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Title: Effect of major school playground reconstruction on physical activity and sedentary behaviour: Camden active spaces
Authors: Hamer, Mark
Aggio, Daniel
Knock, Georgina
Kipps, Courtney
Shankar, Aparna
Smith, Lee
Keywords: School
Children
Active play
Quasi-experimental
Physical activity
Issue Date: 2017
Publisher: BioMed Central © The Author(s)
Citation: HAMER, M. ... et al, 2017. Effect of major school playground reconstruction on physical activity and sedentary behaviour: Camden active spaces. BMC Public Health, 17 (552).
Abstract: Background: The physical school environment is a promising setting to increase children’s physical activity although robust evidence is sparse. We examined the effects of major playground reconstruction on physical activity and sedentary time in primary schools using a quasi-experimental design (comparison group pre-test/post-test design). Methods: Five experimental and two control schools from deprived areas of inner city London were recruited at baseline. Main outcome was physical activity and sedentary time measured from objective monitoring (Actigraph accelerometer) at one year follow up. Pupils’ impressions of the new playground were qualitatively assessed post construction. Results: A total of 347 pupils (mean age = 8 years, 55% boys; 36% Caucasian) were recruited into the study at baseline; 303 provided valid baseline Actigraph data. Of those, 231 (76%) completed follow-up (n = 169 intervention; n = 62 control) and 77.4% of the sample recorded at least 4 days of Actigraph wear. In mixed models adjusted for age, sex, ethnicity, ratio activity or sedentary/wear time at baseline, wear time at follow up, and school, no differences were observed in total moderate – vigorous activity (B = −1.4, 95% CI, −7.1, 4.2 min/d), light activity (B = 4.1, 95% CI, −17.9, 26.1), or sedentary time (B = −3.8, 95% CI, −29.2, 21.6 min/d) between groups. There were significant age interactions for sedentary (p = 0.002) and light intensity physical activity (p = 0.008). We observed significant reductions in total sedentary (−28.0, 95% CI, −1.9, −54.1 min/d, p = 0.037) and increases in total light intensity activity (24.6, 95% CI, 0.3, 48.9 min/d, p = 0.047) for children aged under 9 yrs. old in the intervention. Conclusion: Major playground reconstruction had limited effects on physical activity, but reduced sedentary time was observed in younger children. Qualitative data suggested that the children enjoyed the new playgrounds and experienced a perceived positive change in well-being and social interactions.
Description: This is an Open Access Article. It is published by BioMed under the Creative Commons Attribution 4.0 International Licence (CC BY). Full details of this licence are available at: http://creativecommons.org/licenses/by/4.0/
Sponsor: This work was supported by The Economic and Social Research Council, UK (ES/M003795/1). The playground redesign was funded by Camden Clinical Commissioning Group and London Borough of Camden. MH acknowledges support from the National Institute for Health Research (NIHR) Leicester Biomedical Research Centre, which is a partnership between University Hospitals of Leicester NHS Trust, Loughborough University and the University of Leicester.
Version: Published
DOI: 10.1186/s12889-017-4483-5
URI: https://dspace.lboro.ac.uk/2134/25318
Publisher Link: https://doi.org/10.1186/s12889-017-4483-5
ISSN: 1471-2458
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

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