Effectiveness of school-based interventions targeting physical activity and sedentary time among children: a systematic review and meta-analysis of accelerometer-assessed controlled trials

Rodrigo-Sanjoaquín, Javier; Corral-Abós, Ana; Solana, Alberto Aibar; Casterad, Javier Zaragoza; Lhuisset, Léna; Bois, Julien

doi:10.1016/j.puhe.2022.10.004

Cited by 7 publications

(11 citation statements)

References 44 publications

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“…Nevertheless, it noted that school-based interventions might produce better results if they were focused on reducing ST rather than promoting PA (Tassitano et al, 2020). This conclusion is supported by a recent meta-analysis, which found that school-based interventions seem to be effective in reducing ST but not in improving moderate-to-vigorous physical activity (MVPA) (Rodrigo-Sanjoaquín et al, 2022).…”

Section: Discussionmentioning

confidence: 95%

“…sleep), which addressed issues and outcomes such as obesity prevention (Agaronov et al, 2018; Ash et al, 2017), weight gain prevention (Goldthorpe et al, 2020; Nooijen et al, 2017) and energy balance (Anselma et al, 2020). Finally, only three meta-analyses focused on examining PA and SB in school children (Jones et al, 2020; Love et al, 2019; Rodrigo-Sanjoaquín et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

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Are school-based interventions promoting 24-hour movement guidelines among children? A scoping review

Rodrigo-Sanjoaquín

Bois

Solana

et al. 2023

Health Education Journal

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Objective: 24-hour movement behaviours can effect sustainable long-term benefits in children, but their implementation and effectiveness have not previously been reviewed in the school setting. Thus, the aim of this scoping review was to provide an overview of school-based interventions targeting physical activity (PA), sedentary behaviour (SB), and sleep in 5–12-year-old children. Design: Scoping review. Methods: A structured bibliographic search of five databases was conducted to retrieve peer-reviewed intervention studies published in English language, between January 2010 and December 2020. Results: Among the 37 studies included with a total sample size of 27,145 primary school-aged children, only one study assessed sleep, PA and SB. The average duration of the intervention studies was between 7 and 10 months. Conclusion: The main gap identified was that current school-based interventions do not include complete 24-hour movement behaviours among children as there is a lack of intervention studies addressing sleep behaviour. In addition, this first international review of 24-hour movement behaviours in a school setting found that the number of intervention studies that incuded follow-up measures is limited, so it is difficult to interpret their sustainability.

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Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Are school-based interventions promoting 24-hour movement guidelines among children? A scoping review

Rodrigo-Sanjoaquín

Bois

Solana

et al. 2023

Health Education Journal

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“…In the meta-analysis of Rodrigo-Sanjoaquín et al, among the school-based interventions of acceptable methodological quality recently identified to reduce ST measured by accelerometer in school-age children [ 39 ], nine interventions targeted several levels of actors (i.e., child, teachers, parents, educators), only three were based on the SEM [ 40 , 80 , 81 ], only one has been designed and implemented in France [ 40 ] and none study was anchored on the TCM. The CIPRES study will provide scientific elements regarding the obstacles and levers to the implementation in France of a theoretically anchored intervention aimed at reducing the sedentary lifestyle of school-age children, involving multiple levels of actors (i.e., child, parents, educational staff, municipal staff) using a socio-ecological approach [ 22 – 24 ], and based on a behavior change model i.e., the TCM [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…Phase 1 : Co-construction of the intervention based on a participatory approach . The preliminary following guidelines have been identified to guide the co-construction of the CIPRES intervention according to SEM, TCM and previous published interventional studies [ 38 , 39 ]:…”

Section: Methodsmentioning

confidence: 99%

Co-construct, implement and evaluate a multi-level intervention to prevent a sedentary lifestyle in children—Study protocol of the CIPRES study

Carayol,

Laujac,

Cholley-Gomez

et al. 2024

PLoS ONE

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Background A sedentary lifestyle is commonly associated with a higher risk of chronic disease development. Among school-aged children from European countries, screen-time represents a significant portion of sedentary time with 39.8% of children spending more than 2h/day in front of a screen on average. Therefore, effective solutions to reduce sedentary behavior (SB) must be found. Multilevel interventions based on the socio-ecological model (SEM) are particularly relevant to take into account influences of the social environment on individuals’ SB. Moreover, the trans-contextual model (TCM) can offer complementary levers for individuals’ behavior change. The CIPRES study is a theory-based multilevel intervention designed to decrease the SB in French primary school children aged 8–10 years. The present paper describes the protocol of a randomized controlled study to evaluate the effectiveness of the CIPRES multilevel intervention on SB. Methods The CIPRES study is a cluster-randomized controlled trial comparing intervention vs control groups. A total of 700 children are targeted for inclusion, distributed in four municipalities considered as clusters. The study consists of two successive phases: 1) co-building of a SB prevention intervention by using a participatory approach involving representatives of each level of the SEM (e.g., children, parents, staff from municipalities, teachers) and 2) implementation and evaluation of the intervention. The intervention will last for 6 weeks in each involved class. Primary outcome will be the sedentary time of children per week, assessed by accelerometry. In addition, children and their parents will be asked to fill out questionnaires concerning children’s physical activity level, screen time, quality-of-life and variables of the TCM. Discussion This study will give information on the effectiveness of a theory-based intervention, involving multiple levels of actors in the co-construction and the implementation of the intervention, that may interest schools and public health officers looking for innovative sedentary prevention programs.

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“…Not only do we need to consider the interventions, but also to consider the age group since with increasing age the effects of interventions on the interval decrease 35 – 37 . However, the literature showed inconsistent results on interventions for increasing physical activity and decreasing sedentary time among children 38 , 39 .…”

Section: Discussionmentioning

confidence: 99%

Association between school environment with sedentary behavior and physical activity intensity in children

Sales¹,

Silva²,

Bergamo³

et al. 2023

Sci Rep

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We examined the association between indicators of the school environment with sedentary behavior and different intensities of physical activity in children. The study that included 515 children (265 boys) aged 9–11 years old from public and private schools in the city of São Caetano do Sul. Sedentary behavior and different intensities of physical activity were evaluated with an accelerometer. Inside school environment (policies, supervision committee, extracurricular activities, breaks, and access to school facilities) was evaluated using a questionnaire. Policies and practice (β: 8.49; 95% CI: 3.62–13.36), supervision committee (5.42; 0.64–10.19), inter-school competitions (2.40, 2.25–2.55), breaks of 15–29 min/day (6.87; 2.20–10.75), and outdoor sports field (5.40; 0.37–10.44), were positively associated with moderate-to-vigorous-intensity physical activity. Furthermore, crossing guards (7.65; 3.00–12.30) were positively associated with moderate-to-vigorous-intensity physical activity. We concluded that an association was found between school environment indicators with higher levels of physical activity and greater odds of meeting physical activity guidelines.

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Effectiveness of school-based interventions targeting physical activity and sedentary time among children: a systematic review and meta-analysis of accelerometer-assessed controlled trials

Cited by 7 publications

References 44 publications

Are school-based interventions promoting 24-hour movement guidelines among children? A scoping review

Are school-based interventions promoting 24-hour movement guidelines among children? A scoping review

Co-construct, implement and evaluate a multi-level intervention to prevent a sedentary lifestyle in children—Study protocol of the CIPRES study

Association between school environment with sedentary behavior and physical activity intensity in children

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