Introduction: Youth activity guideline compliance is generally low across most western countries and Dutch youth are no exception to this. Thirty-two percent of 4-11 year old boys and girls, and 15% of 12-17 year olds are currently meeting the physical activity (PA) guideline recommendations of one hour of daily moderate-to-vigorous PA (MVPA) (Hildebrandt, Ooijendijk, & Hopman Rock, 2008). Physical education (PE) has been attributed an important role in providing young people with physical activity (Kahn, et al., 2002). If sufficiently active, PE lessons could contribute to physical activity levels in youth. Therefore, the purpose of this study was to determine the overall intensity of Dutch primary and secondary school physical education (PE) lessons and the influence of various lesson characteristics on these intensity levels. Methods: Heart rates were measured using the Polar Team System in a nationally distributed sample of 913 students in 40 schools (20 primary schools and 20 secondary schools) in the Netherlands. A total of 106 lessons were assessed, with 10 students per class (5 boys and 5 girls) wearing a heart rate monitor for the duration of their PE class. Teachers were asked not to deviate from their regular PE program and to carry out their lessons as they had planned. None of the lessons had a specifically planned physical activity intensity focus. Results: Overall percentages lesson time in MVPA were 46.7% and 40.1% during primary school and secondary school PE respectively. Primary school students engaged in significantly more MVPA than did secondary school students (t (890) = 4.635, p<.001). Furthermore, results indicated a sharp decline in girls' PE intensity levels in secondary school, where boys were more active than girls (F (1,912) = 9,58, p<.01). Subsequent analyses of lesson content in secondary school students indicated that girls were less active during teamgames, but not during individual activities or lessons with a mixed subject (both teamgames and individual activities) (45.7% vs. 34.7% F (3,451) = 16.31, p<.001, figure 1). Discussion: Our results show that one PE lesson roughly accounts for one-third of the daily amount of physical activity as prescribed by activity guidelines. Furthermore, previous research has shown that by including lesson intensity as an additional lesson goal it is relatively simple to increase lesson intensity (Verstraete, Cardon, De Clercq, & De Bourdeaudhuij, 2007). Therefore, increasing lesson intensity combined with increasing the number of weekly PE lessons seems an effective strategy to increase youth physical activity through PE. However, given the curricular and time constraints in most schools, PE should not be seen as a stand-alone solution for combating inactivity. Combined with other school-based PA opportunities (active transport, active breaks) however, PE could make a meaningful contribution to daily PA in youth. Finally, the high prevalence of coeducational teamgames (61% of all lessons) in the Dutch secondary school PE curricula might prevent girls from attaining similar physical activity levels to boys during PE. Therefore, more research is needed on maximising secondary school girls' participation during teamgames.
The aim of the current study was to examine the effectiveness of a school-centered multicomponent PA intervention, called ‘Active Living’, on children's daily PA levels. A quasi-experimental design was used including 9 intervention schools and 9 matched control schools located in the Netherlands. The baseline measurement took place between March–June 2013, and follow-up measurements were conducted 12 months afterwards. Accelerometer (ActiGraph, GT3X +) data of 520 children aged 8–11 years were collected and supplemented with demographics and weather conditions data. Implementation magnitude of the interventions was measured by keeping logbooks on the number of implemented physical environmental interventions (PEIs) and social environmental interventions (SEIs). Multilevel multivariate linear regression analyses were used to study changes in sedentary behavior (SB), light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA) between baseline and follow-up. Finally, effect sizes (ESs) were calculated using Cohen's d. No pooled effects on PA and SB were found between children exposed and not exposed to Active Living after 12 months. However, children attending Active Living schools that implemented larger numbers of both PEIs and SEIs engaged in 15 more minutes of LPA per weekday at follow-up than children in the control condition (ES = 0.41; p < .05). Moreover, children attending these schools spent less time in SB at follow-up (ES = 0.33), although this effect was non-significant. No significant effects were found on MVPA. A school-centered multicomponent PA intervention holds the potential to activate children, but a comprehensive set of intervention elements with a sufficient magnitude is necessary to achieve at least moderate effect sizes.
MULTIFILE
Purpose: In Amsterdam – the Netherlands – we know that children living in low income households have a lower health status and report lower physical activity levels than their peers in middle- or high-income households. Seven primary schools located in neighborhoods with a low social-economic status are currently developing their own active school using the ‘Creating Active Schools Framework’. This study was conducted to assess the current physical activity and sedentary behavior patterns during and after school of the pupils in these seven primary schools.Methods: In this cross-sectional study, we collect data in seven schools located within an Amsterdam neighborhood with a low social economic status score. Within each school, 4 classes are eligible for participation. Children wear an accelerometer from Monday morning until Friday afternoon to assess physical activity levels. Parents of participating children are asked to complete a questionnaire on baseline characteristics, wellbeing and out of school physical activity behaviors. The mean sedentary time (ST), low physical activity (LPA) time and Moderate to Vigorous physical activity (MVPA) time will be calculated. The association between the outcomes of the accelerometer data and gender and health related outcomes reported by parents will be assessed.Results: The data will be collected between March and May 2023. We will present the average LPA and MVPA during and after school time. The duration of the ST bouts during and after schooltime. And associations between ST, LPA and MVPA and gender and health related outcomes.Conclusions: The results of this study will be used to support local school teams in the development and implementation of local action plans towards a school day that involves less sitting and more physical activity.