Physical Activity Across the Curriculum (PAAC): a randomized controlled trial to promote physical activity and diminish overweight and obesity in elementary school children.

Physical Activity Across the Curriculum (PAAC): a randomized controlled trial to promote physical activity and diminish overweight and obesity in elementary school children.
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DOI:
10.1016/j.ypmed.2009.07.022
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发表时间:
2009-10
影响因子:
5.1
通讯作者:
Williams, Shannon L.
Williams, Shannon L.
中科院分区:
医学2区
文献类型:
--
作者:
Donnelly, Joseph E.;Greene, Jerry L.;Gibson, Cheryl A.;Smith, Bryan K.;Washburn, Richard A.;Sullivan, Debra K.;DuBose, Katrina;Mayo, Matthew S.;Schmelzle, Kristin H.;Ryan, Joseph J.;Jacobsen, Dennis J.;Williams, Shannon L.

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跨课程的体育活动(PAAC)是一项为期三年的随机对照试验,旨在促进小学儿童的体育活动并减少超重和肥胖的增加。24所小学被随机分组到PAAC干预或作为对照。所有二年级和三年级的孩子都被跟踪到四年级和五年级。PAAC提倡由任课教师每周提供90分钟的中等强度到高强度的体育活动学术课程。BMI是主要结局,每日PA和学习成绩是次要结局。PAAC组和对照组BMI的3年变化分别为2.0 ± 1.9和1.9 ± 1.9(NS)。然而,从基线到3年的BMI变化受到PAAC暴露的显著影响。与PAAC <75分钟的学校相比,PAAC ≥75分钟/周的学校在三年时BMI的增加显著较少(1.8 ± 1.8 vs. 2.4 ± 2.0,p=0.02)。PAAC学校在日常PA和学业成绩分数上有更大的变化。PAAC方法可以促进小学儿童的日常PA和学业成绩。此外,75分钟的PAAC活动可以减轻BMI的增加。
Physical Activity Across the Curriculum (PAAC) was a three-year cluster randomized controlled trial to promote physical activity and diminish increases in overweight and obesity in elementary school children. Twenty-four elementary schools were cluster randomized to the PAAC intervention or served as control. All children in grades two and three were followed to grades four and five. PAAC promoted 90 minutes/wk of moderate to vigorous intensity physically active academic lessons delivered by classroom teachers. BMI was the primary outcome, daily PA and academic achievement were secondary outcomes. The three-year change in BMI for PAAC was 2.0 ± 1.9 and control 1.9 ± 1.9, respectively (NS). However, change in BMI from baseline to three years was significantly influenced by exposure to PAAC. Schools with ≥75 minutes of PAAC/wk showed significantly less increase in BMI at three years compared to schools that had <75 minutes of PAAC (1.8 ± 1.8 vs. 2.4 ± 2.0, p=0.02). PAAC schools had significantly greater changes in daily PA and academic achievement scores. The PAAC approach may promote daily PA and academic achievement in elementary school children. Additionally, 75 minutes of PAAC activities may attenuate increases in BMI.
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