Overall , total PA was favourably associated with physical , psychological/social , and cognitive health indicators .
Relationships were more consistent and robust for higher ( e.g. , MVPA ) versus lower ( e.g. , LPA ) intensity PA .
All patterns of activity ( sporadic , bouts , continuous ) provided benefit .
LPA was favourably associated with cardiometabolic biomarkers ; data were scarce for other outcomes .
These findings continue to support the importance of at least 60 min/day of MVPA for disease prevention and health promotion in children and youth , but also highlight the potential benefits of LPA and total PA .
Moderate-to-vigorous physical activity ( MVPA ) is essential for disease prevention and health promotion .
Emerging evidence suggests other intensities of physical activity ( PA ) , including light-intensity activity ( LPA ) , may also be important , but there has been no rigorous evaluation of the evidence .
The purpose of this systematic review was to examine the relationships between objective ly measured PA ( total and all intensities ) and health indicators in school-aged children and youth .
Online data bases were search ed for peer- review ed studies that met the a priori inclusion criteria : population ( apparently healthy , aged 5 - 17 years ) , intervention/exposure/comparator ( volumes , duration s , frequencies , intensities , and patterns of objective ly measured PA ) , and outcome ( body composition , cardiometabolic biomarkers , physical fitness , behavioural conduct/pro-social behaviour , cognition/academic achievement , quality of life/well-being , harms , bone health , motor skill development , psychological distress , self-esteem ) .
Effect of school based physical activity programme (KISS) on fitness and adiposity in primary schoolchildren: cluster randomised controlled trial
Objective To assess the effectiveness of a school based physical activity programme during one school year on physical and psychological health in young schoolchildren . Design Cluster r and omised controlled trial . Setting 28 classes from 15 elementary schools in Switzerl and r and omly selected and assigned in a 4:3 ratio to an intervention ( n=16 ) or control arm ( n=12 ) after stratification for grade ( first and fifth grade ) , from August 2005 to June 2006 . Participants 540 children , of whom 502 consented and presented at baseline . Intervention Children in the intervention arm ( n=297 ) received a multi-component physical activity programme that included structuring the three existing physical education lessons each week and adding two additional lessons a week , daily short activity breaks , and physical activity homework . Children ( n=205 ) and parents in the control group were not informed of an intervention group . For most outcome measures , the assessors were blinded . Main outcome measures Primary outcome measures included body fat ( sum of four skinfolds ) , aerobic fitness ( shuttle run test ) , physical activity ( accelerometry ) , and quality of life ( question naires ) . Secondary outcome measures included body mass index and cardiovascular risk score ( average z score of waist circumference , mean blood pressure , blood glucose , inverted high density lipoprotein cholesterol , and triglycerides ) . Results 498 children completed the baseline and follow-up assessment s ( mean age 6.9 ( SD 0.3 ) years for first grade , 11.1 ( 0.5 ) years for fifth grade ) . After adjustment for grade , sex , baseline values , and clustering within classes , children in the intervention arm compared with controls showed more negative changes in the z score of the sum of four skinfolds ( −0.12 , 95 % confidence interval −0.21 to −0.03 ; P=0.009 ) . Likewise , their z scores for aerobic fitness increased more favourably ( 0.17 , 0.01 to 0.32 ; P=0.04 ) , as did those for moderate-vigorous physical activity in school ( 1.19 , 0.78 to 1.60 ; P<0.001 ) , all day moderate-vigorous physical activity ( 0.44 , 0.05 to 0.82 ; P=0.03 ) , and total physical activity in school ( 0.92 , 0.35 to 1.50 ; P=0.003 ) . Z scores for overall daily physical activity ( 0.21 , −0.21 to 0.63 ) and physical quality of life ( 0.42 , −1.23 to 2.06 ) as well as psychological quality of life ( 0.59 , −0.85 to 2.03 ) did not change significantly . Conclusions A school based multi-component physical activity intervention including compulsory elements improved physical activity and fitness and reduced adiposity in children . Trial registration Current Controlled Trials IS RCT N15360785
Overall , total PA was favourably associated with physical , psychological/social , and cognitive health indicators .
Relationships were more consistent and robust for higher ( e.g. , MVPA ) versus lower ( e.g. , LPA ) intensity PA .
All patterns of activity ( sporadic , bouts , continuous ) provided benefit .
LPA was favourably associated with cardiometabolic biomarkers ; data were scarce for other outcomes .
These findings continue to support the importance of at least 60 min/day of MVPA for disease prevention and health promotion in children and youth , but also highlight the potential benefits of LPA and total PA .
Moderate-to-vigorous physical activity ( MVPA ) is essential for disease prevention and health promotion .
Emerging evidence suggests other intensities of physical activity ( PA ) , including light-intensity activity ( LPA ) , may also be important , but there has been no rigorous evaluation of the evidence .
The purpose of this systematic review was to examine the relationships between objective ly measured PA ( total and all intensities ) and health indicators in school-aged children and youth .
Online data bases were search ed for peer- review ed studies that met the a priori inclusion criteria : population ( apparently healthy , aged 5 - 17 years ) , intervention/exposure/comparator ( volumes , duration s , frequencies , intensities , and patterns of objective ly measured PA ) , and outcome ( body composition , cardiometabolic biomarkers , physical fitness , behavioural conduct/pro-social behaviour , cognition/academic achievement , quality of life/well-being , harms , bone health , motor skill development , psychological distress , self-esteem ) .