Evidence map›Paper›PMID 39789396›Full record

ArticleEuropean journal of pediatrics2025

Socioeconomic status moderates the effect of physical education on overweight and obesity in children: a quasi-experimental trial.

Michael Margaard Lund, Jeffrey J Hebert, Heidi Klakk, Lisbeth Runge Larsen, Niels Wedderkopp

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Article in European journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

5 authors.

Michael Margaard LundDepartment of Pediatrics, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
Jeffrey J HebertFaculty of Kinesiology, University of New Brunswick, Fredericton, New Brunswick, Canada. J.Hebert@unb.ca.
Heidi KlakkCentre for Clinical Research and Prevention, Section for Health Promotion and Prevention, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.
Lisbeth Runge LarsenOPEN - Open Patient Data Explorative Network, Odense University Hospital, Odense, Denmark.
Niels WedderkoppFaculty of Health Sciences, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to estimate the effects of an intensive school-based physical education intervention on the risk of developing overweight or obesity in primary school students when accounting for the moderating role of socioeconomic status. This quasi-experimental trial included data from primary school students participating in an intensive physical education program comprising 4.5 h of weekly physical activity compared to 1.5 h per week in the control group. Socioeconomic status was estimated by maternal education. The study outcome was overweight or obesity status determined by longitudinal measures of body mass index over 4.5 years. Intervention effects and the moderating role of socioeconomic status were estimated using multilevel mixed-effects logistic models. We included data from 588 children in the intensive physical education group and 415 children in the control group (52.9% female; mean [SD] age = 8.5 [1.4] years). There was a significant 3-way interaction between intervention group, socioeconomic status, and time (p = 0.018). Within the control group, children from the low socioeconomic strata had a greater probability of being overweight or obese from 36 months onward compared to children from the high socioeconomic strata. The physical activity intervention reduced the risk of overweight or obesity among children from the low socioeconomic strata; after 4.5 years, the risk reduction (95% CI) was 11.4 (2.4 to 20.4)%.

conclusionA school-based physical activity intervention, delivered through a physical education program, effectively reduces overweight and obesity risk in disadvantaged primary school students and may address some of the adverse health-related impacts of living with low socioeconomic status. WHAT IS KNOWN: • School-based physical activity programs offer promising solutions for improving health-related physical activity in children. However, the impact of socioeconomic context on the effectiveness of these programs is unclear. WHAT IS NEW: • An intensive school-based physical activity intervention effectively reduces overweight and obesity risk in disadvantaged primary school students and may address some of the adverse health-related impacts of living with low socioeconomic status.

Indexed as

Pediatric ObesityPhysical Education and TrainingSocial ClassBody Mass IndexChildExerciseFemaleHumansMaleOverweightSchool Health ServicesChildrenInequityObesityOverweightSocioeconomic status

Identifiers

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Registered trials

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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.