Wednesday, 21 September 2016

Context and Intensity of Primary School Physical Education Classes in Brazilian Schoolchildren

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The benefits of physical activities (PA) for children are well documented, however, studies have shown that children are not physically active. Health-related governmental organizations have emphasized the importance of promoting PA in young populations, and the World Health Organization has highlighted that the school is an ideal place to promote health among children and adolescents. Physical education classes (PE) are one of the most important opportunities for children to engage in physical activities in schools. In addition to facilitating different and important bodily experiences as part of child education, PE helps them to achieve the daily recommended goals: at least 60 minutes of moderate-to-vigorous intensity physical activity (MVPA). Having a range of different contexts in PE classes gives children opportunities to learn through movements and helps them to develop better physical competences, which are crucial for motor development and contribute to children’s selfefficacy and confidence to engage in physical activities. The Brazilian guidelines for physical education propose that children should engage in dance, sports, gymnastics, games, and martial arts and experiment with a diversity of movements in different environments in PE classes. 

Elementary school is mandatory in Brazil and children usually stay for a four-hour duration comprising five 45-minutes classes and a 15-minutes recess five days a week. Other countries have different school schedules where children may spend most of their waking hours in schools. According to specific recommendations, children should be engaged in MVPA for more than half of the learning time of PE classes. Even though PE classes are the most active period in school, research has shown that children accumulate less than the recommended time spent doing MVPA in PE classes and in school-time as a whole. Although many reports have highlighted small proportions of MVPA in PE classes, it would also be informative to detail the specific context of the PE classes that might affect this lack of intense PA. Analyzing the contexts of PE classes might give an insight into the PA levels observed, as studies report that a great proportion of PE classes are spent in sedentary or light intensity activities, such as class management or knowledge. Despite the importance of these contexts, they should not be the main focus of PE classes. The present study addresses two important issues: first, the description of the contexts that prevail in the PE classes; second, the intensity pattern of the classes in the presence of these contexts. Information regarding these topics might be important to develop novel intervention strategies to increase PE classes’ intensity and benefit children’s motor development. Thus, the objective of this study was to describe the PE classes’ context and intensity in 7 to 11-year-old schoolchildren in a city in southern Brazil.

We used data from the CAAFE project (www.caafe.ufsc.br) entitled “Development and evaluation of a system for monitoring food intake and physical activity of schoolchildren aged 7 to 10 years - CAAFE”. The study was conducted in the city of Florianopolis, from March to May 2013. Florianopolisis the capital of the state of Santa Catarina in southern Brazil. Participants gave oral consent and their parents signed a written consent form. No financial reward was offered. The project was approved by the Ethics Committee on Human Research at the Federal University of Santa Catarina (UFSC) under protocol 2250/11. Intentional sampling included five public schools selected by the Municipal Education Department in different regions of the city (Central, North, South, and East) in order to represent students from different socio-economic backgrounds. Six classes from 2nd to 5th grades were selected by the principal of each school, making a total of 30 classes. Children in Brazil who attend 2nd to 5th grade are expected to be 7-8 years old in the 2nd grade, 8-9 years old in the 3rd grade, 9-10 years old in the 4th grade and, 10-11 years old in the 5th grade. For the present study, data of twelve PE classes was retrieved, including time (in minutes) children spent on MVPA in these classes and the context they were inserted when being physically active. To measure MVPA, children wore accelerometers (Actigraph Gt3x+) for two days, but only data from the second day was used to prevent reactivity. The accelerometers measure acceleration during sampling periods named epochs which vary in length (usually between 1 and 60s). The intensity of the acceleration on each epoch is then classified by validated cut-off-points in activity intensity categories (e.g. 15s in moderate intensity, and 15s in light intensity). Children wore the accelerometers on the right hip, secured by an elastic band during school-time. Data was analyzed in 15 seconds epochs using cut-off points (2296 counts per minute for MVPA) validated for children and recommended to classify the intensity of activities equivalent to four Metabolic Equivalents (MET) or above in children. The PE class’ contexts were observed by trained researchers and captured by an audio recording, adapted from the System for Observing Fitness Instruction Time (SOFIT). The contexts were classified in the categories of the original instrument, based on the activities performed by children during class time, as can be seen in Table 1. Researchers were instructed to avoid interference in the running of the class and to be positioned in strategic places.

Observation time (minutes), the class size (number of students), and the setting where the PE classes took place (indoor or outdoor) were also retrieved. Each observation (PE class) was plotted on a graph to estimate the proportion of time spent on each context. For each observation we also added information regarding the proportion of learning time in MVPA on the same graphic. 

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