Joseph E. Donnelly - "Physical Activity and Academic Achievement in Elementary School Children"

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The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia

Joseph E. Donnelly, EdD, FACSM - "Physical Activity and Academic Achievement in Elementary School Children"

Panel 2 - How can we increase physical activity in children and adolescents? The presentations in this panel will describe programs that have successfully increased physical activity at preschool, in the home, at school, in communities, and in the private sector.

Website: http://bit.ly/YNCONF13

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Joseph E. Donnelly - "Physical Activity and Academic Achievement in Elementary School Children"

  1. 1. Physical Activity, Physical Fitness, & Academic Performance Joseph E. Donnelly, ED.D., FACSM Professor, Internal Medicine Director, Energy Balance Laboratory Director, Center for Physical Activity & Weight Management The University of Kansas Medical Center The University of Kansas-Lawrence
  2. 2. Overview • Metabolic syndrome and obesity in children and youth • Minimal intervention approach to increase physical activity and impact learning in schools • Barriers and potential solutions • Summary
  3. 3. Distribution of the Metabolic Syndrome & Its Related Components Prevalence (%) 40 30 20 10 0 MS HDL-C TG All DuBose et al., Acta Paediatr, 2006 Boys Variables Gluc Girls CO BP
  4. 4. Theoretical Model to Improve Health & Academic Achievement Donnelly JE, Lambourne K, Prev. Med., 2011, 52:S36-42.
  5. 5. Schools are Sedentary • Bus ride can be > 60 min each way • Recess and physical education has declined to levels that cannot provide adequate stimulus (energy expenditure) for fitness or to protect against fatness • Motor time off task is discouraged and disciplined • Traditional teaching paradigm- sit down and be quiet
  6. 6. Physical Education by Itself is not Adequate to Provide Fitness or Prevent Fatness in the Current Environment • PE and recess have diminished, frequently offered 2-3 X week • PE duration as little as 20 minutes • MET value frequently just at or below the definition of moderately vigorous • Inadequate facilities & equipment • PE teacher shared among schools, poor training/no training
  7. 7. Physical Activity Across the Curriculum (PAAC) A 3-year, randomized controlled trial of physical activity and academic achievement for elementary school children in grades 2 & 3 Donnelly et al., Physical Activity Across the Curriculum (PAAC): A randomized controlled trial to promote physical activity and diminish obesity in elementary school children. Prev. Med. 2009, 49:336-41 (DK61489)
  8. 8. Major Aims of PAAC • Increase physical activity by using classroom teachers to teach existing lessons with using physical activity • Primary aimDiminish increases in BMI • Secondary aimsDetermine association between physically active lessons and academic achievement Characterize metabolic syndrome
  9. 9. The PAAC Program •A classroom-based approach to reduce sedentary behavior while maintaining the focus on academics •NO DECREASE in academic instruction time •PAAC is a technique to deliver existing academic instruction through movement
  10. 10. Traditional VS. PAAC Classroom
  11. 11. Conceptual Framework • • • • • • • Minimal intervention Enhances learning No additional teacher preparation time No additional cost Easily perpetuated and replicated Desirable for both teacher and student (i.e., FUN) Students “must” participate in classroom lessons
  12. 12. The PAAC Program Integrate 10 minute periods of physical activity within academic lessons for a total of 90 min/wk (i.e. 1 ten min lesson in morning and afternoon. • • • • Language art Math Science History
  13. 13. Design • • • • Cluster randomized, controlled trial N=22 3 year intervention Grades 2&3 Target 90 minutes of moderate to vigorous physical activity/wk • Use classroom teachers to deliver existing academic lessons using physical activity
  14. 14. Active Lesson
  15. 15. Learning to Spell
  16. 16. Learning Math
  17. 17. Learning Spanish
  18. 18. Intensity of Physical Activity Mean SOFIT by Semester 4 3.5 3 SOFIT 2.5 Control Intervention 2 1.5 1 0.5 0 Spring 04 Fall 04 Spring 05 Fall 05 Spring 06
  19. 19. Energy Expenditure of Exercise 38 boys & girls Grades 2-5 PAAC lessons of ≥ 10 min duration Average MET = 3.4 (lower end of moderate to vigorous) Honas et al., MSSE, 2008 Will more vigorous exercise provide a greater response for cognitive function (and perhaps academic achievement?) Davis et al., Health Psychol, 2011
  20. 20. BMI Change Across 3 Years for PAAC Schools Receiving 75+ min of PA or < 75 min PA 2.5 P=0.0003 2 2.4 0.2 1.5 1.8 0.1 1 0.5 0 9 schools 75+ min 5 school <75 min BMI Change 75+ <75
  21. 21. Academic Achievement- Individual Categories 114 112 110 108 106 PAAC CON 104 102 100 Donner Adjusted t for Each Category p ≤ 0.01 98 96 Reading B 3yr Math B 3yr Spelling B 3yr
  22. 22. Relationship Between Teacher Modeling & Physical Activity Levels in Students (intervene with teachers to benefit students?) PA Level by SOFIT Score 5 4.5 4 * * 3.5 3 2.5 2 None Some what active Active Level of Teacher Modeling *P<0.0001; dose-response relationship between teacher modeling and PA level Gibson et al., IJBNPA, 2008
  23. 23. 9-Months Post Intervention Teacher Survey Percentage Use 100 90 80 70 60 50 40 30 20 10 0 ≥1 d 2-4 d/wk most or every did not use
  24. 24. A+PAAC Design- Emphasis on Academic Achievement • Adequately powered, cluster randomized trial • 17 elementary schools, (9 intervention, 8 control) • ~ 20 children from 2nd & 3rd grades followed 3 yrs. to 4th and 5th grades (~40/school, 682 children total) • 20 minutes of A+PAAC lessons/day DK85317, Donnelly PI
  25. 25. A+PAAC Outcomes • Academic achievement measured by Wechsler Individual Achievement Test III • State administered achievement tests with individual identifiers • Cognitive function- Flanker, n-back (Hillman) • Anthropometrics, fitness (Pacer), blood chemistry, blood pressure, attention-to-task (Mahar), energy expenditure of A+PAAC lessons (indirect calorimetry via CosMed)
  26. 26. Relationship Between Fitness and WIAT III Significant association between fitness and math controlling for grade, gender, BMI, mother’s education, household income and intraclass correlations among classes and schools
  27. 27. How to Increase Physical Activity in Schools Without Decreasing Academic Instruction • Increase time children are physically active in current physical education and recess • Provide access to physical activity before and after school • Promote active transportation • Provide physically active lessons
  28. 28. What is Needed to Avoid Barriers and Promote Non-Traditional Physical Activity in Schools • Low teacher burden for lesson preparation • Activity disconnected from motor skills • Additional evidence to link physical activity/fitness & learning Plausible biological model combined with evidence from well designed interventions linking to state academic achievement tests • Low cost/no cost, sustainable programs through university teacher preparation (i.e., additional cost = $0.00)
  29. 29. Training Programs • • • • • Physical Activity Across the Curriculum (A+PAAC) Take 10! Let’s Move in School Energizers The Kinesthetic Classroom: teaching and learning through movement. Mike Kuczala Regional Training Center (Randolph, NJ) • Others
  30. 30. A+PAAC Concept Lessons MATH ELAPSED TIME – LUNGES, JUMPS, & JUMPING JACKS A+ P A A C The students are in a standing position and hopping in place off of both feet. The teacher gives them a problem involving “elapsed time.” For example, the movie started at 5:00 pm and ended at 8:00 pm. How much time passed? Students continue hopping and give a verbal answer. If the answer is correct, the students are asked to do 3 lunges, each lunge representing 1 hour. Variation: The elapsed time could be in 30 minute periods or 15 minute periods. Jumps and/or jumping jacks would be good movements for this variation. (1 jump or 1 jumping jack = 1 minute)
  31. 31. Evidence for Physical Activity & Academic Achievement • Fitness (aerobic capacity) seems to be associated with academic achievement • Academic lessons taught with physical activity have been shown to improve academic achievement and attenuate increases in BMI (2 for 1) even without increases in fitness • Physically active lessons may improve attention-totask, a behavior associated with learning, and critical to classroom management There is no evidence that removal of physical activity programs results in greater academic achievement
  32. 32. The End

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