Effect of major school playground reconstruction on physical activity and sedentary behaviour: Camden active spaces

Abstract Background The physical school environment is a promising setting to increase children’s physical activity although robust evidence is sparse. We examined the effects of major playground reconstruction on physical activity and sedentary time in primary schools using a quasi-experimental des...

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Main Authors: Mark Hamer, Daniel Aggio, Georgina Knock, Courtney Kipps, Aparna Shankar, Lee Smith
Format: Article
Language:English
Published: BMC 2017-06-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-017-4483-5
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author Mark Hamer
Daniel Aggio
Georgina Knock
Courtney Kipps
Aparna Shankar
Lee Smith
author_facet Mark Hamer
Daniel Aggio
Georgina Knock
Courtney Kipps
Aparna Shankar
Lee Smith
author_sort Mark Hamer
collection DOAJ
description Abstract Background The physical school environment is a promising setting to increase children’s physical activity although robust evidence is sparse. We examined the effects of major playground reconstruction on physical activity and sedentary time in primary schools using a quasi-experimental design (comparison group pre-test/post-test design). Methods Five experimental and two control schools from deprived areas of inner city London were recruited at baseline. Main outcome was physical activity and sedentary time measured from objective monitoring (Actigraph accelerometer) at one year follow up. Pupils’ impressions of the new playground were qualitatively assessed post construction. Results A total of 347 pupils (mean age = 8 years, 55% boys; 36% Caucasian) were recruited into the study at baseline; 303 provided valid baseline Actigraph data. Of those, 231 (76%) completed follow-up (n = 169 intervention; n = 62 control) and 77.4% of the sample recorded at least 4 days of Actigraph wear. In mixed models adjusted for age, sex, ethnicity, ratio activity or sedentary/wear time at baseline, wear time at follow up, and school, no differences were observed in total moderate – vigorous activity (B = −1.4, 95% CI, −7.1, 4.2 min/d), light activity (B = 4.1, 95% CI, −17.9, 26.1), or sedentary time (B = −3.8, 95% CI, −29.2, 21.6 min/d) between groups. There were significant age interactions for sedentary (p = 0.002) and light intensity physical activity (p = 0.008). We observed significant reductions in total sedentary (−28.0, 95% CI, −1.9, −54.1 min/d, p = 0.037) and increases in total light intensity activity (24.6, 95% CI, 0.3, 48.9 min/d, p = 0.047) for children aged under 9 yrs. old in the intervention. Conclusion Major playground reconstruction had limited effects on physical activity, but reduced sedentary time was observed in younger children. Qualitative data suggested that the children enjoyed the new playgrounds and experienced a perceived positive change in well-being and social interactions.
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spelling doaj.art-f66c1500961e408498c2843dfd0992f52022-12-22T00:29:23ZengBMCBMC Public Health1471-24582017-06-011711810.1186/s12889-017-4483-5Effect of major school playground reconstruction on physical activity and sedentary behaviour: Camden active spacesMark Hamer0Daniel Aggio1Georgina Knock2Courtney Kipps3Aparna Shankar4Lee Smith5School of Sport, Exercise & Health Sciences, National Centre for Sport & Exercise Medicine, Loughborough UniversityDepartment of Epidemiology & Public Health, University College LondonDepartment of Epidemiology & Public Health, University College LondonInstitute Sport, Exercise & Health, University College London HospitalPopulation Health Research Institute, St. George’s, University of LondonThe Cambridge Centre for Sport and Exercise Sciences, Department of Life Sciences, Anglia Ruskin UniversityAbstract Background The physical school environment is a promising setting to increase children’s physical activity although robust evidence is sparse. We examined the effects of major playground reconstruction on physical activity and sedentary time in primary schools using a quasi-experimental design (comparison group pre-test/post-test design). Methods Five experimental and two control schools from deprived areas of inner city London were recruited at baseline. Main outcome was physical activity and sedentary time measured from objective monitoring (Actigraph accelerometer) at one year follow up. Pupils’ impressions of the new playground were qualitatively assessed post construction. Results A total of 347 pupils (mean age = 8 years, 55% boys; 36% Caucasian) were recruited into the study at baseline; 303 provided valid baseline Actigraph data. Of those, 231 (76%) completed follow-up (n = 169 intervention; n = 62 control) and 77.4% of the sample recorded at least 4 days of Actigraph wear. In mixed models adjusted for age, sex, ethnicity, ratio activity or sedentary/wear time at baseline, wear time at follow up, and school, no differences were observed in total moderate – vigorous activity (B = −1.4, 95% CI, −7.1, 4.2 min/d), light activity (B = 4.1, 95% CI, −17.9, 26.1), or sedentary time (B = −3.8, 95% CI, −29.2, 21.6 min/d) between groups. There were significant age interactions for sedentary (p = 0.002) and light intensity physical activity (p = 0.008). We observed significant reductions in total sedentary (−28.0, 95% CI, −1.9, −54.1 min/d, p = 0.037) and increases in total light intensity activity (24.6, 95% CI, 0.3, 48.9 min/d, p = 0.047) for children aged under 9 yrs. old in the intervention. Conclusion Major playground reconstruction had limited effects on physical activity, but reduced sedentary time was observed in younger children. Qualitative data suggested that the children enjoyed the new playgrounds and experienced a perceived positive change in well-being and social interactions.http://link.springer.com/article/10.1186/s12889-017-4483-5SchoolChildrenActive playQuasi-experimentalPhysical activity
spellingShingle Mark Hamer
Daniel Aggio
Georgina Knock
Courtney Kipps
Aparna Shankar
Lee Smith
Effect of major school playground reconstruction on physical activity and sedentary behaviour: Camden active spaces
BMC Public Health
School
Children
Active play
Quasi-experimental
Physical activity
title Effect of major school playground reconstruction on physical activity and sedentary behaviour: Camden active spaces
title_full Effect of major school playground reconstruction on physical activity and sedentary behaviour: Camden active spaces
title_fullStr Effect of major school playground reconstruction on physical activity and sedentary behaviour: Camden active spaces
title_full_unstemmed Effect of major school playground reconstruction on physical activity and sedentary behaviour: Camden active spaces
title_short Effect of major school playground reconstruction on physical activity and sedentary behaviour: Camden active spaces
title_sort effect of major school playground reconstruction on physical activity and sedentary behaviour camden active spaces
topic School
Children
Active play
Quasi-experimental
Physical activity
url http://link.springer.com/article/10.1186/s12889-017-4483-5
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