Evidence map›Paper›PMID 40723058›Full record

ArticleChildren (Basel, Switzerland)2025

The Impact of Recess on Chronic Stress Levels in Elementary School Children.

Deborah J Rhea, Kelsey Kirby, Dennis Cheek, Yan Zhang, G Kate Webb

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 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. The Effects of the Modified LiiNKInternational journal of environmental research and public health · 2025
    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.

Deborah J RheaKinesiology Department, Texas Christian University, Fort Worth, TX 76129, USA.ORCID 0000-0002-2054-000X
Kelsey KirbyKinesiology Department, Texas Christian University, Fort Worth, TX 76129, USA.
Dennis CheekNursing Department, Texas Christian University, Fort Worth, TX 76129, USA.
Yan ZhangApplied Health Sciences Department, Texas Christian University, Fort Worth, TX 76129, USA.
G Kate WebbKinesiology Department, Texas Christian University, Fort Worth, TX 76129, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOver the last 30 years, stress and anxiety in children have risen exponentially, especially as a result of school expectations. As no studies have examined the effect of increased outdoor recess on children's chronic stress levels, this preliminary work focused on comparing hair cortisol concentration (HCC) scores of elementary children who received varied amounts of daily recess.

methodsHCC scores were collected from 4th grade elementary children (N = 130) from three intervention schools (45 min daily recess) (N = 64; M = 35; F = 29) and three control schools (30 min daily recess) (N = 66; M = 31; F = 35).

resultsA two-way ANOVA, F(1, 123) = 5.47,

conclusionsIncreasing daily recess may contribute to lower chronic stress levels among 4th grade children. With obesity and mental health disorders on the rise and American students' academic performance on the decline, these pilot results cannot be overlooked or dismissed.

Indexed as

childrenchronic stresshair cortisol concentrationmental healthoutdoorsphysical activityplayrecesssocial skills

Identifiers

PMID40723058
PMCPMC12293798

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.