Physical activity and academic achievement across the curriculum: Results from a 3-year cluster-randomized trial.

Kate Lambourne, Richard A Washburn, Suzanne L Hunt, Katherine Henley, Jessica L Betts, Mark R Scudder, Jeffery J Honas, Stephen D Herrmann, Amanda N Szabo-Reed, Joseph E Donnelly, Matthew S Mayo, John Poggio, Debra K Sullivan, Cheryl A Gibson, David M Hansen, Jerry L Greene, Charles H Hillman

Journal: Preventive medicine 2018;99():140-145

PMID: 28193490

Abstract

We compared changes in academic achievement across 3years between children in elementary schools receiving the Academic Achievement and Physical Activity Across the Curriculum intervention (A+PAAC), in which classroom teachers were trained to deliver academic lessons using moderate-to-vigorous physical activity (MVPA) compared to a non-intervention control. Elementary schools in eastern Kansas (n=17) were cluster randomized to A+PAAC (N=9, target ≥100min/week) or control (N=8). Academic achievement (math, reading, spelling) was assessed using the Wechsler Individual Achievement Test-Third Edition (WIAT-III) in a sample of children (A+PAAC=316, Control=268) in grades 2 and 3 at baseline (Fall 2011) and repeated each spring across 3years. On average 55min/week of A+PACC lessons were delivered each week across the intervention. Baseline WIAT-III scores (math, reading, spelling) were significantly higher in students in A+PAAC compared with control schools and improved in both groups across 3years. However, linear mixed modeling, accounting for baseline between group differences in WIAT-III scores, ethnicity, family income, and cardiovascular fitness, found no significant impact of A+PAAC on any of the academic achievement outcomes as determined by non-significant group by time interactions. A+PAAC neither diminished or improved academic achievement across 3-years in elementary school children compared with controls. Our target of 100min/week of active lessons was not achieved; however, students attending A+PAAC schools received an additional 55min/week of MVPA which may be associated with both physical and mental health benefits, without a reduction in time devoted to academic instruction.

Copyright © 2017. Published by Elsevier Inc.

Address: Department of Internal Medicine, Cardiovascular Research Institute, Center for Physical Activity and Weight Management, The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA. Electronic address: [email protected].; Department of Psychology, Department of Health Sciences, Northeastern University, 125 NI, 360 Huntington Avenue, Boston, MA 02115, USA.; Department of Health, Sport, and Exercise Science, The University of Kansas, 1301 West Campus Road, Lawrence, KS, 66045, USA.; Department of Psychology and Research in Education, The University of Kansas, 1122 West Campus Road, Lawrence, KS 66045, USA.; Department of Internal Medicine, The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.; Department of Dietetics and Nutrition, The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.; Department of Biostatistics, The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.; Department of Internal Medicine, Cardiovascular Research Institute, Center for Physical Activity and Weight Management, The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.; Department of Internal Medicine, Cardiovascular Research Institute, Center for Physical Activity and Weight Management, The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA. Electronic address: [email protected].; Department of Kinesiology and Community Health, The University of Illinois Urbana-Champaign, 906 South Goodwin, Urbana, Il 61801, USA.
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