Aim of this study 1. To examine the development of motor competence over time in primary school children. 2. To study differences in this development according to the SES of the child’s school district.
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Background: The environment affects children’s energy balance-related behaviors to a considerable extent. A context-based physical activity and nutrition school- and family-based intervention, named KEIGAAF, is being implemented in low socio-economic neighborhoods in Eindhoven, The Netherlands. The aim of this study was to investigate: 1) the effectiveness of the KEIGAAF intervention on BMI z-score, waist circumference, physical activity, sedentary behavior, nutrition behavior, and physical fitness of primary school children, and 2) the process related to the implementation of the intervention. Methods: A quasi-experimental, controlled study with eight intervention schools and three control schools was conducted. The KEIGAAF intervention consists of a combined top-down and bottom-up school intervention: a steering committee developed the general KEIGAAF principles (top-down), and in accordance with these principles, KEIGAAF working groups subsequently develop and implement the intervention in their local context (bottom-up). Parents are also invited to participate in a family-based parenting program, i.e., Triple P Lifestyle. Children aged 7 to 10 years old (grades 4 to 6 in the Netherlands) are included in the study. Effect evaluation data is collected at baseline, after one year, and after two years by using a child questionnaire, accelerometers, anthropometry, a physical fitness test, and a parent questionnaire. A mixed methods approach is applied for the process evaluation: quantitative (checklists, questionnaires) and qualitative methods (observations, interviews) are used. To analyze intervention effectiveness, multilevel regression analyses will be conducted. Content analyses will be conducted on the qualitative process data. Discussion: Two important environmental settings, the school environment and the family environment, are simultaneously targeted in the KEIGAAF intervention. The combined top-down and bottom-up approach is expected to make the intervention an effective and sustainable version of the Health Promoting Schools framework. An elaborate process evaluation will be conducted alongside an effect evaluation in which multiple data collection sources (both qualitative and quantitative) are used.
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The aim of the current study was to evaluate the one- and two-year effectiveness of the KEIGAAF intervention, a school-based mutual adaptation intervention, on the BMI z-score (primary outcome), and energy balance-related behaviors (secondary outcomes) of children aged 7–10 years. A quasi-experimental study was conducted including eight intervention schools and three control schools located in low socioeconomic neighborhoods in the Netherlands. Baseline measurements were conducted in March and April 2017 and repeated after one and 2 years. Data were collected on children’s BMI z-score, sedentary behavior (SB), physical activity (PA) behavior, and nutrition behavior through the use of anthropometric measurements, accelerometers, and questionnaires, respectively. All data were supplemented with demographics, and weather conditions data was added to the PA data. Based on the comprehensiveness of implemented physical activities, intervention schools were divided into schools having a comprehensive PA approach and schools having a less comprehensive approach. Intervention effects on continuous outcomes were analyzed using multiple linear mixed models and on binary outcome measures using generalized estimating equations. Intervention and control schools were compared, as well as comprehensive PA schools, less comprehensive PA schools, and control schools. Effect sizes (Cohen’s d) were calculated. In total, 523 children participated. Children were on average 8.5 years old and 54% were girls. After 2 years, intervention children’s BMI z-score decreased (B = -0.05, 95% CI -0.11;0.01) significantly compared to the control group (B = 0.20, 95% CI 0.09;0.31). Additionally, the intervention prevented an age-related decline in moderate-to-vigorous PA (MVPA) (%MVPA: B = 0.95, 95% CI 0.13;1.76). Negative intervention effects were seen on sugar-sweetened beverages and water consumption at school, due to larger favorable changes in the control group compared to the intervention group. After 2 years, the comprehensive PA schools showed more favorable effects on BMI z-score, SB, and MVPA compared to the other two conditions. This study shows that the KEIGAAF intervention is effective in improving children’s MVPA during school days and BMI z-score, especially in vulnerable children. Additionally, we advocate the implementation of a comprehensive approach to promote a healthy weight status, to stimulate children’s PA levels, and to prevent children from spending excessive time on sedentary behaviors.
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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.
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Background: The worldwide increase in the rates of childhood overweight and physical inactivity requires successful prevention and intervention programs for children. The aim of the Active Living project is to increase physical activity and decrease sedentary behavior of Dutch primary school children by developing and implementing tailored, multicomponent interventions at and around schools. Methods/design: In this project, school-centered interventions have been developed at 10 schools in the south of the Netherlands, using a combined top-down and bottom-up approach in which a research unit and a practice unit continuously interact. The interventions consist of a combination of physical and social interventions tailored to local needs of intervention schools. The process and short- and long-term effectiveness of the interventions will be evaluated using a quasi-experimental study design in which 10 intervention schools are matched with 10 control schools. Baseline and follow-up measurements (after 12 and 24 months) have been conducted in grades 6 and 7 and included accelerometry, GPS, and questionnaires. Primary outcome of the Active Living study is the change in physical activity levels, i.e. sedentary behavior (SB), light physical activity (LPA), moderate-to-vigorous physical activity (MVPA), and counts-per-minute (CPM). Multilevel regression analyses will be used to assess the effectiveness of isolated and combined physical and social interventions on children’s PA levels. Discussion: The current intervention study is unique in its combined approach of physical and social environmental PA interventions both at school(yard)s as well as in the local neighborhood around the schools. The strength of the study lies in the quasi-experimental design including objective measurement techniques, i.e. accelerometry and GPS, combined with more subjective techniques, i.e. questionnaires, implementation logbooks, and neighborhood observations. LinkedIn: https://www.linkedin.com/in/sanned/
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The purpose of this research is to find evidence for the assumption that allowing children to create their own news messages is an effective approach to teach them how to distinguish between reliable news and fake news. Three students of the primary teacher training programme of The Hague University of Applied Sciences developed five lessons concerning fake news and five Kahoot! quizzes for each of those lessons. They taught the lessons they developed under the supervision of a primary school teacher and one of their lecturers from the university. A Friedman test on the scores of the Kahoot! quizzes indicate that the children made progress over the course of the study. In addition, it appears that the children appreciated the lessons and that they have learned how news is created and how fake news can be recognised. The outcomes of this study have prompted a larger, international Erasmus+ project. Schools and libraries in three countries will investigate similar innovative blended-learning approaches for pupils between ages 12 to 15.
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The Challenge Me intervention aimed to indirectly involve parents in a school-based intervention, by challenging primary school children to perform physical activity (PA) and nutrition-related activities with their parents. The aim of this study is to gain insight in whether this was a feasible strategy to engage children and parents, especially those of vulnerable populations. An exploratory cross-sectional study design was applied. Four primary schools implemented the intervention. Data consisted of challenges completed (intervention posters) and child and family characteristics (questionnaires and anthropometric measurements). Associations between challenges performed and child and family characteristics were assessed using linear regression analysis. Of the 226 study participants, 100% performed at least one challenge, and 93% performed at least one challenge involving parents. Children who performed more PA challenges were often younger, a sports club member, lived in higher socioeconomic status neighbourhoods, of Western ethnicity and from larger families. Regarding nutrition challenges involving parents, younger children performed more challenges. There was no difference in intervention engagement regarding gender, weight status, PA preference, healthy nutrition preference, or the Family PA and Family Nutrition Climate. Challenge Me has potential in involving parents in a school-based intervention. However, certain characteristics were associated with higher involvement
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Basic motor competencies (BMC) belong to the key learning goals of Physical Education (PE) in primary school curricula in Europe. These competencies are necessary to participate in sports inside and outside of school. Children should therefore achieve age-adequate BMC in PE and any need for educational motor support should be identified at an early stage. Studies in German-speaking countries showed that various endogenous and exogenous factors are related to children’s BMC, but international studies are missing. In the present cross-sectional study, the two BMC areas object movement (OM) and self-movement (SM) as well as the associations with endogenous (age, sex, body mass index) and exogenous (participation in extracurricular sports) factors were investigated in 1721 8‑ to 10-year-old primary school children from nine European countries. Over 25% of the children showed need for educational motor support in OM and over 20% in SM. BMC levels differed significantly between the country-specific subsamples. In all subsamples, boys showed better performances in OM, while girls scored better in SM. Older children performed better in OM and SM than younger children. Higher body mass index predicted lower BMC scores in both competence areas. Participation in ball sports was positively associated with OM and SM, and individual sports participation was a significant predictor of SM. As exogenous and endogenous variables consistently predicted BMC in all subsamples, there must be other reasons for variation in BMC levels. Future studies should address country- and school-specific characteristics like content and amount of PE. Motorische Basiskompetenzen (basic motor competencies; BMC) gehören zu den wichtigsten Lernzielen des Sportunterrichts in den Lehrplänen der europäischen Grundschulen. Diese Kompetenzen sind notwendig, um innerhalb und außerhalb der Schule Sport treiben zu können. Kinder sollten daher im Sportunterricht altersgemäße BMC erwerben und etwaiger Förderbedarf sollte frühzeitig erkannt werden. Studien im deutschsprachigen Raum zeigten, dass verschiedene endogene und exogene Faktoren mit den BMC der Kinder zusammenhängen, jedoch fehlt es bisher an internationalen Studien. In der vorliegenden Querschnittsstudie wurden die beiden BMC-Bereiche Etwas-bewegen (object movement; OM) und Sich-bewegen (self-movement; SM) sowie deren Zusammenhänge mit endogenen (Alter, Geschlecht, Body-Mass-Index) und exogenen (Teilnahme an außerschulischem Sport) Faktoren bei 1721 8–10-jährigen Grundschulkindern aus neun europäischen Ländern untersucht. Über 25 % der Kinder wiesen Förderbedarf im Bereich OM auf und über 20 % im Bereich SM. Die BMC-Werte unterschieden sich signifikant zwischen den länderspezifischen Stichproben. In allen Teilstichproben zeigten die Jungen bessere Leistungen im OM, während die Mädchen im SM besser abschnitten. Ältere Kinder erbrachten bessere Leistungen als jüngere Kinder. Ein höherer Body-Mass-Index prognostizierte niedrigere BMC-Werte in beiden Kompetenzbereichen. Die Teilnahme an Ballsportarten stand in einem positiven Zusammenhang mit OM und SM, und die Teilnahme an Individualsportarten war ein signifikanter Prädiktor für SM. Da die exogenen und endogenen Variablen die BMC in allen Stichproben übereinstimmend vorhersagten, muss es andere Gründe für die Unterschiede im BMC-Niveau geben. Künftige Studien sollten länder- und schulspezifische Merkmale wie Inhalt und Umfang des Sportunterrichts untersuchen.
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This paper investigates whether encouraging children to become more physically active in their everyday life affects their primary school performance. We use data from a field quasi‐experiment called the Active Living Program, which aimed to increase active modes of transportation to school and active play among 8‐ to 12‐year‐olds living in low socioeconomic status (SES) areas in the Netherlands. Difference‐in‐differences estimations reveal that while the interventions increase time spent on physical activity during school hours, they negatively affect school performance, especially among the worst‐performing students. Further analyses reveal that increased restlessness during instruction time is a potential mechanism for this negative effect. Our results suggest that the commonly found positive effects of exercising or participating in sports on educational outcomes may not be generalizable to physical activity in everyday life. Policymakers and educators who seek to increase physical activity in everyday life need to weigh the health and well‐being benefits against the probability of increasing inequality in school performance.
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BackgroundFundamental Motor Skills (FMS) are important building blocks for children’s sport-participation and lifelong physical activity. In the last decade, several international studies have reported delays in the development of FMS. To get better insight into the Dutch situation and to provide future directions, this study examined the development of FMS in Dutch primary school children.MethodThe main goal of this study is to compare FMS of 11–12-year-old Dutch children in 2016 with scores of similarly-aged-children in 2006. In addition, gender, age, BMI were taken into account, to see whether changes in motor performance are related to these child characteristics. FMS-test scores on seven motor competence tests (balance, swing, jump, roll, shoot, throwing and catching, and tennis) from 1939 children in 2016 were set side by side with those of 1648 children in 2006. Temporal changes in motor competence scores were analyzed using regression-analysis.ResultsThis cross-sectional study shows better results for the children in 2006 compared to similarly-aged-children in 2016. Lower scores were found on six out of seven tested FMS, with the largest declines on the object control skills tennis and throwing and catching. Only vaulting jump skills remained on the same level. Overall, children with a higher BMI scored lower on all tests, except for throwing and catching via the wall. On the balancing, jumping and tennis test, the gap with children with a lower BMI widened over the last decade. Girls showed a lower competence level on rolling, shooting and throwing and catching compared to boys. During the last decade, their performance on the tennis test decreased more than for boys.ConclusionsResults of this study are alarming as diminishing motor skills are related to lower sport participation and poorer health outcomes. For the future generation, new interventions are needed to help children reach a sufficient proficiency level in FMS, to prevent or overcome the negative effects of lowered motor skills. Targeting FMS components during physical education and outside of school hours may potentially be a valuable strategy in reverting the lowering FMS levels amongst children.
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