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dc.contributor.authorLove, Rebeccaen
dc.contributor.authorAdams, Jeanen
dc.contributor.authorVan Sluijs, Estheren
dc.date.accessioned2019-01-29T00:30:51Z
dc.date.available2019-01-29T00:30:51Z
dc.date.issued2019-06en
dc.identifier.issn1467-7881
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/288463
dc.description.abstractThe prevalence of childhood obesity is increasing at epidemic rates globally, with widening inequalities between advantaged and disadvantaged groups. Despite the promise of schools as a universal context to access and influence all children, the potential of school-based interventions to positively impact children’s physical activity behaviour, and obesity risk, remains uncertain. We searched six electronic databases to February 2017 for cluster randomised trials of school-based physical activity interventions. Following data extraction authors were sent re-analysis requests. For each trial a mean change score from baseline to follow-up was calculated for daily minutes of accelerometer-assessed MVPA, for the main effect, by gender, and by SEP. Twenty-five trials met the inclusion criteria; seventeen trials provided relevant data for inclusion in the meta-analyses. The pooled main effect for daily minutes of MVPA was non-existent and non-significant. There was no evidence of differential effectiveness by gender or SEP. This review provides the strongest evidence to date that current school-based efforts do not positively impact young people’s physical activity across the full day, with no difference in effect across gender and SEP. Further assessment and maximization of implementation fidelity is required before it can be concluded that these interventions have no contribution to make.
dc.format.mediumPrint-Electronicen
dc.languageengen
dc.publisherWiley-Blackwell
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectHumansen
dc.subjectExerciseen
dc.subjectCluster Analysisen
dc.subjectSocioeconomic Factorsen
dc.subjectPhysical Education and Trainingen
dc.subjectSchoolsen
dc.subjectAdolescenten
dc.subjectChilden
dc.subjectFemaleen
dc.subjectMaleen
dc.subjectRandomized Controlled Trials as Topicen
dc.subjectHealth Status Disparitiesen
dc.subjectAccelerometryen
dc.subjectPediatric Obesityen
dc.titleAre school-based physical activity interventions effective and equitable? A meta-analysis of cluster randomized controlled trials with accelerometer-assessed activity.en
dc.typeArticle
prism.endingPage870
prism.issueIdentifier6en
prism.publicationDate2019en
prism.publicationNameObesity reviews : an official journal of the International Association for the Study of Obesityen
prism.startingPage859
prism.volume20en
dc.identifier.doi10.17863/CAM.34177
dcterms.dateAccepted2018-11-21en
rioxxterms.versionofrecord10.1111/obr.12823en
rioxxterms.versionVoR
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2019-06en
dc.contributor.orcidLove, Rebecca [0000-0003-3859-4417]
dc.contributor.orcidAdams, Jean [0000-0002-5733-7830]
dc.contributor.orcidvan Sluijs, Esther [0000-0001-9141-9082]
dc.identifier.eissn1467-789X
rioxxterms.typeJournal Article/Reviewen
pubs.funder-project-idWellcome Trust (087636/Z/08/Z)
pubs.funder-project-idESRC (ES/G007462/1)
pubs.funder-project-idMRC (MC_UU_12015/7)
pubs.funder-project-idMRC (MR/K023187/1)


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Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International