Cost Effectiveness of an Elementary School Active Physical Education Policy

American Journal of Preventive Medicine

Volumn 49, Issue 1, 2015, Pages 148-159

  Barrett, Jessica L ^a   Gortmaker, Steven L ^a   Long, Michael W ^a   Ward, Zachary J ^a   Resch, Stephen C ^a   Moodie, Marj L ^c   Carter, Rob ^c   Sacks, Gary ^c   Swinburn, Boyd A ^c,d   Wang, Y Claire ^b   Cradock, Angie L ^a  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^b Columbia University ^*  (United States)

^c DEAKIN UNIVERSITY   (Australia)

^d UNIVERSITY OF AUCKLAND   (New Zealand)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BODY MASS; CHILD; CHILDHOOD OBESITY; COHORT ANALYSIS; COST CONTROL; COST EFFECTIVENESS ANALYSIS; HEALTH CARE COST; HEALTH CARE POLICY; HUMAN; INTERVENTION STUDY; MAJOR CLINICAL STUDY; META ANALYSIS (TOPIC); PHYSICAL ACTIVITY; PHYSICAL EDUCATION; PRESCHOOL CHILD; PRIMARY SCHOOL; SENSITIVITY ANALYSIS; SIMULATION; UNITED STATES; COST BENEFIT ANALYSIS; ECONOMICS; FEMALE; LEGISLATION AND JURISPRUDENCE; MALE; OBESITY; SCHOOL HEALTH SERVICE; STATISTICS AND NUMERICAL DATA;

CHILD; COST-BENEFIT ANALYSIS; FEMALE; HEALTH POLICY; HUMANS; MALE; OBESITY; PHYSICAL EDUCATION AND TRAINING; SCHOOL HEALTH SERVICES; UNITED STATES;

EID: 84932139894     PISSN: 07493797     EISSN: 18732607     Source Type: Journal    
DOI: 10.1016/j.amepre.2015.02.005     Document Type: Article

References (96)

1. Physical Activity Guidelines Advisory Committee. Physical Activity Guidelines Advisory Committee Report, 2008. Washington, DC: USDHHS; 2008.
2. C. Lees, and J. Hopkins Effect of aerobic exercise on cognition, academic achievement, and psychosocial function in children: a systematic review of randomized control trials Prev Chronic Dis 10 2013 E174 http://dx.doi.org/10.5888/pcd10.130010
3. A.L. Fedewa, and S. Ahn The effects of physical activity and physical fitness on children's achievement and cognitive outcomes: a meta-analysis Res Q Exerc Sport 82 3 2011 521 535 http://dx.doi.org/10.1080/02701367.2011.10599785
4. R.M. Malina Physical activity and fitness: Pathways from childhood to adulthood Am J Hum Biol 13 2 2001 162 172 http://dx.doi.org/10.1002/1520-6300(200102/03)13:2<162::AID-AJHB1025>3.0.CO;2-T
5. R. Telama Tracking of physical activity from childhood to adulthood: a review Obes Facts 2 3 2009 187 195 http://dx.doi.org/10.1159/000222244
6. S.J.H. Biddle, A.J. Atkin, N. Cavill, and C. Foster Correlates of physical activity in youth: a review of quantitative systematic reviews Int Rev Sport Exerc Psychol 4 1 2011 25 49 http://dx.doi.org/10.1080/1750984X.2010.548528
7. H.G. Williams, K.A. Pfeiffer, J.R. O'Neill, and et al. Motor skill performance and physical activity in preschool children Obesity (Silver Spring) 16 6 2008 1421 1426 http://dx.doi.org/10.1038/oby.2008.214
8. D. Lubans, P. Morgan, D. Cliff, L. Barnett, and A. Okely Fundamental movement skills in children and adolescents: review of associated health benefits Sports Med 40 12 2010 1019 1035 http://dx.doi.org/10.2165/11536850-000000000-00000
9. B.H. Wrotniak, L.H. Epstein, J.M. Dorn, K.E. Jones, and V.A. Kondilis The relationship between motor proficiency and physical activity in children Pediatrics 118 6 2006 E1758 E1765 http://dx.doi.org/10.1542/peds.2006-0742
10. L.M. Barnett, E. Van Beurden, P.J. Morgan, L.O. Brooks, and J.R. Beard Childhood motor skill proficiency as a predictor of adolescent physical activity J Adolesc Health 44 3 2009 252 259 http://dx.doi.org/10.1016/j.jadohealth.2008.07.004
11. M. Dobbins, H. Husson, K. DeCorby, and R.L. LaRocca School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18 Cochrane Database Syst Rev 2 2013 CD007651
12. K.C. Harris, L.K. Kuramoto, M. Schulzer, and J.E. Retallack Effect of school-based physical activity interventions on body mass index in children: a meta-analysis CMAJ 180 7 2009 719 726 http://dx.doi.org/10.1503/cmaj.080966
13. P.H. Guerra, M.R. Nobre, J.A. Silveira, and J.A. Taddei The effect of school-based physical activity interventions on body mass index: a meta-analysis of randomized trials Clinics (Sao Paulo) 68 9 2013 1263 1273 http://dx.doi.org/10.6061/clinics/2013(09)14
14. D.C. Wilks, H. Besson, A.K. Lindroos, and U. Ekelund Objectively measured physical activity and obesity prevention in children, adolescents and adults: a systematic review of prospective studies Obes Rev 12 5 2011 e119 e129
15. B.S. Metcalf, J. Hosking, A.N. Jeffery, L.D. Voss, W. Henley, and T.J. Wilkin Fatness leads to inactivity, but inactivity does not lead to fatness: a longitudinal study in children (EarlyBird 45) Arch Dis Child 96 10 2011 942 947 http://dx.doi.org/10.1136/adc.2009.175927
16. A. Fisher, C. Hill, L. Webber, L. Purslow, and J. Wardle MVPA is associated with lower weight gain in 8-10 year old children: a prospective study with 1 year follow-up PLoS One 6 4 2011 e18576 http://dx.doi.org/10.1371/journal.pone.0018576
17. C.J. Riddoch, S.D. Leary, A.R. Ness, and et al. Prospective associations between objective measures of physical activity and fat mass in 12-14 year old children: the Avon Longitudinal Study of Parents and Children (ALSPAC) BMJ 339 2009 b4544 http://dx.doi.org/10.1136/bmj.b4544
18. L. Basterfield, M.S. Pearce, A.J. Adamson, and et al. Physical activity, sedentary behavior, and adiposity in English children Am J Prev Med 42 5 2012 445 451 http://dx.doi.org/10.1016/j.amepre.2012.01.007
19. S. Kriemler, L. Zahner, C. Schindler, and et al. Effect of school based physical activity programme (KISS) on fitness and adiposity in primary schoolchildren: cluster randomised controlled trial BMJ 340 2010 c785 http://dx.doi.org/10.1136/bmj.c785
20. J.A. Mitchell, R.R. Pate, V. España-Romero, J.R. O'Neill, M. Dowda, and P.R. Nader Moderate-to-vigorous physical activity is associated with decreases in body mass index from ages 9 to 15 years Obesity (Silver Spring) 21 3 2013 E280 E293 http://dx.doi.org/10.1002/oby.20118
21. USDHHS 2008 Physical Activity Guidelines for Americans 2008 USDHHS Washington, DC
22. R.P. Troiano, D. Berrigan, K.W. Dodd, L.C. Masse, T. Tilert, and M. McDowell Physical activity in the United States measured by accelerometer Med Sci Sports Exerc 40 1 2008 181 188 http://dx.doi.org/10.1249/mss.0b013e31815a51b3
23. IOM Educating the Student Body: Taking Physical Activity and Physical Education to School 2013 National Academies Press Washington, DC
24. S.M. Lee, C.R. Burgeson, J.E. Fulton, and C.G. Spain Physical education and physical activity: results from the School Health Policies and Programs Study 2006 J Sch Health 77 8 2007 435 463 http://dxdoi.org/10.1111/j.1746-1561.2007.00229.x
25. CDC, Bridging the Gap Research Program Strategies for Supporting Quality Physical Education and Physical Activity in Schools 2014 USDHHS Atlanta, GA
26. L. Turner, F.J. Chaloupka, and A. Sandoval School Policies and Practices for Improving Children's Health: National Elementary School Survey Results: School Years 2006-07 through 2009-10. Vol. 2 2012 Bridging the Gap Program, Health Policy Center, Institute for Health Research and Policy, University of Illinois at Chicago Chicago, IL
27. L. Turner, F.J. Chaloupka, J.F. Chriqui, and A. Sandoval School Policies and Practices to Improve Health and Prevent Obesity: National Elementary School Survey Results: School Years 2006-07 and 2007-08. Vol 1 2010 Bridging the Gap Program, Health Policy Center, Institute for Health Research and Policy, University of Illinois at Chicago Chicago, IL
28. P.R. Nader National Institute of Child Health and Human Development Study of Early Child Care and Youth Development Network. Frequency and intensity of activity of third-grade children in physical education Arch Pediatr Adolesc Med 157 2 2003 185 190 http://dx.doi.org/10.1001/archpedi.157.2.185
29. T.L. McKenzie, P.R. Nader, P.K. Strikmiller, and et al. School physical education: effect of the Child and Adolescent Trial for Cardiovascular Health Prev Med 25 4 1996 423 431 http://dx.doi.org/10.1006/pmed.1996.0074
30. J.F. Sallis, T.L. McKenzie, J.E. Alcaraz, B. Kolody, N. Faucette, and M.F. Hovell 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 Am J Public Health 87 8 1997 1328 1334 http://dx.doi.org/10.2105/AJPH.87.8.1328
31. UCLA Center to Eliminate Health Disparities, Samuels & Associates Failing Fitness: Physical Activity and Physical Education in Schools 2007 The California Endowment Los Angeles, CA www.calendow.org
32. K.A. Skala, A.E. Springer, S.V. Sharma, D.M. Hoelscher, and S.H. Kelder Environmental characteristics and student physical activity in PE class: findings from two large urban areas of Texas J Phys Act Health 9 4 2012 481 491
33. T.L. McKenzie, H. Feldman, S.E. Woods, and et al. Children's activity levels and lesson context during third-grade physical education Res Q Exerc Sport 66 3 1995 184 193 http://dx.doi.org/10.1080/02701367.1995.10608832
34. T.L. McKenzie, E.J. Stone, H.A. Feldman, and et al. Effects of the CATCH physical education intervention: teacher type and lesson location Am J Prev Med 21 2 2001 101 109 http://dx.doi.org/10.1016/S0749-3797(01)00335-X
35. C. Lonsdale, R.R. Rosenkranz, L.R. Peralta, A. Bennie, P. Fahey, and D.R. Lubans A systematic review and meta-analysis of interventions designed to increase moderate-to-vigorous physical activity in school physical education lessons Prev Med 56 2 2013 152 161 http://dx.doi.org/10.1016/j.ypmed.2012.12.004
36. M. Dowda, F. James, J.F. Sallis, T.L. McKenzie, P. Rosengard, and H.W. Kohl Evaluating the sustainability of SPARK physical education: a case study of translating research into practice Res Q Exerc Sport 76 1 2005 11 19
37. T.L. McKenzie, J.F. Sallis, and P. Rosengard Beyond the stucco tower: design, development, and dissemination of the SPARK physical education programs Quest 61 1 2009 114 127 http://dx.doi.org/10.1080/00336297.2009.10483606
38. T.L. McKenzie, D. Li, C.A. Derby, L.S. Webber, R.V. Luepker, and P. Cribb Maintenance of effects of the CATCH physical education program: results from the CATCH-ON study Health Educ Behav 30 4 2003 447 462 http://dx.doi.org/10.1177/1090198103253535
39. D.M. Hoelscher, H.A. Feldman, C.C. Johnson, and et al. School-based health education programs can be maintained over time: results from the CATCH Institutionalization study Prev Med 38 5 2004 594 606 http://dx.doi.org/10.1016/j.ypmed.2003.11.017
40. E.M. Heath, and K.J. Coleman Evaluation of the institutionalization of the coordinated approach to child health (CATCH) in a U.S./Mexico border community Health Educ Behav 29 4 2002 444 460 http://dx.doi.org/10.1177/109019810202900405
41. CATCH for Schools K-8. www.catchusa.org/catchschools.htm.
42. SPARK. www.sparkpe.org/.
43. J.F. Chriqui, E.A. Resnick, L. Schneider, and et al. School District Wellness Policies: Evaluating Progress and Potential for Improving Children's Health Five Years after the Federal Mandate. School Years 2006-07 through 2010-11 2013 Bridging the Gap Program, Health Policy Center, Institute for Health Research and Policy, University of Illinois at Chicago Chicago, IL
44. A.A. Eyler, R.C. Brownson, S.A. Aytur, and et al. Examination of trends and evidence-based elements in state physical education legislation: a content analysis J Sch Health 80 7 2010 326 332 http://dx.doi.org/10.1111/j.1746-1561.2010.00509.x
45. J.A. Carlson, J.F. Sallis, J.F. Chriqui, L. Schneider, L.C. McDermid, and P. Agron State policies about physical activity minutes in physical education or during school J Sch Health 83 3 2013 150 156 http://dx.doi.org/10.1111/josh.12010
46. J. Levi, S. Vinter, L. Richardson, R. Laurent, and L.M. Segal F as in Fat: How Obesity Policies Are Failing in America 2009 (Supplement) 2009 Trust for America's Health, Robert Wood Johnson Foundation Washington, DC
47. A.L. Cradock, J.L. Barrett, C. Carnoske, and et al. Roles and strategies of state organizations related to school-based physical education and physical activity policies J Public Health Manag Pract 19 3)(suppl 1 2013 S34 S40 http://dx.doi.org/10.1097/PHH.0b013e3182840da2
48. S. Wu, D. Cohen, Y. Shi, M. Pearson, and R. Sturm Economic analysis of physical activity interventions Am J Prev Med 40 2 2011 149 158 http://dx.doi.org/10.1016/j.amepre.2010.10.029
49. M. Forster, J.L. Veerman, J.J. Barendregt, and T. Vos Cost-effectiveness of diet and exercise interventions to reduce overweight and obesity Int J Obes (Lond) 35 8 2011 1071 1078 http://dx.doi.org/10.1038/ijo.2010.246
50. L. Roux, M. Pratt, T.O. Tengs, and et al. Cost effectiveness of community-based physical activity interventions Am J Prev Med 35 6 2008 578 588 http://dx.doi.org/10.1016/j.amepre.2008.06.040
51. F. Müller-Riemenschneider, T. Reinhold, and S.N. Willich Cost-effectiveness of interventions promoting physical activity Br J Sports Med 43 1 2009 70 76 http://dx.doi.org/10.1136/bjsm.2008.053728
52. M.M. Haby, T. Vos, R. Carter, and et al. A new approach to assessing the health benefit from obesity interventions in children and adolescents: the assessing cost-effectiveness in obesity project Int J Obes (Lond) 30 10 2006 1463 1475 http://dx.doi.org/10.1038/sj.ijo.0803469
53. R. Carter, T. Vos, M. Moodie, M. Haby, A. Magnus, and C. Mihalopoulos Priority setting in health: Origins, description and application of the Assessing Cost Effectiveness (ACE) Initiative Expert Rev Pharmacoecon Outcomes Res 8 2008 593 617 http://dx.doi.org/10.1586/14737167.8.6.593
54. M. Drummond, M. Scuplher, G. Torrance, B. O'Brien, and G. Stoddard Methods for the Economic Evaluation of Health Care Programmes 2005 Oxford University Press Oxford
55. Gortmaker SL, Long MW, Resch SC. Cost effectiveness of childhood obesity interventions: evidence and methods for CHOICES. Am J Prev Med. 2015;49(1):102-111
56. T. Vos, R. Carter, J. Barendregt, and et al. Assessing Cost-Effectiveness in Prevention (ACE-Prevention): Final Report 2010 University of Queensland, Brisbane and Deakin University Melbourne
57. G.H. Guyatt, A.D. Oxman, G.E. Vist, and et al. GRADE: what is "quality of evidence" and why is it important to clinicians? Br Med J 336 7651 2008 995 999B http://dx.doi.org/10.1136/bmj.39490.551019.BE
58. Green JPH, ed. Cochrane Handbook for Systematic Reviews of Interventions. Version 5.2.10: The Cochrane Collaboration; 2011.
59. E.A. Finkelstein, and J.G. Trogdon Public health interventions for addressing childhood overweight: analysis of the business case Am J Public Health 98 3 2008 411 415 http://dx.doi.org/10.2105/AJPH.2007.114991
60. L. Segal, and K. Dalziel Economic evaluation of obesity interventions in children and adults Int J Obes (Lond) 31 7 2007 1183 11814 author reply 1185
61. U.S. Census Bureau. 2012 National Population Projections. www.census.gov/population/projections/data/national/2012/downloadablefiles.html.
62. U.S. Department of Education. Digest of Education Statistics 2013. www.nces.ed.gov/programs/digest/2013menu-tables.asp.
63. U.S. Department of Education, National Center for Education Statistics. Common Core of Data (CCD), Public Elementary/Secondary School Universe Survey Data, 2011-12. www.nces.ed.gov/ccd/pubschuniv.asp.
64. M.W. Long, A.M. Sobol, A.L. Cradock, S.V. Subramanian, R.J. Blendon, and S.L. Gortmaker School-day and overall physical activity among youth Am J Prev Med 45 2 2013 150 157 http://dx.doi.org/10.1016/j.amepre.2013.03.011
65. C.D. Baggett, J. Stevens, D.J. Catellier, and et al. Compensation or displacement of physical activity in middle-school girls: the Trial of Activity for Adolescent Girls Int J Obes (Lond) 34 7 2010 1193 1199 http://dx.doi.org/10.1038/ijo.2010.31
66. A. Goodman, R.L. Mackett, and J. Paskins Activity compensation and activity synergy in British 8-13 year olds Prev Med 53 4-5 2011 293 298 http://dx.doi.org/10.1016/j.ypmed.2011.07.019
67. D. Dale, C.B. Corbin, and K.S. Dale Restricting opportunities to be active during school time: do children compensate by increasing physical activity levels after school? Res Q Exerc Sport 71 3 2000 240 248 http://dx.doi.org/10.1080/02701367.2000.10608904
68. C.F. Morgan, A. Beighle, and R.P. Pangrazi What are the contributory and compensatory relationships between physical education and physical activity in children? Res Q Exerc Sport 78 5 2007 407 412 http://dx.doi.org/10.1080/02701367.2007.10599440
69. K.D. Hall, N.F. Butte, B.A. Swinburn, and C.C. Chow Dynamics of childhood growth and obesity: development and validation of a quantitative mathematical model Lancet Diabetes Endocrinol 1 2 2013 97 105 http://dx.doi.org/10.1016/S2213-8587(13)70051-2
70. M.R. Gold, J.E. Siegel, L.B. Russell, and M.C. Weinstein Cost-effectiveness in Health and Medicine 1996 Oxford University Press New York
71. S.L. Gortmaker, B.A. Swinbum, D. Levy, and et al. Obesity 4 Changing the future of obesity: science, policy, and action Lancet 378 9793 2011 838 847 http://dx.doi.org/10.1016/S0140-6736(11)60815-5
72. R. Carter, M. Moodie, A. Markwick, and et al. Assessing Cost-Effectiveness in Obesity (ACE-Obesity): an overview of the ACE approach, economic methods and cost results BMC Public Health 9 2009 419 http://dx.doi.org/10.1186/1471-2458-9-419
73. T. Vos, R. Carter, C. Doran, I. Anderson, A. Lopez, and A. Wilson ACE-Prevention Project 2005-09 Economic Evaluation Protocol 2007
74. CDC Results From the School Health Policies and Practices Study 2012 2013 Adolescent and School Health, CDC Atlanta, GA http://dx.doi.org/10.1186/1472-6963-14-44
75. Office of the New York State Comptroller School Districts' Compliance With Physical Education Regulations 2008 Office of the New York State Comptroller, Division of Local Government and School Accountability Albany, NY
76. Health Impact Assessment Group, UCLA School of Public Health Health Impact Assessment (HIA) of Potential Modifications to Physical Education Requirements in California June 9, 2007 UCLA School of Public Health Los Angeles, CA
77. D.R. Wright, E.M. Taveras, M.W. Gillman, and et al. The cost of a primary care-based childhood obesity prevention intervention BMC Health Serv Res 14 2014 44
78. J.A. Black, B. White, R.M. Viner, and R.K. Simmons Bariatric surgery for obese children and adolescents: a systematic review and meta-analysis Obes Rev 14 8 2013 634 644 http://dx.doi.org/10.1111/obr.12037
79. J.P. Weiner, S.M. Goodwin, H.Y. Chang, and et al. Impact of bariatric surgery on health care costs of obese persons: a 6-year follow-up of surgical and comparison cohorts using health plan data JAMA Surg 148 6 2013 555 562 http://dx.doi.org/10.1001/jamasurg.2013.1504
80. M. Moodie, M. Haby, L. Galvin, B. Swinburn, and R. Carter Cost-effectiveness of active transport for primary school children - Walking School Bus program Int J Behav Nutr Phys Act 6 2009 63 http://dx.doi.org/10.1186/1479-5868-6-63
81. M.L. Moodie, R.C. Carter, B.A. Swinburn, and M.M. Haby The cost-effectiveness of Australia's Active After-School Communities program Obesity (Silver Spring) 18 8 2010 1585 1592 http://dx.doi.org/10.1038/oby.2009.401
82. M. Moodie, M.M. Haby, B. Swinburn, and R. Carter Assessing cost-effectiveness in obesity: active transport program for primary school children - TravelSMART Schools Curriculum program J Phys Act Health 8 4 2011 503 515
83. B. Parsad, and L. Lewis Calories In, Calories Out: Food and Exercise in Public Elementary Schools, 2005 (NCES 2006-057) 2006 National Center for Education Statistics, U.S. Department of Education Washington, DC
84. San Diego State University Physical Education Matters January 2007 The California Endowment Los Angeles, CA www.calendow.org
85. C.S. Barroso, C. McCullum-Gomez, D.M. Hoelscher, S.H. Kelder, and N.G. Murray Self-reported barriers to quality physical education by physical education specialists in Texas J Sch Health 75 8 2005 313 319 http://dx.doi.org/10.1111/j.1746-1561.2005.tb07348.x
86. S.H. Kelder, P.D. Mitchell, T.L. McKenzie, and et al. Long-term implementation of the CATCH physical education program Health Educ Behav 30 4 2003 463 475 http://dx.doi.org/10.1177/1090198103253538
87. U.S. Department of Education. NCES Schools and Staffing Survey / Teacher Follow up Survey 2008-2009. www.nces.ed.gov/surveys/sass/tables/tfs0809-021-cf1n.asp.
88. R.L. Carson, D.M. Castelli, A.C. Pulling Kuhn, and et al. Impact of trained champions of comprehensive school physical activity programs on school physical activity offerings, youth physical activity and sedentary behaviors Prev Med 69 suppl 1 2014 S12 S19 http://dx.doi.org/10.1016/j.ypmed.2014.08.025
89. J. Clarke, B. Fletcher, E. Lancashire, M. Pallan, and P. Adab The views of stakeholders on the role of the primary school in preventing childhood obesity: a qualitative systematic review Obes Rev 14 12 2013 975 988 http://dx.doi.org/10.1111/obr.12058
90. I.M. Lee, E.J. Shiroma, F. Lobelo, and et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy Lancet 380 9838 2012 219 229 http://dx.doi.org/10.1016/S0140-6736(12)61031-9
91. C.P. Wen, J.P. Wai, M.K. Tsai, and et al. Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study Lancet 378 9798 2011 1244 1253 http://dx.doi.org/10.1016/S0140-6736(11)60749-6
92. T. Brown, and C. Summerbell Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity: an update to the obesity guidance produced by the National Institute for Health and Clinical Excellence Obes Rev 10 1 2009 110 141 http://dx.doi.org/10.1111/j.1467-789X.2008.00515.x
93. E.B. Kahn, L.T. Ramsey, R.C. Brownson, and et al. The effectiveness of interventions to increase physical activity. A systematic review Am J Prev Med 22 (4)(suppl) 2002 73 107 http://dx.doi.org/10.1016/S0749-3797(02)00434-8
94. J. Salmon, M.L. Booth, P. Phongsavan, N. Murphy, and A. Timperio Promoting physical activity participation among children and adolescents Epidemiol Rev 29 2007 144 159 http://dx.doi.org/10.1093/epirev/mxm010
95. Doak CM, Visscher TL, Renders CM, Seidell JC. The prevention of overweight and obesity in children and adolescents: a review of interventions and programmes. Obes Rev. 2006;7(1):111-136. http://dx.doi.org/10.1111/j.1467-789X.2006.00234.x.
96. C.E. Flodmark, C. Marcus, and M. Britton Interventions to prevent obesity in children and adolescents: a systematic literature review Int J Obes (Lond) 30 4 2006 579 589 http://dx.doi.org/10.1038/sj.ijo.0803290