Self-efficacy, physical activity, and aerobic fitness in middle school children: examination of a pedometer intervention program.

Physical activity in children has been associated with a number of health benefits. Unfortunately, physical inactivity continues to increase. The purpose of this study was to examine the relationships among self-efficacy levels, physical activity, aerobic fitness, and body composition (relative body mass index [RBMI]) and to determine whether a school-based pedometer intervention program would improve those variables. The sample consisted of 116 rural 11- to 13-year-old students. Weakly positive correlations between self-efficacy, physical activity, and aerobic fitness and weakly correlated inverse relationships between self-efficacy, physical activity, aerobic fitness and RBMI were found. There was no statistical significance between the intervention and control group when analyzing outcome variables. These findings suggest that those with optimal RBMI levels have higher self-efficacy, physical activity and aerobic fitness levels. Although not statistically significant, the intervention group had greater improvements in mean self-efficacy scores, aerobic fitness levels, and RBMI.

[1]  J. Yanovski,et al.  Influence of Excess Adiposity on Exercise Fitness and Performance in Overweight Children and Adolescents , 2005, Pediatrics.

[2]  Roy J. Shephard,et al.  Curricular Physical Activity and Academic Performance , 1997 .

[3]  K. Resnicow,et al.  Recommendations for Prevention of Childhood Obesity , 2007, Pediatrics.

[4]  Maureen Dobbins,et al.  School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. , 2013, The Cochrane database of systematic reviews.

[5]  S. Dorman,et al.  Examining school-based pedometer step counts among children in grades 3 to 6 using different timetables. , 2012, The Journal of school health.

[6]  Roger W. Byard,et al.  CDC Growth Charts , 2010 .

[7]  Philip W. Scruggs Quantifying activity time via pedometry in fifth- and sixth-grade physical education. , 2007, Journal of physical activity & health.

[8]  G. Colditz,et al.  One-year changes in activity and in inactivity among 10- to 15-year-old boys and girls: relationship to change in body mass index. , 2003, Pediatrics.

[9]  B. Hortz,et al.  Impact of the "Planning to be Active" leisure time physical exercise program on rural high school students. , 2006, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[10]  Catrine Tudor-Locke,et al.  BMI-referenced standards for recommended pedometer-determined steps/day in children. , 2004, Preventive medicine.

[11]  C. Caspersen,et al.  Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. , 1985, Public health reports.

[12]  Outcomes of a field trial to improve children's dietary patterns and physical activity: the Child and Adolescent Trial for Cardiovascular Health (CATCH) , 1996 .

[13]  Ian Janssen,et al.  Vascular Risks and Management of Obesity in Children and Adolescents , 2006, Vascular health and risk management.

[14]  Y. Aggoun,et al.  Obesity, Metabolic Syndrome, and Cardiovascular Disease , 2007, Pediatric Research.

[15]  P. Freedson,et al.  Correlates of Vigorous Physical Activity for Children in Grades 1 Through 12: Comparing Parent-Reported and Objectively Measured Physical Activity , 2002 .

[16]  Philip W. Scruggs,et al.  Quantifying Physical Activity in First- Through Fourth- Grade Physical Education via Pedometry , 2005, Research Quarterly for Exercise and Sport.

[17]  C B Corbin,et al.  Measurement issues in the assessment of physical activity in children. , 2000, Research quarterly for exercise and sport.

[18]  R. Strauss,et al.  Psychosocial correlates of physical activity in healthy children. , 2001, Archives of pediatrics & adolescent medicine.

[19]  Matthew T Mahar,et al.  Effects of a classroom-based program on physical activity and on-task behavior. , 2006, Medicine and science in sports and exercise.

[20]  J. Prochaska,et al.  Environmental interventions for eating and physical activity: a randomized controlled trial in middle schools. , 2003, American journal of preventive medicine.

[21]  K. Flegal,et al.  Prevalence of overweight and obesity in the United States, 1999-2004. , 2006, JAMA.

[22]  P. McSwegin,et al.  The Validity of a One-Mile Walk Test for High School Age Individuals , 1998 .

[23]  Penny Gordon-Larsen,et al.  Longitudinal physical activity and sedentary behavior trends: adolescence to adulthood. , 2004, American journal of preventive medicine.

[24]  Stanley P. Brown,et al.  Exercise physiology : basis of human movement in health and disease , 2006 .

[25]  K. Evenson,et al.  Implementation of a school-based state policy to increase physical activity*. , 2009, The Journal of school health.

[26]  S. Daniels,et al.  The Consequences of Childhood Overweight and Obesity , 2006, The Future of children.

[27]  S. Daniels,et al.  Obesity, insulin resistance, diabetes, and cardiovascular risk in children: an American Heart Association scientific statement from the Atherosclerosis, Hypertension, and Obesity in the Young Committee (Council on Cardiovascular Disease in the Young) and the Diabetes Committee (Council on Nutrition, , 2003, Circulation.

[28]  W. K. Mummery,et al.  Effects of a controlled pedometer-intervention trial for low-active adolescent girls. , 2005, Medicine and science in sports and exercise.

[29]  J. L. Walle,et al.  Medicine & Science in sports & Exercise , 2010 .

[30]  D. Dennison,et al.  Exercise level and energy expenditure in the TAKE 10! in-class physical activity program. , 2004, The Journal of school health.

[31]  W L Haskell,et al.  Methodologic issues in measuring physical activity and physical fitness when evaluating the role of dietary supplements for physically active people. , 2000, The American journal of clinical nutrition.

[32]  S. Daniels,et al.  Guidelines for exercise testing in the pediatric age group. From the Committee on Atherosclerosis and Hypertension in Children, Council on Cardiovascular Disease in the Young, the American Heart Association. , 1994, Circulation.

[33]  S. Daniels,et al.  Cardiovascular health promotion in the schools: a statement for health and education professionals and child health advocates from the Committee on Atherosclerosis, Hypertension, and Obesity in Youth (AHOY) of the Council on Cardiovascular Disease in the Young, American Heart Association. , 2004, Circulation.

[34]  Stella M. Yu Healthy People 2010 , 1998, Maternal and Child Health Journal.

[35]  Lars Bo Andersen,et al.  Daily physical activity and its relation to aerobic fitness in children aged 8–11 years , 2006, European Journal of Applied Physiology.

[36]  P. Ohtake Field Tests of Aerobic Capacity for Children and Older Adults , 2005 .

[37]  D. Lawlor,et al.  Childhood obesity , 2010, The Lancet.

[38]  W. Dietz,et al.  Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935. , 1992, The New England journal of medicine.

[39]  G. Schofield,et al.  An integrated curriculum approach to increasing habitual physical activity in children: a feasibility study. , 2006, The Journal of school health.

[40]  Michael Pratt,et al.  Levels of physical activity and inactivity in children and adults in the United States: current evidence and research issues. , 1999, Medicine and science in sports and exercise.

[41]  Elaine M. Rutkowski,et al.  Obesity risk knowledge and physical activity in families of adolescents. , 2011, Journal of pediatric nursing.

[42]  M. Laframboise,et al.  The effects of aerobic physical activity on adiposity in school-aged children and youth: a systematic review of randomized controlled trials. , 2011, The Journal of the Canadian Chiropractic Association.

[43]  Michael W. Beets,et al.  One-mile run/walk and body mass index of an ethnically diverse sample of youth. , 2004, Medicine and science in sports and exercise.

[44]  Guijing Wang,et al.  Economic burden of obesity in youths aged 6 to 17 years: 1979-1999. , 2002, Pediatrics.

[45]  Rachel K. Johnson,et al.  Developmental changes in energy expenditure and physical activity in children: evidence for a decline in physical activity in girls before puberty. , 1998, Pediatrics.

[46]  Stewart Trost,et al.  Evidence based physical activity for school-age youth. , 2005, The Journal of pediatrics.

[47]  Nancy A. Allen Social Cognitive Theory in Diabetes Exercise Research: An Integrative Literature Review , 2004, The Diabetes educator.

[48]  A. Vinet,et al.  Cardiovascular responses to endurance training in children: effect of gender , 2003, European journal of clinical investigation.

[49]  David B. Allison,et al.  Ten Putative Contributors to the Obesity Epidemic , 2009, Critical reviews in food science and nutrition.

[50]  D. Hyman,et al.  Active Healthy Living: Prevention of Childhood Obesity Through Increased Physical Activity , 2006, Pediatrics.

[51]  J. Annesi Relations of physical self-concept and self-efficacy with frequency of voluntary physical activity in preadolescents: implications for after-school care programming. , 2006, Journal of psychosomatic research.

[52]  W. Dietz,et al.  Obesity evaluation and treatment: Expert Committee recommendations. The Maternal and Child Health Bureau, Health Resources and Services Administration and the Department of Health and Human Services. , 1998, Pediatrics.

[53]  K. Bjornson,et al.  Physical activity monitoring in children and youths. , 2005, Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association.

[54]  S. Barlow,et al.  Is parental aggravation associated with childhood overweight? An analysis of the national survey of children's health 2003 , 2007, Acta paediatrica.

[55]  C. Corbin,et al.  Steps Counts Among Middle School Students Vary With Aerobic Fitness Level , 2006, Research quarterly for exercise and sport.

[56]  James O Prochaska,et al.  Acceptability of a School-Based Intervention for the Prevention of Adolescent Obesity , 2006, The Journal of school nursing : the official publication of the National Association of School Nurses.

[57]  J. Jakicic,et al.  The influence of exercise and BMI on injuries and illnesses in overweight and obese individuals: a randomized control trial , 2010, The international journal of behavioral nutrition and physical activity.

[58]  S. Blair,et al.  Objective measurement of levels and patterns of physical activity , 2007, Archives of Disease in Childhood.

[59]  Obert,et al.  PREDICTING OBESITY IN YOUNG ADULTHOOD FROM CHILDHOOD AND PARENTAL OBESITY , 2000 .

[60]  L. Mazur,et al.  Treatment of childhood syndrome X. , 1997, Pediatrics.

[61]  U. Ekelund,et al.  Associations between objectively assessed physical activity and indicators of body fatness in 9- to 10-y-old European children: a population-based study from 4 distinct regions in Europe (the European Youth Heart Study). , 2004, The American journal of clinical nutrition.

[62]  J. D'Auria,et al.  An integrative research review: effective school-based childhood overweight interventions. , 2006, Journal for specialists in pediatric nursing : JSPN.

[63]  T. Rowland,et al.  One-mile run performance and cardiovascular fitness in children. , 1999, Archives of pediatrics & adolescent medicine.

[64]  Ilse de Bourdeaudhuij,et al.  Physical activity and psychosocial correlates in normal weight and overweight 11 to 19 year olds. , 2005, Obesity research.

[65]  S. Ten,et al.  0021-972X/04/$15.00/0 The Journal of Clinical Endocrinology & Metabolism 89(6):2526–2539 Printed in U.S.A. Copyright © 2004 by The Endocrine Society doi: 10.1210/jc.2004-0276 Insulin Resistance Syndrome in Children , 2022 .

[66]  P. Freedson,et al.  Evaluating a model of parental influence on youth physical activity. , 2003, American journal of preventive medicine.

[67]  I. Janssen,et al.  Systematic review of the health benefits of physical activity and fitness in school-aged children and youth , 2010, The international journal of behavioral nutrition and physical activity.

[68]  L. Råstam,et al.  Factors associated with young children's self-perceived physical competence and self-reported physical activity. , 2007, Health education research.

[69]  P. Whelton,et al.  Trends in blood pressure among children and adolescents. , 2004, JAMA.

[70]  W. Dietz,et al.  Obesity Evaluation and Treatment: Expert Committee Recommendations , 1998 .

[71]  N. Murphy,et al.  Influence of a health education intervention on physical activity and screen time in primary school children: 'Switch Off--Get Active'. , 2005, Journal of science and medicine in sport.

[72]  J. Probst,et al.  Urban-rural differences in overweight status and physical inactivity among US children aged 10-17 years. , 2008, The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association.

[73]  T. Baranowski,et al.  Development of questionnaires to measure psychosocial influences on children's physical activity. , 1997, Preventive medicine.

[74]  B. Christian Research commentary--educational interventions: essential strategies for pediatric nursing practice and research. , 2010, Journal of pediatric nursing.

[75]  E. Waters,et al.  Interventions for preventing obesity in children. , 2001, The Cochrane database of systematic reviews.

[76]  J. Yanovski,et al.  Relationships between walk/run performance and cardiorespiratory fitness in adolescents who are overweight. , 2001, Physical therapy.

[77]  Merav Efrat The Relationship Between Low-Income and Minority Children’s Physical Activity and Academic-Related Outcomes , 2011, Health education & behavior : the official publication of the Society for Public Health Education.

[78]  David A. Rowe,et al.  Interinstrument Consistency of the Yamax Digi-Walker Pedometer in Elementary School-Aged Children , 2001 .

[79]  L. Kann,et al.  Youth Risk Behavior Surveillance--United States, 2003 (Abridged). , 2004, The Journal of school health.

[80]  Bernadette Mazurek Melnyk,et al.  Mental health correlates of healthy lifestyle attitudes, beliefs, choices, and behaviors in overweight adolescents. , 2006, Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners.

[81]  C. Oliver,et al.  Obésité : où en sommes-nous? , 2006 .

[82]  Philip W. Scruggs Middle School Physical Education Physical Activity Quantification , 2007, Research quarterly for exercise and sport.

[83]  R. Motl,et al.  Enjoyment mediates effects of a school-based physical-activity intervention. , 2005, Medicine and science in sports and exercise.

[84]  S. Biddle,et al.  A review of mediators of behavior in interventions to promote physical activity among children and adolescents. , 2008, Preventive medicine.

[85]  R. Eston,et al.  Validity of heart rate, pedometry, and accelerometry for predicting the energy cost of children's activities. , 1998, Journal of applied physiology.

[86]  L. Andersen,et al.  Gender differences and determinants of aerobic fitness in children aged 8–11 years , 2006, European Journal of Applied Physiology.

[87]  Stuart Fairclough,et al.  The effect of feedback and information on children's pedometer step counts at school. , 2007, Pediatric exercise science.

[88]  Anders Raustorp,et al.  Activity levels and body mass index of children in the United States, Sweden, and Australia. , 2003, Medicine and science in sports and exercise.

[89]  Exploring effective strategies for increasing the amount of moderate-to-vigorous physical activity children accumulate during recess: a quasi-experimental intervention study. , 2013, The Journal of school health.

[90]  A. Hills,et al.  The Contribution of Physical Activity and Sedentary Behaviours to the Growth and Development of Children and Adolescents , 2007, Sports medicine.

[91]  J. Spence,et al.  Seasonal variation in physical activity among children and adolescents: a review. , 2010, Pediatric exercise science.

[92]  T. Robinson,et al.  Measurement characteristics of activity-related psychosocial measures in 8- to 10-year-old African-American girls in the Girls Health Enrichment Multisite Study (GEMS). , 2004, Preventive medicine.

[93]  P S Freedson,et al.  Estimation of VO2max from a one-mile track walk, gender, age, and body weight. , 1987, Medicine and science in sports and exercise.

[94]  Michael W. Beets,et al.  The accuracy of pedometer steps and time during walking in children. , 2005, Medicine and science in sports and exercise.

[95]  Anamaria S. Kazanis,et al.  Barriers to physical activity perceived by adolescent girls. , 2003, Journal of midwifery & women's health.

[96]  S G Trost,et al.  Objective Measurement of Physical Activity in Youth: Current Issues, Future Directions , 2001, Exercise and sport sciences reviews.

[97]  J. Sullivan,et al.  Improvement of fitness, body composition, and insulin sensitivity in overweight children in a school-based exercise program: a randomized, controlled study. , 2005, Archives of pediatrics & adolescent medicine.

[98]  K. Flegal,et al.  Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. , 2012, JAMA.

[99]  Philip W. Scruggs,et al.  Quantifying physical activity via pedometry in elementary physical education. , 2003, Medicine and science in sports and exercise.

[100]  Andrés Rosende,et al.  [Obesity and metabolic syndrome in children and adolescents]. , 2013, Medicina.

[101]  Marsha Dowda,et al.  Self-efficacy partially mediates the effect of a school-based physical-activity intervention among adolescent girls. , 2004, Preventive medicine.

[102]  C. Tudor-Locke Taking Steps toward Increased Physical Activity: Using Pedometers To Measure and Motivate. , 2002 .

[103]  Neville Bennett,et al.  Differences in physical activity levels between urban and rural school children in Cyprus. , 2004, Health education research.

[104]  A. Bandura Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[105]  J. Harrell,et al.  A public health vs a risk-based intervention to improve cardiovascular health in elementary school children: the Cardiovascular Health in Children Study. , 1999, American journal of public health.

[106]  L. Mâsse,et al.  Physical activity in the United States measured by accelerometer. , 2008, Medicine and science in sports and exercise.

[107]  Denise Polit-O'Hara,et al.  Nursing Research: Principles and Methods , 1978 .

[108]  R G Eston,et al.  Special Communication , 2022 .

[109]  K. Westerterp,et al.  Physical activity levels in children and adolescents , 2003, International Journal of Obesity.

[110]  G. Balady,et al.  ACSM/AHA JOINT POSITION STATEMENT , 1999 .

[111]  S. Ratel,et al.  Effect of physical activity intervention on body composition in young children: influence of body mass index status and gender , 2007, Acta paediatrica.

[112]  R G Eston,et al.  Measurement of Physical Activity in Children with Particular Reference to the Use of Heart Rate and Pedometry , 1997, Sports medicine.

[113]  Kevin Patrick,et al.  Psychosocial and Environmental Correlates of Adolescent Sedentary Behaviors , 2005, Pediatrics.

[114]  E. Mellits,et al.  Childhood physical fitness tests: predictor of adult physical activity levels? , 1988, Pediatrics.

[115]  Kristin F. Butcher,et al.  Childhood Obesity: Trends and Potential Causes , 2006, The Future of children.

[116]  S. Brophy,et al.  Interventions for latent autoimmune diabetes (LADA) in adults. , 2011, The Cochrane database of systematic reviews.

[117]  A. Stunkard,et al.  A 40-year history of overweight children in Stockholm: life-time overweight, morbidity, and mortality. , 1994, International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity.

[118]  M. Goran Metabolic precursors and effects of obesity in children: a decade of progress, 1990-1999. , 2001, The American journal of clinical nutrition.

[119]  M. Szklo,et al.  Childhood weight and growth rate as predictors of adult mortality. , 1992, American journal of epidemiology.

[120]  S L Lusk,et al.  Healthy People 2010 , 2001, AAOHN journal : official journal of the American Association of Occupational Health Nurses.

[121]  S. Grant,et al.  Seasonality in Physical Activity and Sedentary Behavior in Young Children , 2005 .

[122]  Anamaria S. Kazanis,et al.  Exercise Self-Efficacy, Enjoyment, and Feeling States Among Adolescents , 2004, Western journal of nursing research.

[123]  D. Molnár,et al.  Physical activity in relation to overweight and obesity in children and adolescents , 2000, European Journal of Pediatrics.

[124]  A. Bandura Self-efficacy: toward a unifying theory of behavioral change. , 1977, Psychological review.

[125]  W. Dietz,et al.  Introduction: the use of body mass index to assess obesity in children. , 1999, The American journal of clinical nutrition.

[126]  T. Baranowski,et al.  Observations on physical activity in physical locations: age, gender, ethnicity, and month effects. , 1993, Research quarterly for exercise and sport.

[127]  J. Fulton,et al.  Physical education and physical activity: results from the School Health Policies and Programs Study 2006. , 2007, The Journal of school health.

[128]  Wen-tau Yih,et al.  CARDIORESPIRATORY FITNESS LEVELS AMONG US YOUTH 12 TO 19 YEARS OF AGE , 2006 .

[129]  Maureen R. Weiss Motivating Kids in Physical Activity. , 2000 .

[130]  D. Fields,et al.  Total body fat does not influence maximal aerobic capacity , 2000, International Journal of Obesity.

[131]  C. Hardman,et al.  Effects of rewards, peer-modelling and pedometer targets on children's physical activity: A school-based intervention study , 2011, Psychology & health.

[132]  J. Prochaska,et al.  A review of correlates of physical activity of children and adolescents. , 2000, Medicine and science in sports and exercise.

[133]  R. Pangrazi,et al.  Impact of Promoting Lifestyle Activity for Youth (PLAY) on children's physical activity. , 2003, The Journal of school health.