Impact of a South African School-based Intervention, HealthKick, on Fitness Correlates

M, Uys; Ce, Draper; Hendricks, Sharief; A, de Villiers; Fourie, Jean; Np, Steyn; Lambert, Estelle V.

doi:10.5993/ajhb.40.1.7

Cited by 23 publications

(40 citation statements)

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“…These results are consistent with the findings of Bezold et al (40) (increased sit-and-reach scores), Naylor et al (19) (increased PACER scores but not sit-and reach), and Uys et al (41) who found improvement in running speed tests for boys but not girls but did not find improvement in sit-and-reach scores for either gender.…”

Section: Discussionsupporting

confidence: 91%

Effects of a School-Based Intervention on BMI z-Scores and Fitness Parameters in Mississippi Delta Children

Knight

Cole

Dodd

et al. 2017

Int J School Health

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Background and Objectives: Although Mississippi is making modest progress in childhood obesity prevention and reduction; most of the recent benefits are seen in white children. The purpose of Eating good and moving like we should (EGMLWS), a schoolbased intervention was to create a successful program to prevent and reduce childhood obesity in the Mississippi Delta, among mostly African American students.

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Section: Discussionsupporting

confidence: 91%

Effects of a School-Based Intervention on BMI z-Scores and Fitness Parameters in Mississippi Delta Children

Knight

Cole

Dodd

et al. 2017

Int J School Health

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“…Eighteen full text articles were reviewed and 10 studies that met the inclusion criteria were retained in this review. Two of these studies evaluated the same intervention [24,25]. Table 1 shows the characteristics of the included studies.…”

Section: Description Of the Included Studiesmentioning

confidence: 99%

“…Table 1 shows the characteristics of the included studies. This systematic review included 10 studies conducted among 9957 children and adolescents in two African countries, namely South Africa [24][25][26][27][28][29] and Tunisia [30][31][32][33]. The included studies were published between 2009 and 2017.…”

Section: Description Of the Included Studiesmentioning

confidence: 99%

“…The included studies were published between 2009 and 2017. Four of the studies were described as randomised control trials (RCTs) [24,25,28,33], five were pre-and post-test quasi-experiments [26,27,[30][31][32], and one did not report the design [29]. Two of the studies were pilot studies to evaluate the feasibility of the interventions [26,27].…”

Section: Description Of the Included Studiesmentioning

confidence: 99%

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School-Based Interventions Targeting Nutrition and Physical Activity, and Body Weight Status of African Children: A Systematic Review

et al. 2019

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Background: Overweight/obesity is an emerging health concern among African children. The aim of this study was to summarise available evidence from school-based interventions that focused on improving nutrition and physical activity knowledge, attitude, and behaviours, and weight status of children aged 6-15 years in the African context. Methods: Multiple databases were searched for studies evaluating school-based interventions of African origin that involved diet alone, physical activity alone, or multicomponent interventions, for at least 12 weeks in duration, reporting changes in either diet, physical activity, or body composition, and published between 1 January 2000 and 31 December 2018. No language restrictions were applied. Relevant data from eligible studies were extracted. Narrative synthesis was used to analyse and describe the data. Results: This systematic review included nine interventions comprising 10 studies. Studies were conducted among 9957 children and adolescents in two African countries, namely South Africa and Tunisia, and were generally of low methodological quality. The sample size at baseline ranged from 28 to 4003 participants. Two interventions reported enrolling children from both urban and rural areas. The majority of the study participants were elementary or primary school children and adolescents in grades 4 to 6. Participants were between the ages of 12.4 and 13.5 years. All but one intervention targeted children of both sexes. Four studies were described as randomised control trials, while five were pre-and post-test quasi-experiments. Except for one study that involved the community as a secondary setting, all were primarily school-based studies. The duration of the interventions ranged from four months to three years. The interventions focused largely on weight-related behaviours, while a few targeted weight status. The results of the effectiveness of these interventions were inconsistent: three of five studies that evaluated weight status (body mass index (BMI), BMI z-score, overweight/obesity prevalence), three of six studies that reported physical activity outcomes (number of sports activities, and physical activity duration ≥ 30 min for at least six days/week), and four of six reporting on nutrition-related outcomes (number meeting fruit and vegetable intake ≥ 5 times/day) found beneficial effects of the interventions. Conclusion: Given the dearth of studies and the inconsistent results, definite conclusions about the overall effectiveness and evidence could not be made. Nonetheless, this study has identified research gaps in the childhood obesity literature in Africa and strengthened the need for further studies, the findings of which would contribute valuable data and inform policy.

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“…In some cases, MVPA in learners has been shown to increase, 27 whereas in other studies, PA and physical fitness remained largely unchanged. 28 In one study in the Western Cape province, most primary schools had features such as: paved courts for sport, playground equipment and grassy/soft play areas. None of these features was specifically associated with objectively measured MVPA.…”

Section: School (Physical Education Built and Policy Environments)mentioning

confidence: 99%

Results From South Africa’s 2016 Report Card on Physical Activity for Children and Youth

Uys¹,

Bassett²,

Draper³

et al. 2016

Journal of Physical Activity and Health

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Background:We present results of the 2016 Healthy Active Kids South Africa (HAKSA) Report Card on the current status of physical activity (PA) and nutrition in South African youth. The context in which we interpret the findings is that participation in PA is a fundamental human right, along with the right to "attainment of the highest standard of health." Methods: The HAKSA 2016 Writing Group was comprised of 33 authorities in physical education, exercise science, nutrition, public health, and journalism. The search strategy was based on peer-reviewed manuscripts, dissertations, and 'gray' literature. The core PA indicators are Overall Physical Activity Level; Organized Sport Participation; Active and Outdoor Play; Active Transportation; Sedentary Behaviors; Family and Peer Influences; School; Community and the Built Environment; and National Government Policy, Strategies, and Investment. In addition, we reported on Physical Fitness and Motor Proficiency separately. We also reported on nutrition indicators including Overweight and Under-nutrition along with certain key behaviors such as Fruit and Vegetable Intake, and policies and programs including School Nutrition Programs and Tuck Shops. Data were extracted and grades assigned after consensus was reached. Grades were assigned to each indicator ranging from an A, succeeding with a large majority of children and youth (81% to 100%); B, succeeding with well over half of children and youth (61% to 80%); C, succeeding with about half of children and youth (41% to 60%); D, succeeding with less than half but some children and youth (21% to 40%); and F, succeeding with very few children and youth (0% to 20%); INC is inconclusive. Results: Overall PA levels received a C grade, as we are succeeding with more than 50% of children meeting recommendations. Organized Sports Participation also received a C, and Government Policies remain promising, receiving a B. Screen time and sedentary behavior were a major concern. Under-and over-weight were highlighted and, as overweight is on the rise, received a D grade. Conclusion:In particular, issues of food security, obesogenic environments, and access to activity-supportive environments should guide social mobilization downstream and policy upstream. There is an urgent need for practice-based evidence based on evaluation of existing, scaled up interventions.

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Impact of a South African School-based Intervention, HealthKick, on Fitness Correlates

Abstract: The lack of a specific intervention effect on fitness levels and physical activity-related KAB indicates that a "low intensity" intervention is not effective in South African primary school settings.

Cited by 23 publications

References 0 publications

Effects of a School-Based Intervention on BMI z-Scores and Fitness Parameters in Mississippi Delta Children

Effects of a School-Based Intervention on BMI z-Scores and Fitness Parameters in Mississippi Delta Children

School-Based Interventions Targeting Nutrition and Physical Activity, and Body Weight Status of African Children: A Systematic Review

Results From South Africa’s 2016 Report Card on Physical Activity for Children and Youth

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