An active school model to promote physical activity in elementary schools: action schools! BC
Abstract
OBJECTIVE: To assess the impact of an active school model on children's physical activity (PA). DESIGN: 16-month cluster randomised controlled trial. SETTING: 10 elementary schools in Greater Vancouver, BC. PARTICIPANTS: 515 children aged 9-11 years. INTERVENTION: Action Schools! BC (AS! BC) is an active school model that provided schools with training and resources to increase children's PA. Schools implemented AS! BC with support from either external liaisons (liaison schools, LS; four schools) or internal champions (champion schools, CS; three schools). Outcomes were compared with usual practice (UP) schools (three schools). MAIN OUTCOME MEASUREMENTS: PA was measured four times during the study using pedometers (step count, steps/day). RESULTS: Boys in the LS group took 1175 more steps per day, on average, than boys in the UP group (95% CI: 97 to 2253). Boys in the CS group also tended to have a higher step count than boys in the UP group (+804 steps/day; 95% CI: -341 to 1949). There was no difference in girls' step counts across groups. CONCLUSIONS: The positive effect of the AS! BC model on boys' PA is important in light of the current global trend of decreased PA.
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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 [75]
There was no overall pattern in differential response by sex, with some studies reporting a greater effect for girls than boys and vice versa.
“There was no overall pattern, with some studies reporting a greater effect for girls than boys79, 91 and vice versa.75”
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 [75]
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 [75]
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- Authors
- Naylor, P.-J., Macdonald, H. M., Warburton, D. E. R., Reed, K. E., & McKay, H. A.
- Affiliations
- University of Victoria (CA)
- University of British Columbia (CA)
- Corresponding author
- McKay, H A
- Venue
- British Journal of Sports Medicine
- Publisher
- BMJ
- Published
- 2008-02-13
- Volume
- 42
- Issue
- 5
- Pages
- 338-343
- ISSN
- 0306-3674 (ISSN-L)
- 1473-0480
- OpenAlex
- W2124751694
- Cited by
- 102
- References
- 40
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 5 · 2021: 5 · 2020: 4 · 2019: 4 · 2018: 4 · 2017: 6 · 2016: 7 · 2015: 9 · 2014: 9 · 2013: 15 · 2012: 9
- FWCI
- 4.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Sports Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- physical activity, elementary school students, school-based intervention, step count, sex differences in physical activity, pedometers, school health promotion
- MeSH terms
- British Columbia, Child, Female, Health Promotion, Humans, Male, Physical Education and Training, Physical Fitness, Schools, Socioeconomic Factors, Exercise, Walking
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