The DOI matches its Crossref record; 64 of the 64 references it cites were found in a registry or an index.
The value of (pre)school playgrounds for children's physical activity level: a systematic review
Open accessAbstract
The (pre)school environment is an important setting to improve children's health. Especially, the (pre)school playground provides a major opportunity to intervene. This review presents an overview of the existing evidence on the value of both school and preschool playgrounds on children's health in terms of physical activity, cognitive and social outcomes. In addition, we aimed to identify which playground characteristics are the strongest correlates of beneficial effects and for which subgroups of children effects are most distinct. In total, 13 experimental and 17 observational studies have been summarized of which 10 (77%) and 16 (94%) demonstrated moderate to high methodological quality, respectively. Nearly all experimental studies (n = 11) evaluated intervention effects on time spent in different levels of physical activity during recess. Research on the effects of (pre)school playgrounds on cognitive and social outcomes is scarce (n = 2). The experimental studies generated moderate evidence for an effect of the provision of play equipment, inconclusive evidence for an effect of the use of playground markings, allocating play space and for multi-component interventions, and no evidence for an effect of decreasing playground density, the promotion of physical activity by staff and increasing recess duration on children's health. In line with this, observational studies showed positive associations between play equipment and children's physical activity level. In contrast to experimental studies, significant associations were also found between children's physical activity and a decreased playground density and increased recess duration. To confirm the findings of this review, researchers are advised to conduct more experimental studies with a randomized controlled design and to incorporate the assessment of implementation strategies and process evaluations to reveal which intervention strategies and playground characteristics are most effective.
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“In particular, the provision of equipment for games and playgrounds (15, 67, 82) has proved effective.”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [82]
In the citing paper
“In one review, significant associations were found between decreased playground density and PA in children (82).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [82]
In the citing paper
“One review stated that the use of playground markings can increase PA in children during recess and lunchtime (67), whereas another study found inconclusive evidence (82).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [82]
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Cites
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Evidence Based Physical Activity for School-age Youth
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Biddle, S. J. H., & Asare, M. (2011) · British Journal of Sports Medicine · doi:10.1136/bjsports-2011-090185 · Cited by 2,447
Why we need observational studies to evaluate the effectiveness of health care
Black, N. (1996) · BMJ · doi:10.1136/bmj.312.7040.1215 · Cited by 1,598
A Brief Review on Correlates of Physical Activity and Sedentariness in Youth
van der Horst, K., Chinapaw, M. J. M., Twisk, J. W. R., & van Mechelen, W. (2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318059bf35 · Cited by 1,259
Evidence-Based Public Health: Moving Beyond Randomized Trials
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Environmental correlates of physical activity in youth – a review and update
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“Several reviews have summarized the evidence on correlates of children’s physical activity [10-15].”
BackgroundDavison, K. K., & Lawson, C. T. (2006) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-3-19 · Cited by 966
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Messing, S., Rütten, A., Abu-Omar, K., Ungerer-Röhrich, U., Goodwin, L., Burlacu, I., & Gediga, G. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00055 · Cited by 259
Shoesmith, A., Hall, A. E., Wolfenden, L., Shelton, R. C., Powell, B. J., Brown, H., McCrabb, S., Sutherland, R., Yoong, S. L., Lane, C., et al. (2021) · Implementation Science · doi:10.1186/s13012-021-01134-y · Cited by 218
Johnstone, A., Martin, A., Cordovil, R., Fjørtoft, I., Iivonen, S., Jidovtseff, B., Lopes, F., Reilly, J. J., Thomson, H., Wells, V., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19105967 · Cited by 241
Barriers and facilitators of domain-specific physical activity: a systematic review of reviews
García, L., Mendonça, G., Benedetti, T. R. B., Borges, L. J., Streit, I. A., Christofoletti, M., Silva-Júnior, F. L. E., Papini, C. B., & Binotto, M. A. (2022) · BMC Public Health · doi:10.1186/s12889-022-14385-1 · Cited by 118
Woods, C. B., Volf, K., Kelly, L. P., Casey, B., Gelius, P. C., Messing, S., Forberger, S., Lakerveld, J., Żukowska, J., & Bengoechea, E. G. (2021) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2021.01.006 · Cited by 101
Metadata
- Authors
- Broekhuizen, K., Scholten, A.-M., & de Vries, S. I.
- Affiliations
- Netherlands Organisation for Applied Scientific Research (NL)
- ORCID
- Broekhuizen, Karen
- Venue
- International Journal of Behavioral Nutrition and Physical Activity
- Published
- 2014-05-03
- Volume
- 11
- Issue
- 1
- Pages
- 59-59
- ISSN
- 1479-5868 (ISSN-L)
- PMC
- PMC4031969
- OpenAlex
- W2097140921
- Cited by
- 145
- References
- 64
- Citations by year
- 2026: 7 · 2025: 17 · 2024: 9 · 2023: 7 · 2022: 17 · 2021: 21 · 2020: 10 · 2019: 13 · 2018: 11 · 2017: 11 · 2016: 10 · 2015: 9 · 2014: 2
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- International Journal of Behavioral Nutrition and Physical Activity (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- TNO Repository (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Repository hosted by TU Delft Library (TU Delft) (submittedVersion)
- Funders
- Ministerie van Volksgezondheid, Welzijn en Sport
- 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
- Social Sciences › Urban Studies › Urban Green Space and Health
- Keywords
- preschool playgrounds, school playgrounds, children's physical activity, recess, playground equipment, cognitive outcomes, social outcomes, intervention effectiveness
- MeSH terms
- Child Day Care Centers, Child, Preschool, Environment Design, Female, Humans, Male, Motor Activity, Play and Playthings, Randomized Controlled Trials as Topic, Observational Studies as Topic
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