Abstract

Childhood overweight and obesity concerns continue to frame much of the discussion about physical activity in schools and school-based physical education. There are multiple factors impacting childhood obesity rates. Genetics, ethnicity, guardian education level, health-care access, food costs, cultural beliefs, policy, and energy-balance inequalities have all played a role in the current state of childhood overweight and obesity. Since schools are an ideal place to interact with children and adolescents of all body compositions, multiple researchers have attempted to design, implement, and evaluate school-based physical activity interventions. Many of the interventions have produced significant results. Overweight and obesity is not physical education’s problem, but it does present an opportunity for physical education to grow as an academic discipline as new interventions and curricula are developed and disseminated. This article focused on the large-scale, school-based, physical activity interventions that needs to be designed, implemented, and evaluated using rigorous standards and policymaker and educational community support.

Keywords

Physical Activity Interventions, Physical Education, Overweight, Obesity,

References

  1. Airhihenbuwa, C.O., Kumanyika, S., Agurs, T.D., Lowe, A., Saunders, D., & Morssink, C. B. (1996). Cultural aspects of African American eating patterns. Ethnicity & Health, 1(3), 245-260.
  2. Anderson, P.M., & Butcher, K.E. (2006). Childhood obesity: Trends and potential causes. The Future of Children, 16(1), 19-45.
  3. Arluk, S.L., Branch, J.D., Swain, D.P., & Dowling, E.A. (2003). Childhood obesity's relationship to time spent in sedentary behavior. Military Medicine, 168(7), 583-586.
  4. Boardman, J.D., Saint Onge, J.M., Rogers, R.G., & Denney, J.T. (2005). Race differentials in obesity: The impact of place. Journal of Health and Social Behavior, 46(3), 229-243.
  5. Buchanan, B. (2005). Finding the way for getting to wellness. The Education Digest, 71(3), 35-40.
  6. Butte, N.F., Puyau, M.R., Adolph, A.L., Vohra, F.A., & Zakeri, I.S.S.A. (2007). Physical activity in nonoverweight and overweight Hispanic children and adolescents. Medicine and science in sports and exercise, 39(8), 1257-1266.
  7. Centers for Disease Control and Prevention. (2011a). About Child & Teen BMI. Centers for Disease Control and Prevention.
  8. Centers for Disease Control and Prevention. (2011b). National diabetes fact sheet: National estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. 201(1), 2568-2569.
  9. Chen, C. (2011). Numbers and types of public elementary and secondary schools from the common core of data: School year 2009–10 (NCES 2011-345), National Center for Education Statistics, Washington.
  10. Cook, G. (2005). Killing PE is killing our kids the slow way. The Education Digest, 71(2), 25-32.
  11. Council on Sports Medicine and Fitness and Council on School Health. (2006). Active healthy living: Prevention of childhood obesity through increased physical activity. Pediatrics, 117(5), 1834-1842.
  12. De Ferranti, S.D., & Osganian, S.K. (2007). Epidemiology of paediatric metabolic syndrome and type 2 diabetes mellitus. Diabetes Vascular Disease Research, 4(4), 285-96.
  13. Delva, J., Johnston, L.D., & O’Malley, P.M. (2007). The epidemiology of overweight and related lifestyle behaviors: Racial/ethnic socioeconomic status differences among American youth. American Journal of Preventative Medicine, 33(4), 178-186.
  14. Derinoz, O., Turner, L., Hasanoglu, A., Pasaoglu, H., Aksakal, F.N., & Ceyhan, M.N. (2007). Cholesterol screening in school children: Is family history reliable to choose the ones to screen?. Acta Paediatr, 96(12), 1794-1798.
  15. Deshmukh-Taskar, P., Nicklas, T.A., Yang, S.J., & Berenson, G.S. (2007). Does food group consumption vary by differences in socioeconomic, demographic, and lifestyle factors in young adults?. Journal of the American Dietetic Association, 107(2), 223-234.
  16. Dishman, R.K., Motl, R.W., Saunders, R., Felton, G., Ward, D.S., Dowda, M., & Pate, R.R. (2004). Self-efficacy partially mediates the effect of a school-based physical-activity intervention among adolescent girls. Preventive Medicine, 38(5), 628-636.
  17. Dowda, M., Pate, R.R., Felton, G.M., Saunders, R., Ward, D.S., Dishman, R.K., & Trost, S. G. (2004). Physical activities and sedentary pursuits in African American and Caucasian girls. Research Quarterly for Exercise and Sport, 75(4), 352-360.
  18. Eaton, D.K., Kann, L., Kinchen, S., Shanklin, S., Flint, K.H., Hawkins, J., William A. H., Richard L., Tim M., David C., Lisa W., Connie L., & Wechsler, H. (2012). Youth risk behavior surveillance—United States, 2011. Morbidity and mortality weekly dreport: Surveillance summaries, 61(4), 1-162.
  19. Ebbeling, C.B., Pawlak, D.B., & Ludwig, D.S. (2002). Childhood obesity: Public health crisis, common sense cure. Lancet, 360 (9331), 473-482.
  20. Ennis, C. D. (1996). Students' experiences in sport-based physical education: (more than) apologies are necessary. Quest, 48, 453-456.
  21. Ennis, C.D., & Lindsay, E.L. (2012). Science, PE, & Me!: Science-based elementary curriculum for physical education. Self-published.
  22. Fitzgibbon, M.L., & Stolley, M.R. (2004). Environmental changes may be needed for prevention of overweight in minority children. Pediatric Annals, 33(1), 45-49.
  23. Freedman, D.S., Dietz, W.H., Srinivasan, S.R., & Berenson, G.S. (1999). The relation of overweight to cardiovascular risk factors among children and adolescents: The Bogalusa heart study. Pediatrics, 103(6 Pt 1), 1175-1182.
  24. French, S.A., Story, M., & Jeffery, R.W. (2001). Environmental influences on eating and physical activity. Annual Review of Public Health, 22, 309-335.
  25. Fryar, C. D., Carroll, M. D., & Afful, J. (2020). Prevalence of overweight, obesity and severe obesity among adults aged 20 and over: United States, 1960-1962 through 2017-2018., MD: National Center for Health Statistics. Hyattsville. https://www.cdc.gov/nchs/data/hestat/obesity-adult-17-18/overweight-obesity-adults-H.pdf
  26. Fryar, C.D., Carroll, M.D., & Afful, J. (2020). Prevalence of overweight, obesity and severe obesity among children and adolescents aged 2-19 to years: United States, 1963-1965 through 2017-2018. National Center for Health Statistics, Hyattsville. https://www.cdc.gov/nchs/data/hestat/obesity-child-17-18/overweight-obesity-child-H.pdf
  27. Goran, M.I. (2001). Metabolic precursors and effects of obesity in children: A decade of progress, 1990-1999. American Journal of Clinical Nutrition, 73, 158-171.
  28. Gortmaker, S.L., Cheung, L.W., Peterson, K.E., Chomitz, G., Cradle, J.H., Dart, H., Fox, M.K., Bullock, R.B., Sobol, A.M., Colditz, G., Field, A.E., Laird, N. (1999). Impact of a school-based interdisciplinary intervention on diet and physical activity among urban primary school children: Eat well and keep moving. Archives of Pediatric Adolescent Medicine, 153, 975-983.
  29. Hales, C.M., Carroll, M. D., Fryar, C. D., & Ogden, C. L. (2020). Prevalence of obesity and severe obesity among adults: United States, 2017-2018. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. https://www.cdc.gov/nchs/data/databriefs/db360-h.pdf
  30. Hastert, T.A, Babey, S.H., Diamant, A.L., & Brown, E.R. (2005). More California Teens Consume Soda and Fast Food Each Day Than Five Servings of Fruits and Vegetables. Policy Brief UCLA Cent Health Policy Research, 1-7.
  31. Healthy People 2010 (Group). (2000a). Healthy people 2010: Understanding and improving health. US Department of Health and Human Services.
  32. Hill, J.O., & Trowbridge, F.L. (1998). Childhood obesity: Future directions and research priorities. Pediatrics, 101(3), 570-574.
  33. Hu, F.B., Li, T.Y., Colditz, G.A., Willett, W.C., & Manson, J.E. (2003). Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. Journal of the American Medical Association, 289(14), 1785-1791.
  34. Jamner, M.S., Spruijt-Metz, D., Bassin S., & Cooper, D.M. (2004). A controlled evaluation of a school-based intervention to promote physical activity among sedentary adolescent females: Project FAB. Journal of Adolescent Health, 34, 279-289.
  35. Kelder, S.H., Perry, C.L., & Klepp, K.I. (1993). Community-wide youth exercise promotion: Long-term outcomes of the Minnesota Heart Health Program and the Class of 1989 Study. Journal of School Health, 63, 218-223.
  36. Lacy, A. C., & LaMaster, K. J. (1991). Analysis of fitness activities in junior high school physical education. The Physical Educator, 47(3), 176-179.
  37. Loos, R.J., & Bouchard, C. (2003). Obesity-is it a genetic disorder?. Journal of Internal Medicine, 254(5), 401-425.
  38. Lowry, R., Wechsler, H., Kann, L., & Collins, J.L. (2001). Recent trends in participation in physical education among US high school students. Journal of School health, 71(4), 145-152.
  39. Luepker, R.V., Perry, C.L., McKinlay, S.M., Nader, P.R., Parcel, G.S., Stone, E.J., Webber L.S., Elder, J.P., Feldman, H.A., Johnson, C.C. (1996). Outcomes of a field trial to improve children's dietary patterns and physical activity. The Child and Adolescent Trial for Cardiovascular Health. CATCH collaborative group. Journal of the American Medical Association, 275, 768-776.
  40. Maffeis, C. (1999). Childhood obesity: The genetic-environmental interface. Bailliere's Best Practice & Research, 13(1), 31-46.
  41. Marshall, S.J., Jones, D.A., Ainsworth, B.E., Reis, J.P., Levy, S.S., & Macera, C.A. (2007). Race/Ethnicity, social class, and leisure-time physical inactivity. Medicine & Science in Sports & Exercise, 39(1), 44-51.
  42. McKenzie, T.L., Catellier, D.J., Conway, T., Lytle, L.A., Grieser, M., Webber, L.A., Charlotte, A.P., Elder, J.P. (2006). Girls’ activity levels and lesson contexts in middle school PE: TAAG baseline. Medicine & Science in Sports & Exercise, 38, 1229-1235.
  43. McKenzie, T.L., Marshall, S.J., Sallis, J.F., & Conway, T.L. (2000). Student activity levels, lesson context, and teacher behavior during middle school physical education. Research Quarterly for Exercise and Sport, 71(3), 249-259.
  44. McMurray, R.G., Harrell, J.S., Bangdiwala, S.I., Bradley, C.B., Deng, S., & Levine, A. (2002). A school-based intervention can reduce body fat and blood pressure in young adolescents. Journal of Adolescent Health, 31, 125-132.
  45. Mohr, D.J., Townsend, J.S., & Pritchard, T. (2006). Rethinking middle school physical education: Combining lifetime leisure activities and sport education to encourage physical activity. The Physical Educator, 61(1), 18-29.
  46. Mozlin, R. (2005). Childhood obesity-a public health crisis. Optometry, 75(12), 685-691.
  47. Mutch, D.M., & Clement, K. (2006). Genetics of human obesity. Best Practice & Research Clinical Endocrinology & Metabolism, 20(4), 647-664.
  48. National Association for Sport and Physical Education & American Heart Association. (2010). 2010 Shape of the nation report: Status of physical education in the USA. Reston, VA: National Association for Sport and Physical Education.
  49. Nestle, M., & Jacobson, M.F. (2000). Halting the obesity epidemic: A public health policy approach. Public Health Reports, 115(1), 12-24.
  50. Neumark-Sztainer, D., Story, M., Hannan, P.J., & Rex, J. (2003). New Moves: A school-based obesity prevention program for adolescent girls. Preventive Medicne, 37(1), 41-51.
  51. Ogden, C.L., Flegal, K.M., Carroll, M.D., & Johnson, C.L. (2002). Prevalence and trends in overweight among US children and adolescents, 1999-2000. Journal of the American Medical Association, 288(14), 1728-1732.
  52. Pate, R.R., Saunders, R.P., Ward, D.S., Felton, G., Trost, S.G., & Dowda, M. (2003). Evaluation of a community-based intervention to promote physical activity in youth: Lessons from Active Winners. American Journal of Health Promotion, 17, 171-182.
  53. Ricciuto, L., Tarasuk, V., & Yatchew, A. (2006). Socio-demographic influences on food purchasing among Canadian households. European Journal of Clinical Nutrition, 60(6), 778-790.
  54. Sallis, J. F., McKenzie, T. L., Conway, T. L., Elder, J. P., Prochaska, J. J., Brown, M., Michelle, M.Z., Simon, J.M., Alcaraz, J.E. (2003). Environmental interventions for eating and physical activity: A randomized controlled trial in middle schools. American Journal of Preventive Medicine, 24, 209-217.
  55. Sallis, J.F., McKenzie, T.L., Alcaraz, J.E., Kolody, B., Faucette, N., & Hovell, M.F. (1997). The effects of a 2-year physical education program (SPARK) on physical activity and fitness in elementary school students. Sports, Play, and Active Recreation for Kids. American Journal of Public Health, 87(8), 1328-1334.
  56. Schlosser, E. (2001). Fast food nation: The dark side of the all-American meal. Boston, Houghton Mifflin Harcourt, Houghton.
  57. Simons-Morton, B.G., Taylor, W.C., Snider, S.A., & Huang, I.W. (1993). The physical activity of fifth grade students during physical education classes. American Journal of Public Health, 83, 262-264.
  58. Story, M., Neumark-Sztainer, D., & French, S. (2002). Individual and environmental influences on adolescent eating behaviors. Journal of the American Dietetic Association, 102(Suppl. 3), S40-S51.
  59. Strum, R. (2005). Childhood obesity: What we can learn from existing data on societal trends, part 2. Preventing Chronic Disease, 2(2) 1-9.
  60. Tannehill, D., & Zakrajsek, D. (1993). Student attitudes towards physical education: A multicultural study. Journal of Teaching in Physical Education, 13, 78-84.
  61. U.S. Department of Health and Human Services (2000b). School health index (SHI): Self-assessment & planning guide. Health and Human Services.
  62. U.S. Department of Health and Human Services. (1996). Physical activity and health: A report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion.
  63. Viner, R.M., & Cole, T.J. (2005). Television viewing in early childhood predicts adult body mass index. The Journal of Pediatrics, 147(4), 429-435.
  64. Wang, G.Y., Pereira, B., & Mota, J. (2005). Indoor physical education measured by heart rate monitor: A case study in Portugal. Journal of Sports Medicine and Physical Fitness, 45(2), 171-177.
  65. Whitaker, R.C., & Dietz, W.H. (1998). Role of the prenatal environment in the development of obesity. The Journal of Pediatrics, 132(5), 768-776.
  66. Yeater, R. (2000). Obesity, metabolic syndrome, and physical activity. Quest, 52(4), 351-357.