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[体育课干预对减少青少年久坐行为的影响]

[Effect of an intervention in physical education classes on the reduction of sedentary behavior in adolescents].

作者信息

Brito Anísio Luis da Silva, Tassitano Rafael Miranda, Mélo Edilânea Nunes, Santos Simone José Dos, Mota Jorge, Barros Mauro Virgílio Gomes de

机构信息

Centro Universitário Maurício de Nassau, Caruaru, Brasil.

- University of Illinois at Urbana Champaign, Urbana, U. S. A.

出版信息

Cad Saude Publica. 2024 Dec 20;40(11):e00211023. doi: 10.1590/0102-311XPT211023. eCollection 2024.

Abstract

This study aimed to analyze the effect of different intervention strategies in physical education classes on the reduction of sedentary time. This is a randomized, school-based intervention with factorial characteristics, carried out with freshmen high school students from 11 full-time schools, allocated in three intervention situations: (A) schools with two extra physical education classes per week; (B) schools with training and engagement actions for physical education teachers; (C) Schools with both A and B strategies; and (D) a group of control schools. Accelerometry was used to obtain the effect measure of the main outcome (sedentary behavior). Linear regression was used to analyze the time variation in sedentary behavior between baseline and post-intervention, as well as to analyze potential mediating factors of the relation between exposure and outcome. A total of 1,295 students participated in the study. Intervention B significantly reduced the time in sedentary behavior of boys (61.5 minutes, p < 0.01) and girls (34.8 minutes, p = 0.04) when compared to the control group, showing respectively medium (0.61) and small (0.32) effect size. The reduction in time in sedentary behavior among students in group B was significantly mediated by reduced lack of motivation (AMO) (boys c: -0.402, and girls c: -0.376). The offer of continuing training for physical education teachers proved to be a fundamental strategy to reduce the sedentary time of adolescents, which was mediated by the AMO reduction for physical education classes.

摘要

本研究旨在分析体育课中不同干预策略对减少久坐时间的影响。这是一项基于学校的具有析因特征的随机干预研究,对象为来自11所全日制学校的高中新生,分为三种干预情况:(A)每周增加两节体育课的学校;(B)对体育教师进行培训和开展参与活动的学校;(C)同时采用A和B策略的学校;以及(D)一组对照学校。采用加速度计获取主要结局(久坐行为)的效果指标。使用线性回归分析基线和干预后久坐行为的时间变化,以及分析暴露与结局之间关系的潜在中介因素。共有1295名学生参与了该研究。与对照组相比,干预B显著减少了男生(61.5分钟,p<0.01)和女生(34.8分钟,p = 0.04)的久坐时间,效应量分别为中等(0.61)和小(0.32)。B组学生久坐时间的减少显著地由缺乏动机(AMO)的降低所介导(男生c:-0.402,女生c:-0.376)。事实证明,为体育教师提供持续培训是减少青少年久坐时间的一项基本策略,这是通过减少体育课的AMO来介导的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35d4/11654100/4d3503bb7e20/1678-4464-csp-40-11-PT211023-gf1.jpg

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