Physical Education and Sports Science Academic Group, National Institute of Education, Nanyang Technological University, 1 Nanyang Walk, Singapore, 637616, Singapore.
School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, 4072, Australia.
BMC Public Health. 2018 Apr 2;18(1):433. doi: 10.1186/s12889-018-5320-1.
BACKGROUND: Regular participation in moderate-to-vigorous physical activity (MVPA) is important to manage obesity. Physical education (PE) is considered to play an important role in promoting lifelong participation in physical activity (PA) because it provides an existing network where cost-effective interventions can be implemented to produce sustainable change in health behavior. However, the association between compulsory school PA (e.g., PE lessons) and body composition levels has received mixed support in the literature. Therefore, the present study aimed to investigate whether a school-based intervention targeting salient PA benefits and barriers grounded on the theory of planned behavior would promote young people's participation in MVPA during leisure time and reduce body mass index (BMI) of overweight students. METHODS/DESIGN: A total of 171 students from 3 secondary schools in Singapore underwent the control condition followed by the intervention condition. Both the conditions consisted of PE lessons twice per week over 4 weeks. In the control condition, PE teachers encouraged students to participate in PA during leisure time without providing persuasive message. While in the intervention condition, PE teachers delivered persuasive messages that targeted the salient benefits and barriers associated with PA to the students at the last 5 to 10 min of each PE lesson. PA levels over a week were measured objectively with wrist-mounted GENEActiv Original accelerometers and subjectively with self-reporting questionnaires three times (Baseline, Post 1, and Post 2) in each condition. Student's self-reported PA level was measured using the Leisure-Time Physical Activity Participation Questionnaire and the International Physical Activity Questionnaire, and their attitudes, intentions, subjective norms and perceived behavior control towards leisure-time PA were measured with a questionnaire based on the theory of planned behavior. Furthermore, students' intention, determination and willingness to engage in leisure-time PA were compared with the other activity (e.g., doing homework, shopping). DISCUSSION: This study will provide the evidence on the effectiveness of a cost-effective school-based intervention on reducing BMI of overweight students through promoting sustained participation in leisure-time PA. It will also address methodological issues on the gaps between objective and subjective measures of PA. TRIAL REGISTRATION: This trial is registered with the ISRCTN registry (ISRCTN73786157, 26/10/2017, retrospectively registered).
背景:定期进行中等到剧烈的身体活动(MVPA)对控制肥胖很重要。体育教育(PE)被认为在促进终身参与身体活动(PA)方面发挥着重要作用,因为它提供了一个现有的网络,可以在其中实施具有成本效益的干预措施,以实现健康行为的可持续改变。然而,强制性学校 PA(例如,体育课)与身体成分水平之间的关联在文献中得到的支持并不一致。因此,本研究旨在调查针对基于计划行为理论的显著 PA 益处和障碍的基于学校的干预措施是否会促进年轻人在闲暇时间内参与 MVPA,并降低超重学生的体重指数(BMI)。
方法/设计:新加坡的 3 所中学的 171 名学生经历了对照条件,然后是干预条件。在这两种情况下,每周进行两次体育课,共进行 4 周。在对照条件下,体育老师鼓励学生在闲暇时间参与 PA,而没有提供有说服力的信息。而在干预条件下,体育老师在每节体育课的最后 5 到 10 分钟内向学生传达针对 PA 的相关益处和障碍的有说服力的信息。在每个条件下,使用腕戴 GENEActiv Original 加速度计客观测量一周内的 PA 水平,并使用自我报告问卷进行三次主观测量(基线、第 1 次和第 2 次)。学生的自我报告 PA 水平使用休闲时间身体活动参与问卷和国际身体活动问卷进行测量,他们对休闲时间 PA 的态度、意图、主观规范和感知行为控制使用基于计划行为理论的问卷进行测量。此外,学生对休闲时间 PA 的意图、决心和意愿与其他活动(例如,做作业、购物)进行了比较。
讨论:本研究将提供有关通过促进持续参与闲暇时间 PA 来降低超重学生 BMI 的成本效益高的基于学校的干预措施的有效性的证据。它还将解决客观和主观 PA 测量之间差距的方法学问题。
试验注册:本试验在 ISRCTN 注册中心注册(ISRCTN73786157,2017 年 10 月 26 日,回顾性注册)。
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