Evidence map›Paper›PMID 40155917›Full record

Observational studyThe international journal of behavioral nutrition and physical activity2025

Elementary school compliance with a state recess minimum requirement by racial and geographic factors: a cross-sectional study.

Erin K Howie, Samantha M Harden, Daheia J Barr-Anderson, Christopher R Long

Abstract readObservational Study
In one paragraph

Observational study in The international journal of behavioral nutrition and physical activity, 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

4 authors.

Erin K HowieDepartment of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA. ekhowie@uark.edu.
Samantha M HardenDepartment of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, VA, USA.
Daheia J Barr-AndersonDepartment of Applied Physiology, Health, and Clinical Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA.
Christopher R LongCenter for Nutrition & Health Impact, Omaha, NE, USA.

Funding

The role of prisons in community spread of COVID-19: Disparate epidemiologic profiles in rural, racial/ethnic minority, and low socioeconomic US countiesU54MD002329 · NIMHD · UNIV OF ARKANSAS FOR MED SCIS · PI CORNELL, CAROL ELLEN · 2017 to 2022
$7.7M
NIMHD NIH HHS 5U54MD002329NIMHD NIH HHS U54 MD002329
6 · The paper itself

Abstract

backgroundRecess is a part of school-based physical activity promotion offered worldwide with equitable recess access a social justice issue. From a policy perspective, in the U.S. few states currently require elementary school recess and little is known about its implementation. The purpose of this study was to determine the current implementation of one state system as a case study to investigate minimum recess requirement and to compare the implementation between school geographic and racial factors.

methodsA cross-sectional, observational study of the implementation of one state's minimum daily recess requirement of 40-minutes recess was conducted during the 2023-2024 academic year. A school audit of provided recess time was conducted of all public elementary schools in Arkansas through an online search of bell schedules, a survey sent to principals and physical education teachers, and phone call surveys to school offices. Key demographic and geographic features of the schools included enrollment data (e.g., race, grade, and % Free-and-Reduced Lunch composition), rurality, and region.

resultsRecess information was obtained from 384 (73%) of 526 eligible schools with an average student enrollment of 398 students (SD 154), 19.8% (SD 27.9) Black student enrollment, and 63.8% (SD 20.0%) students receiving free-and-reduced lunch. 306 (85.5%) schools met recess requirements. There were no differences in meeting recess requirements by rurality. Of schools with higher Black student enrollment (≥ 25% Black enrollment), 75.3% met recess requirements compared to 89.5% in schools with lower Black enrollment (< 25% Black enrollment, OR 0.36, 95%CI: 0.16, 0.78, p =.010). There were differences in survey-reported available playground spaces and equipment between by meeting recess requirements and Black student enrollment (p <.05).

conclusionsSchools in a state with a 40-minute daily recess requirement reported high compliance with the state policy. However, students in schools with higher Black student enrollment were less likely to meet the 40-minute recess requirement, and thus strategies are needed to ensure all students have access to recess opportunities. Ensuring equal access to recess through wide-reaching place-based and policy-based strategies may be a step in reducing health and education disparities, especially among populations where disparities are greatest.

Indexed as

Health PromotionSchoolsArkansasChildCross-Sectional StudiesExerciseFemaleHumansMaleHealth disparitiesImplementationPhysical activityPolicy

Identifiers

PMID40155917
PMCPMC11954336

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LicenceCC BY
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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.