Extracurricular Physical Activity Research Articles

Update on physical activity including special needs populations

Childhood obesity rates remain high, especially among adolescents, minorities, and children with disabilities. The American Academy of Pediatrics and American Medical Association have released recommendations for childhood obesity treatment and prevention which include interventions related to physical and sedentary activity. This review explores recent updates in the area of physical activity and sedentary behavior related to these recommendations as well as emerging evidence relevant to physical activity among children with disabilities. Safety and access are among some of the environmental barriers to children's participation in extracurricular physical activity that need to be addressed. Analyses of the relationship between physical activity and sedentary screen time continue to show inconsistent results, although evidence in support of active video games is increasing. Children with disabilities are a special subpopulation for whom physical activity should particularly be encouraged. Increased physical activity and decreased sedentary behaviors are essential components of obesity management in children with and without disabilities. Pediatric providers are encouraged to address barriers to physical activity with all families and act as advocates for changes in the local community that support access to physical activity for all children.

Influence of a lifestyle intervention in preschool children on physiological and psychological parameters (Ballabeina): study design of a cluster randomized controlled trial.

BackgroundChildhood obesity and physical inactivity are increasing dramatically worldwide. Children of low socioeconomic status and/or children of migrant background are especially at risk. In general, the overall effectiveness of school-based programs on health-related outcomes has been disappointing. A special gap exists for younger children and in high risk groups.Methods/DesignThis paper describes the rationale, design, curriculum, and evaluation of a multicenter preschool randomized intervention study conducted in areas with a high migrant population in two out of 26 Swiss cantons. Twenty preschool classes in the German (canton St. Gallen) and another 20 in the French (canton Vaud) part of Switzerland were separately selected and randomized to an intervention and a control arm by the use of opaque envelopes. The multidisciplinary lifestyle intervention aimed to increase physical activity and sleep duration, to reinforce healthy nutrition and eating behaviour, and to reduce media use. According to the ecological model, it included children, their parents and the teachers. The regular teachers performed the majority of the intervention and were supported by a local health promoter. The intervention included physical activity lessons, adaptation of the built infrastructure; promotion of regional extracurricular physical activity; playful lessons about nutrition, media use and sleep, funny homework cards and information materials for teachers and parents. It lasted one school year. Baseline and post-intervention evaluations were performed in both arms. Primary outcome measures included BMI and aerobic fitness (20 m shuttle run test). Secondary outcomes included total (skinfolds, bioelectrical impedance) and central (waist circumference) body fat, motor abilities (obstacle course, static and dynamic balance), physical activity and sleep duration (accelerometry and questionnaires), nutritional behaviour and food intake, media use, quality of life and signs of hyperactivity (questionnaires), attention and spatial working memory ability (two validated tests). Researchers were blinded to group allocation.DiscussionThe purpose of this paper is to outline the design of a school-based multicenter cluster randomized, controlled trial aiming to reduce body mass index and to increase aerobic fitness in preschool children in culturally different parts of Switzerland with a high migrant population.Trial RegistrationTrial Registration: clinicaltrials.gov NCT00674544

Participation in organised sports does not slow declines in physical activity during adolescence

BackgroundAmong youth, participation in extracurricular physical activities at school and organised physical activities in the community is associated with higher physical activity levels. The objective was to determine if participation in organised physical activities during early adolescence protects against declines in physical activity levels during adolescence.MethodsEvery 3 months for 5 years, students initially in grade 7 (aged 12–13 years) completed a 7-day physical activity recall and provided data on the number and type of (extracurricular) physical activities organised at school and in the community in which they took part. To study rates of decline in physical activity, only adolescents who reported an average of ≥5 moderate-vigorous physical activity sessions per week in grade 7 (n = 1028) were retained for analyses. They were categorised as to whether or not they were involved in organised physical activities in grade 7. We used generalized estimating equation Poisson regression to compare the rate of decline in number of moderate-vigorous physical activity sessions per week during adolescence between initially physically active students who participated in organised physical activity in grade 7 and those who did not.ResultsIn grade 7, about 87% of physically active adolescents reported taking part in at least one organised physical activity. Compared to active adolescents not involved in organised physical activities, baseline involvement in physical activity was 42% (95% CI 26–59%) higher among those involved in organised physical activity (mean number of moderate-vigorous physical activity sessions per week = 14.6 ± 13.1 vs 10.4 ± 9.0). Physical activity declined by 8% per year in both groups. Results were similar in analyses that examined the effect of school or community-based physical activities separately.ConclusionAlthough participation in organised physical activities during early adolescence is associated with more physical activity throughout secondary school, participation in such activities does not protect against declines in physical activity over time.

The contribution of home, neighbourhood and school environmental factors in explaining physical activity among adolescents.

The present study aimed at investigating the influence of home, neighbourhood and school environmental factors on adolescents' engagement in self-reported extracurricular physical activity and leisure time sports and on MVPA objectively measured by accelerometers. Environmental factors were assessed using questionnaires. Gender specific hierarchical regression analyses were conducted, with demographic variables entered in the first block, and environmental, psychosocial factors and interactions terms entered in the second block. Participation in extracurricular activities at school was positively related to the number of organized activities and the provision of supervision. Perceived accessibility of neighborhood facilities was not related to engagement in leisure time sports, whereas the availability of sedentary and physical activity equipment was. Findings were generally supportive of ecological theories stating that behaviors are influenced by personal and environmental factors that are constantly interacting.

Specialist or Nonspecialist Physical Education Teachers in Ontario Elementary Schools: Examining Differences in Opportunities for Physical Activity

Research supports the position that specialists are the preferred providers of physical education in elementary (primary) school settings. We examined whether specialists delivered more physical education lessons and provided greater opportunities for moderate and vigorous physical activity and whether barriers to curricular and extracurricular physical activity opportunities in Ontario elementary schools differed for specialist and nonspecialist teachers. Using a cross-sectional design, a questionnaire was mailed to key informants in 599 randomly selected elementary schools in Ontario, yielding an 85% response rate. Most physical education in Ontario elementary schools is delivered by nonspecialists (63%). No self-reported differences were found between specialists and generalist teachers in the number of physical education lessons delivered per week, the minutes per physical education class, or in the amount of reported moderate or vigorous physical activity in lessons. Compared with specialists, respondents in schools in which generalist teachers taught PE perceived lack of training as a greater barrier to delivering physical education. Given the importance of subject knowledge in teaching effectively, there is still need to advocate for specialist physical education teaching in elementary schools. However, concerns about teaching specialism may be secondary to broader and more complex factors surrounding the delivery of physical education in elementary schools.

Specialist or Nonspecialist Physical Education Teachers in Ontario Elementary Schools: Examining Differences in Opportunities for Physical Activity

Research supports the position that specialists are the preferred providers of physical education in elementary (primary) school settings. We examined whether specialists delivered more physical education lessons and provided greater opportunities for moderate and vigorous physical activity and whether barriers to curricular and extracurricular physical activity opportunities in Ontario elementary schools differed for specialist and nonspecialist teachers. Using a cross-sectional design, a questionnaire was mailed to key informants in 599 randomly selected elementary schools in Ontario, yielding an 85% response rate. Most physical education in Ontario elementary schools is delivered by nonspecialists (63%). No self-reported differences were found between specialists and generalist teachers in the number of physical education lessons delivered per week, the minutes per physical education class, or in the amount of reported moderate or vigorous physical activity in lessons. Compared with specialists, respondents in schools in which generalist teachers taught PE perceived lack of training as a greater barrier to delivering physical education. Given the importance of subject knowledge in teaching effectively, there is still need to advocate for specialist physical education teaching in elementary schools. However, concerns about teaching specialism may be secondary to broader and more complex factors surrounding the delivery of physical education in elementary schools.

Somatotype in 6–11-year-old Italian and Estonian schoolchildren

The study of somatotypes can contribute to the understanding of variability in human body build. The aim of this study was to compare the somatotypes of Italian and Estonian schoolchildren in order to evaluate factors that might lead to variability in somatotypes. The sample consisted of 762 Italian and 366 Estonian children aged 6–11 years. They were somatotyped by the Heath-Carter anthropometric method. Data on organised extra-curricular physical activity and hours of weekly training were also collected. One-way ANOVA was used to evaluate country-related variations of somatotype in each age/sex group, while factorial ANOVA was used to test the influence of country and organised physical activity on the variability of the anthropometric characteristics and somatotype components. There are significant differences in mean somatotypes between the Italian and Estonian children in many age classes and a different constitutional trend in children from the two different countries is observed. The Italian children are more endomorphic and less mesomorphic and ectomorphic than the Estonian children. On the other hand, it emerges from factorial ANOVA, that the somatotype components do not present significant variations related to organised physical activity and to the interaction between the country of origin and sport practice. Moreover, the results of the forward stepwise discriminant analyses show that mesomorphy is the best discriminator between the two countries, followed by ectomorphy. Our findings suggest that the observed differences between Italian and Estonian children could be related mainly to country rather than to the practice of organised physical activity in the two countries.

Correlation Between The Androgen Deficiency In The Aging Male Questionnaire And Androgen Levels In Men

Childhood obesity rates have shown a rising trend in the past years, becoming a public health challenge and threat. The aim of this study was to examine the association between extracurricular activities and weight status, among children. A survey was performed in 1728 primary school Greek students, during school years 2014–2016. Dietary and lifestyle habits, such as engagement in a variety of extracurricular activities were evaluated. The KIDMED Score was used to assess the level of adherence to the Mediterranean diet. Children’s Body Mass Index (BMI) was calculated and classified as normal, overweight, or obese, according to the International Obesity Task Force (IOTF) classification. The prevalence of overweight was 21.7% and obesity 5.0%, with a greater proportion of overweight/obese boys than girls (32.4% vs. 23.3%; p < 0.001). Increased engagement on extracurricular activities, such as watching TV, reading out-of-school material and reduced participation in sports activities were associated with a higher likelihood of overweight/obesity (p < 0.05). Extracurricular physical activities can be promoted within the family environment and incentives or obstacles should be considered and addressed.

Why There Are So Many Children Without Health Insurance In The Us? A Study Of The 2005-2006 Nhanes

Childhood obesity rates have shown a rising trend in the past years, becoming a public health challenge and threat. The aim of this study was to examine the association between extracurricular activities and weight status, among children. A survey was performed in 1728 primary school Greek students, during school years 2014–2016. Dietary and lifestyle habits, such as engagement in a variety of extracurricular activities were evaluated. The KIDMED Score was used to assess the level of adherence to the Mediterranean diet. Children’s Body Mass Index (BMI) was calculated and classified as normal, overweight, or obese, according to the International Obesity Task Force (IOTF) classification. The prevalence of overweight was 21.7% and obesity 5.0%, with a greater proportion of overweight/obese boys than girls (32.4% vs. 23.3%; p < 0.001). Increased engagement on extracurricular activities, such as watching TV, reading out-of-school material and reduced participation in sports activities were associated with a higher likelihood of overweight/obesity (p < 0.05). Extracurricular physical activities can be promoted within the family environment and incentives or obstacles should be considered and addressed.

P37 Relationship Of Incident Hypertension And Military Deployment In A Large Cohort

Childhood obesity rates have shown a rising trend in the past years, becoming a public health challenge and threat. The aim of this study was to examine the association between extracurricular activities and weight status, among children. A survey was performed in 1728 primary school Greek students, during school years 2014–2016. Dietary and lifestyle habits, such as engagement in a variety of extracurricular activities were evaluated. The KIDMED Score was used to assess the level of adherence to the Mediterranean diet. Children’s Body Mass Index (BMI) was calculated and classified as normal, overweight, or obese, according to the International Obesity Task Force (IOTF) classification. The prevalence of overweight was 21.7% and obesity 5.0%, with a greater proportion of overweight/obese boys than girls (32.4% vs. 23.3%; p < 0.001). Increased engagement on extracurricular activities, such as watching TV, reading out-of-school material and reduced participation in sports activities were associated with a higher likelihood of overweight/obesity (p < 0.05). Extracurricular physical activities can be promoted within the family environment and incentives or obstacles should be considered and addressed.

Sexual Selection, Male Competition, And Sex Differences In Human Mortality Rates

Childhood obesity rates have shown a rising trend in the past years, becoming a public health challenge and threat. The aim of this study was to examine the association between extracurricular activities and weight status, among children. A survey was performed in 1728 primary school Greek students, during school years 2014–2016. Dietary and lifestyle habits, such as engagement in a variety of extracurricular activities were evaluated. The KIDMED Score was used to assess the level of adherence to the Mediterranean diet. Children’s Body Mass Index (BMI) was calculated and classified as normal, overweight, or obese, according to the International Obesity Task Force (IOTF) classification. The prevalence of overweight was 21.7% and obesity 5.0%, with a greater proportion of overweight/obese boys than girls (32.4% vs. 23.3%; p < 0.001). Increased engagement on extracurricular activities, such as watching TV, reading out-of-school material and reduced participation in sports activities were associated with a higher likelihood of overweight/obesity (p < 0.05). Extracurricular physical activities can be promoted within the family environment and incentives or obstacles should be considered and addressed.

A Community Trial To Test The Effectiveness Of Intervention Strategies To Improve Mammography Screening Rates Among Underserved Women

Childhood obesity rates have shown a rising trend in the past years, becoming a public health challenge and threat. The aim of this study was to examine the association between extracurricular activities and weight status, among children. A survey was performed in 1728 primary school Greek students, during school years 2014–2016. Dietary and lifestyle habits, such as engagement in a variety of extracurricular activities were evaluated. The KIDMED Score was used to assess the level of adherence to the Mediterranean diet. Children’s Body Mass Index (BMI) was calculated and classified as normal, overweight, or obese, according to the International Obesity Task Force (IOTF) classification. The prevalence of overweight was 21.7% and obesity 5.0%, with a greater proportion of overweight/obese boys than girls (32.4% vs. 23.3%; p < 0.001). Increased engagement on extracurricular activities, such as watching TV, reading out-of-school material and reduced participation in sports activities were associated with a higher likelihood of overweight/obesity (p < 0.05). Extracurricular physical activities can be promoted within the family environment and incentives or obstacles should be considered and addressed.

Adolescent Physical Activities as Predictors of Young Adult Weight

To examine the relationship between increased physical activity in adolescence and adult weight status. Cohort study based on data from the National Longitudinal Study of Adolescent Health. In-home interviews. A total of 3345 adolescents in grades 8 to 12 with body mass index (calculated as weight in kilograms divided by height in meters squared) data available at baseline and 5 years later. Main Exposures Days per week of curricular and extracurricular physical activity. Overweight status (body mass index > or =25) 5 years after baseline. Increasing participation in certain extracurricular physical activities and physical education decreased the likelihood of young adulthood overweight. Regarding extracurricular physical activities, the likelihood of being an overweight adult was reduced most (ie, 48%) by performing certain wheel-related activities (ie, rollerblading, roller skating, skateboarding, or bicycling) more than 4 times per week. Each weekday that adolescents participated in physical education decreased the odds of being an overweight adult by 5%, with participation in all 5 weekdays of physical education decreasing the odds by 28%. In general, physical activity predicted normal-weight maintenance better than weight loss. These data underscore the important role that school-based and extracurricular physical activity play in reducing the likelihood of transitioning to overweight as young adults.

Effects of 3 hours a week of physical activity on body fat and cardio-respiratory parameters in obese boys

The prevalence of overweight or fat children and adolescents has markedly increased in Hungary during the past three decades. Among the possible factors insufficient physical activity and a relative or absolute excess of calorie intake associated to it can be regarded as the most important ones. The aim of the study was to analyse the effects of a 20-week aerobic exercise on body composition and on the exercise tested cardio-respiratory functions in 10-year-old obese boys. Obesity was defined by a BMI greater than the cut-off value reported by Cole and co-workers (5) and a relative body fat content above 30% (13). Of the study group 21 volunteer children completed the program; the contrast group contained 28 obese boys. Mean calendar age was 10.03 +/- 0.26 in the study group (S) and 9.88 +/- 0.29 in the control group (C). The members of group S had two curricular physical education (PE) classes a week and three extracurricular aerobic physical activity sessions of 60 min net time in the afternoon, on Mondays (swimming and water games), Wednesdays (folk dance) and Fridays (soccer). Group C had only 2 PE classes a week. Anthropometric and spiroergometric data were collected in the middle of January and June of 2004. Relative body fat content and BMI did not increase during the observation period in contrast to the significant increase of both in the control group. Peak minute ventilation, aerobic power, oxygen pulse, and running distance (performed on a treadmill) increased in group S, and did not change in group C. The program was considered successful despite that the changes in the observed physiological and physical indicators appeared to be slight. However, the 5-month elevated level of physical activity brought about such development in the physical status of the obese subjects that might be an appropriate basis for regular training. Fortunately, the cardio-respiratory functions of the investigated boys were not affected yet by obesity, consequently the really dramatic change in their further lifestyle exclusively depends on their decision.

Physical Performance and School Physical Education in Overweight Spanish Children

Aims: To evaluate the effect of physical performance and extracurricular organized physical activities (EOPA) in normal- and overweight children. Methods: A random sample of 1,068 schoolchildren (7–12 years old) representative of the region of Aragon (Spain) was selected and divided into normal-, overweight and obese groups based on previously published body mass index reference standards. Physical performance was assessed by the European physical test battery. EOPA were estimated when children performed at least 3 h per week during the previous year in addition to school physical education. Results: Overweight and obese subjects had lower performances on all tests requiring propulsion or lifting of the body mass (standing-broad jump, sit-ups, bent-arm hangs, speed shuttle run and endurance shuttle run) when compared with normal-weight counterparts (p < 0.001). The overweight and obese children showed greater hand grip strength measures than the normal-weight ones (p < 0.001). Plate tapping and sit reach test scores were similar in both groups. The participation in EOPA was similar in normal- and overweight or obese groups; however, a significant increase with age was observed (p < 0.01). Conclusion: In this age group, overweight was not related to EOPA participation. Overweight children had poorer results on weight-bearing tasks. The good results in static strength, coordination and speed of limb movements in overweight children should be considered in the promotion of physical activity programs for overweight children.

A comprehensive physical activity promotion programme at elementary school: the effects on physical activity, physical fitness and psychosocial correlates of physical activity

To evaluate the effects of a comprehensive physical activity (PA) promotion programme in elementary schools on children's total PA levels, leisure-time PA, physical fitness and psychosocial correlates of PA. A pre-test-post-test design over two school years. Sixteen elementary schools (764 children, mean age: 11.2 +/- 0.7 years) were randomly assigned to the intervention condition (n = 8) and the control condition (n = 8). The intervention included a health-related physical education programme, an extracurricular PA promotion programme and classroom-based PA education lessons. In the total sample, leisure-time PA, psychosocial correlates of PA and physical fitness were measured using a PA questionnaire and the Eurofit test battery. In a sub-sample, total PA levels were measured using an accelerometer. According to accelerometer data, children's moderate PA and moderate-to-vigorous PA (MVPA) levels decreased less in the intervention schools than in the control schools (P < 0.01). The average time spent on MVPA decreased by 9 min per day in the intervention schools compared with 33 min per day in the control schools. Children in the intervention schools reported significantly more moderate PA in leisure time than the controls (P < 0.05). No overall improvement of physical fitness and no effects on the psychosocial correlates of PA were found. The comprehensive PA promotion programme was successful in preventing a decline in children's total activity levels. Furthermore, the intervention increased children's PA engagement in leisure time. Therefore, implementation needs to be encouraged.

Influence of extracurricular sport activities on body composition and physical fitness in boys: a 3-year longitudinal study

To analyse the effect of extracurricular physical activities on fat mass accumulation and physical fitness during growth in early pubertal males. Longitudinal study. A total of 42 male children (9.4+/-1.4 years, Tanner I-II and 12.7+/-1.5 years, Tanner III-IV, before and after the 3.3 years follow-up, respectively), randomly sampled from the population of Gran Canaria (Spain), 26 of them physically active (PA, at least 3 h per week during 3 years) and 16 non-physically active (non-PA). Body composition (dual-energy X-ray absorptiometry), anthropometrics (body circumferences and skinfolds) and physical fitness variables (dynamic and isometric force, anaerobic capacity and maximal aerobic power) were determined in all subjects. Both groups had comparable body sizes at the start and the end of the study. Body mass index increased with growth more in the PA than in the non-PA group (P<0.05). However, fat mass accumulation with growth was lower in the PA than in the non-PA (P<0.05). There was a positive relationship between the increment of total and trunkal fat mass, especially in non-active children (r2=0.93). In contrast, there was an inverse relationship between the total lean mass growth and the accumulation of total and regional fat mass (r=-0.37 to -0.41, all P<0.05). Physical fitness was maintained in the PA, while it worsened in the non-PA children. Without any dietary intervention, children who regularly participate in at least 3 h per week of sports activities are more protected against total and regional fat mass accumulation. They also increase their total lean and bone mass to a greater extent than children who do not participate in extracurricular sport activities. In addition, PA children maintain their physical fitness during growth, while it deteriorates in the non-PA children.

Effect of a Ban on Extracurricular Sports Activities by Secondary School Teachers on Physical Activity Levels of Adolescents: A Multilevel Analysis

To study the effect of a teachers' ban on supervising sports-related extracurricular physical activities (ECAs), levels of physical activity among 979 grade 7 students (mean age=12.7 [0.5] years at baseline) were compared during and after the ban in seven schools that fully implemented the ban, and three schools that did not implement the ban fully. On average, schools offered 18.0 (SD=5.1) ECAs during a no-ban school year. Students attending full implementation schools were significantly more likely than students in nonimplementation schools to be active after the ban ended (odds ratio for being active=1.89 [95% confidence interval: 1.39, 2.58]). They also increased the number of physical activities in which they participated (coefficient=4.04; SE=1.01). Ending a teachers' ban on sports-related ECAs was associated with increased involvement in physical activity among secondary school students.

Physical Activity Patterns in Youth with Autism Spectrum Disorders

The purpose of this study was to examine age-related physical activity patterns in youth with autism spectrum disorders (ASD). Thirty youth, aged 10-19 years, were divided into three groups: elementary (n=9), middle (n=9) and high (n=12) school. Participants wore an accelerometer and completed an activity questionnaire for seven consecutive days. The main findings were that (a) elementary youth are more active than the other groups, regardless type of day or time period, and (b) there are no consistent patterns in physical activity of youth with ASD according to day or time period. Findings emphasize that interventions for this population should address increasing extracurricular physical activity options during adolescence.

Steps Counts Among Middle School Students Vary With Aerobic Fitness Level

The purpose of this study was to examine if steps/day taken by middle school students varied based on aerobic fitness classification. Middle school students (N = 223; 112 girls, 111 boys) were assigned to three aerobic fitness categories (HIGH, MOD, LOW) based on results of the FITNESSGRAM PACER test. Four weekdays of pedometer monitoring determined activity levels (steps/day). Boys accumulated significantly more steps/day than girls, 11,589 ± 3,270 and 10,232 ± 2,517 steps/day, respectively; F(1, 219) = 16.0, p < .001, η2 = .055. There were no differences in steps/day between grades. HIGH fit participants accumulated significantly more steps/day, F(2, 217) = 12.2, p < .001, η2 = .101, than moderately fit and low fit participants (≈ 1,491 and ≈ 2,867 steps/day, respectively). Middle school students who participated in sports in addition to physical education (PE) accumulated significantly more steps/day (≈ 980 steps/day) than those participating in PE only, F(1, 219) = 10.0, p < .01, η2 = .044. Although the relationship between physical activity and aerobic fitness was moderate (0.35; p < .01), these data demonstrated significant differences in accumulated steps/day among youth of varying aerobic fitness levels. Whether improved fitness levels were the result of additional activity or the cause of it remains to be determined. Regardless, the fittest middle school students were also the most active and accumulated a significant amount of steps/day through organized extracurricular physical activities.