Exploring activity levels in physical education lessons in the UK: a cross-sectional examination of activity types and fitness levels

Nick Beale, Emma Eldridge, Anne Delextrat, Patrick Esser, Oliver Bushnell, Emily Curtis, Thomas Wassenaar, Catherine Wheatley, Heidi Johansen-Berg, Helen Dawes, Nick Beale, Emma Eldridge, Anne Delextrat, Patrick Esser, Oliver Bushnell, Emily Curtis, Thomas Wassenaar, Catherine Wheatley, Heidi Johansen-Berg, Helen Dawes

Abstract

Objectives: To establish pupil fitness levels, and the relationship to global norms and physical education (PE) enjoyment. To measure and describe physical activity (PA) levels during secondary school PE lessons, in the context of recommended levels, and how levels vary with activity and lesson type.

Methods: A cross-sectional design; 10 697 pupils aged 12.5 (SD 0.30) years; pupils who completed a multistage fitness test and wore accelerometers to measure PA during PE lessons. Multilevel models estimated fitness and PE activity levels, accounting for school and class-level clustering.

Results: Cardiorespiratory fitness was higher in boys than girls (ß=-0.48; 95% CI -0.56 to -0.39, p<0.001), within absolute terms 51% of boys and 54% of girls above the 50th percentile of global norms. On average, pupils spent 23.8% of PE lessons in moderate-to-vigorous PA (MVPA), and 7.1% in vigorous PA (VPA). Fitness-focused lessons recorded most VPA in co-educational (ß=1.09; 95% CI 0.43 to 1.74) and boys-only lessons (ß=0.32; 95% CI -0.21 to 0.85). In girls-only lessons, track athletics recorded most VPA (ß=0.13; 95% CI -0.50 to 0.75) and net/wall/racket games (ß=0.97; 95% CI 0.12 to 1.82) the most MVPA. For all lesson types, field athletics was least active (ß=-0.85; 95% CI -1.33 to -0.36). There was a relationship of enjoyment of PE to fitness (ß=1.03; 95% CI 0.83 to 1.23), and this relationship did not vary with sex (ß=-0.14 to 0.23; 95% CI -0.16 to 0.60).

Conclusions: PE lessons were inactive compared with current guidelines. We propose that if we are to continue to develop a range of sporting skills in schools at the same time as increasing levels of fitness and PA, there is a need to introduce additional sessions of PE activity focused on increasing physical activity.

Trial registration number: NCT03286725.

Keywords: adolescent; aerobic fitness; exercise testing; physical activity; secondary school.

Conflict of interest statement

Competing interests: None declared.

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.

Figures

Figure 1
Figure 1
School recruitment and participant flow chart for the ‘Fit to Study’ project’s baseline data. FSM, free school meal.
Figure 2
Figure 2
Grouped line plot of fitness (cumulative laps) by physical education (PE) enjoyment, by sex.
Figure 3
Figure 3
Average activity level (% of lesson) across physical activity (PA) domains, by activity group. LPA, light PA; MPA, moderate PA; MVPA, moderate-to-vigorous PA; SPA, sedentary PA; VPA, vigorous PA.
Figure 4
Figure 4
Grouped scatter of lesson average MVPA by lesson average VPA, by activity group. afPE, Association for Physical Education; PE, physical education; MVPA, moderate-to-vigorous physical activity; VPA, vigorous physical activity.

References

    1. Sandercock G, Voss C, Cohen D, et al. . Centile curves and normative values for the twenty metre shuttle-run test in English schoolchildren. J Sports Sci 2012;30:679–87. 10.1080/02640414.2012.660185
    1. Marques A, Santos DA, Hillman CH, et al. . How does academic achievement relate to cardiorespiratory fitness, self-reported physical activity and objectively reported physical activity: a systematic review in children and adolescents aged 6-18 years. Br J Sports Med 2018;52:1039. 10.1136/bjsports-2016-097361
    1. Santana CCA, Azevedo LB, Cattuzzo MT, et al. . Physical fitness and academic performance in youth: a systematic review. Scand J Med Sci Sports 2017;27:579–603. 10.1111/sms.12773
    1. Chaddock-Heyman L, Erickson KI, Kienzler C, et al. . The role of aerobic fitness in cortical thickness and mathematics achievement in preadolescent children. PLoS One 2015;10:e0134115. 10.1371/journal.pone.0134115
    1. Jose KA, Blizzard L, Dwyer T, et al. . Childhood and adolescent predictors of leisure time physical activity during the transition from adolescence to adulthood: a population based cohort study. Int J Behav Nutr Phys Act 2011;8:54. 10.1186/1479-5868-8-54
    1. Aberg MAI, Pedersen NL, Torén K, et al. . Cardiovascular fitness is associated with cognition in young adulthood. Proc Natl Acad Sci U S A 2009;106:20906–11. 10.1073/pnas.0905307106
    1. Stratton G, Canoy D, Boddy LM, et al. . Cardiorespiratory fitness and body mass index of 9-11-year-old English children: a serial cross-sectional study from 1998 to 2004. Int J Obes 2007;31:1172–8. 10.1038/sj.ijo.0803562
    1. Tomkinson GR, Léger LA, Olds TS, et al. . Secular trends in the performance of children and adolescents (1980-2000): an analysis of 55 studies of the 20m shuttle run test in 11 countries. Sports Med 2003;33:285–300. 10.2165/00007256-200333040-00003
    1. Moraes Ferrari GLde, Bracco MM, Matsudo VKR, et al. . Cardiorespiratory fitness and nutritional status of schoolchildren: 30-year evolution. J Pediatr 2013;89:366–73. 10.1016/j.jped.2012.12.006
    1. Sandercock GRH, Ogunleye A, Voss C. Six-Year changes in body mass index and cardiorespiratory fitness of English schoolchildren from an affluent area. Int J Obes 2015;39:1504–7. 10.1038/ijo.2015.105
    1. Rankinen T, Roth SM, Bray MS, et al. . Advances in exercise, fitness, and performance genomics. Med Sci Sports Exerc 2010;42:835–46. 10.1249/MSS.0b013e3181d86cec
    1. Ruiz JR, Ortega FB, Martínez-Gómez D, et al. . Objectively measured physical activity and sedentary time in European adolescents: the Helena study. Am J Epidemiol 2011;174:173–84. 10.1093/aje/kwr068
    1. Farooq MA, Parkinson KN, Adamson AJ, et al. . Timing of the decline in physical activity in childhood and adolescence: Gateshead millennium cohort study. Br J Sports Med 2018;52:1002–6. 10.1136/bjsports-2016-096933
    1. Reilly JJ. When does it all go wrong? Longitudinal studies of changes in moderate-to-vigorous-intensity physical activity across childhood and adolescence. J Exerc Sci Fit 2016;14:1–6. 10.1016/j.jesf.2016.05.002
    1. Haapala HL, Hirvensalo MH, Kulmala J, et al. . Changes in physical activity and sedentary time in the Finnish schools on the move program: a quasi-experimental study. Scand J Med Sci Sports 2017;27:1442–53. 10.1111/sms.12790
    1. Hankonen N, Heino MTJ, Araujo-Soares V, et al. . 'Let's Move It' - a school-based multilevel intervention to increase physical activity and reduce sedentary behaviour among older adolescents in vocational secondary schools: a study protocol for a cluster-randomised trial. BMC Public Health 2016;16:451. 10.1186/s12889-016-3094-x
    1. World Health Organisation . Global recommendations on physical activity for health. Geneva, Switzerland: World Health Organisation, 2011.
    1. Department of Health and Social Care . Uk chief medical officers' physical activity guidelines. London: , 2019.
    1. Sport England . Active lives children and young people survey: academic year 2017/18. London: Sport England, 2018.
    1. Kriemler S, Meyer U, Martin E, et al. . Effect of school-based interventions on physical activity and fitness in children and adolescents: a review of reviews and systematic update. Br J Sports Med 2011;45:923–30. 10.1136/bjsports-2011-090186
    1. Department of Health and Social Care . CMO’s annual report 2012: Our Children Deserve Better: CMO’s Summary as a web page. , 2013. Available: [Accessed 7 April 2020].
    1. Foster D, Roberts N. Briefing Paper 6836 - Physical education, physical activity and sport in schools. London: House of Commons Library, 2019.
    1. OFSTED . Beyond 2012: outstanding physical education for all - physical education in schools 2008-12. London: , 2013.
    1. Department for Education . National curriculum in England: PE programmes of study. London:: 2013.
    1. Harris J. Health position paper. UK: Association for Physical Education, 2015.
    1. Hollis JL, Sutherland R, Williams AJ, et al. . A systematic review and meta-analysis of moderate-to-vigorous physical activity levels in secondary school physical education lessons. Int J Behav Nutr Phys Act 2017;14:52. 10.1186/s12966-017-0504-0
    1. Tanaka C, Tanaka M, Tanaka S. Objectively evaluated physical activity and sedentary time in primary school children by gender, grade and types of physical education lessons. BMC Public Health 2018;18:948. 10.1186/s12889-018-5910-y
    1. Zhou Y, Wang L. Correlates of physical activity of students in secondary school physical education: a systematic review of literature. Biomed Res Int 2019;2019:1–12. 10.1155/2019/4563484
    1. Wassenaar TM, Wheatley CM, Beale N, et al. . Effects of a programme of vigorous physical activity during secondary school physical education on academic performance, fitness, cognition, mental health and the brain of adolescents (fit to study): study protocol for a cluster-randomised trial. Trials 2019;20:189. 10.1186/s13063-019-3279-6
    1. Léger LA, Mercier D, Gadoury C, et al. . The multistage 20 metre shuttle run test for aerobic fitness. J Sports Sci 1988;6:93–101. 10.1080/02640418808729800
    1. Tomkinson GR, Lang JJ, Tremblay MS, et al. . International normative 20 m shuttle run values from 1 142 026 children and youth representing 50 countries. Br J Sports Med 2017;51:1545–54. 10.1136/bjsports-2016-095987
    1. Doherty A, Jackson D, Hammerla N, et al. . Large scale population assessment of physical activity using wrist worn Accelerometers: the UK Biobank study. PLoS One 2017;12:e0169649. 10.1371/journal.pone.0169649
    1. S-Cool, the revision website . GCSE Classification of Sport - Sports Families. Available: [Accessed 24 Sept 2019].
    1. Bailey RC, Olson J, Pepper SL, et al. . The level and tempo of children's physical activities: an observational study. Med Sci Sports Exerc 1995;27:1033–41. 10.1249/00005768-199507000-00012
    1. Rowlands A, Powell S, Humphries R. The effect of Accelerometer epoch on physical activity output measures. J Exerc Sci Fit 2006;4:52–8.
    1. Stone MR, Rowlands AV, Eston RG. Relationships between accelerometer-assessed physical activity and health in children: impact of the activity-intensity classification method. J Sports Sci Med 2009;8:136–43.
    1. Aibar A, Chanal J, Julien C. Physical education: the effect of epoch lengths on children's physical activity in a structured context. PLoS One 2015;10:e0121238. 10.1371/journal.pone.0121238
    1. de Almeida Mendes M, da Silva ICM, Ramires VV, et al. . Calibration of raw accelerometer data to measure physical activity: a systematic review. Gait Posture 2018;61:98–110. 10.1016/j.gaitpost.2017.12.028
    1. Phillips LRS, Parfitt G, Rowlands AV. Calibration of the GENEA accelerometer for assessment of physical activity intensity in children. J Sci Med Sport 2013;16:124–8. 10.1016/j.jsams.2012.05.013
    1. Prochaska J, Sallis J, Slymen D. A longitudinal study of children’s enjoyment of physical education. Pediatr Exerc Sci 2003;15:170–8.
    1. Francis J, Eccles MP, Johnston M. Constructing questionnaires based on the theory of planned behaviour: A manual for health services researchers. Newcastle upon Tyne, UK: City Research Online, 2004.
    1. de Leeuw JR. jsPsych: a JavaScript library for creating behavioral experiments in a web browser. Behav Res Methods 2015;47:1–12. 10.3758/s13428-014-0458-y
    1. R Core Team . R: a language and environment for statistical computing. R foundation for statistical computing, 2019. Available: [Accessed 20 September 2019].
    1. Office for National Statistics . National statistics: English indices of deprivation 2015. Available: [Accessed 26 Sept 2019].
    1. Sandercock GRH, Cohen DD. Temporal trends in muscular fitness of English 10-year-olds 1998-2014: an allometric approach. J Sci Med Sport 2019;22:201–5. 10.1016/j.jsams.2018.07.020
    1. Bohr AD, Brown DD, Laurson KR, et al. . Relationship between socioeconomic status and physical fitness in junior high school students. J Sch Health 2013;83:542–7. 10.1111/josh.12063
    1. Fairclough S, Gareth S. Physical activity levels in middle and high school physical education: a review. Pediatr Exerc Sci 2005;17:217–36.
    1. Fairclough S. Physical activity levels during key stage 3 physical education. J Teach Phys Educ 2003;34:40–5.
    1. Delextrat A, Esser P, Beale N, et al. . Effects of gender, activity type, class location and class composition on physical activity levels experienced during physical education classes in British secondary schools: a pilot cross-sectional study. BMC Public Health 2020;20:1590. 10.1186/s12889-020-09698-y
    1. Hobbs M, Daly-Smith A, McKenna J, et al. . Reconsidering current objectives for physical activity within physical education. Br J Sports Med 2018;52:1229–30. 10.1136/bjsports-2016-097328
    1. Chow BC, McKenzie TL, Louie L. Physical activity and environmental influences during secondary school physical education. J Teach Phys Educ 2009;28:21–37.
    1. Hannon J, Ratliffe T. Physical activity levels in Coeducational and Single-Gender high school physical education settings. J Teach Phys Educ 2005;24:149–64.
    1. Dudley DA, Okely AD, Cotton WG, et al. . Physical activity levels and movement skill instruction in secondary school physical education. J Sci Med Sport 2012;15:231–7. 10.1016/j.jsams.2011.10.005
    1. McKenzie TL, Catellier DJ, Conway T, et al. . Girls' activity levels and lesson contexts in middle school PE: TAAG baseline. Med Sci Sports Exerc 2006;38:1229–35. 10.1249/01.mss.0000227307.34149.f3
    1. Fairclough S, Stratton G. 'Physical education makes you fit and healthy'. Physical education's contribution to young people's physical activity levels. Health Educ Res 2005;20:14–23. 10.1093/her/cyg101
    1. Ferreira FS, Mota J, Duarte JA. Patterns of physical activity in Portuguese adolescents. evaluation during physical education classes through Accelerometry. Arch Exerc Health Dis 2014;4:280–5.
    1. Jago R, McMurray RG, Bassin S, et al. . Modifying middle school physical education: piloting strategies to increase physical activity. Pediatr Exerc Sci 2009;21:171–85. 10.1123/pes.21.2.171
    1. Scruggs PW, Mungen JD, Oh Y. Physical activity measurement device agreement: Pedometer Steps/Minute and physical activity time. Meas Phys Educ Exerc Sci 2010;14:151–63.
    1. Scruggs PW, Mungen JD, Oh Y. Quantifying moderate to vigorous physical activity in high school physical education: a Pedometer Steps/Minute standard. Meas Phys Educ Exerc Sci 2010;14:104–15.
    1. Fröberg A, Raustorp A, Pagels P, et al. . Levels of physical activity during physical education lessons in Sweden. Acta Paediatr 2017;106:135–41. 10.1111/apa.13551
    1. Wang GY, Pereira B, Mota J. Indoor physical education measured by heart rate monitor. A case study in Portugal. J Sports Med Phys Fitness 2005;45:171–7.
    1. Stratton G. Children’s Heart Rates during British Physical Education Lessons. J Teach Phys Educ 1997;16:357–67.
    1. Baquet G, Berthoin S, Gerbeaux M. Assessment of the maximal aerobic speed with the incremental running field tests in children. Biol Sport 1999;16:23–30.
    1. Bronikowski M. Profiles of intensity loads in physical education classes in Poland. Acta Gymnica 2006;36:47–57.
    1. Hodges-Kulinna P, Martin J, Lai Q. Student physical activity patterns: grade, gender, and activity influences. J Teach Phys Educ 2003;22:298–310.
    1. Corder K, van Sluijs EMF, Goodyer I. Physical activity awareness of British adolescents. Arch Pediatr Adolesc Med 2011;165:603–9.
    1. Mannini A, Intille SS, Rosenberger M, et al. . Activity recognition using a single accelerometer placed at the wrist or ankle. Med Sci Sports Exerc 2013;45:2193–203. 10.1249/MSS.0b013e31829736d6
    1. Cox AE, Smith AL, Williams L. Change in physical education motivation and physical activity behavior during middle school. J Adolesc Health 2008;43:506–13. 10.1016/j.jadohealth.2008.04.020
    1. Department for Education . School sport and activity action plan. London:: 2019.
    1. Costigan SA, Eather N, Plotnikoff RC, et al. . High-Intensity interval training for cognitive and mental health in adolescents. Med Sci Sports Exerc 2016;48:1985–93. 10.1249/MSS.0000000000000993
    1. Logan GRM, Harris N, Duncan S, et al. . A review of adolescent high-intensity interval training. Sports Med 2014;44:1071–85. 10.1007/s40279-014-0187-5
    1. Lang JJ, Tremblay MS, Léger L, et al. . International variability in 20 m shuttle run performance in children and youth: who are the fittest from a 50-country comparison? A systematic literature review with pooling of aggregate results. Br J Sports Med 2018;52:1–13. 10.1136/bjsports-2016-096224

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