Kriemler, S., Zahner, L., Schindler, C., Meyer, U., Hartmann, T., Hebestreit, H., Brunner-La Rocca, H. P., van Mechelen, W., & Puder, J. J. (2010) · BMJ · doi:10.1136/bmj.c785 · Cited by 524 · cited 1×
“For example, a recent high-quality primary school obesity prevention intervention involving 45 min of daily PE significantly increased children's within-school physical activity by 11 min/day (Kriemler et al., 2010).”
BackgroundChatzisarantis, N. L. D., & Hagger, M. S. (2009) · Psychology & Health · doi:10.1080/08870440701809533 · Cited by 511
Cheon, S. H., Reeve, J., & Moon, I. S. (2012) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.34.3.365 · Cited by 492
Physical Education's Role in Public Health
Sallis, J. F., McKenzie, T. L., Beets, M. W., Beighle, A. E., Erwin, H. E., & Lee, S. J. (2012) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2012.10599842 · Cited by 456
Understanding motor development
Macintyre, C. (2014) · Routledge eBooks · doi:10.4324/9781315776347-5 · Cited by 421
Promoting physical activity participation among children and adolescents
Salmon, J., Booth, M. L., Phongsavan, P., Murphy, N., & Timperio, A. (2007) · Epidemiologic Reviews · doi:10.1093/epirev/mxm010 · Cited by 402
Lubans, D. R., Foster, C., & Biddle, S. J. H. (2008) · Preventive Medicine · doi:10.1016/j.ypmed.2008.07.011 · Cited by 388 · cited 1×
“…reference to a theory of behavior change (e.g., Theory of Planned Behavior, Social Cognitive Theory, Transtheoretical Model) and that target the hypothesized mediators of behavior change are more successful in changing behavior than atheoretical ones (Lubans et al., 2008; Michie and Abraham, 2004).”
BackgroundSelf-citationSchool health guidelines to promote healthy eating and physical activity
Lee, S. M. (2011) · Cited by 376
School Physical Education: Effect of the Child and Adolescent Trial for Cardiovascular Health
McKenzie, T. L., Nader, P. R., Strikmiller, P. K., Yang, M., Stone, E. J., Perry, C. L., Taylor, W. C., Epping, J. N., Feldman, H. A., Luepker, R. V., et al. (1996) · Preventive Medicine · doi:10.1006/pmed.1996.0074 · Cited by 360
Dobbins, M., DeCorby, K., Robeson, P., Husson, H., & Tirilis, D. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007651 · Cited by 343
Promoting Physical Activity in Middle School Girls
Webber, L. S., Catellier, D., Lytle, L. A., Murray, D. M., PRATT, C. A., Young, D. R., Elder, J. P., Lohman, T. G., Stevens, J., Jobe, J. B., et al. (2008) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2007.11.018 · Cited by 335
Dishman, R. K., Hales, D. P., Pfeiffer, K. A., Felton, G., Saunders, R. P., Ward, D. S., Dowda, M. C., & Pate, R. R. (2006) · Health Psychology · doi:10.1037/0278-6133.25.3.396 · Cited by 311
Children's Pedometer-Determined Physical Activity during the Segmented School Day
Tudor-Locke, C. E., Lee, S. M., Morgan, C. F., Beighle, A. E., & Pangrazi, R. P. (2006) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000230212.55119.98 · Cited by 284
Evaluation of a Two-Year Middle-School Physical Education Intervention: M-SPAN
McKenzie, T. L., Sallis, J. F., Prochaska, J. J., Conway, T. L., Marshall, S. J., & Rosengard, P. (2004) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000135792.20358.4d · Cited by 279
Simons‐Morton, B. G., Parcel, G. S., Baranowski, T., Forthofer, R. N., & OʼHara, N. M. (1991) · American Journal of Public Health · doi:10.2105/ajph.81.8.986 · Cited by 236
van Beurden, E., Barnett, L. M., Zask, A., Dietrich, U. C., Brooks, L. O., & Beard, J. (2003) · Preventive Medicine · doi:10.1016/s0091-7435(02)00044-0 · Cited by 229
Physical Activity Levels in Middle and High School Physical Education: A Review
Fairclough, S. J., & Stratton, G. (2005) · Pediatric Exercise Science · doi:10.1123/pes.17.3.217 · Cited by 202
Taylor, I. M., & Lonsdale, C. (2010) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.32.5.655 · Cited by 194
Self-citationDuda, J. L. (1996) · Quest · doi:10.1080/00336297.1996.10484198 · Cited by 189
Timperio, A., Salmon, J., & Ball, K. (2004) · Journal of science and medicine in sport · doi:10.1016/s1440-2440(04)80274-3 · Cited by 189
A Review of Physical Activity Levels during Elementary School Physical Education
Fairclough, S. J., & Stratton, G. (2006) · Journal of Teaching in Physical Education · doi:10.1123/jtpe.25.2.240 · Cited by 180
Dudley, D., Okely, A., Pearson, P., & Cotton, W. (2011) · European Physical Education Review · doi:10.1177/1356336x11416734 · Cited by 176
Epoch Length and Accelerometer Outputs in Children
McClain, J. J., Abraham, T., Brusseau, T. A., & Tudor‐Locke, C. (2008) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181824d98 · Cited by 165
Sallis, J. F., McKenzie, T. L., Beets, M. W., Beighle, A. E., Erwin, H. E., & Lee, S. (2012) · Research Quarterly for Exercise and Sport · doi:10.5641/027013612800745329 · Cited by 158
In defense of Pierre Louis who pioneered the epidemiological approach to good medicine
Morabia, A. (2008) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2008.07.007 · Cited by 149
Physical activity, quality of life, and weight status in overweight children
Shoup, J. A., Gattshall, M., Dandamudi, P., & Estabrooks, P. A. (2008) · Quality of Life Research · doi:10.1007/s11136-008-9312-y · Cited by 127
Validation of Sofit for Measuring Physical Activity of First- to Eighth-Grade Students
Rowe, P. J., Schuldheisz, J. M., & van der Mars, H. (1997) · Pediatric Exercise Science · doi:10.1123/pes.9.2.136 · Cited by 126
Effects of a Life Skills Intervention for Increasing Physical Activity in Adolescent Girls
Young, D. R., Phillips, J. A., Yu, T., & Haythornthwaite, J. A. (2006) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.160.12.1255 · Cited by 100
Improving health-enhancing physical activity in girls' physical education
Fairclough, S. J., & Stratton, G. (2004) · Health Education Research · doi:10.1093/her/cyg137 · Cited by 98
Physical Education Policy Compliance and Children's Physical Fitness
Sanchez‐Vaznaugh, E. V., Sánchez, B. N., Rosas, L. G., Baek, J., & Egerter, S. A. (2012) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2012.01.008 · Cited by 72
The future of sport in Australia
Panel, I. S. (2009) · Cited by 68
Effectiveness of a Two-Year Health-Related Physical Education Intervention in Elementary Schools
Verstraete, S. J. M., Cardon, G., Clercq, D. L. R. D., & Bourdeaudhuij, I. M. D. (2007) · Journal of Teaching in Physical Education · doi:10.1123/jtpe.26.1.20 · Cited by 43
McKenzie, T. L., Sallis, J. F., & Armstrong, C. A. (1994) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199405001-00805 · Cited by 38
Sun, D. X., Schmidt, G., & Teo-Koh, S. M. (2008) · Pediatric Exercise Science · doi:10.1123/pes.20.2.181 · Cited by 37
Responsibility for children's physical activity: Parental, child, and teacher perspectives
Cox, M., Schofield, G., & Kolt, G. S. (2009) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2009.02.006 · Cited by 30
The effects of an intervention strategy on children’s heart rates and skill performance
Ignico, A. A., Corson, A., & Vidoni, C. (2006) · Early Child Development and Care · doi:10.1080/03004430500232615 · Cited by 20
A Comparison of Two Instructional Formats on Heart Rate Intensity and Skill Development.
Quinn, P. B., & Strand, B. N. (1995) · The Physical Educator · Cited by 13
Scantling, E., Dugdale, H., Bishop, P., Lackey, D., & Strand, B. (1998) · The Physical Educator · Cited by 13
Flagged first, then by citations
2 of the 70 references couldn’t be matched to a known paper.
Research works printed but not linked: 3
- Association for Physical Education, 2008, Health position paper, Phys. Educ. Matters, 3, 8
- Rowlands, 2008, Physical activity content of Motive8 PE compared to primary school pe lessons in the context of children's overall daily activity levels, J. Exerc. Sci. Fit., 6, 26
- Strand, 1996, A comparison of two instructional formats on heart rate intensity, skill achievement and student attitude, Neb. J. Health Phys. Educ. Recreat. Dance, 27, 21
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Hills, A. P., Dengel, D. R., & Lubans, D. R. (2015) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2014.09.010 · Cited by 705
Self-citationParticipation of people living with disabilities in physical activity: a global perspective
Ginis, K. A. M., van der Ploeg, H. P., Foster, C. E., Lai, B. W., McBride, C. B., Ng, K., Pratt, M., Shirazipour, C. H., Smith, B. M., Vásquez, P. M., et al. (2021) · The Lancet · doi:10.1016/s0140-6736(21)01164-8 · Cited by 603
B. Owen, K., Smith, J., Lubans, D. R., Ng, J. Y. Y., & Lonsdale, C. (2014) · Preventive Medicine · doi:10.1016/j.ypmed.2014.07.033 · Cited by 434
Self-citationLonsdale, C., Sanders, T., Cohen, K. E., Parker, P. D., Noetel, M., Hartwig, T. B., Vasconcellos, D., Kirwan, M., Morgan, P. J., Salmon, J., et al. (2016) · BMC Public Health · doi:10.1186/s12889-016-3243-2 · Cited by 297
Self-citation
Metadata
- 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
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2013-02
- Volume
- 56
- Issue
- 2
- Pages
- 152-161
- ISSN
- 0091-7435 (ISSN-L)
- 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
- 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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