There was some evidence that school-based physical activity interventions had a positive impact on four of the nine outcome measures .
Specifically positive effects were observed for duration of physical activity , television viewing , VO2 max , and blood cholesterol .
Generally , school-based interventions had little effect on physical activity rates , systolic and diastolic blood pressure , BMI , and pulse rate .
At a minimum , a combination of printed educational material s and changes to the school curriculum that promote physical activity result ed in positive effects .
Few changes in outcomes were observed in this up date with the exception of blood cholesterol and physical activity rates .
For example blood cholesterol was no longer positively impacted upon by school-based physical activity interventions .
The evidence suggests the ongoing implementation of school-based physical activity interventions at this time , given the positive effects on behavior and one physical health status measure .
BACKGROUND The World Health Organization ( WHO ) estimates that 1.9 million deaths worldwide are attributable to physical inactivity and at least 2.6 million deaths are a result of being overweight or obese .
In addition , WHO estimates that physical inactivity causes 10 % to 16 % of cases each of breast cancer , colon , and rectal cancers as well as type 2 diabetes , and 22 % of coronary heart disease and the burden of these and other chronic diseases has rapidly increased in recent decades .
OBJECTIVES The purpose of this systematic review was to summarize the evidence of the effectiveness of school-based interventions in promoting physical activity and fitness in children and adolescents .
Relation between the changes in physical activity and body-mass index during adolescence: a multicentre longitudinal study
BACKGROUND The role of physical activity in preventing obesity during adolescence remains unknown . We examined changes in activity in relation to changes in body-mass index ( BMI ) and adiposity in a cohort of 1152 black and 1135 white girls from the USA , who were followed up prospect ively from ages 9 or 10 to 18 or 19 years . METHODS BMI and sum of skinfold thickness were assessed annually , whereas habitual activity was assessed at years 1 ( baseline ) , 3 , 5 , and 7 - 10 . Each girls ' overall activity status was categorised as active , moderately active , or inactive . Longitudinal regression models examined associations between changes in activity and in overall activity status with changes in BMI and in sum of skinfold thickness . FINDINGS Each decline in activity of 10 metabolic equivalent [MET]-times per week was associated with an increase in BMI of 0.14 kg/m2 ( SE 0.03 ) and in sum of skinfold thickness of 0.62 mm ( 0.17 ) for black girls , and of 0.09 kg/m2 ( 0.02 ) and 0.63 mm ( 0.13 ) for white girls . At ages 18 or 19 years , BMI differences between active and inactive girls were 2.98 kg/m2 ( p<0.0001 ) for black girls and 2.10 kg/m2 ( p<0.0001 ) for white girls . Similar results were apparent for sum of skinfold thickness . For moderately active girls , changes in BMI and sum of skinfold thickness were about midway between those for active and inactive girls . INTERPRETATION Changes in activity levels of US girls during adolescence significantly affected changes in BMI and adiposity . Thus , preventing the steep decline in activity during adolescence is an important method to reduce obesity
There was some evidence that school-based physical activity interventions had a positive impact on four of the nine outcome measures .
Specifically positive effects were observed for duration of physical activity , television viewing , VO2 max , and blood cholesterol .
Generally , school-based interventions had little effect on physical activity rates , systolic and diastolic blood pressure , BMI , and pulse rate .
At a minimum , a combination of printed educational material s and changes to the school curriculum that promote physical activity result ed in positive effects .
Few changes in outcomes were observed in this up date with the exception of blood cholesterol and physical activity rates .
For example blood cholesterol was no longer positively impacted upon by school-based physical activity interventions .
The evidence suggests the ongoing implementation of school-based physical activity interventions at this time , given the positive effects on behavior and one physical health status measure .
BACKGROUND The World Health Organization ( WHO ) estimates that 1.9 million deaths worldwide are attributable to physical inactivity and at least 2.6 million deaths are a result of being overweight or obese .
In addition , WHO estimates that physical inactivity causes 10 % to 16 % of cases each of breast cancer , colon , and rectal cancers as well as type 2 diabetes , and 22 % of coronary heart disease and the burden of these and other chronic diseases has rapidly increased in recent decades .
OBJECTIVES The purpose of this systematic review was to summarize the evidence of the effectiveness of school-based interventions in promoting physical activity and fitness in children and adolescents .