Trial reportBMC public health2026
Impact of a school based flag football intervention on fitness outcomes in Chinese children aged 9 to 11 years: a randomized controlled trial.
Trial report in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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11 authors.
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Abstract
purposeTo evaluate the effects of a 10-week school-based flag football programme on fitness outcomes in Chinese children aged 9 to 11 years.
methodsA two-arm, parallel-group randomized controlled trial was conducted in a public primary school in Shanghai, China. Children (n = 147) were randomized to either flag football (n = 74; mean age, 9.7 ± 0.5 years; 30 girls) or usual physical education (PE; n = 73; mean age, 9.7 ± 0.5 years; 32 girls). The intervention comprised 60-min sessions, delivered twice weekly for 10 weeks. Outcomes were assessed at baseline and post-intervention: the 20 m shuttle run test (laps), estimated maximal oxygen uptake (VO₂max), the 1-min jump rope test (turns), and the 50 m dash (seconds). Primary analyses followed the intention-to-treat principle using multiple imputation and repeated-measures models; subgroup analyses were conducted by sex and baseline weight status. Session intensity was monitored through heart rate (HR) in a subsample.
resultsPost-intervention data were available for 128 children (87.1%). Compared with usual physical education, the flag football group showed greater improvements in 1-min jump rope performance (between-group difference in change = 7.4 turns; p = 0.03) and 50 m dash time (between-group difference in change = -0.3 s; p = 0.013). No between-group differences in change were observed for 20 m shuttle run performance (0.7 laps; p = 0.32) or estimated VO
conclusionsA PE-embedded flag football programme effectively improved sprint speed and 1-min jump rope performance. The observed sex- and weight-specific responses suggest the need for differentiated task progression in school-based interventions to maximize fitness benefits.
trial registrationTrial registration: ISRCTN registry (Current Controlled Trials), ISRCTN62093106; registered 04 February 2026 (retrospectively registered).
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