www.activelivingresearch.org increasing physical activity at school: evidence-based approaches james...

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www.activelivingresearch.org Increasing Physical Activity At School: Evidence-Based Approaches James F. Sallis, Ph.D. San Diego State University www.activelivingresearch.org An Active Living Program supported by The Robert Wood Johnson Foundation and administered by San Diego State University. www.activelivingresearch.org

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www.activelivingresearch.org

Increasing Physical Activity

At School: Evidence-Based

ApproachesJames F. Sallis, Ph.D.

San Diego State University

www.activelivingresearch.org An Active Living Program supported by The Robert Wood Johnson Foundation

and administered by San Diego State University.

www.activelivingresearch.org

www.activelivingresearch.org

49%

35%

10%

3.4%

10%5.4%

0%

20%

40%

60%

6-11 12-15 16-19

Age

Percentage of youth ages 6-19 meeting 60 min/day physical activity guidelines.

Based on accelerometers. NHANES 2003-4

Males

Females

Troiano, MSSE, 2007

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Evidence-Based Strategiesto get children more active in schools

– Physical Education– Classroom activity

breaks– Policy & Environmental

Changes– Active commuting to

school– After-school programs– Community use of

school facilities– Health Education

Curricula

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Importance of PE• One time during day all children,

regardless of race/income, can be active• If child has no access to park or sports,

PE is only opportunity for activity• Importance of PE recognized by:

– Institute of Medicine Report on Childhood Obesity

– Centers for Disease Control

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Benefits of PEMental and physical health

Obesity prevention, weight loss maintenance

Academic performance

Concentration

Class room behavior

Opportunity to learn– Social skills & Teamwork– Discipline

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What PE is—too often

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What PE should be

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All Kids Should Be Active in PE(50% of class time)

And Learn Skills

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PE classes in lower income schools spend less time being active.

Yancey. www.calendow.orgPercent (%) of time in MVPA,

by percent % of students eligible for Free and Reduced Price Lunch (FRPL)

43%

34%

0%

10%

20%

30%

40%

50%

0-74% 75-100%

Percent (%) of students eligible for FRPL

Per

cen

t (%

) o

f P

E t

ime

in M

VP

A

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Avg. amount of PE class time in MVPAby class size (secondary schools only)

37.0%33.1%

26.5%22.4%

0%

7%

15%

22%

30%

37%

% o

f cl

ass

tim

e P

A≥

3

<=25 26-35 36-45 >45

Class Size

The amount of P.E. class time that students were physically active was less in larger classes.

N=6 N=12 N=12 N=10

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Evidence-based PE is Available

• Elementary schools

• Middle schools

• High schools

• CATCH• SPARK

• M-SPAN (SPARK)• TAAG

• LEAP

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www.sparkpe.org

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SPARK Intervention

PE classes emphasize – Movement for all– Sports skills– Enjoyment

Self-management classes– Taught behavior change skills– Included weekly activity goals– Involved families

Staff development prepared teachers to implement the curricula

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Physical Education “Hall of Shame”

• Standing in line waiting for a turn

• “Picking” teams

• Using activity to punish students

• Focusing on star athletes

• Grouping by gender

• Sharing 1 ball with 30 close friends

• Big people throwing balls at little people!

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So What is Good PE?”

• Inclusive

• Highly Active

• Success in learning

sports skills

• Fun!

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Part 1: Health-Related Fitness Activities

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Part 2: Skill-Related Activities

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SPARK Effects on PE Class Time & Observed Physical Activity

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22.7

18.1

12.6

0

5

10

15

20

25

PES TT CO

Per

cent

Gai

n

Catch, throw, & kick gains after 6 months

(McKenzie et al., 1998; JTPE)

Motor Skill Gains: SPARK

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30

34

38

42

46

1 9 13 19

PES

TT

CO

Nu

mb

er /

Min

ute

Month

Boy’s Sit-Ups

(Sallis et al., 1998; AJPH)

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Comparing SPARK & controls on standardized

tests:

-4 better, 1 worse, 3 no difference

Increasing PE from 32 to 98 or 109

min/week did not reduce academic

performance

Effects on Academic Achievement3-Year Changes in Percentile Rank

Effects on Academic Achievement3-Year Changes in Percentile Rank

(Sallis et al, RQES, 1999)

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SPARK Outcomes

PE specialists>trained classroom teachers> controls• Improved quality of PE instruction• Increased physical activity in PE• Improved cardiorespiratory & muscle

fitness• Improved sports skills• Positive impact on academic achievement• Students enjoyed SPARK lessons

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SPARK DisseminationSince 1994 we have been training teachers to use SPARK

Programs offered– Early Childhood thru High School PE– Active Recreation

900 trainings annually; 1000s of schools

>1.5 million children per day in SPARK

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Sustainability of SPARK

• Independent evaluation conducted by U. of South Carolina

• Mailed survey completed by teachers at 111 schools

• 75% used SPARK more than 2 years• SPARK users taught PE more

frequently (3.4 days/wk) than non-users (2.7 days/wk)

Res Quart Exerc Sport (Dowda et al, 2005)

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M-SPAN: Effects on MVPA in PE

1012141618202224

Baseline Year 1 Year 2

Int-BoysCo-BoysInt-GirlsCo-Girls

MV

PA

M

in

Per

Les

son

N=12 Intervention & 12 Control Schools; 1847 lessons

(b) p=.009; d=.98

(g) p=.08; d=.68

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Creating Activity-Friendly School Environments

• Recess is more active when there is equipment & trained supervisors

• Equipment and supervision can be effective before school, after lunch, & after school

• Playground markings can stimulate more activity

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Improving activity during recess• Stratton et al. from the UK conducted

several studies showing simple markings on elementary playgrounds increases PA about 18 min/day

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Elementary students' on-task classroom behavior improves with physical activity breaks

breaks withno physical activity

-3%

physical activity breaks,

students overall

8%

physical activity breaks, off-task

students

20%

-5%

0%

5%

10%

15%

20%

25%

Pe

rce

nt

imp

rov

em

en

t in

on

-ta

sk

be

ha

vio

r

Mahar, Murphy, et al., Medicine and Science in Sports and Exercise, 2006

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Summary• Step 1 is to make sure students have PE every

day• Step 2 is to make sure PE classes are active &

fun• This requires teacher training, time in the

schedule, & sufficient equipment and space• We know how to make school PE better; now we

need political will & resources• Classroom activity breaks get students more

active & improve academic achievement• Supervision & equipment make recess more

active for children

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Resources• SPARK PE

• www.sparkpe.org

• CATCH PE• http://www.catchinfo.org/aboutusmain.asp

• Research briefs on improving PE• http://www.calendow.org/Article.aspx?id=3920

• Research brief on PE link with academics• http://

www.activelivingresearch.org/files/Active_Ed_Summer2009.pdf

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More of this

Less of thisMy Vision for The Future

www.drjamessallis.sdsu.edu www.sparkpe.org