Assessing the Efficacy of Sport-Based Physical Education on Children's Activity Behaviors: A Randomized Controlled Trial.

IF 2.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Aliye B Cepni, David W Walsh, Hanjoe Kim, Cynthia Y Yoon, Sheryl O Hughes, Tracey A Ledoux, Craig A Johnston
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Abstract

Background: Children from low-income and racial/ethnic minority backgrounds are more prone to insufficient physical activity and heightened sedentary behaviors. This study aims to increase moderate to vigorous physical activity and decrease sedentary behaviors among high-risk children through an inclusive and transformative sport skill development physical education (PE) intervention.

Methods: Elementary school-aged children were recruited from 3 public schools located in underserved communities in Houston, TX. Classrooms were randomly assigned to a sport-based PE class (intervention, 12 classrooms, n = 124) or a standard PE class (control, 13 classrooms, n = 133). The intervention was implemented at school by teachers over 10 weeks, whereas at home, the intervention group received equipment, virtual classes, and parent trainings. Activity behaviors were assessed using accelerometry (ActiGraph GT3X+) at baseline and post intervention. Multilevel linear mixed-effects models were conducted to examine changes in activity behaviors between the study conditions.

Results: Participants were 9.33 (0.68) years old, and 46% were females, who identified as either Hispanic/Latino (48%) and/or Black (38%). The difference in minutes of weekend sedentary behavior change was 32 minutes between study conditions (P = .012). Specifically, intervention girls decreased weekend sedentary behavior by 37 minutes, whereas girls in the control condition increased by 8 minutes (P < .01). Despite the direction of change in overall, weekday, or weekend moderate to vigorous physical activity and overall or weekday sedentary behaviors in favor of the intervention, these effects did not reach the statistically significant level compared to the control condition.

Conclusions: Sport-based PE intervention can be an important strategy to decrease child sedentary behaviors during out-of-school periods, particularly among girls.

评估以运动为基础的体育教育对儿童活动行为的影响:随机对照试验
背景:低收入和少数种族/族裔背景的儿童更容易出现体育活动不足和久坐不动的行为。本研究旨在通过包容性和变革性的运动技能发展体育教育(PE)干预措施,增加高风险儿童的中度到剧烈运动,减少久坐行为:方法:从德克萨斯州休斯顿服务不足社区的 3 所公立学校招募小学学龄儿童。教室被随机分配到以运动为基础的体育课(干预,12 个教室,n = 124)或标准体育课(对照,13 个教室,n = 133)。干预措施由教师在学校实施,为期 10 周,而干预组则在家里接受器材、虚拟课程和家长培训。在基线和干预后,使用加速度计(ActiGraph GT3X+)对活动行为进行评估。采用多层次线性混合效应模型来研究不同研究条件下活动行为的变化:参与者年龄为 9.33 (0.68)岁,46% 为女性,自认为是西班牙/拉丁美洲人(48%)和/或黑人(38%)。在不同的研究条件下,周末久坐行为的改变时间相差 32 分钟(P = .012)。具体来说,干预组女孩的周末久坐行为减少了 37 分钟,而对照组女孩则增加了 8 分钟(P < .01)。尽管总体、平日或周末中度至剧烈运动以及总体或平日久坐行为的变化方向有利于干预,但与对照条件相比,这些效果在统计学上未达到显著水平:以体育为基础的体育干预是减少儿童(尤其是女孩)在校外时间久坐不动行为的重要策略。
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来源期刊
Journal of physical activity & health
Journal of physical activity & health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.50
自引率
3.20%
发文量
100
期刊介绍: The Journal of Physical Activity and Health (JPAH) publishes original research and review papers examining the relationship between physical activity and health, studying physical activity as an exposure as well as an outcome. As an exposure, the journal publishes articles examining how physical activity influences all aspects of health. As an outcome, the journal invites papers that examine the behavioral, community, and environmental interventions that may affect physical activity on an individual and/or population basis. The JPAH is an interdisciplinary journal published for researchers in fields of chronic disease.
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