Lifelink Hospital, P.O. Box 3074, Kampala, Uganda.
Deputy Head of Research Department, Infectious Diseases Institute, Makerere University, P. O. Box 22418, Kampala, Uganda.
BMC Public Health. 2023 Feb 11;23(1):314. doi: 10.1186/s12889-023-15216-7.
Globally, school-going children spend most of their days at school, sitting in lessons and unable to achieve the daily WHO recommendations for Physical Activity (PA) of at least 60 minutes per day. Limited studies have assessed the opportunities schools provide for PA to help the children achieve their daily recommended PA. We determined the level of and the factors associated with PA offered in primary schools in Makindye Division in Kampala during the school term.
This cross-sectional study was conducted in 36 selected government and private primary schools in Makindye Division, Kampala. PA was defined as the amount of time in minutes available for PA as per WHO recommendations - sufficient (60 minutes or more of PA) or insufficient (less than 60 minutes of PA) and assessed for any factors associated with provision of time for PA in schools. Data were collected by interview administered questionnaires and analysed descriptively. Factors associated with PA were assessed using a logistic regression model.
Of the 36 schools, 3 were government and 33 were private schools. The proportion of schools offering sufficient time for PA among Primary schools in the Makindye Division was (8/36) 22%. The average time for PA for all schools per week was 197 minutes (SD 70.7). Sufficient PA was associated with the provision of PE lessons after a break or after lunch (p-value 0.038). Sufficient PA was more likely in schools that offered volleyball (OR 8.69), had space in the school for PA (OR 13.27), provided athletics (OR 2.26) and whose fees were Ushs 700,000 (USD 187) or more (OR 1.30).
Only 22% of sampled schools offered sufficient time for PA among Primary schools in Kampala per WHO guidelines. Provision of sufficient time for PA was associated with PE scheduled either after break or lunch. Sufficient PA was more likely with schools that had space for PA, schools which offered volleyball and athletics, and whose fees were 700,000/= or more. Schools should consider scheduling PE lessons after break or after lunch to increase the likelihood of meeting the targeted time for PA. Primary schools need to be supported to establish facilities and to increase diversity in available activities to ensure children achieve their recommended PA.
在全球范围内，上学的孩子们每天大部分时间都在学校里，坐在教室里，无法达到世界卫生组织（WHO）建议的每天至少 60 分钟的身体活动（PA）。有限的研究评估了学校提供的 PA 机会，以帮助孩子们达到他们每天推荐的 PA。我们确定了在坎帕拉马金迪耶分区的小学在上学期间提供的 PA 水平和与 PA 相关的因素。
这项横断面研究在坎帕拉马金迪耶分区的 36 所选定的政府和私立小学进行。PA 被定义为根据 WHO 建议可用于 PA 的时间（60 分钟或以上的 PA）或不足（少于 60 分钟的 PA），并评估与学校提供 PA 时间相关的任何因素。数据通过访谈式问卷收集，并进行描述性分析。使用逻辑回归模型评估与 PA 相关的因素。
在 36 所学校中，有 3 所为政府学校，33 所为私立学校。马金迪耶分区小学提供足够 PA 时间的学校比例为（8/36）22%。所有学校每周 PA 的平均时间为 197 分钟（SD 70.7）。课间或午饭后提供体育课（p 值 0.038）与提供足够的 PA 相关。在提供排球（OR 8.69）、学校有 PA 空间（OR 13.27）、提供田径（OR 2.26）和收费为 700,000/=（USD 187）或更高（OR 1.30）的学校中，更有可能进行足够的 PA。
在坎帕拉的小学中，只有 22%的抽样学校根据世界卫生组织的指导方针提供足够的 PA 时间。提供足够的 PA 时间与课间或午饭后安排的体育课有关。在有 PA 空间的学校、提供排球和田径的学校以及收费为 700,000/=或更高的学校中，更有可能进行足够的 PA。学校应考虑在课间或午饭后安排体育课，以增加达到目标 PA 时间的可能性。小学需要得到支持，以建立设施并增加现有活动的多样性，以确保儿童达到他们推荐的 PA。
