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Physical ActivityNCT03983447

School Intervention to Promote Physical Activity and Reduce the Sedentary Time of Low-income Children Aged 6-13 Years

A study testing School-based intervention to promote PA and reduce ST in people with Physical Activity and Sedentary Behavior, run by University of Pau and Pays de l'Adour.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is realized in 2 primary schools in the city of Tarbes (France), located in a disadvantaged neighbourhood : 352 children are included in the study. This study has many goals: 1) to propose an intervention to promote PA (Physical Activity) and reduce ST (Sedentary Time) of children aged 6 to 13 years from a… Read more about this study

Who is it for?
Ages 5 to 13 yearsHealthy volunteers can take part
Conditions the study is for
Physical Activity, Sedentary Behavior, Children
What is being tested?
School-based intervention to promote PA and reduce ST
Could I receive a placebo?
No, everyone receives an active treatment
How many people
350 participants
Where
No sites listed yet
Study dates
1 Nov 2016to 31 May 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 5 to 13 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Children (girls, boys) aged 5-13 years old

Who cannot join

  • Physical diseases that prevent PA practice

About this study

This study is realized in 2 primary schools in the city of Tarbes (France), located in a disadvantaged neighbourhood : 352 children are included in the study.

This study has many goals: 1) to propose an intervention to promote PA (Physical Activity) and reduce ST (Sedentary Time) of children aged 6 to 13 years from a primary school located in a disadvantaged neighbourhood and measures the effectiveness of this intervention (1rst grade-5th grade). This intervention was based on the factors of socio-ecological model related to health behaviours. The levels of PA and ST of the experimental school will be compared to a control school with the realization of pre and post intervention measures. 2) To study the relationships between PA, ST, motors skills, attentional abilities and academic achievement. 3)To realise a descriptive analysis of PA and ST of children in 2nd and 5th grade from France and Spain (observational study). For this goal, an other school in Spain was included in the study (city of Huesca, 60 children).

Read the detailed description

Physical activity (PA) has decreased drastically in the 21st century in developed and industrialized societies. In 2009, 23.3% of the world's population did not comply with WHO's recommendations for physical activity, reaching real levels of pandemic. Technological advances have contributed to the emergence of new leisure activities, which may preclude the participation in PA and encourage sedentary behaviours. However, it is now well known that PA has numerous benefits on physical, psychological and social health. Thus, promoting PA becomes a necessity for adults and even more for children since healthy habits that are adopted during childhood will last throughout life and predict adult health. Hence, for this last population, 60 minutes of moderate-to-vigorous physical activity (MVPA) per day are recommended in public health guidelines.

A recent project named "Capas-Cité", created in 2012 in Tarbes (France) and in Zaragoza (Spain) realize PA programs and promotion actions that have a beneficial impact on health. These two similar cities have been selected for their geographical proximity and their similarity. These programs are included in research work carried out by the University of Tarbes and the University of Zaragoza that focus on the promotion of PA. "Capas-Cité" project aims to improve the health of disadvantaged population.

The two primary schools (School A and School B) located in the disadvantaged neighbourhood of Tarbes were contacted to participate in the study. Both schools include children from grade 1 (6 years old) to grade 5 (10 years old). They have never benefited from intervention programs on the field of PA and agreed to participate in the project.

During the academic year 2016/2017, baseline assessments were carried out in the two French schools: measures of PA, ST, motors skills, attentional abilities and academic achievement. These assessments were performed in November/December 2016 (First Time - T1) and May/June 2017 (Second time - T2). The measures of attentional abilities involve only children in 2nd, 3th and 4th grade. Children in both schools had to have parental permission to participate in PA, ST and attentional abilities measurements. Motor skills were assessed for all the children at school and their academic achievement were collected.

During the academic school year 2017/2018, School A benefited of an intervention to increase PA and reduce ST. This intervention program involves all the children from grade 1 to grade 5 without parental permission. Families are not required to contribute financially participation in this project. During this intervention year, the same periods of assessment as those carried at baseline were repeated in November/December 2017 (T3) and May/June 2018 (T4). These repeated assessment time provide a first overview of the efficiency of the intervention. The school B has the intervention program during the school year 2018/2019.

Accelerometers were used to measure PA and ST. Accelerometry is a reliable and valid objective to measure PA and ST. Children should wear the accelerometer on the right side of the hip, adjusted with an elastic belt.

In Spain, only observational measures were realised. . A total of 179 children have worn accelerometers for a week. PA and ST were analysed for week end days on one hand and on the other hand according to different periods of time for weekdays: the time before school, lunch, after school and at night.54.97% of the children complied with the MVPA guidelines all days of the week. MVPA represented 67.70±17.83 min.day-1 and ST was 606.14±37.39 min.day-1 for the total sample.

Being tested
School-based intervention to promote PA and reduce ST
Medical subject headings
Motor Activity, Sedentary Behavior

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • School-based intervention to promote PA and reduce STBehavioural

    This intervention was realized with all the children (1st grade-5th grade) and involved :

    1. Physical (Environmental) adaptation of playgrounds
    2. Time adaptation of lunch breaks
    3. Curriculum-based program for children
    4. Workshops and newsletters for parents
    5. Meetings for teachers
Study groups in NCT03983447
Study groupRoleWhat they receive
School-based intervention to promote Physical Activity (PA)ExperimentalThis intervention included : 1. Physical (Environmental) adaptation of playground 2. Time adaptation of lunch breaks 3. Curriculum-based program of children 4. Workshops and newsletters for parents 5. Meetings for teachers
Receives: Behavioral: School-based intervention to promote PA and reduce ST
ControlNo interventionNothing has changed in the school.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Physical Activity (PA)

    Units : "counts/minute" and "minutes". Children from grade 1 to 5 who had parental permission to participate in the project carried an accelerometer (Actilife, Pensacola, FL, USA) to assess their usual levels of PA. Accelerometry is a reliable and valid objective to measure PA.

    Measured: 7 days

  2. Sedentary Time (ST)

    Units : "counts/minute" and "minutes". Children from grade 1 to 5 who had parental permission to participate in the project carried an accelerometer (Actilife, Pensacola, FL, USA) to assess their usual levels of ST. Accelerometry is a reliable and valid objective to measure ST.

    Measured: 7 days

Secondary outcomes (8)
  1. Anthropometry: Body Mass Index (BMI)

    Units : kg/m^2.The weight and height of the children were measured just prior of this test, in each measurement period

    Measured: 10 minutes for each child

  2. Subjective information about family and child

    Parents participating in the project were asked to complete a questionnaire to obtain some information: age and gender of the child; socioeconomic data measured by the four-item scale "Family Affluence Scale II" (FAS II) (Boyce, Torsheim, Currie et Zambon, 2006). FAS II: 4 item-scale that asks families how many "car/bedrooms/computers" they have and how often they go on holiday. A composite FAS score is calculated for each family summing up the responses to these four items. The sample is then categorised using a three-point ordinal scale where low FAS (score=0,1,2) indicates low affluence, medium FAS (score=3,4,5) indicates medium affluence, and high FAS (score=6,7,8,9) indicates high affluence (Aibar, 2012) ; parental perception of the competence of their children in physical activity practice; sedentary behaviour of the child (time spent playing video games, wa

    Measured: 20 minutes

  3. Standing broad jump (Motor Skills)

    Units : cm. The test was realized for all children from grade 1 to 5 in a two-hour physical education class. This test of the Eurofit battery measures power and inter-segmental coordination. He stands behind a starting line and jump by throwing his arms forward. Three trials are allowed and only the best performance is analysed.

    Measured: 2 hours for each grade

  4. Plate tapping test (Motor Skills)

    Units : seconds.The assessment of this test was realized for all children from grade 1 to 5 in a two-hour physical education class. The speed and coordination of the upper limbs is measured. The child is situated in from of a table. Two rubber discs 20 cm in diameter are fixed horizontally on the table, with a gap of 60 cm. A rectangular plate is placed between the two discs. The child puts a hand in the middle of the rectangular plate and touches the discs alternatively as quickly as possible with the other hand, passing over the hand situated in the middle. He performs 25 cycles.

    Measured: 2 hours for each grade

  5. 6 x 5m Shuttle Run (Motor Skills)

    Units: seconds.This test was realized for all children from grade 1 to 5 in a two-hour physical education class.This test was adapted from the 10x5m shuttle test of the Eurofit battery. It measures the speed-coordination of inter-segmental limbs. The specialist evaluates the time needed to cover the distance with a stopwatch.

    Measured: 2 hours for each grade

  6. Cardiorespiratory fitness: 20m shuttle run test

    Units: seconds.The assessment of motor skills was realized for all children from grade 1 to 5 in a two-hour physical education class.The aerobic capacity of the children was measured with an adapted version of the 20m shuttle run test (Cadenas Sanchez, 2011). The initial speed is reduced at 6.5 km/h and increase according to the laps and the stage numbers.

    Measured: 2 hours for each grade

  7. Academic achievement

    Units : %. The learning achievement for children from grade 1 to 5 was collected at the beginning of the school year. The percentages of success rate of "reading", "spelling" and "mathematics" were collected.

    Measured: 1 hour for each grade

  8. Attention

    Units : % and seconds.The computer-based modified Erickson Flanker Task was used (Have et al, 2016). It was designed with the software Superlab 4.5 (AD instruments) by the researcher specialist. This test is a variant version of the classing Flanker-Task (Eriksen et Ericksen, 1974). It permits the measurement of inhibition and cognitive flexibility, which are identified as executive functions and specifically attentional abilities.

    Measured: 10 minutes for each child

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Jun 2019
  2. Study start1 Nov 2016
  3. Primary completion20 Dec 2016
  4. Study completion31 May 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
During the academic year 2016/2017, baseline assessments were carried out in two schools (school A, school B): measures of PA, ST, motors skills, attentional capacity and academic achievement. These assessments were performed in November/December 2016 (First Time - T1) and May/June 2017 (Second time - T2). During the academic school year 2017/2018, a school-based intervention to increase PA and reduce ST was realised in School A (measure in November 2017 and May/June 2018). Finally, during the academic school year 2018/2019, a school-based intervention to increase PA and reduce ST was realised in School B (measure only in May/June 2019).
Masking
Single blind
Who is masked
Investigator
Enrolment
350 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03983447
Sponsor's protocol ID
UPPA (University of Pau)
Status last verified
Jun 2019
First submitted
3 Jun 2019
Last updated
12 Jun 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Aibar A, Bois JE, Generelo E, Zaragoza Casterad J, Paillard T. A cross-cultural study of adolescents' physical activity levels in France and Spain. Eur J Sport Sci. 2013;13(5):551-8. doi: 10.1080/17461391.2012.746733. Epub 2012 Nov 23.

    PubMed 24050473
  • Kriemler S, Meyer U, Martin E, van Sluijs EM, Andersen LB, Martin BW. Effect of school-based interventions on physical activity and fitness in children and adolescents: a review of reviews and systematic update. Br J Sports Med. 2011 Sep;45(11):923-30. doi: 10.1136/bjsports-2011-090186.

    PubMed 21836176
  • Hartmann T, Zahner L, Puhse U, Puder JJ, Kriemler S. Effects of a school-based physical activity program on physical and psychosocial quality of life in elementary school children: a cluster-randomized trial. Pediatr Exerc Sci. 2010 Nov;22(4):511-22. doi: 10.1123/pes.22.4.511.

    PubMed 21242601
  • Rhodes RE, Janssen I, Bredin SSD, Warburton DER, Bauman A. Physical activity: Health impact, prevalence, correlates and interventions. Psychol Health. 2017 Aug;32(8):942-975. doi: 10.1080/08870446.2017.1325486. Epub 2017 May 30.

    PubMed 28554222
  • Scudder MR, Lambourne K, Drollette ES, Herrmann SD, Washburn RA, Donnelly JE, Hillman CH. Aerobic capacity and cognitive control in elementary school-age children. Med Sci Sports Exerc. 2014;46(5):1025-35. doi: 10.1249/MSS.0000000000000199.

    PubMed 24743109
  • Khan NA, Hillman CH. The relation of childhood physical activity and aerobic fitness to brain function and cognition: a review. Pediatr Exerc Sci. 2014 May;26(2):138-46. doi: 10.1123/pes.2013-0125. Epub 2014 Apr 10.

    PubMed 24722921
  • Bernal CMM, Lhuisset L, Fabre N, Bois J. School-Based Multicomponent Intervention to Promote Physical Activity and Reduce Sedentary Time of Disadvantaged Children Aged 6-10 Years: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2020 Sep 23;9(9):e17815. doi: 10.2196/17815.

    PubMed 32965238

Questions about this trial

What is this clinical trial studying?

A study testing School-based intervention to promote PA and reduce ST in people with Physical Activity and Sedentary Behavior, run by University of Pau and Pays de l'Adour.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 12 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Physical Activity (PA) (time frame: 7 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03983447, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jun 2019.

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