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Active Smarter Kids: A Cluster-randomized Controlled Trial

Not Applicable
Completed
Conditions
Academic Performance; Primary Prevention; Physical Activity
Interventions
Behavioral: Physical activity
Registration Number
NCT02132494
Lead Sponsor
Western Norway University of Applied Sciences
Brief Summary

The relationship between physical activity and academic performance has received widespread attention owing to the pressure on schools to graduate pupils who meet accepted academic standards. As important, there are global concerns regarding the increased prevalence of lifestyle-related non-communicable diseases (NCDs). First, Norway has a history of mediocre scores on international comparative academic performance tests such as Trends in International Mathematics and Science Study (TIMSS) and the Programme for International Student Assessment (PISA) \[1\]. It is therefore important to develop and evaluate strategic programs that may enhance pupil's academic performance. It is increasingly evident that a physical activity strategy that brings about enhanced cognitive function, better blood flow, and more, plays a key role in this effort \[2\]. Second, the prevalence of NCDs, such as diabetes mellitus type 2, is increasing worldwide, and such NCDs affect people of all ages \[3\]. Hence, healthcare costs are escalating to unaffordable levels. The best means to deal with this immense problem is through primary prevention, and physical activity is a powerful common denominator known to play a key role in preventing a host of NCDs \[4\].

Consequently, both World Health Organization (WHO) and the Norwegian health authorities call for effective primary prevention strategies to promote physical activity in children and adolescents \[5, 6\]. Prop. 90 L (2010-2011) Act on public health work \[6\] emphasizes that physical activity in school can benefit both the learning process and public health prevention.

Therefore, the objective of the ASK-study is to investigate the effects on academic performance of 60 minutes of daily physical activity during one school year. Furthermore, due to the complexity in the relationship between physical activity and academic performance, it is necessary to identify possible mediating and moderating variables as cognitive performance, quality of life (QoL), classroom behavior, motor skills and motivation. Also, we aim to investigate changes in risk factors related to NCDs and factors that influence NSDs, such as physical activity, sedentary behavior and health-related fitness.

In addition a qualitative part of the ASK-Study will be conducted to get an in-depth understanding of the children's embodied experiences and the meaning of the social learning culture in school physical activity (PA). This will give us an in-depth description of the intervention context, offer insight in how the intervention possibly influences children's overall development and enables us to estimate potential long term effects of the intervention.

If successful, the ASK cluster-randomized controlled trial (RCT) could provide much needed solutions to enhancing schoolchildren's academic performance and position the school as an effective setting for a massive public health intervention concerning the prevention of NCDs.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1202
Inclusion Criteria
  • all children attending 5th grade at the invited schools in Sogn og Fjordane county (Norway) during the school-year 2014/2015
Exclusion Criteria
  • those children whom for language barriers are unable to perform national tests in Numeracy, Norwegian and English

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Physical activityPhysical activity60 minutes of daily physical activity during one school year
Primary Outcome Measures
NameTimeMethod
Academic performanceOctober 2014 - June 2015 (8 months)

Academic performance will be measured by Norwegian "national tests" in Numeracy, Norwegian and English

Secondary Outcome Measures
NameTimeMethod
Executive functionsAugust 2014 - June 2015 (10 months)

Inhibition, working memory and cognitive flexibility will be assessed by pen-and-paper testing

Qualitative study of embodied experiences and interpersonal relationsAugust 2014 - June 2015 (10 months)

Qualitative methods will be used to explore how children act in the context of physical education and the ASK-intervention, and how their experiences are constructed in the interaction between individual and social factors. We will also explore to what extent children are capable to reflect over their bodily and social experiences.

Risk factors for lifestyle-related non-communicable diseases (NCDs)August 2014 - June 2015 (10 months)

We will measure physical activity, sedentary behavior, health-related physical fitness, measures of adiposity, blood pressure and biomarkers for metabolic health

Trial Locations

Locations (1)

Sogn og Fjordane University College

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Sogndal, Sogn Og Fjordane, Norway

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