Effects of In-Classroom Physical Activity Breaks on Children's Academic Performance, Cognition, Health Behaviours and Health Outcomes: A Systematic Review and Meta-Analysis of Randomised Controlled Trials.
D L I H K PerisYanping DuanCorneel Vandelanotte PhDWei LiangMin YangJulien Steven BakerPublished in: International journal of environmental research and public health (2022)
In-Classroom physical activity breaks (IcPAB) are a promising way to promote children's health behaviors, while contributing to the development of their academic and cognitive ability and health outcomes. Yet the effect of the activity breaks, which are exclusive to classroom settings, are still mixed and unclear. Hence, this review was conducted to identify the characteristics and the effects of IcPAB among primary school children. The review protocol was registered on PROSPERO (CRD42021234192). Following the Cochrane guidelines, PubMed, PsycINFO (ProQuest), MEDLINE (EBSCOhost), Embase/Ovid, SportDISCUS (EBSCOhost), Web of Science, Scopus and Academic Search Premier (EBSCOhost) databases were searched to collect data on randomised control trials without a time restriction. The final database search was conducted on the 8 November 2021. Random effects models were used to calculate the effect sizes. The systematic review identified ten eligible studies, nine of which were also included in the meta-analysis. Few studies used the theoretical frameworks and process evaluations. IcPAB showed mixed effectiveness on academic outcomes: i.e., IcPAB had effects on spelling performance ( p < 0.05) and foreign language learning ( p < 0.01) but not on mathematics and reading performance. Health behaviors such as moderate-to-vigorous physical activity levels were improved ( p < 0.01), but IcPAB did not have an impact on cognition outcomes and health outcomes. Given these mixed results, further research is needed underpinned by strong methodological quality, theoretical underpinnings and reliable process evaluation methods.
Keyphrases
- physical activity
- systematic review
- public health
- healthcare
- meta analyses
- case control
- mental health
- health information
- body mass index
- randomized controlled trial
- young adults
- clinical trial
- health promotion
- autism spectrum disorder
- electronic health record
- big data
- multiple sclerosis
- open label
- sleep quality
- working memory
- machine learning
- adipose tissue
- deep learning
- quality improvement
- adverse drug
- clinical practice
- data analysis
- artificial intelligence
- weight loss
- placebo controlled