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      Playground activities and gender variation in objectively measured physical activity intensity in Australian primary school children: a repeated measures study

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          Abstract

          Background

          Recent studies have sought to address the limited time for physical activity by focusing on increasing physical activity intensity among students during non-curricula periods and specifically school break times. We objectively measured the intensity of student physical activity (PA) during recess and lunch breaks at primary schools in the Western Sydney region of New South Wales (NSW), Australia using a 12-month repeated measures observation design study.

          Methods

          Systematic direct observation of recess and lunch breaks over a ten-week period in 2014 and 2015. 120 recess and lunch breaks across twenty schools (2014) with 839 periodic observations and across 15 schools with 587 periodic observations in 2015. Both observation periods were conducted over 10-weeks in Term 4 (September – December).

          Results

          The mean proportion of vigorous physical activity reported as a percentage (%VPA) across both time points was 16.6% (SD = 23.4). 36.8% (SD = 26.0) of time was spent walking and the remaining time (46.6%; SD = 30.4) was spent in sedentary activities. There was a significant decline in %VPA and increase in sedentary activity ( p < 0.01) between the two time periods of measurement. In 2014, boys spent twice as much time in %VPA than girls during breaks in the school day and in 2015 this increased to nearly three times as much time in %VPA. %VPA also varied on the type of surface PA took place and the types of activities the children were allowed to undertake during breaks.

          Conclusions

          Recess and lunch breaks potentially offer an opportunity for children to participate in unstructured PA during the school day. Substantial variations in the %VPA during these periods exist. Addressing playground gender participation disparities and space usability/accessibility may be a necessary first step in promoting higher PA intensities during breaks.

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          Most cited references12

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          A review of the relation of aerobic fitness and physical activity to brain structure and function in children.

          A growing number of schools have increasingly de-emphasized the importance of providing physical activity opportunities during the school day, despite emerging research that illustrates the deleterious relationship between low levels of aerobic fitness and neurocognition in children. Accordingly, a brief review of studies that link fitness-related differences in brain structure and brain function to cognitive abilities is provided herein. Overall, the extant literature suggests that childhood aerobic fitness is associated with higher levels of cognition and differences in regional brain structure and function. Indeed, it has recently been found that aerobic fitness level even predicts cognition over time. Given the paucity of work in this area, several avenues for future investigations are also highlighted.
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            The effect of school recess interventions on physical activity : a systematic review.

            The benefits of physical activity to maintain optimal health and well-being in children and adolescents are undisputed. The school environment offers opportunities for children to be physically active. The aim of this review is to systematically examine the effects of recess-based interventions on the physical activity (PA) levels of school-aged children and adolescents. A systematic literature search was conducted to identify papers reporting interventions to promote PA during school recess and/or lunchtime periods. The search was conducted in six databases (PubMed, SPORTDiscus™, Web of Science, Proquest, Cochrane and Scopus) for papers published between January 2000 and April 2011. Articles were included in the review if (i) they reported the findings of an intervention targeting PA levels of children and/or adolescents during school recess and/or lunchtime; (ii) have a measure of PA as an outcome variable; (iii) participants were aged between 5 and 18 years; and (iv) were published in English. Two authors independently searched the literature using the same search strategies to identify papers reporting interventions that promote PA during school recess and lunchtime periods. Methodological quality was assessed using an adapted eight item assessment scale. The effects of the interventions were assessed with a rating system used in a recent review of interventions in youth. The search originally retrieved 2,265 articles. Nine published peer-reviewed journal articles met the inclusion criteria for this review. Eight studies used randomized controlled trials and one was a controlled trial. Three studies demonstrated high methodological quality (33%). None of the studies adequately reported the randomization procedure or used power calculations. Few studies reported potential confounders and three studies had less than a 6 week follow-up. Five studies demonstrated a positive intervention effect on children's PA levels, with four reporting statistically significant increases and two reporting significant decreases in recess PA. The summary of the levels of evidence for intervention effects found inconclusive results for all intervention types, though promising strategies that require further investigation were identified. Whilst every effort was made to ensure that this review was as encompassing as possible, it may be limited by its search terms especially if there were studies with unclear titles or abstracts. In addition, only manuscripts published in English were considered, eliminating any possible studies published in other languages. All of the studies used an objective measure to assess PA outcomes, although several criteria were consistently absent from the studies. The levels of evidence were not sufficient to establish conclusive intervention effects on children's recess PA. This could be due to the small number of published studies. There is a need for higher-quality intervention research to strengthen published findings to inform recess PA interventions. Intervention research is needed in adolescents due to the absence of school recess intervention research in this population.
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              Sex differences in human motor activity level.

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                Author and article information

                Contributors
                +61 2 98504850 , dean.dudley@mq.edu.au
                wayne.cotton@sydney.edu.au
                louisa.peralta@sydney.edu.au
                mwinslade@csu.edu.au
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                10 September 2018
                10 September 2018
                2018
                : 18
                : 1101
                Affiliations
                [1 ]ISNI 0000 0001 2158 5405, GRID grid.1004.5, Department of Educational Studies, , Faculty of Education Studies, Macquarie University, ; 1 University Ave Macquarie University NSW, Sydney, 2109 Australia
                [2 ]ISNI 0000 0004 1936 834X, GRID grid.1013.3, Sydney School of Education and Social Work, , University of Sydney. University of Sydney NSW 2006, ; Sydney, Australia
                [3 ]ISNI 0000 0004 1936 834X, GRID grid.1013.3, Sydney School of Education and Social Work, , University of Sydney. University of Sydney NSW 2006, ; Sydney, Australia
                [4 ]ISNI 0000 0004 0368 0777, GRID grid.1037.5, School of Teacher Education, Charles Sturt University. Panorama Ave Bathurst, ; Bathurst, NSW Australia
                Author information
                http://orcid.org/0000-0001-5140-9533
                Article
                6005
                10.1186/s12889-018-6005-5
                6131763
                30200908
                3e5264ab-d2f5-4f8d-8983-6126ee160442
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 31 January 2018
                : 30 August 2018
                Funding
                Funded by: Cancer Institute NSW (AU)
                Funded by: FundRef http://dx.doi.org/10.13039/501100001102, Cancer Council NSW;
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2018

                Public health
                children,health promotion,playgrounds,new south wales,observational study
                Public health
                children, health promotion, playgrounds, new south wales, observational study

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