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Table 6 Effectiveness of policies on physical inactivity

From: Impact of school policies on non-communicable disease risk factors – a systematic review

Study

Design

Policy

Outcomes

Specific outcome

Impact

(+) Favorable and significant change

(=) No change

Strength of Association

Anthamatten et al., 2011 [43]

Case-control

Physical Activity (learning landscape program) (Renovation of school grounds)

Utilization of school yards for Physical Activity

Overall utilization of school yards

+

Mean difference: 7.0 p = 0.003

Covelli, 2008 [27]

Quasi-experimental

Integration of health promotion in existing curriculum (Provision of cognitive behavioral components of health knowledge, health promotion concepts, nutrition, and exercise).

Exercise

Exercise per week

+

Intervention group: Mean Baseline (2.6 (SE:0.9) Follow up 4.5 (SE: 1.4))

Control group: Mean Baseline (2.1 (SE(0.8) Follow up 2.2 (SE 0.1)) p = 0.001

Gibson et al., 2008 [44]

RCT

Physical Activity Across the Curriculum (PACC) - 90 mins moderate intensity physical activity delivered as part of academic instruction

Physical activity

Levels of physical activity

+

Intervention students 3.40 ± 0.02 vs control students 2.17 ± 0.03, p < 0.0001

Harris et al., 1997 [34]

Quasi-experimental

Modified school lunches, Enhanced nutrition education and increased opportunities for physical activities

Physical activity

Fitness levels

=

Pretest (18%) to post-test (29%) (p = 0.29)

Holt et al., 2013 [45]

Quasi-experimental

District mandated Physical Activity Policy (20 min)

Physical activity: Walk/run, Movement activity

Walk/run

+

Not reported

Movement

=

Not reported

Llargues et al., 2011 [23]

RCT

Teacher Training, Develop activities related to food habits and/or physical activity

Physical activity

Walking to school

+

No changes: Control 83% Intervention: 73.4% p < 0.05

Exercise

+

No changes: Control 74.2% Intervention: 76.4% p < 0.05

Manios et al., 1999 [24]

RCT

Multicomponent workbooks covering dietary issues, physical activity and fitness, dental health hygiene, smoking and accident prevention

Leisure time physical activity

Leisure-time MVPA

+

Intervention (Baseline 0.9) (Follow up 2.8) Control (Baseline 1.4) (Follow up 2.0)

O’Brien et al., 2010 [35]

Cross-sectional

Comprehensive school health education, physical education and physical activity, school nutrition and food services, health promotion and wellness, school counselling physical and behavioral health services, school climate, physical environment, youth, parent, family and community involvement

Physical activity

TV viewing >2 h/day

+

Odds ratio: 0.95 p = 0.28

Vandongen et al., 1995 [26]

Cross-sectional

Fitness, fitness + school nutrition, school based nutrition, school + home nutrition, home based nutrition

Fitness

Leger score

+

Means: Leger score (Intervention Baseline: 43.2 (41.9, 44.4) Follow up: 44.7 (43.2, 46.2) Control Baseline: 42.2 (38.6, 45.7) Follow up: 41.0 (37.2, 44.9)

Run time (minutes)

+

Means:

Run time (Intervention Baseline: 9.9 (9.8, 10.1) Follow up: 9.6 (9.4, 9.8) Control Baseline: 10.4 (9.9, 10.7) Follow up: 9.9 (9.4, 10.4)