Physical Activity and Cardiometabolic Health Benefits in Children

Tambalis, Konstantinos D.; Sidossis, Labros S.

doi:10.1007/978-3-030-04816-7_24

Cited by 8 publications

(7 citation statements)

References 95 publications

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“…However, as insufficient PA in children continues to increase worldwide [ 15 ] contexts, such as schools, in which school-going children spend the majority of their time, need to be assessed to see if they are providing adequate opportunities for PA to help children achieve their daily recommended PA. The school setting is therefore ideal for promoting PA because there is easy access to a large number of children at the same time, and the PA interventions can easily emphasize good health practices which can be sustained [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with provision of physical activity in primary schools in Makindye Division in Kampala, Uganda: a cross-sectional study

Mpalampa¹,

Okoboi

Nabaggala

et al. 2023

BMC Public Health

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Background Globally, school-going children spend most of their days at school, sitting in lessons and unable to achieve the daily WHO recommendations for Physical Activity (PA) of at least 60 minutes per day. Limited studies have assessed the opportunities schools provide for PA to help the children achieve their daily recommended PA. We determined the level of and the factors associated with PA offered in primary schools in Makindye Division in Kampala during the school term. Methods This cross-sectional study was conducted in 36 selected government and private primary schools in Makindye Division, Kampala. PA was defined as the amount of time in minutes available for PA as per WHO recommendations – sufficient (60 minutes or more of PA) or insufficient (less than 60 minutes of PA) and assessed for any factors associated with provision of time for PA in schools. Data were collected by interview administered questionnaires and analysed descriptively. Factors associated with PA were assessed using a logistic regression model. Results Of the 36 schools, 3 were government and 33 were private schools. The proportion of schools offering sufficient time for PA among Primary schools in the Makindye Division was (8/36) 22%. The average time for PA for all schools per week was 197 minutes (SD 70.7). Sufficient PA was associated with the provision of PE lessons after a break or after lunch (p-value 0.038). Sufficient PA was more likely in schools that offered volleyball (OR 8.69), had space in the school for PA (OR 13.27), provided athletics (OR 2.26) and whose fees were Ushs 700,000 (USD 187) or more (OR 1.30). Conclusions Only 22% of sampled schools offered sufficient time for PA among Primary schools in Kampala per WHO guidelines. Provision of sufficient time for PA was associated with PE scheduled either after break or lunch. Sufficient PA was more likely with schools that had space for PA, schools which offered volleyball and athletics, and whose fees were 700,000/= or more. Schools should consider scheduling PE lessons after break or after lunch to increase the likelihood of meeting the targeted time for PA. Primary schools need to be supported to establish facilities and to increase diversity in available activities to ensure children achieve their recommended PA.

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Section: Introductionmentioning

confidence: 99%

Factors associated with provision of physical activity in primary schools in Makindye Division in Kampala, Uganda: a cross-sectional study

Mpalampa¹,

Okoboi

Nabaggala

et al. 2023

BMC Public Health

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“…The engagement in physical activity (PA) especially during adolescence is associated with healthy weight, cardiometabolic health, mental health, bone strength and physical fitness 2 . Although these benefits are well established in the literature, a substantial proportion of young people does not meet PA guidelines 3 .…”

Section: Introductionmentioning

confidence: 99%

“…In this context, ecological models have received special attention from researchers, since they comprise a wider range of potential approaches related to obesity 6 . Identifying the determining factors of the physical environment that are associated with PA, overweight and obesity, especially in young populations, can assist in the development of effective strategies regarding the prevention and / or treatment of this chronic non-communicable disease 2 .…”

Section: Introductionmentioning

confidence: 99%

Relationship between green space near schools with physical activity and body mass index in portuguese adolescents

Melo

Ribeiro

Pizarro

et al. 2023

Rev. Bras. Ativ. Fís. Saúde

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Our aim was to determine the relationship between urban green spaces (UGS) number and greenness amount close to school with physical activity (PA) and body mass index (BMI) of adolescents. Participants (n = 194, aged 13–18 years) were recruited in 75 public secondary schools in the Porto Metropolitan Area. We used a self administered questionnaire to obtain information on height, weight, age and sex. PA levels were assessed using accelerometers. UGS number and greenness amount were measured using network buffers by 300, 500, 1000 and 1500 meters around each school, through geographic information system and normalized difference vegetation index (NDVI), respectively. Multilevel regressions were fitted to each green indicator individually. Multilevel models without adjustment showed a direct relationship between PA and NDVI [B = 118.14; 95%CI: 20.71, 215.57] and inverse relationship between PA and UGS number [B = -5.95; 95%CI: -10.06, -1.83] at 300 meters. Multilevel models with adjustment for socioeconomic deprivation showed a direct relationship between BMI and NDVI [B = 83.41; 95%CI: 30.84, 135.98] at 500 meters and a direct relationship between BMI and NDVI [B = 61.68; 95%CI: 3.07, 120.29] at 1000 meters. The present investigation does not support the idea that UGS number and the NDVI close to school promote PA and metabolic health in adolescents, as the results proved to be inconsistent and dependent on the distance threshold used to define geographic proximity.

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“…Regular physical activity is beneficial for children's cardiometabolic health (including lipids, adiposity and blood pressure) 1 and mental health. 2 Physical activity has also been positively associated with academic results, including cognitive skills (eg, executive functioning, attention, memory, comprehension), attitude (eg, motivation, self-concept, satisfaction and enjoyment), academic behaviour (eg, organisation), engagement in learning (eg, on-task time) and academic achievement (eg, standardised test scores).…”

Section: Introductionmentioning

confidence: 99%

Scaling up a school-based intervention to increase physical activity and reduce sedentary behaviour in children: protocol for theTransformUshybrid effectiveness–implementation trial

Koorts,

Timperio,

Lonsdale

et al. 2023

BMJ Open

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IntroductionEfficacious programmes require implementation at scale to maximise their public health impact.TransformUsis an efficacious behavioural and environmental intervention for increasing primary (elementary) school children’s (5–12 years) physical activity and reducing their sedentary behaviour within school and home settings. This paper describes the study protocol of a 5-year effectiveness–implementation trial to assess the scalability and effectiveness of theTransformUsprogramme.Methods and analysisA type II hybrid implementation–effectiveness trial,TransformUsis being disseminated to all primary schools in the state of Victoria, Australia (n=1786). Data are being collected using mixed methods at the system (state government, partner organisations), organisation (school) and individual (teacher, parent and child) levels. Evaluation is based on programme Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework. RE-AIM domains are being measured using a quasi-experimental, pre/post, non-equivalent group design, at baseline, 12 and 24 months. Effectiveness will be determined in a subsample of 20 intervention schools (in Victoria) and 20 control schools (in New South Wales (NSW), Australia), at baseline, 12 and 24 months. Primary outcomes includeTransformUsReach, Adoption, Implementation and organisational Maintenance (implementation trial), and children’s physical activity and sedentary time assessed using accelerometers (effectiveness trial). Secondary outcomes include average sedentary time and moderate to vigorous-intensity physical activity on weekdays and during school hours, body mass index z-scores and waist circumference (effectiveness trial). Linear mixed-effects models will be fitted to compare outcomes between intervention and control participants accounting for clustering of children within schools, confounding and random effects.Ethics and disseminationThe trial was approved by the Deakin University Human Research Ethics Committee (HEAG-H 28_2017), Victorian Department of Education, the NSW Department of Education, Australian Catholic University (2017-145R), Melbourne Archdiocese Catholic Schools and Catholic Schools NSW. Partners, schools/teachers and parents will provide an informed signed consent form prior to participating. Parents will provide consent for their child to participate in the effectiveness trial. Findings will be disseminated via peer-reviewed publications, scientific conferences, summary reports to schools and our partner organisations, and will inform education policy and practice on effective and sustainable ways to promote physical activity and reduce sedentary behaviours population-wide.Trial registration numberAustralian Clinical Trials Registration Registry (ACTRN12617000204347).

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Physical Activity and Cardiometabolic Health Benefits in Children

Cited by 8 publications

References 95 publications

Factors associated with provision of physical activity in primary schools in Makindye Division in Kampala, Uganda: a cross-sectional study

Factors associated with provision of physical activity in primary schools in Makindye Division in Kampala, Uganda: a cross-sectional study

Relationship between green space near schools with physical activity and body mass index in portuguese adolescents

Scaling up a school-based intervention to increase physical activity and reduce sedentary behaviour in children: protocol for theTransformUshybrid effectiveness–implementation trial

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