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Playground Designs to Increase Physical Activity Levels During School Recess: A Systematic Review
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School recess provides a major opportunity to increase children's physical activity levels. Various studies have described strategies to increase levels of physical activity. The purpose of this systematic review is therefore to examine the interventions proposed as forms of increasing children's physical activity levels during recess. A systematic search of seven databases was made from the July 1 to July 5, 2012, leading to a final set of eight studies (a total of 2,383 subjects-599 "preschoolers" and 1,784 "schoolchildren") meeting the inclusion criteria. These studies were classified according to the intervention used: playground markings, game equipment, playground markings plus physical structures, and playground markings plus game equipment. The results of these studies indicate that the strategies analyzed do have the potential to increase physical activity levels during recess. The cumulative evidence was (a) that interventions based on playground markings, game equipment, or a combination of the two, do not seem to increase the physical activity of preschoolers and schoolchildren during recess and (ii) that interventions based on playground markings plus physical structures do increase the physical activity of schoolchildren during recess in the short to medium term.
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“Evidence on the effectiveness of interventions that only focus on environmental changes is limited (65, 83); such interventions should be integrated in multicomponent approaches (65, 83).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [83]
In the citing paper
“Overall, the high risk of bias due to research quality led to an inconclusive evidence rating on MVPA, which differs from previous systematic reviews, which have suggested that interventions could lead to improvements in PA during school recess.21, 22, 23”
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 [22]
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“Both provide encouraging evidence in favour of these approaches, but only one secondary school‐based intervention was included across both reviews.”
From The school environment and adolescent physical activity and sedentary behaviour: a mixed-studies systematic review (2016) · cites this paper as [17]
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Metadata
- Authors
- Escalante, Y., García-Hermoso, A., Backx, K., & Saavedra, J. M.
- Affiliations
- Universidad de Extremadura (ES)
- Universidad de Extremadura, Cáceres, Spain
- Cardiff Metropolitan University (GB)
- ORCID
- Backx, Karianne
- Venue
- Health Education & Behavior
- Publisher
- SAGE Publications
- Published
- 2013-07-08
- Volume
- 41
- Issue
- 2
- Pages
- 138-144
- ISSN
- 1090-1981 (ISSN-L)
- 1552-6127
- OpenAlex
- W2019055915
- Cited by
- 132
- References
- 34
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 14 · 2023: 12 · 2022: 10 · 2021: 21 · 2020: 9 · 2019: 8 · 2018: 11 · 2017: 12 · 2016: 9 · 2015: 8 · 2014: 6 · 2013: 1
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Health Education & Behavior (publishedVersion)
- PubMed (publishedVersion)
- Academica-e (Universidad Pública de Navarra) (submittedVersion)
- Topics
- 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
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- recess, children's physical activity, playground design, game equipment, physical activity interventions, preschool children, elementary school students, built environment
- MeSH terms
- Child, Child, Preschool, Environment Design, Female, Humans, Male, Motor Activity, Physical Education and Training, Play and Playthings, Schools, Time Factors, Databases, Bibliographic
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