A school-based physical activity promotion intervention in children: rationale and study protocol for the PREVIENE Project

Pablo Tercedor, Emilio Villa-González, Manuel Ávila-García, Carolina Díaz-Piedra, Alejandro Martínez-Baena, Alberto Soriano-Maldonado, Isaac José Pérez-López, Inmaculada García-Rodríguez, Sandra Mandic, Juan Palomares-Cuadros, Víctor Segura-Jiménez, Francisco Javier Huertas-Delgado, Pablo Tercedor, Emilio Villa-González, Manuel Ávila-García, Carolina Díaz-Piedra, Alejandro Martínez-Baena, Alberto Soriano-Maldonado, Isaac José Pérez-López, Inmaculada García-Rodríguez, Sandra Mandic, Juan Palomares-Cuadros, Víctor Segura-Jiménez, Francisco Javier Huertas-Delgado

Abstract

Background: The lack of physical activity and increasing time spent in sedentary behaviours during childhood place importance on developing low cost, easy-toimplement school-based interventions to increase physical activity among children. The PREVIENE Project will evaluate the effectiveness of five innovative, simple, and feasible interventions (active commuting to/from school, active Physical Education lessons, active school recess, sleep health promotion, and an integrated program incorporating all 4 interventions) to improve physical activity, fitness, anthropometry, sleep health, academic achievement, and health-related quality of life in primary school children.

Methods: A total of 300 children (grade 3; 8-9 years of age) from six schools in Granada (Spain) will be enrolled in one of the 8-week interventions (one intervention per school; 50 children per school) or a control group (no intervention school; 50 children). Outcomes will include physical activity (measured by accelerometry), physical fitness (assessed using the ALPHA fitness battery), and anthropometry (height, weight and waist circumference). Furthermore, they will include sleep health (measured by accelerometers, a sleep diary, and sleep health questionnaires), academic achievement (grades from the official school's records), and health-related quality of life (child and parental questionnaires). To assess the effectiveness of the different interventions on objectively measured PA and the other outcomes, the generalized linear model will be used.

Discussion: The PREVIENE Project will provide the information about the effectiveness and implementation of different school-based interventions for physical activity promotion in primary school children.

Conflict of interest statement

Ethics approval and consent to participate

Parents will sign an informed consent which includes both parents’ and their children’s participation. The study protocol has been approved by the University of Granada Human Research Ethics Committee (Reference: 57/CEIH/2015).

Consent for publication

Not applicable

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
School recruitment diagram for the PREVIENE Study
Fig. 2
Fig. 2
The PREVIENE Project study design

References

    1. Parrish AM, Okely AD, Stanley RM, Ridgers ND. The effect of school recess interventions on physical activity: a systematic review. Sport Med. 2013;43(4):287–299. doi: 10.1007/s40279-013-0024-2.
    1. World Health Organization . Ottawa charter for health promotion [Internet]. Vol. 1, The Ottawa Charter for Health Promotion. 1986.
    1. Centers for Disease Control and Prevention. School health guidelines to promote healthy eating and physical activity. MMWR 2011;60(RR-5):1-76.
    1. McManus AM. Physical activity - a neat solution to an impending crisis. J Sport Sci Med. 2007;6(3):368–373.
    1. Salmon J, Booth ML, Phongsavan P, Murphy N, Timperio A. Promoting physical activity participation among children and adolescents. Epidemiol Rev. 2007;29:144–159. doi: 10.1093/epirev/mxm010.
    1. Naylor P-J, McKay HA. Prevention in the first place: schools a setting for action on physical inactivity. Br J Sports Med. 2009;43:10–13. doi: 10.1136/bjsm.2008.053447.
    1. Comisión Europea/EACEA/Eurydice. La educación física y el deporte en los centros escolares de Europa. Informe de Eurydice. Luxemburgo: Oficina de Publicaciones de la Unión Europea; 2013.
    1. Konstabel K, Veidebaum T, Verbestel V, Moreno LA, Bammann K, Tornaritis M, et al. Objectively measured physical activity in European children: the IDEFICS study. Int J Obes. 2014;38 Suppl 2(S2):S135–S143. doi: 10.1038/ijo.2014.144.
    1. Telama R, Yang X, Laakso L. Physical activity in childhood and adolescence as predictor of physical activity in young adulthood. Am J Prev Med. 1997;13:317–323.
    1. Dobbins M, Husson H, DeCorby K, LaRocca RL. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Database Syst Rev. 2013;2:CD007651.
    1. Hjorth MF, Chaput JP, Damsgaard CT, Dalskov SM, Andersen R, Astrup A, et al. Low physical activity level and short sleep duration are associated with an increased cardio-metabolic risk profile: a longitudinal study in 8-11 year old Danish children. PLoS One. 2014;9(8):e104677. doi: 10.1371/journal.pone.0104677.
    1. Harris KC, Kuramoto LK, Schulzer M, Retallack JE. Effect of school-based physical activity interventions on body mass index in children: a meta-analysis. CMAJ. 2009;180(7):719–726. doi: 10.1503/cmaj.080966.
    1. Maher C, Lewis L, Katzmarzyk PT, Dumuid D, Cassidy L, Olds T. The associations between physical activity, sedentary behaviour and academic performance. J Sci Med Sport. 2016;19(12):1004–1009. doi: 10.1016/j.jsams.2016.02.010.
    1. Pesonen AK, Sjöstén NM, Matthews K. a., Heinonen K, Martikainen S, Kajantie E, et al. Temporal associations between daytime physical activity and sleep in children. PLoS One. 2011;6(8):4–9. doi: 10.1371/journal.pone.0022958.
    1. Wafa SW, Shahril MR, Ahmad AB, Zainuddin LR, Ismail KF, Aung MM, Mohd Yusoff NA. Association between physical activity and health-related quality of life in children: a cross-sectional study. Heal Qual Life Outcomes. 2016;14:1–6. doi: 10.1186/s12955-015-0404-4.
    1. Chen X, Sekine M, Hamanishi S, Wang H, Gaina A, Yamagami T, et al. Lifestyles and health-related quality of life in Japanese school children: a cross-sectional study. Prev Med (Baltim). 2005;40(6):668–678. doi: 10.1016/j.ypmed.2004.09.034.
    1. Wu XY, Ohinmaa A, Veugelers PJ. Diet quality, physical activity, body weight and health-related quality of life among grade 5 students in Canada. Public Health Nutr. 2012;15(1):75–81. doi: 10.1017/S1368980011002412.
    1. Huges D. Best Practices for Physical Activity. The Nemours Foundation. Wilmington: DE; 2013.
    1. Mandic S, Leon de la Barra S, García Bengoechea E, Stevens E, Flaherty C, Moore A, et al. Personal, social and environmental correlates of active transport to school among adolescents in Otago, New Zealand. J Sci Med Sport. 2015;18(4):432–437. doi: 10.1016/j.jsams.2014.06.012.
    1. Ridgers ND, Stratton G, Fairdough SJ. Physical activity levels of children during school playtime. Sport Med. 2006;36(4):359–371. doi: 10.2165/00007256-200636040-00005.
    1. Sirard JR, Riner WF, McIver KL, Pate RR. Physical activity and active commuting to elementary school. Med Sci Sports Exerc. 2005;37(12):2062–2069. doi: 10.1249/01.mss.0000179102.17183.6b.
    1. Buckley A, Lowry MB, Brown H, Barton B. Evaluating safe routes to school events that designate days for walking and bicycling. Transp Policy. 2013;30:294–300. doi: 10.1016/j.tranpol.2013.09.021.
    1. Villa-González E, Ruiz JR, Ward DS, Chillón P. Effectiveness of an active commuting school-based intervention at 6-month follow-up. Eur J Pub Health. 2016;26(2):272–276. doi: 10.1093/eurpub/ckv208.
    1. Ducheyne F, De Bourdeaudhuij I, Lenoir M, Cardon G. Effects of a cycle training course on children’s cycling skills and levels of cycling to school. Accid Anal Prev. 2014;67:49–60. doi: 10.1016/j.aap.2014.01.023.
    1. Harrill R, Potts TD. Journal of the American Planning Association B ‘ Indonesian Development. 2007. pp. 37–41.
    1. McDonald N, Ruth LS, Lee C, Smith TR, Zhy X, Yangh Y. Impact of safe routes to school programs on walking and biking. J Am Plan Assoc. 2015;80(2):153–167. doi: 10.1080/01944363.2014.956654.
    1. Yang Y, Diez-Roux A, Evenson KR, Colabianchi N. Examining the impact of thewalking school buswith an agent-based model. Am J Public Health. 2014;104(7):1196–1203. doi: 10.2105/AJPH.2014.301896.
    1. Wen LM, Fry D, Rissel C, Dirkis H, Balafas A, Merom D. Factors associated with children being driven to school: implications for walk to school programs. Health Educ Res. 2008;23(2):325–334. doi: 10.1093/her/cym043.
    1. Mammen G, Stone MR, Faulkner G, Ramanathan S, Buliung R, O’Brien C, et al. Active school travel: an evaluation of the Canadian school travel planning intervention. Prev Med (Baltim). 2014;60:55–59. doi: 10.1016/j.ypmed.2013.12.008.
    1. Chillón P, Evenson KR, Vaughn A, Ward DS. A systematic review of interventions for promoting active transportation to school. Int J Behav Nutr Phys Act. 2011;8:10. doi: 10.1186/1479-5868-8-10.
    1. Van Beurden E, Barnett LM, Zask A, Dietrich UC, Brooks LO, Beard J. Can we skill and activate children through primary school physical education lessons? “Move it Groove it” - A collaborative health promotion intervention. Prev Med (Baltim). 2003;36(4):493–501. doi: 10.1016/S0091-7435(02)00044-0.
    1. Dudley D. a., Okely AD, Cotton WG, Pearson P, Caputi P. Physical activity levels and movement skill instruction in secondary school physical education. J Sci Med Sport. 2012;15(3):231–237. doi: 10.1016/j.jsams.2011.10.005.
    1. Lonsdale C, Rosenkranz RR, Peralta LR, Bennie A, Fahey P, Lubans DR. A systematic review and meta-analysis of interventions designed to increase moderate-to-vigorous physical activity in school physical education lessons. Prev Med (Baltim) 2013;56(2):152–161. doi: 10.1016/j.ypmed.2012.12.004.
    1. Luepker RV, Perry CL, Mckinlay SM, Nader PR, Parcel GS, Stone EJ, et al. Outcomes of a field trial to children’s dietary patterns and physical activity. JAMA. 1996;275:768–776. doi: 10.1001/jama.1996.03530340032026.
    1. James F, Thomas L, John E. The effects of a 2-year physical education program ( SPARK ) on Physical Activity and Fitness in Elementary School Students. Am J Public Health. 1997;87(8):1328–1334. doi: 10.2105/AJPH.87.8.1328.
    1. McKenzie TL, Sallis JF, Prochaska JJ, Conway TL, Marshall SJ, Rosengard P. Evaluation of a two-year middle-school physical education intervention: M-SPAN. Med Sci Sports Exerc. 2004;36(8):1382–1388. doi: 10.1249/01.MSS.0000135792.20358.4D.
    1. Fredriksen PM, Hjelle OP, Mamen A, Meza TJ, Westerberg AC. The health Oriented pedagogical project (HOPP) - a controlled longitudinal school-based physical activity intervention program. BMC Public Health. 2017;17(1):370. doi: 10.1186/s12889-017-4282-z.
    1. McKenzie TL, Lounsbery M a F. Physical education teacher effectiveness in a public health context. Res Q Exerc Sport. 2013;84(August 2015):419–430. doi: 10.1080/02701367.2013.844025.
    1. Carlson JA, Engelberg JK, Cain KL, Conway TL, Mignano AM, Bonilla EA, et al. Implementing classroom physical activity breaks: associations with student physical activity and classroom behavior. Prev Med (Baltim) 2015;81:67–72. doi: 10.1016/j.ypmed.2015.08.006.
    1. Aznar-Lain S, Webster T. Physical activity and health in children and adolescents: A guide for all adults involved in educating young people. Ministerio de Educación y Ciencia / Ministério de Sanidad y Consumo; 2007.
    1. Abad B, Cañada D. Unidades Didácticas Activas. Ministerio de Sanidad, Servicios Sociales e Igualdad / Ministerio de Educación, Cultura y Deporte; 2014.
    1. Pawlowski CS, Andersen HB, Troelsen J, Schipperijn J. Children’s physical activity behavior during school recess: A pilot study using GPS, accelerometer, participant observation, and go-along interview. PLoS ONE. 2015;11(2):1–27.
    1. Ickes MJ, Erwin H, Beighle A. Systematic review of recess interventions to increase physical activity. J Phys Act Health. 2013;10(6):910–926. doi: 10.1123/jpah.10.6.910.
    1. Hayes LB, Van Camp CM. Increasing physical activity of children during school recess. J Appl Behav Anal. 2015;48(3):690–695. doi: 10.1002/jaba.222.
    1. Zerger HM, Miller BG, Valbuena D, Miltenberger RG. Effects of student pairing and public review on physical activity during school recess. J Appl Behav Anal. 2017;50:529–537. doi: 10.1002/jaba.389.
    1. Wang H, Li T, Siahpush M, Chen L, Huberty J. Cost-effectiveness of ready for recess to promote physical activity in children. J Sch Health. 2017;87(4):278.285. doi: 10.1111/josh.12495.
    1. Stone MR, Stevens D, Faulkner GEJ. Maintaining recommended sleep throughout the week is associated with increased physical activity in children. Prev Med (Baltim) 2013;56(2):112–117. doi: 10.1016/j.ypmed.2012.11.015.
    1. Foti KE, Eaton DK, Lowry R, McKnight-Ely LR. Sufficient sleep, physical activity, and sedentary behaviors. Am J Prev Med. 2011;41(6):596–602. doi: 10.1016/j.amepre.2011.08.009.
    1. Paruthi S, Brooks LJ, D’Ambrosio C, Hall WA, Kotagal S, Lloyd RM, et al. Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of Sleep Medicine. J Clin Sleep Med. 2016;12(6):785–786. doi: 10.5664/jcsm.5866.
    1. Gruber R, Somerville G, Bergmame L, Fontil L, Paquin S. School-based sleep education program improves sleep and academic performance of school-age children. Sleep Med. 2016;21:93–100. doi: 10.1016/j.sleep.2016.01.012.
    1. Puder JJ, Marques-Vidal P, Schindler C, Zahner L, Niederer I, Bürgi F, et al. Effect of multidimensional lifestyle intervention on fitness and adiposity in predominantly migrant preschool children (Ballabeina): cluster randomised controlled trial. BMJ. 2011;343:d6195. doi: 10.1136/bmj.d6195.
    1. Lee SM, Burgeson CR, Fulton JE, Spain CG. Physical education and physical activity: results from the School Health Policies and Programs Study 2006. J Sch Health. 2007;77(8):435–463. doi: 10.1111/j.1746-1561.2007.00229.x.
    1. Lewis B a, Marcus BH, Pate RR, Dunn AL. Psychosocial mediators of physical activity behavior among adults and children. Am J Prev Med. 2002;23(2):26–35. doi: 10.1016/S0749-3797(02)00471-3.
    1. Sallis JF, Floyd MF, Rodríguez DA, Saelens BE. Role of built environments in physical activity, obesity, and cardiovascular disease. Circulation. 2012;125(5):729–737. doi: 10.1161/CIRCULATIONAHA.110.969022.
    1. Budgen P, Furber S, Gray E, Zask A. Creating active playgrounds in primary schools. Health Promot J Austr. 2007;18(1):77–79.
    1. Jacobson E. The technic of progressive relaxation. J Nerv Ment Dis. 1921;53:282–291. doi: 10.1097/00005053-192104000-00002.
    1. Fairclough SJ, Noonan R, Rowlands AV, Van Hees V, Knowles Z, Boddy LM. Wear compliance and activity in children wearing wrist- and hip-mounted accelerometers. Med Sci Sports Exerc. 2016;48:245–253. doi: 10.1249/MSS.0000000000000771.
    1. Migueles JH, Cadenas-Sanchez C, Ekelund U, Delisle Nyström C, Mora-Gonzalez J, Löf M, et al. Accelerometer Data Collection and Processing Criteria to Assess Physical Activity and Other Outcomes: A Systematic Review and Practical Considerations. Sport Med. 2017;47(9):1821–45. doi: 10.1007/s40279-017-0716-0.
    1. Herrador-Colmenero M, Pérez-García M, Ruiz J, Chillón P. Assessing modes and frequency of commuting to school in youngsters: a systematic review. Pediatr Exerc Sci. 2014;26:291–341. doi: 10.1123/pes.2013-0120.
    1. Mendoza JA, Watson K, Baranowski T, Nicklas TA, Uscanga DK, Hanfling MJ. Validity of instruments to assess students’ travel and pedestrian safety. BMC Public Health. 2010;10:257. doi: 10.1186/1471-2458-10-257.
    1. Evenson KR, Neelon B, Ball SC, Vaughn A, Ward DS. Validity and reliability of a school travel survey. J Phys Act Health. 2008;5(Supp 1):S1–15. doi: 10.1123/jpah.5.s1.s1.
    1. Chillón P, Hales D, Vaughn A, Gizlice Z, Ni A, Ward DS. A cross-sectional study of demographic, environmental and parental barriers to active school travel among children in the United States. Int J Behav Nutr Phys Act. 2014;11:61. doi: 10.1186/1479-5868-11-61.
    1. Ruiz JR, Castro-Pinero J, Espana-Romero V, Artero EG, Ortega FB, Cuenca MM, et al. Field-based fitness assessment in young people: the ALPHA health-related fitness test battery for children and adolescents. Br J Sports Med. 2011;45(6):518–524. doi: 10.1136/bjsm.2010.075341.
    1. Cole TJ, Flegal KM, Nicholls D, Jackson A a. Body mass index cut offs to define thinness in children and adolescents: international survey. BMJ. 2007;335(7612):194. doi: 10.1136/bmj.39238.399444.55.
    1. Chervin R, Hedger K, Dillon J, Pituch K. Pediatric Sleep Questionnaire (PSQ): validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems. Sleep Med. 2000;1(1):21–32. doi: 10.1016/S1389-9457(99)00009-X.
    1. Vila M, Torres A, Soto B. Versión española del Pediatric Sleep Questionnaire. Un instrumento útil en la investigación de los trastornos del sueño en la infancia. Análisis de su fiabilidad. An Pediatría. 2007;66(2):121–128. doi: 10.1157/13098928.
    1. Drake C, Nickel C, Burduvali E, Roth T, Jefferson C, Pietro B. The pediatric daytime sleepiness scale (PDSS): sleep habits and school outcomes in middle-school children. Sleep. 2003;26(4):455–458.
    1. Perez-Chada D, Perez-Lloret S, Videla AJ, Cardinali D, Bergna MA, Fernández-Acquier M, et al. Sleep disordered breathing and daytime sleepiness are associated with poor academic performance in teenagers. A study using the Pediatric Daytime Sleepiness Scale (PDSS) Sleep. 2007;30(12):1698–1703. doi: 10.1093/sleep/30.12.1698.
    1. Hullmann SE, Ryan JL, Ramsey RR, Chaney JM, Mullins LL. Measures of general pediatric quality of life: Child Health Questionnaire (CHQ), DISABKIDS Chronic Generic Measure (DCGM), KINDL-R, Pediatric Quality of Life Inventory (PedsQL) 4.0 Generic Core Scales, and Quality of My Life Questionnaire (QoML) Arthritis Care Res. 2011;63(SUPPL. 11):420–430. doi: 10.1002/acr.20637.
    1. Russ LB, Webster CA, Beets MW, Phillips DS. Systematic review and meta-analysis of multi-component interventions through schools to increase physical activity. J Phys Act Health. 2015;12(10):1436–1446. doi: 10.1123/jpah.2014-0244.
    1. Van Kann DHH, Kremers SPJ, de Vries NKK, de Vries SII, Jansen MW. The effect of a school-centered multicomponent intervention on daily physical activity and sedentary behavior in primary school children: The Active Living study. Prev Med (Baltim) 2016;89:64–69. doi: 10.1016/j.ypmed.2016.05.022.
    1. Van Kann DHH, Jansen MWJ, de Vries SI, de Vries NK, Kremers SPJ. Active living: development and quasi-experimental evaluation of a school-centered physical activity intervention for primary school children. BMC Public Health. 2015;15(1):1315. doi: 10.1186/s12889-015-2633-1.
    1. Smedegaard S, Christiansen LB, Lund-Cramer P, Bredahl T, Skovgaard T. Improving the well-being of children and youths: a randomized multicomponent, school-based, physical activity intervention. BMC Public Health. 2016;16(1):1127. doi: 10.1186/s12889-016-3794-2.
    1. Avila-Garcia M, Huertas-Delgado FJ, Tercedor P. Programas de intervención para la promoción de hábitos alimentarios y actividad física en escolares de Educación Primaria: revisión sistemática. Nutr Hosp. 2016;33(6):1438–1443. doi: 10.20960/nh.807.
    1. Giralt M, Albaladejo R, Tarro L, Moriña D, Arija V, Solà R. A primary-school-based study to reduce prevalence of childhood obesity in Catalunya (Spain)--EDAL-Educació en alimentació: study protocol for a randomised controlled trial. Trials. 2011;12:54. doi: 10.1186/1745-6215-12-54.
    1. Llaurado E, Tarro L, Morina D, Queral R, Giralt M, Sola R. EdAl-2 (Educacio en Alimentacio) programme: reproducibility of a cluster randomised, interventional, primary-school-based study to induce healthier lifestyle activities in children. BMJ Open. 2014;4(11):e005496. doi: 10.1136/bmjopen-2014-005496.
    1. Tarro L, Llauradó E, Moriña D, Solà R, Giralt M. Follow-up of a Healthy Lifestyle Education Program (the Educació en Alimentació Study): 2 Years After Cessation of Intervention. J Adolesc Health. 2014;55(6):782–789. doi: 10.1016/j.jadohealth.2014.06.020.
    1. Langford R, Bonell C, Komro K, Murphy S, Magnus D, Waters E, et al. The Health Promoting Schools Framework : Known Unknowns and an Agenda for Future Research. Health Educ Behav. 2016;1(13):463–75.

Source: PubMed

3
Abonneren