Abstract

The purpose of this study was to examine potential moderators of school-based physical activity interventions on cariorespiratory endurance in primary school-aged children using meta-regression. An Internet search with several databases was employed, extracting school-based pediatric physical activity intervention studies published within the past 30 years. Studies were included if there was a control or comparison group, if the study sample included primary school-aged children, if the targeted outcome of cardiorespiratory endurance was objectively assessed, if the intervention was at least partially school-based, and if the effect estimate’s variability was reported. An inverse-variance random effects meta-regression was employed using the primary predictors of component number (single component or multi-component) and intervention length using 20 extracted studies with 23 total effects. The overall pooled effect on cardiorespiratory endurance was statistically significant (Hedges’ g = 0.30, 95% C.I.: 0.19–0.40; p < 0.001). Using random effects meta-regression, neither component number (b = −0.09, 95% C.I.: −0.40–0.23; p = 0.560) or intervention length (b = 0.001, 95% C.I.: −0.002–0.004; p = 0.427) yielded a significant modifying effect on cardiorespiratory endurance. School-based physical activity interventions have a significant pooled effect on cardiorespiratory endurance in primary school-aged children. Component number and intervention length does not modify this effect, suggesting other sources for between-study heterogeneity.

Highlights

  • Physical activity is a modifiable health behavior that has numerous benefits for children, including decreased risk for non-communicable cardio-metabolic disease [1], improved cognitive functioning [2], and improved emotional well-being [3]

  • The overall pooled effect on cardiorespiratory endurance was statistically significant (Hedges’ g = 0.30, 95% C.I.: 0.19–0.40; p < 0.001), indicating an overall small pooled effect size

  • The results suggest a significant pooled effect of school-based interventions on cardiorespiratory endurance, neither intervention component number nor intervention length modified this effect

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Summary

Introduction

Physical activity is a modifiable health behavior that has numerous benefits for children, including decreased risk for non-communicable cardio-metabolic disease [1], improved cognitive functioning [2], and improved emotional well-being [3]. Despite these benefits, it has repeatedly been shown that children do not meet the recommended guideline of 60 min of physical activity per day [4,5]. Public Health 2018, 15, 1764; doi:10.3390/ijerph15081764 www.mdpi.com/journal/ijerph

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