Evidence map›Paper›PMID 34011376›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2021

Associations between elementary and middle school teachers' physical activity promoting practices and teacher- and school-level factors.

Ann Pulling Kuhn, Edward Kim, Hannah G Lane, Yan Wang, Rachel Deitch, Lindsey Turner, Erin R Hager, Elizabeth A Parker

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The international journal of behavioral nutrition and physical activity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03432715 (Approaches to Enhancing Wellness Policy Implementation in Schools to Promote Healthy Behaviors and Prevent Obesity), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

NCT03432715 nacompletednot on this map

Approaches to Enhancing Wellness Policy Implementation in Schools to Promote Healthy Behaviors and Prevent Obesity

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2017 to 2021Enrolled2,773ConditionsObesity, ChildhoodArmsStudent Wellness Champions, Teacher Wellness Champions
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Acute Physical Exercise Reduces Mental Stress-Induced Responses in Teachers.International journal of environmental research and public health · 2025
    Article
  4. Article
  5. A Systematic Approach to Treating Early Metabolic Disease and Prediabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023
    Article
  6. Article
  7. Staff Involvement and Family and Community Engagement.Journal of physical education, recreation & dance · 2022
    Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Ann Pulling KuhnGrowth and Nutrition Division, Department of Pediatrics, University of Maryland School of Medicine, 737 Lombard St, Baltimore, MD, 21201, USA.
Edward KimUniversity of Maryland, Baltimore, Baltimore, MD, 21201, USA.
Hannah G LaneDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, 27705, USA.
Yan WangGrowth and Nutrition Division, Department of Pediatrics, University of Maryland School of Medicine, 737 Lombard St, Baltimore, MD, 21201, USA.
Rachel DeitchGrowth and Nutrition Division, Department of Pediatrics, University of Maryland School of Medicine, 737 Lombard St, Baltimore, MD, 21201, USA.
Lindsey TurnerBoise State University, College of Education, Boise, ID, 83725, USA.
Erin R HagerGrowth and Nutrition Division, Department of Pediatrics, University of Maryland School of Medicine, 737 Lombard St, Baltimore, MD, 21201, USA. ehager@som.umaryland.edu.ORCID 0000-0002-5499-2952
Elizabeth A ParkerDepartment of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, 21201, Baltimore, MD, USA.
University of Maryland, Baltimore · USBoise State University · USDuke University · US

Funding

Research BaseP30DK072488 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI MITCHELL, BRAXTON D · 2005 to 2019
$17.3M
NRSA Training CoreTL1TR003100 · NCATS · JOHNS HOPKINS UNIVERSITY · PI SAHA, SOMNATH · 2019 to 2023
$4.5M
NCATS NIH HHS TL1 TR003100NIDDK NIH HHS P30 DK072488
6 · The paper itself

Abstract

backgroundFew studies have evaluated teacher- and school-level characteristics associated with implementation of recommended physical activity (PA) promoting practices. The purpose of this study is to examine associations between teachers' PA practices and: [1] teacher-level factors, including their own PA, and [2] school-level factors.

methodsThis cross-sectional study examined time spent daily in light PA (LPA) and moderate-vigorous PA (MVPA) in association with 7 teacher PA practices among 288 classroom/special area teachers and teaching assistants in 20 urban, suburban and rural schools (recruited through a school wellness trial) in 4 districts. LPA and MVPA was assessed using 24-h ankle accelerometry (up to seven consecutive days). A sum score for teacher PA practices was assessed via survey (7 items; sum score range: 7-35; Cronbach's alpha = 0.73; higher scores indicate more PA promoting practices). Teacher-level factors included gender, race, self-reported height/weight, years teaching, and education. School-level factors included school type, free-and-reduced-price meal eligibility, student racial/ethnic composition, and urbanicity. Analyses included multilevel regression models, accounting for clustering within schools and adjusting for demographic covariates and school district.

resultsTeachers were 91% female, 63% elementary, 60% white, mean age 43.2 years (SD = 11.3), and 41% obese). Teachers wore accelerometers an average of 5.8 days, spent 399.6 min in LPA (SD = 85.0) per day, 24.1 min in MVPA (SD = 14.4) per day, and the mean teacher PA practices sum score was 22.4 (SD = 5.0). Every 15-min increase in MVPA was related to an increase in teacher PA practices sum score (coeff =1.07; SE = 0.28; p < 0.001). Female gender (versus males; coeff = - 1.95; SE = 0.92, p = 0.034), an obese weight status (versus non-obese; coeff = - 1.38; SE = 0.54, p = 0.010), and teaching in a middle school (versus elementary; coeff = - 3.86; SE = 0.54, p < 0.001) were associated with lower teacher PA practices scores. LPA was not associated with teacher PA promoting practices.

conclusionsTeachers with higher MVPA, but not higher LPA, and those without obesity were more likely to implement PA promoting practices that could positively impact their students' PA. Similar to prior studies, these practices were more commonly implemented in elementary schools and by male teachers. Future studies in schools should explore whether improvement of teacher health behaviors subsequently impacts student health behaviors.

trial registrationClinical Trials, NCT03432715 ; Registered on 02/2/2018.

Indexed as

ExerciseHealth BehaviorAdultCross-Sectional StudiesFemaleHealth PromotionHumansMaleMiddle AgedSchool Health ServicesSchoolsSchool TeachersPhysical activity promotionSchool physical activityTeacher physical activity

Identifiers

PMID34011376
PMCPMC8135930
OpenAlexW3160465855

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.