Physical Activity Recommendations for Segments of School Days in Adolescents: Support for Health Behavior in Secondary Schools

. 2020 ; 8 () : 527442. [epub] 20201030

Jazyk angličtina Země Švýcarsko Médium electronic-ecollection

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/pmid33194940

School physical activity (PA) is an indispensable part of daily PA, the foundation for developing lifelong PA and fitness, and an easy way to gain physical and health literacy. School PA is equally important for understanding the continuity of physical and mental health, even in broader psychosocial aspects. Regarding long-term outcomes, significant attention has been paid to the determination of daily and weekly recommendations for adolescent PA. However, comprehensive approaches suggesting recommendations for PA in segments of the school day are rare. This study aimed to (a) provide a rationale for PA recommendations in segments of school days and incorporate it into generally accepted PA recommendations, and (b) promote radical changes in the educational process toward a healthy school lifestyle through PA recommendations in segments of school days. The results of research conducted in 98 secondary schools in the Czech Republic and 104 secondary schools in Poland from 2009 to 2017 were used in this study. In total, 3,860 boys and 5,237 girls from the Czech Republic and 3,052 boys and 3,329 girls from Poland, all aged 15-19, participated. We recommended at least 2,000 steps (or 10 min of moderate-to-vigorous PA) for the before school segment and at least 6,000 steps (or 30 min of moderate-to-vigorous PA) for the after-school segment. For the time spent at school, we further recommended at least 500 steps/h (alternatively, at least 3,000 steps/school time), 20 min of moderate-to-vigorous PA (≥3METs or 60% HRmax), and at least one HRsubmax/max response to significant stress during PA to mitigate educational stress and high levels of sedentary behavior in schools. PA should account for at least 25% of school time, even on days with no scheduled physical education lessons. We propose using PA recommendations in segments of school days to achieve positive changes in the educational process and school lifestyle. Acceptance of PA recommendations in segments of school days theories on physical education could help refine and concretize demands for changes in PA and lifestyle in secondary schools. In practice, it could support the creation of innovative and comprehensive school PA programs. Future research should focus on obtaining evidence in support for adolescent PA by applying PA recommendations in segments of school days.

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Wilkins E, Wilson L, Wickramasinghe KP, Bhatnagar P, Rayner M, Townsend N. European Cardiovascular Disease Statistics 2017. Brussels: European Heart Network; (2017).

Ahluwalia N, Dalmasso P, Rasmussen M, Lipsky L, Currie C, Haug E, et al. . Trends in overweight prevalence among 11-, 13- and 15-year-olds in 25 countries in Europe, Canada and USA from 2002 to 2010. Eur J Public Health. (2015) 25:28–32. 10.1093/eurpub/ckv016 PubMed DOI

Mintjens S, Menting MD, Daams JG, van Poppel MNM, Roseboom TJ, Gemke RJB. Cardiorespiratory fitness in childhood and adolescence affects future cardiovascular risk factors: a systematic review of longitudinal studies. Sports Med. (2018) 48:2577–605. 10.1007/s40279-018-0974-5 PubMed DOI PMC

Maciałczyk-Paprocka K, Stawińska-Witoszyńska B, Kotwicki T, Sowińska A, Krzyzaniak A, Walkowiak J, et al. . Prevalence of incorrect body posture in children and adolescents with overweight and obesity. Eur J Pediatr. (2017) 176:563–72. 10.1007/s00431-017-2873-4 PubMed DOI PMC

Bor W, Dean AJ, Najman J, Hayatbakhsh R. Are child and adolescent mental health problems increasing in the 21st century? a systematic review. Aust N Z J Psychiatry. (2014) 48:606–16. 10.1177/0004867414533834 PubMed DOI

Dumith SC, Gigante DP, Domingues MR, Kohl III HW. Physical activity change during adolescence: a systematic review and a pooled analysis. Int J Epidemiol. (2011) 40:685–98. 10.1093/ije/dyq272 PubMed DOI

World Health Organization Physical Activity in Adolescents. Copenhagen: World Health Organization Regional Office for Europe; (2016).

Corder K, Sharp SJ, Atkin AJ, Andersen LB, Cardon G, Page A, et al. . Age-related patterns of vigorous-intensity physical activity in youth: The international children's accelerometry database. Prev Med Rep. (2016) 4:17–22. 10.1016/j.pmedr.2016.05.006 PubMed DOI PMC

Frömel K, Vašíčková J, Svozil Z, Chmelík F, Skalik K, Groffik D. Secular trends in pupils' assessments of physical education lessons in regard to heir self-perception of physical fitness across the educational systems of Czech Republic and Poland. Eur Phys Educ Rev. (2014) 20:145–64. 10.1177/1356336X13508684 DOI

Guinhouya BC, Samouda H, de Beaufort C. Level of physical activity among children and adolescents in Europe: a review of physical activity assessed objectively by accelerometry. Public Health. (2013) 127:301–11. 10.1016/j.puhe.2013.01.020 PubMed DOI

Biddle SJH, Soos I, Hamar P, Sandor I, Simonek J, Karsai I. Physical activity and sedentary behaviours in youth: data from three Central-Eastern European countries. Eur J Sport Sci. (2009) 9:295–301. 10.1080/17461390902829234 DOI

Kohl HW, III, Cook HD. Educating the Student Body: Taking Physical Activity and Physical Education to School. Washington, DC: The National Academies Press; (2013). PubMed

Vanhelst J, Béghin L, Duhamel A, De Henauw S, Molnar D, Vicente-Rodriguez G, et al. . Relationship between school rhythm and physical activity in adolescents: the HELENA study. J Sports Sci. (2017) 35:1666–73. 10.1080/02640414.2016.1229013 PubMed DOI

Ortega FB, Artero EG, Ruiz JR, España-Romero V, Jiménez-Pavón D, Vicente-Rodriguez G, et al. . Physical fitness levels among European adolescents: the HELENA study. Br J Sports Med. (2011) 45:20–9. 10.1136/bjsm.2009.062679 PubMed DOI

European Commission Physical Education and Sport at School in Europe. Luxembourg: Publication Office of the European Union; (2013).

Weed M. Evidence for physical activity guidelines as a public health intervention: efficacy, effectiveness, and harm–a critical policy sciences approach. Health Psychol Behav Med. (2016) 4:56–69. 10.1080/21642850.2016.1159517 DOI

World Health Organization Models of Health Promoting Schools in Europe. Copenhagen: World Health Organization Regional Office for Europe; (2002).

World Health Organization Physical Activity Strategy for the WHO European Region 2016–2025. Copenhagen: World Health Organization Regional Office for Europe; (2016).

World Health Organization . Global Action Plan on Physical Activity 2018–2030: More Active People for a Healthier World. Geneva: World Health Organization; (2018).

Hills AP, Dengel DR, Lubans DR. Supporting public health priorities: recommendations for physical education and physical activity promotion in schools. Prog Cardiovasc Dis. (2015) 57:368–74. 10.1016/j.pcad.2014.09.010 PubMed DOI

Pate RR, Davis MG, Robinson TN, Stone EJ, McKenzie TL, Young JC. Promoting physical activity in children and youth: a scientific statement from the American heart association council on nutrition, physical activity, and metabolism (Physical Activity Committee) in collaboration with the councils on cardiovascular disease in the young and cardiovascular nursing. Circulation. (2006) 114:1214–24. 10.1161/CIRCULATIONAHA.106.177052 PubMed DOI

Frömel K, Svozil Z, Chmelík F, Jakubec L, Groffik D. The role of physical education lessons and recesses in school lifestyle of adolescents. J Sch Health. (2016) 86:143–51. 10.1111/josh.12362 PubMed DOI PMC

Frömel K, Groffik D, Chmelík F, Cocca A, Skalik K. Physical activity of 15–17 years old adolescents in different educational settings: a Polish-Czech study. Cent Eur J Public Health. (2018) 26:137–43. 10.21101/cejph.a4521 PubMed DOI

Groffik D, Mitáš J, Jakubec L, Svozil Z, Frömel K. Adolescents' physical activity in education systems varying in the number of weekly physical education lessons. Res Q Exerc Sport. (2020). 10.1080/02701367.2019.1688754. [Epub ahead of print]. PubMed DOI

Kudláček M, Frömel K, Jakubec L, Groffik D. Compensation for adolescents' school mental load by physical activity on weekend days. Int J Environ Res Public Health. (2016) 13:308. 10.3390/ijerph13030308 PubMed DOI PMC

Svozil Z, Frömel K, Chmelík F, Jakubec L, Groffik D, Šafár M. Mental load and its compensation by physical activity in adolescents at secondary schools. Cent Eur J Public Health. (2015) 23:S44–9. 10.21101/cejph.a4186 PubMed DOI

Fromel K, Jakubec L, Groffik D, Chmelik G, Svozil Z, Safar M. Physical activity of secondary school adolescents at risk of depressive symptoms. J Sch Health. (2020) 90:641–50. 10.1111/josh.12911 PubMed DOI PMC

Groffik D, Fromel K, Badura P. Composition of weekly physical activity in adolescents by level of physical activity. BMC Public Health. (2020) 20:562. 10.1186/s12889-020-08711-8 PubMed DOI PMC

Jakubec L, Frömel K, Chmelík F, Groffik D. Physical activity in 15–17-year-old adolescents as compensation for sedentary behavior in school. Int J Environ Res Public Health. (2020) 17:3281. 10.3390/ijerph17093281 PubMed DOI PMC

Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. . International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. (2003) 35:1381–95. 10.1249/01.MSS.0000078924.61453.FB PubMed DOI

Fromel K, Kudlacek M, Groffik D, Svozil Z, Simunek A, Garbaciak W. Promoting healthy lifestyle and well-being in adolescents through outdoor physical activity. Int J Environ Res Public Health. (2017) 14:533. 10.3390/ijerph14050533 PubMed DOI PMC

Król-Zielińska M, Groffik D, Bronikowski M, Kantanista A, Laudańska-Krzeminska I, Bronikowska M, et al. . Understanding the motives of undertaking physical activity with different levels of intensity among adolescents: results of the INDARES study. Biomed Res Int. (2018) 2018:1849715. 10.1155/2018/1849715 PubMed DOI PMC

Kudlacek M, Fromel K, Groffik D. Associations between adolescents' preference for fitness activities and achieving the recommended weekly level of physical activity. J Exerc Sci Fit. (2020) 18:31–9. 10.1016/j.jesf.2019.10.001 PubMed DOI PMC

Vašíčková J, Groffik D, Frömel K, Chmelík F, Wasowicz W. Determining gender differences in adolescent physical activity levels using IPAQ long form and pedometers. Ann Agric Environ Med. (2013) 20:749–55. PubMed

Freedson P, Pober D, Janz KF. Calibration of accelerometer output for children. Med Sci Sports Exerc. (2005) 37:S523–30. 10.1249/01.mss.0000185658.28284.ba PubMed DOI

Norton K, Norton L, Sadgrove D. Position statement on physical activity and exercise intensity terminology. J Sci Med Sport. (2010) 13:496–502. 10.1016/j.jsams.2009.09.008 PubMed DOI

Rahl RL. Physical Activity and Health Guidelines. Recommendations for Various Ages, Fitness Levels, and Conditions from 57 Authoritative Sources. Champaign, IL: Human Kinetics; (2010).

Kahlmeier S, Wijnhoven TMA, Alpiger P, Schweizer C, Breda J, Martin BW. National physical activity recommendations: systematic overview and analysis of the situation in European countries. BMS Public Health. (2015) 15:133. 10.1186/s12889-015-1412-3 PubMed DOI PMC

US Department of Health Human Services Physical Activity Guidelines for Americans 2nd Edn. Washington, DC: US Department of Health and Human Services; (2018).

European Commission Study on the Implementation of the European Physical Activity Guidelines. Luxembourg: Publication Office of the European Union; (2016).

Katzmarzyk PT, Lee I-M, Martin CK, Blair SN. Epidemiology of physical activity and exercise training in the United States. Prog Cardiovas Dis. (2017) 60:3–10. 10.1016/j.pcad.2017.01.004 PubMed DOI

National Association for Sport Physical Education 2010 . Shape of the Nation Report: Status of Physical Education in the USA. Reston, VA: National Association for Sport and Physical Education; (2010).

Sallis JF, Bull F, Guthold R, Heath GW, Inoue S, Kelly P, et al. . Progress in physical activity over the Olympic quadrennium. Lancet. (2016) 388:1325–36. 10.1016/S0140-6736(16)30581-5 PubMed DOI

Tremblay MS, Warburton DER, Janssen I, Paterson DH, Latimer AE, Rhodes RE, et al. . New Canadian physical activity guidelines. Appl Physiol Nutr Metab. (2011) 36:36–46. 10.1139/H11-009 PubMed DOI

World Health Organization Global Recommendations on Physical Activity for Health. Geneva: World Health Organization; (2010). PubMed

Wattanapisit A, Thanamee S. Evidence behind 10,000 steps walking. J Health Res. (2017) 31:241–8. 10.14456/jhr.2017.30 DOI

Tudor-Locke C, Craig CL, Beets MW, Belton S, Cardon GM, Duncan S, et al. . How many steps/day are enough? for children and adolescents. Int J Behav Nutr Phys Act. (2011) 8:78. 10.1186/1479-5868-8-78 PubMed DOI PMC

Adams MA, Johnson WD, Tudor-Locke C. Steps/day translation of the moderate-to-vigorous physical activity guideline for children and adolescents. Int J Behav Nutr Phys Act. (2013) 10:49. 10.1186/1479-5868-10-49 PubMed DOI PMC

Rothman L, Macpherson AK, Ross T, Buliung RN. The decline in active school transportation (AST): A systematic review of the factors related to AST and changes in school transport over time in North America. Prev Med. (2018) 111:314–22. 10.1016/j.ypmed.2017.11.018 PubMed DOI

Dygrýn J, Mitáš J, Gába A, Rubín L, Frömel K. Changes in active commuting to school in Czech adolescents in different types of built environment across a 10-year period. Int J Environ Res Public Health. (2015) 12:12988–98. 10.3390/ijerph121012988 PubMed DOI PMC

Villa-González E, Barranco-Ruiz Y, Evenson KR, Chillón P. Systematic review of interventions for promoting active school transport. Prev Med. (2018) 111:115–34. 10.1016/j.ypmed.2018.02.010 PubMed DOI

Larouche R, Saunders TJ, Faulkner GEJ, Colley R, Tremblay M. Associations between active school transport and physical activity, body composition, and cardiovascular fitness: a systematic review of 68 studies. J Phys Act Health. (2014) 11:206–27. 10.1123/jpah.2011-0345 PubMed DOI

Easton S, Ferrari E. Children's travel to school—the interaction of individual, neighbourhood and school factors. Transp Policy. (2015) 44:9–18. 10.1016/j.tranpol.2015.05.023 DOI

Rodríguez-López C, Salas-Fariña ZM, Villa-González E, Borges-Cosic M, Herrador-Colmenero M, Medina-Casaubón J, et al. . The threshold distance associated with walking from home to school. Health Educ Behav. (2017) 44:857–66. 10.1177/1090198116688429 PubMed DOI

Saint-Maurice PF, Bai Y, Vazou S, Welk G. Youth physical activity patterns during school and out-of-school time. Children. (2018) 5:118. 10.3390/children5090118 PubMed DOI PMC

Pate RR, O'Neill JR. After-school interventions to increase physical activity among youth. Br J Sport Med. (2009) 43:14–8. 10.1136/bjsm.2008.055517 PubMed DOI

Borras PA. Health promoting schools; Interventions and strategies to increase physical activity: review and recommendations. J Phys Educ Health–Soc Perspect. (2013) 2:45–51.

US Department of Health Human Services . Physical Activity Guidelines for Americans Midcourse Report: Strategies to Increase Physical Activity among Youth. Washington, DC: US Department of Health and Human Services; (2012).

US Department of Health Human Services Healthy People 2020. Washington, DC: US Department of Health and Human Services; (2010).

Pate RR, Flynn JI, Dowda M. Policies for promotion of physical activity and prevention of obesity in adolescence. J Exerc Sci Fit. (2016) 14:47–53. 10.1016/j.jesf.2016.07.003 PubMed DOI PMC

Parrish A-M, Okely AD, Stanley RM, Ridgers ND. The effect of school recess interventions on physical activity: a systematic review. Sports Med. (2013) 43:287–99. 10.1007/s40279-013-0024-2 PubMed DOI

Hood NE, Colabianchi N, Terry-McElrath YM, O'Malley PM, Johnston LD. Physical activity breaks and facilities in US secondary schools. J Sch Health. (2014) 84:697–705. 10.1111/josh.12206 PubMed DOI PMC

Ridgers ND, Salmon J, Parrish A-M, Stanley RM, Okely AD. Physical activity during school recess: a systematic review. Am J Prev Med. (2012) 43:320–8. 10.1016/j.amepre.2012.05.019 PubMed DOI

Babey SH, Wu S, Cohen D. How can schools help youth increase physical activity? an economic analysis comparing school-based programs. Prev Med. (2014) 69:S55–60. 10.1016/j.ypmed.2014.10.013 PubMed DOI

Silva DAS, Chaput J-P, Katzmarzyk PT, Fogelholm M, Hu G, Maher C, et al. . Physical education classes, physical activity, and sedentary behavior in children. Med Sci Sports Exerc. (2018) 50:995–1004. 10.1249/MSS.0000000000001524 PubMed DOI

Scruggs PW. Quantifying physical activity in physical education via pedometry: a further analysis of steps/min guidelines. J Phys Act Health. (2013) 10:734–41. 10.1123/jpah.10.5.734 PubMed DOI

Bassett DR, Troiano RP, McClain JJ, Wolff DL. Accelerometer-based physical activity: total volume per day and standardized measures. Med Sci Sports Exerc. (2015) 47:833–8. 10.1249/MSS.0000000000000468 PubMed DOI

Mura G, Rocha NBF, Helmich I, Budde H, Machado S, Wegner M, et al. . Physical activity interventions in schools for improving lifestyle in European countries. Clin Pract Epidemiol Ment Health. (2015) 11:77–101. 10.2174/1745017901511010077 PubMed DOI PMC

Csányi T, Finn KJ, Welk GJ, Zhu W, Karsai I, Ihász F, et al. . Overview of the Hungarian national youth fitness study. Res Q Exerc Sport. (2015) 86:S3–12. 10.1080/02701367.2015.1042823 PubMed DOI PMC

Centers for Disease Control Prevention Comprehensive School Physical Activity Programs: A Guide for Schools. Atlanta, GA: US Department of Health and Human Services; (2013).

Watson A, Timperio A, Brown H, Best K, Hesketh KD. Effect of classroom-based physical activity interventions on academic and physical activity outcomes: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. (2017) 14:114. 10.1186/s12966-017-0569-9 PubMed DOI PMC

Frömel K, Šafár M, Jakubec L, Groffik D, Žatka R, Mucci N. Academic stress and physical activity in adolescent. BioMed Res Int. (2020) 2020:4696592. 10.1155/2020/4696592 PubMed DOI PMC

Culpepper D, Killion L. It's not me, it's you: the disconnect of physical education teachers to physical activity in the gym. Sports. (2015) 3:302–11. 10.3390/sports3040302 DOI

Chen S, Gu X. Toward active living: comprehensive school physical activity program research and implications. Quest. (2018) 70:191–212. 10.1080/00336297.2017.1365002 DOI

Moore JB, Carson RL, Webster CA, Singletary CR, Castelli DM, Patte RR, et al. . The application of an implementation science framework to comprehensive school physical activity programs: be a champion! Front Public Health. (2018) 5:354. 10.3389/fpubh.2017.00354 PubMed DOI PMC

Rink JE, Hall TJ, Williams LH. Schoolwide Physical Activity: A Comprehensive Guide to Designing and Conducting Programs. Champaign, IL: Human Kinetics; (2010).

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