Environmental modifications to increase physical activity during recess: preliminary findings from ready for recess
Abstract
BACKGROUND: The purpose of this study was to determine the effectiveness of Ready for Recess: an elementary school recess intervention targeting staff training (ST) and providing recreational equipment (EQ). METHODS: Ready for Recess had 4 intervention schools: 1) EQ+ST, 2) EQ, 3) ST, and 4) control. Moderate-to-vigorous physical activity (MVPA) was assessed with accelerometers at the four schools in 257 3rd- to 6th-grade children. Random intercept models for overweight/obese (OWOB) and healthy weight (HW) for boys and girls separately, examined change in percentage of time spent in MVPA during recess across EQ+ST, EQ, and ST compared with the control from baseline to postintervention. RESULTS: HW boys receiving EQ+ST increased MVPA by 19.4%, OWOB boys receiving ST increased MVPA by 4.5%, OWOB girls receiving EQ-ST increased MVPA by 6.0%, while HW girls receiving EQ decreased MVPA by 13.6% in comparison with the control. CONCLUSIONS: Ready for Recess represents a possible means to increase MVPA in OWOB girls/boys, populations least likely to meet MVPA recommendations. However, the effect of the intervention was not uniform across all subgroups.
Integrity signals
Registry
Cites
Statistics
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?
A differential response to intervention based on sex was identified in 6 studies, including 1 large high-quality RCT and 2 large low-quality RCTs.
“A differential response to intervention based on sex was identified in 6 studies,53, 54, 65, 75, 79, 91 including 1 large high-quality RCT75 and 2 large low-quality RCTs.53, 54”
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 [53]
A small number of included studies considered sex differences in terms of intervention effectiveness.
“Whilst a small number of studies considered sex differences in terms of intervention effectiveness”
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 [53]
Cites
Physical Activity in the United States Measured by Accelerometer
TROIANO, R. P., BERRIGAN, D., DODD, K. W., MÂSSE, L. C., TILERT, T., & MCDOWELL, M. (2008) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31815a51b3 · Cited by 7,638 · see citing works
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 · see citing works
Calibration of the Computer Science and Applications, Inc. accelerometer
FREEDSON, P. S., MELANSON, E., & SIRARD, J. (1998) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199805000-00021 · Cited by 3,825 · see citing works
Pate (2006) · doi:10.1161/circulationaha.106.177052 · Cited by 755 · see citing works
Physical Activity Guidelines for Adolescents: Consensus Statement
Sallis, J. F., & Patrick, K. (1994) · Pediatric Exercise Science · doi:10.1123/pes.6.4.302 · Cited by 656 · see citing works
Story, M. T., Neumark-Stzainer, D., Sherwood, N. E., Holt, K., Sofka, D., Trowbridge, F. L., & Barlow, S. E. (2002) · PEDIATRICS · doi:10.1542/peds.110.s1.210 · Cited by 502 · see citing works
Byard, R. W. (2010) · doi:10.1017/cbo9780511777783.021 · Cited by 498 · see citing works
Verstraete, S. J. M., Cardon, G. M., De Clercq, D. L. R., & De Bourdeaudhuij, I. M. M. (2006) · European Journal of Public Health · doi:10.1093/eurpub/ckl008 · Cited by 401 · see citing works
Belcher, B. R., Berrigan, D. A., Dodd, K. W., Emken, B. A., Chou, C., & Spruijt‐Metz, D. (2010) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181e1fba9 · Cited by 353 · see citing works
Non-curricular approaches for increasing physical activity in youth: a review.
Jago, R., & Baranowski, T. (2004) · Preventive Medicine · doi:10.1016/j.ypmed.2004.01.014 · Cited by 311 · see citing works
The effect of multicolor playground markings on children's physical activity level during recess
Stratton, G., & Mullan, E. (2005) · Preventive Medicine · doi:10.1016/j.ypmed.2005.07.009 · Cited by 297 · see citing works
The Crucial Role of Recess in Schools
Ramstetter, C. L., Murray, R. D., & Garner, A. S. (2010) · Journal of School Health · doi:10.1111/j.1746-1561.2010.00537.x · Cited by 268 · see citing works
Cardon, G., Cauwenberghe, E. V., Labarque, V., Haerens, L. L., & Bourdeaudhuij, I. D. (2008) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-5-11 · Cited by 241 · see citing works
Measurement of Physical Activity in Preschool Children
Pate, R. R., O’Neill, J. R., & Mitchell, J. A. (2010) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181cea116 · Cited by 230 · see citing works
Nettlefold, L., McKay, H. A., Warburton, D. E. R., McGuire, K. A., Bredin, S. S. D., & Naylor, P. (2010) · British Journal of Sports Medicine · doi:10.1136/bjsm.2009.068072 · Cited by 230 · see citing works
Assessing physical activity during recess using accelerometry
Ridgers, N. D., Stratton, G., & Fairclough, S. J. (2004) · Preventive Medicine · doi:10.1016/j.ypmed.2004.10.023 · Cited by 198 · see citing works
Children's physical activity levels during school recess: a quasi-experimental intervention study
Ridgers, N. D., Stratton, G., Fairclough, S. J., & Twisk, J. W. (2007) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-4-19 · Cited by 184 · see citing works
Children’s Physical Activity During Recess and Outside of School
Beighle, A. E., Morgan, C. F., Masurier, G. C. L., & Pangrazi, R. P. (2006) · Journal of School Health · doi:10.1111/j.1746-1561.2006.00151.x · Cited by 171 · see citing works
Self-citationEpoch 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 · see citing works
Cardon, G., Labarque, V., Smits, D., & Bourdeaudhuij, I. D. (2009) · Preventive Medicine · doi:10.1016/j.ypmed.2009.02.013 · Cited by 161 · see citing works
Variables associated with children's physical activity levels during recess: the A-CLASS project
Ridgers, N. D., Fairclough, S. J., & Stratton, G. (2010) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-7-74 · Cited by 150 · see citing works
Pate, R. R., Saunders, R. P., Ward, D. S., Felton, G., Trost, S. G., & Dowda, M. C. (2003) · American Journal of Health Promotion · doi:10.4278/0890-1171-17.3.171 · Cited by 119 · see citing works
Ready for Recess: A Pilot Study to Increase Physical Activity in Elementary School Children
Huberty, J., Siahpush, M., Beighle, A. E., Fuhrmeister, E., Silva, P., & Welk, G. J. (2011) · Journal of School Health · doi:10.1111/j.1746-1561.2011.00591.x · Cited by 111 · see citing works
Self-citationLeisure-Time Physical Activity in Elementary Schools: Analysis of Contextual Conditions
McKenzie, T. L., Crespo, N. C., Baquero, B. I., & Elder, J. P. (2010) · Journal of School Health · doi:10.1111/j.1746-1561.2010.00530.x · Cited by 108 · see citing works
Influence of Schoolyard Renovations on Children's Physical Activity: The Learning Landscapes Program
Brink, L., Nigg, C. R., Lampe, S., Kingston, B., Mootz, A. L., & van Vliet, W. (2010) · American Journal of Public Health · doi:10.2105/ajph.2009.178939 · Cited by 99 · see citing works
The contribution of active play to the physical activity of primary school children
Brockman, R., Jago, R., & Fox, K. R. (2010) · Preventive Medicine · doi:10.1016/j.ypmed.2010.05.012 · Cited by 93 · see citing works
Jones, D., Hoelscher, D. M., Kelder, S. H., Hergenroeder, A., & Sharma, S. V. (2008) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-5-42 · Cited by 62 · see citing works
Differences in Children's Recess Physical Activity: Recess Activity of the Week Intervention
Stellino, M. B., Sinclair, C. D., Partridge, J. A., & King, K. M. (2010) · Journal of School Health · doi:10.1111/j.1746-1561.2010.00525.x · Cited by 61 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Dobbins, M., Husson, H., DeCorby, K., & LaRocca, R. L. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007651.pub2 · Cited by 1,358 · see citing works
Jones, M., Defever, E., Letsinger, A., Steele, J., & Mackintosh, K. A. (2020) · Journal of Sport and Health Science · doi:10.1016/j.jshs.2019.06.009 · Cited by 189 · see citing works
“A differential response to intervention based on sex was identified in 6 studies,53,54,65,75,79,91 including 1 large high-quality RCT75 and 2 large low-quality RCTs.53,54 There was no overall pattern, with some studies reporting a greater effect for girls than boys79,91 and vice versa.75 A total of 3 studies identifie…”
BackgroundPlayground Designs to Increase Physical Activity Levels During School Recess: A Systematic Review
Escalante, Y., García-Hermoso, A., Backx, K., & Saavedra, J. M. (2014) · Health Education & Behavior · doi:10.1177/1090198113490725 · Cited by 132 · see citing works
Farmer, V. L., Williams, S. M., Mann, J. I., Schofield, G., McPhee, J. C., & Taylor, R. W. (2017) · International Journal of Obesity · doi:10.1038/ijo.2017.41 · Cited by 60 · see citing works
- Authors
- Huberty, J. L., Beets, M. W., Beighle, A., & Welk, G.
- Affiliations
- University of Nebraska at Omaha (US)
- Venue
- Journal of Physical Activity and Health
- Publisher
- Human Kinetics
- Published
- 2011-09
- Volume
- 8
- Issue
- s2
- Pages
- S249-S256
- ISSN
- 1543-3080 (ISSN-L)
- 1543-5474
- OpenAlex
- W2156418597
- Cited by
- 50
- References
- 28
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 2 · 2020: 7 · 2019: 3 · 2017: 5 · 2016: 4 · 2015: 6 · 2014: 5 · 2013: 6 · 2012: 3
- FWCI
- 3.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Physical Activity and Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Robert Wood Johnson Foundation
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- recess, elementary school students, employee training, recreational equipment, moderate-to-vigorous physical activity, childhood overweight and obesity, school-based intervention, environmental modification, sex differences
- MeSH terms
- Acceleration, Child, Environment Design, Health Promotion, Humans, Motor Activity, Obesity, Recreation, Schools, Time Factors, Program Evaluation, Confidence Intervals, Program Development, Social Marketing
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