ArticleThe international journal of behavioral nutrition and physical activity2017
Children's physical activity during a segmented school week: results from a quasi-experimental education outside the classroom intervention.
Article in The international journal of behavioral nutrition and physical activity, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- School-related sedentary behaviours and indicators of health and well-being among children and youth: a systematic review.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Does Learning Through Movement Improve Academic Performance in Primary Schoolchildren? A Systematic Review.Frontiers in pediatrics · 2022Pooled it
- Immersive Nature-Experiences as Health Promotion Interventions for Healthy, Vulnerable, and Sick Populations? A Systematic Review and Appraisal of Controlled Studies.Frontiers in psychology · 2019Pooled it
- Efficacy of education outside the classroom to increase adolescent physical activity.Scientific reports · 2024Trial
- Associations between curriculum-based outdoor education and school-aged children's physical activity throughout the week.Health promotion international · 2026Article
- Education outside the classroom in Germany: An interdisciplinary multi-methods Study Protocol.PloS one · 2026Article
- Community participation, physical activity, and quality of life for children born very preterm.Developmental medicine and child neurology · 2025Article
- Article
- Physical activity interventions in European primary schools: a scoping review to create a framework for the design of tailored interventions in European countries.Frontiers in public health · 2024Article
- Efficacy and mechanisms of an education outside the classroom intervention on pupils' health and education: the MOVEOUT study protocol.BMC public health · 2023Article
- Compensation of overall physical activity in (pre)adolescent girls - the CReActivity project.Archives of public health = Archives belges de sante publique · 2022Article
- Compensation or Displacement of Physical Activity in Children and Adolescents: A Systematic Review of Empirical Studies.Children (Basel, Switzerland) · 2022Review
- Health-related quality of life, motivational regulation and Basic Psychological Need Satisfaction in Education Outside the Classroom: an explorative longitudinal pilot study.BMC public health · 2022Article
- The Association between Education Outside the Classroom and Physical Activity: Differences Attributable to the Type of Space?Children (Basel, Switzerland) · 2021Article
- Segmented sedentary time and physical activity patterns throughout the week from wrist-worn ActiGraph GT3X+ accelerometers among children 7-12 years old.Journal of sport and health science · 2020Article
- Curriculum-based outdoor learning for children aged 9-11: A qualitative analysis of pupils' and teachers' views.PloS one · 2019Article
- Wear-Time Compliance with a Dual-Accelerometer System for Capturing 24-h Behavioural Profiles in Children and Adults.International journal of environmental research and public health · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMovement integration (MI) into traditional classroom teaching is a promising opportunity for children to increase physical activity (PA). Education outside the classroom (EOtC) can be regarded as MI, and has increased children's PA in case studies. The aim of this study is to investigate the effects of EOtC on children's PA by segmenting weekly activity-related behavior into a range of day types and domains.
methodsIn a quasi-experimental design, 33 classes were recruited and participants' PA was objectively measured using accelerometers taped to the lower back. In total, 361 (10.89 ± 1.03 years) participants with 7 days of 24 h wear time per day were included in a day type PA analysis, and 194 of these participants (10.46 ± 0.99 years) provided information on time spent in specific domains (e.g. EOtC or recess) and were included in a domain-specific PA analysis. Differences in proportion of time spent in PA intensities were tested using mixed-effects regression models.
resultsMore moderate-to-vigorous physical activity (MVPA) occurred on days with physical education (PE) than days with EOtC (girls 0.79%, p = .001, CI = .26% to 1.31%; boys 1.35%, p = .003, CI = .32% to 2.38%), while no difference was found between EOtC days and school days without EOtC and PE. Light physical activity (LPA) was higher on EOtC days than school days without EOtC and PE (girls 2.43% p < .001, CI = 1.21% to 3.65%; boys 2.08%, p < .001, CI = .69% to 3.47%) and PE days (girls 2.18%, p < .001, CI = .80% to 3.56%; boys 2.40%, p < .001, CI = .83% to 3.96%). Comparing EOtC and classroom domains, boys proportionally spent 7.95% (p < .001, CI = 3.00% to 12.90%) more time in MVPA while no difference (p = 1.000) was measured for LPA, and girls had no difference (p = .176) in MVPA, but spent 9.76% (p < .001, CI = 7.12% to 12.41%) more time in LPA.
conclusionsEOtC was implemented without the provision of additional resources and with positive effects on PA. Findings suggest EOtC as a way to provide children with an additional opportunity to accumulate PA within the existing school setting.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.