Effects of Before-School Physical Activity on Obesity Prevention and Wellness

Whooten, Rachel C.; Perkins, Meghan; Gerber, Monica W.; Taveras, Elsie M.

doi:10.1016/j.amepre.2018.01.017

Cited by 28 publications

(31 citation statements)

References 45 publications

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“…Also, before-school PA programs seem to improved social-emotional wellness. 26 T A B L E 3 Regression slope estimate for the effect of the Active-Start program on attention and academic performance as a function of physical fitness change (moderators), based on Johnson-Neyman results…”

Section: Perspectivementioning

confidence: 99%

A before‐school physical activity intervention to improve cognitive parameters in children: The Active‐Start study

García-Hermoso

Hormazábal-Aguayo

Fernández-Vergara

et al. 2019

Scandinavian Med Sci Sports

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The aim of the study was threefold: (a) to test a before-school physical activity intervention (Active-Start) on academic performance, selective attention, and concentration capacity; (b) to test the effect of the Active-Start intervention on anthropometry, body composition, and physical fitness parameters; and (c) whether the physical fitness components are moderators of the effect of the Active-Start program on academic performance, selective attention, and concentration capacity in Chilean children. The Active-Start intervention was a RCT which comprised 170 children (8-10 years old)from three public schools with low socioeconomic status from the city of Santiago (Chile). The exercise intervention was delivered daily, before starting the first school-class (8:00-8:30 am) for 8 weeks. Changes in academic performance, selective attention and concentration capacity, anthropometric, body composition, and physical fitness parameters were measured. The analyses used were mixed regression models for repeated measures over time. No statistically significant changes in attention and concentration capacity were found. However, significant changes were seen in language (0.63; 95% CI 0.49-0.77) and mathematics (0.49; 95% CI 0.32-0.66) performance (P < .001). Also, improvements were seen in fat mass, fat-free mass, muscular, and cardiorespiratory fitness (all P < .05). The Johnson-Neyman technique revealed a significant relationship between the effect of intervention and attention and concentration when change in cardiorespiratory fitness was above, but not below, 3.05 and 0.70 mL/kg/min, respectively. Implementing before-school physical activity programs such as the Active-Start to enhance the cardiorespiratory fitness may benefit attention capacity and academic success among schoolchildren. K E Y W O R D Sacademic achievement, attention, cardiorespiratory fitness, exercise

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Section: Perspectivementioning

confidence: 99%

A before‐school physical activity intervention to improve cognitive parameters in children: The Active‐Start study

García-Hermoso

Hormazábal-Aguayo

Fernández-Vergara

et al. 2019

Scandinavian Med Sci Sports

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“…The BOKS program aligns with a systems-level framework of obesity, which highlights the importance of considering both the interpersonal and community levels in effective obesity prevention initiatives (15). The RE-AIM evaluation framework (Table 1) is consistent with this approach by facilitating understanding of intervention contexts (8,12).…”

Section: Purpose and Objectivesmentioning

confidence: 96%

“…Use of the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework allows investigators to systematically address the gap between research and practice, recognizing that optimal research conditions often do not reflect the complexity of real-world settings (12). By understanding initial intervention adoption and reach, followed by implementation, effectiveness, and maintenance (Table 1), the RE-AIM framework seeks to capture both internal and external validity and facilitate the translation of research findings into real-world settings (12).…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Implementation of a Before-School Physical Activity Program: A Mixed-Methods Approach in Massachusetts, 2018

et al. 2020

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What is already known on this topic? Despite strong evidence supporting school-based physical activity interventions, a knowledge gap exists that relates to intervention delivery in realworld settings. What is added by this report? We evaluated the implementation of a before-school physical activity program in 3 schools by using a structured evaluation framework. Each school had different approaches to program delivery, with potential implications for program results and sustainability. What are the implications for public health practice? Use of a structured implementation evaluation framework provides key insights into program implementation and delivery that can be used to guide future dissemination efforts across different settings.

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“…Previous obesity-prevention programs that have a focus on PA education, such as the Coordinated Approach to Child Health (CATCH) program and Sports, Play & Active Recreation for Kids (SPARK) program, have shown promising results related to increasing MVPA and improving PA patterns (6,7). While these programs have produced exciting results, overall there remains a lack of time allocation for PA promotion in the school setting (8,9).…”

Section: Introductionmentioning

confidence: 99%

Using Theory to Develop Healthy Choices in Motion, a Comprehensive, Experiential Physical Activity Curriculum

Fetter

Linnell

Dharmar

et al. 2020

Front. Public Health

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Background: Research has shown that engaging in regular physical activity supports physiologic, metabolic, and immunologic processes, as well as quality of life. However, few youth in the United States meet the U.S. Department of Health and Human Services recommendation of 60 min of moderate-to-vigorous physical activity every day. School-based programs can be an effective avenue for engaging youth in physical activity, particularly when the design of the health education is based on theory, research, and practice. The purpose of this study was to design, implement, and evaluate a theory-driven physical activity curriculum for the Shaping Healthy Choices Program (SHCP) using a systematic approach. Methods: The experiential, inquiry-based physical activity curriculum, Healthy Choices in Motion (HCIM), was developed with an optional technology enhancement using Backward Design. A questionnaire to assess the curriculum's effect on physical activity knowledge was developed and assessed for content validity, internal consistency (α = 0.84), and test-retest reliability (r = 0.73). The curriculum was piloted in two phases among upper elementary-aged youth: to ensure the learning goals were met (Pilot I) and to determine the curriculum's impact on physical activity knowledge, behavior, and self-efficacy (Pilot II). Pilot II was implemented among eight 4th and 5th-grade classrooms participating in the UC CalFresh Nutrition Education Program: (1) Comparison (no intervention) (n = 25); (2) SHCP only (n = 22); (3) SHCP + HCIM (n = 42); (4) SHCP + HCIM with technology enhancement (n = 47). Analyses included unadjusted ANOVA and Bonferroni for multiple comparisons and paired t-test (p < 0.05). Results: Through the use of a methodical design approach, a comprehensive physical activity curriculum, called HCIM, was developed. Youth participating in HCIM improved physical activity knowledge compared to youth receiving no intervention (+2.8 points, p = 0.009) and youth only in the SHCP (+3.0 points, p = 0.007). Youth participating in Fetter et al. Development of Healthy Choices in Motion HCIM with technology enhancement demonstrated improvements compared to youth only in the SHCP (+2.3 points, p = 0.05). Conclusion: Improvements in physical activity knowledge in youth participating in HCIM may contribute to improvements in physical activity and should be further explored in conjunction with behavioral measurements.

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Effects of Before-School Physical Activity on Obesity Prevention and Wellness

Abstract: This study is registered at www.clinicaltrials.gov NCT03190135.

Cited by 28 publications

References 45 publications

A before‐school physical activity intervention to improve cognitive parameters in children: The Active‐Start study

A before‐school physical activity intervention to improve cognitive parameters in children: The Active‐Start study

Evaluating the Implementation of a Before-School Physical Activity Program: A Mixed-Methods Approach in Massachusetts, 2018

Using Theory to Develop Healthy Choices in Motion, a Comprehensive, Experiential Physical Activity Curriculum

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