2021 |
Kennedy SG, Sanders T, Estabrooks PA, Smith JJ, Lonsdale C, Foster C, Lubans DR, 'Implementation at-scale of school-based physical activity interventions: A systematic review utilizing the RE-AIM framework', Obesity Reviews, (2021)
School-based interventions can increase young people's physical activity levels, but few are implemented at-scale (i.e., the expanded delivery of efficacious interventions un... [more]
School-based interventions can increase young people's physical activity levels, but few are implemented at-scale (i.e., the expanded delivery of efficacious interventions under real-world conditions into new/broader populations). The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework can be used to describe the extent to which interventions have been implemented at-scale. The aim of our review was to determine the extent to which studies of school-based physical activity interventions implemented at-scale reported information across the RE-AIM dimensions. We conducted a systematic search of seven electronic databases to identify studies published up to June 2019. A total of 26 articles (representing 14 individual studies) met the inclusion criteria and were analyzed. Eleven studies reported actual or estimated number of students exposed to the intervention; however, the representativeness of these students was rarely reported. Nine studies reported the intervention effect on the primary outcome during scale-up. Ten studies reported the rate of participating schools/teachers; however, none reported on the characteristics of adopters/nonadopters. Eight studies reported intervention fidelity. Eleven studies described the extent to which the intervention was sustained in schools. There was considerable variability in the reporting of RE-AIM outcomes across studies. There is a need for greater consistency in the evaluation, and reporting of, school-based physical activity interventions implemented at-scale.
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2021 |
Bruner MW, McLaren CD, Sutcliffe JT, Gardner LA, Lubans DR, Smith JJ, Vella SA, 'The effect of sport-based interventions on positive youth development: a systematic review and meta-analysis', International Review of Sport and Exercise Psychology, (2021)
Organized sport is a context in which to promote positive youth development (PYD). Interventions with a PYD lens are often implemented to promote a wide range of physical or psych... [more]
Organized sport is a context in which to promote positive youth development (PYD). Interventions with a PYD lens are often implemented to promote a wide range of physical or psychosocial benefits through sport participation. To date, no meta-analytic review of the effect of these interventions has been conducted. This is important because such interventions are held in high regard when it comes to policy development. In the present study, we conducted seven meta-analyses to evaluate the overall effect of sport-based interventions on PYD outcomes. Aspects of the study design and sample also were tested as moderators. In total, 35 studies (from 29 published articles) reporting on 74 effect sizes highlighted small to medium effects of PYD interventions on competence, confidence, and life skills outcomes. No significant overall effects were found for outcomes related to character, connection, PYD climate, and health. Further, moderation analyses showed that: (a) character was moderated by study design, sport type, and study duration; (b) competence was moderated by design and participant sex; and, (c) life skills were moderated by design, sport type, duration, and participant age. Implications for theory and practice concerning the use of sport-based interventions to influence PYD are discussed.
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2021 |
Riley N, Mavilidi M, Kennedy S, Morgan P, Lubans D, 'Dissemination of Thinking while Moving in Maths: Implementation Barriers and Facilitators', Translational Journal of the American College of Sports Medicine, 6 1-12 (2021) [C1]
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2021 |
Wilczynska M, Lubans DR, Plotnikoff RC, 'The effects of the eCoFit RCT on depression and anxiety symptoms among adults with or at risk of Type 2 Diabetes.', Psychol Health Med, 1-10 (2021)
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2021 |
Shigeta TT, Leahy AA, Smith JJ, Eather N, Lubans DR, Hillman CH, 'Cardiorespiratory and muscular fitness associations with older adolescent cognitive control', Journal of Sport and Health Science, 10 82-90 (2021) [C1]
Background: Participation in physical activity supports greater cardiorespiratory fitness (CRF), a correlate of cognitive control. However, the relationship between muscular fitne... [more]
Background: Participation in physical activity supports greater cardiorespiratory fitness (CRF), a correlate of cognitive control. However, the relationship between muscular fitness (MF) and cognitive control is less clear. The present study investigated the differential relationship of CRF and MF with cognitive control in older adolescents. Methods: This cross-sectional study involved students (15¿17 years old, n = 541, 43% female) from 20 secondary schools who completed tests of inhibition (modified flanker task), working memory (n-back task), CRF (Progressive Aerobic Cardiovascular Endurance Run), and MF (standing long jump and push-up test). Multilevel analyses tested the association between CRF or MF and cognitive outcomes while accounting for the influence of the other fitness variable and relevant demographic factors. Results: CRF predicted response accuracy during incongruent flanker trials, the condition requiring greater inhibition. For the working memory task, CRF predicted greater target accuracy and greater d' scores on the 1-back task, requiring lesser amounts of working memory. In the 2-back task, which requires greater amounts of working memory, CRF also predicted greater target and non-target accuracy and d' scores. Comparatively, MF did not predict any cognitive outcomes after adjustment for CRF. Conclusion: CRF was selectively related to better performance during task conditions that require greater amounts of inhibition and working memory. This finding suggests that CRF, but not MF, may benefit cognitive control in older adolescents. This selective influence of CRF on older adolescents¿ cognition highlights the value of aerobic physical activity.
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2021 |
Hartwig TB, Sanders T, Vasconcellos D, Noetel M, Parker PD, Lubans DR, et al., 'School-based interventions modestly increase physical activity and cardiorespiratory fitness but are least effective for youth who need them most: an individual participant pooled analysis of 20 controlled trials.', Br J Sports Med, (2021)
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2021 |
Wilczynska M, Jansson AK, Lubans DR, Smith JJ, Robards SL, Plotnikoff RC, 'Physical activity intervention for rural middle-aged and older Australian adults: a pilot implementation study of the ecofit program delivered in a real-world setting.', Pilot Feasibility Stud, 7 81 (2021)
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2021 |
del Pozo Cruz B, Hartwig TB, Sanders T, Noetel M, Parker P, Antczak D, et al., 'The effects of the Australian bushfires on physical activity in children', Environment International, 146 (2021) [C1]
Objectives: To determine the impact of bushfires on children's physical activity. Design: Natural experiment comparing device-measured physical activity and air quality index... [more]
Objectives: To determine the impact of bushfires on children's physical activity. Design: Natural experiment comparing device-measured physical activity and air quality index data for schools exposed and not exposed to the Australian bushfires. Methods: Participants were drawn from 22 schools participating in a cluster randomised controlled trial of a school-based physical activity intervention that coincided with the 2019 Australian bushfires. Students in Years 3 and 4 (8¿10 years old) provided data. We used propensity score matching to match 245 exposed and 344 control participants. Main outcome measures: Minutes of moderate and vigorous physical activity. Results: The bushfires had minimal effect on children's average weekly physical activity. Analysis of acute effects showed children maintained their levels of physical activity up to an estimated turning point of air quality index of 737.08 (95% CI = 638.63, 835.53), beyond which daily physical activity levels dropped sharply. Similar results were found for girls and boys and for children from low-to-average and higher socio-economic backgrounds. Conclusions: Children's physical activity was not strongly influenced by the presence of smoke and targeted public health advice during the bushfires might not have had the intended effect of reducing children's outdoor physical activity. Only when air quality deteriorated to approximately 3.5 times the Air Quality index threshold (>200) deemed ¿hazardous¿ by the Australian Department of Health did children's physical activity decline. Public health agencies should re-evaluate the effectiveness of health messages during bushfires and develop strategies to mitigate risks to children's health.
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2020 |
Leahy AA, Michels MFI, Eather N, Hillman CH, Shigeta TT, Lubans DR, Smith JJ, 'Feasibility of test administration and preliminary findings for cognitive control in the Burn 2 learn pilot randomised controlled trial', Journal of Sports Sciences, 38 1708-1716 (2020) [C1]
The feasibility requirements of administering field-based cognitive assessments are rarely reported. We examined the feasibility of administering a group-based cognitive test batt... [more]
The feasibility requirements of administering field-based cognitive assessments are rarely reported. We examined the feasibility of administering a group-based cognitive test battery in a school setting with older adolescents. Several types of reliability were also assessed in the control group. Preliminary efficacy and the relationship between changes in fitness and changes in cognitive control were also explored following a 14-week HIIT intervention (3 sessions/week). Participants completed a cognitive test battery measuring inhibition (flanker), and working memory (n-back) at baseline and post-test.¿Health-related fitness assessments were also conducted.¿Test administration took approximately 30.8¿±¿1.5¿minutes to complete with up to six participants simultaneously. The test battery demonstrated acceptable reliability (ICC¿=¿0.5¿0.81), with significant changes observed for flanker incongruent accuracy, and 2-back non-target accuracy from baseline to post-test. Regarding efficacy,¿small-to-moderate effects were observed for accuracy outcomes, while several small associations were found between changes in fitness and changes in cognition. Findings from the current study suggest a cognitive test battery can be administered with older adolescents in a school setting. However, there remains a lack of adequate reporting of administration requirements for field-based cognitive assessments. Efficacy findings should be confirmed with a larger and more representative sample of older adolescents.
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2020 |
Pollock ER, Young MD, Lubans DR, Barnes AT, Eather N, Coffey JE, et al., 'Impact of a Father Daughter Physical Activity Intervention: An Exploration of Fathers Experiences', Journal of Child and Family Studies, 29 3609-3620 (2020) [C1]
Most family-based physical activity interventions have been modestly successful and failed to engage fathers. Also, program impact on family functioning and psychosocial outcomes ... [more]
Most family-based physical activity interventions have been modestly successful and failed to engage fathers. Also, program impact on family functioning and psychosocial outcomes are rarely measured. We explored the impact of an innovative father¿daughter physical activity program on family functioning and psychosocial outcomes for girls using qualitative methods. Of the 115 fathers who participated in the ¿Dads And Daughters Exercising and Empowered¿ (DADEE) pilot study, a random sample (stratified by baseline physical activity status) of 23 fathers (mean (SD) age: 41.4 (4.8) years) participated in semi-structured telephone interviews. Audio recordings were transcribed and analyzed by an independent researcher using a mixed inductive and deductive thematic approach. Seven themes were identified highlighting improvements in: (i) daughters¿ social-emotional well-being, (ii) father involvement and engagement with their daughter, (iii) fathers¿ parenting skills, (iv) the father¿daughter relationship, (v) co-parenting, (vi) family relationship dynamics, and (vii) knowledge and understanding of gender stereotypes and gender bias. A number of strategies were also identified as to how the program improved these outcomes. Engaging fathers and daughters in physical activity programs may have substantive benefits for daughters¿ mental health as well as broader outcomes for fathers and families. Enhancing fathers¿ and daughters¿ knowledge and skills through evidence-based strategies may be a useful approach to optimize the well-being of families.
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2020 |
Jansson AK, Lubans DR, Duncan MJ, Smith JJ, Plotnikoff M, Robards SL, Plotnikoff RC, 'Descriptive epidemiology of outdoor gym use in an Australian regional setting', Journal of Public Health (Germany), (2020)
Background: Outdoor gym installations have become a popular initiative by local government agencies globally to increase community-based physical activity. Despite their rapid spr... [more]
Background: Outdoor gym installations have become a popular initiative by local government agencies globally to increase community-based physical activity. Despite their rapid spread, usage rates and user characteristics are not well described, particularly the mode/type of activity performed. This study aims to investigate the proportion and timing of outdoor gym use, and demographic characteristics of gym users across seven locations. Method: The current study employed a cross-sectional research design with observational measures to examine outdoor gym use across seven locations in a large regional area in New South Wales, Australia. An outdoor gym audit including the number of pieces and names of the equipment, and type of outdoor gym was undertaken in the month prior to data collection. Results: A total of 56¿h of observation periods were conducted, during which 2950 individuals were observed moving through the observation target areas. Across all parks, 3.8% of individuals (n = 112) were observed using the outdoor gyms for exercise purposes. Males (65%) were more likely to be observed using the equipment than females (35%) and there were more young-to-middle aged adult (83.9%) users than seniors (6.3%), adolescents (4.5%) and children (3.6%). Conclusion: Outdoor gyms have the potential to influence community-based physical inactivity rates as they appear to be a popular strategy by many government jurisdictions globally. To increase usage, local government agencies would benefit from working collaboratively with researchers to determine effective education and promotion strategies and in developing interventions to increase usage of outdoor gym equipment, particularly among women and older adults.
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2020 |
Janssen A, Leahy AA, Diallo TMO, Smith JJ, Kennedy SG, Eather N, et al., 'Cardiorespiratory fitness, muscular fitness and mental health in older adolescents: A multi-level cross-sectional analysis', PREVENTIVE MEDICINE, 132 (2020) [C1]
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2020 |
Eather N, Beauchamp MR, Rhodes RE, Diallo TMO, Smith JJ, Jung ME, et al., 'Development and Evaluation of the High-Intensity Interval Training Self-Efficacy Questionnaire.', Journal of Sport and Exercise Psychology, 42 114-122 (2020) [C1]
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2020 |
Beets MW, Weaver RG, Ioannidis JPA, Geraci M, Brazendale K, Decker L, et al., 'Identification and evaluation of risk of generalizability biases in pilot versus efficacy/effectiveness trials: A systematic review and meta-analysis', International Journal of Behavioral Nutrition and Physical Activity, 17 1-20 (2020) [C1]
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2020 |
Haslam RL, Pezdirc K, Truby H, Attia J, Hutchesson M, Burrows T, et al., 'Investigating the efficacy and cost-effectiveness of technology-delivered personalized feedback on dietary patterns in young Australian adults in the advice, ideas, and motivation for my eating (Aim4Me) study: Protocol for a randomized controlled trial', JMIR Research Protocols, 9 (2020)
Background: Web-based health interventions may be easier to access and time efficient relative to face-to-face interventions and therefore may be the most appropriate mode to enga... [more]
Background: Web-based health interventions may be easier to access and time efficient relative to face-to-face interventions and therefore may be the most appropriate mode to engage young adults. Objective: This study aims to investigate the impact of 3 different levels of personalized web-based dietary feedback and support on changes in diet quality. Methods: The Advice, Ideas, and Motivation for My Eating (Aim4Me) study is a 12-month assessor-blinded, parallel-group randomized controlled trial evaluating the impact of 3 levels of web-based feedback on diet quality, measured using the Australian Recommended Food Score (ARFS). Participants (N=2570) will primarily be recruited via web-based methods and randomized to 1 of 3 groups. Group 1 (control) will receive the Healthy Eating Quiz, a web-based dietary assessment tool that generates a brief feedback report on diet quality. Individuals randomized to this group can use the brief feedback report to make positive dietary changes. Group 2 will receive the Australian Eating Survey, a web-based dietary assessment tool that generates a comprehensive feedback report on diet quality as well as macro- and micronutrient intake. Group 2 will use the comprehensive feedback report to assist in making positive dietary changes. They will also have access to the Aim4Me website with resources on healthy eating and tools to set goals and self-monitor progress. Group 3 will receive the same intervention as Group 2 (ie, the comprehensive feedback report) in addition to a tailored 30-min video consultation with an accredited practicing dietitian who will use the comprehensive feedback report to assist individuals in making positive dietary changes. The self-determination theory was used as the framework for selecting appropriate website features, including goal setting and self-monitoring. The primary outcome measure is change in diet quality. The completion of questionnaires at baseline and 3, 6, and 12 months will be incentivized with a monetary prize draw. Results: As of December 2019, 1277 participants have been randomized. Conclusions: The web-based delivery of nutrition interventions has the potential to improve dietary intake of young adults. However, the level of support required to improve intake is unknown.
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2020 |
Murawski B, Plotnikoff RC, Lubans DR, Rayward AT, Brown WJ, Vandelanotte C, Duncan MJ, 'Examining mediators of intervention efficacy in a randomised controlled m-health trial to improve physical activity and sleep health in adults', Psychology and Health, 35 1346-1367 (2020) [C1]
Objectives: Examining mediators of intervention efficacy in an m-health intervention targeting physical activity and sleep in 160 Australian adults. Design: Nationwide randomised ... [more]
Objectives: Examining mediators of intervention efficacy in an m-health intervention targeting physical activity and sleep in 160 Australian adults. Design: Nationwide randomised controlled trial. Main outcome measures: Moderate- and vigorous-intensity physical activity (MVPA), assessed using the Active Australia Questionnaire; sleep quality (Pittsburgh Sleep Quality Index); and sleep hygiene practices (Sleep Hygiene Index). Hypothesised psychosocial (e.g. self-efficacy) and behavioural (i.e. MVPA, sleep quality, sleep hygiene) mediators were tested on primary endpoint data at 3 months using bias-corrected bootstrapping (PROCESS 2 for SPSS). All outcomes and mediators were assessed using self-report. Results: At three months, the intervention had significantly improved sleep quality (d = 0.48, 95% CI: -2.26, -0.33, p = 0.009) and sleep hygiene (d = 0.40, 95% CI: -3.10, -0.19, p = 0.027). Differences in MVPA were not significant (d = 0.24, 95% CI: -35.53, 254.67, p = 0.139). Changes in MVPA were mediated by self-efficacy, perceived capability, environment, social support, intentions and planning, some of which showed inconsistent mediation (suppression). None of the hypothesised psychosocial factors mediated sleep outcomes. Changes in sleep hygiene mediated changes in sleep quality. Conclusions: Several psychosocial factors mediated changes in physical activity but not in sleep outcomes. Mediation effects of sleep hygiene on sleep quality highlight the importance of providing evidence-based strategies to improve sleep quality.
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2020 |
Eather N, Babic M, Riley N, Harris N, Jung M, Jeffs M, et al., 'Integrating high-intensity interval training into the workplace: The Work-HIIT pilot RCT', Scandinavian Journal of Medicine and Science in Sports, 30 2445-2455 (2020) [C1]
The purpose of this study was to assess the feasibility and preliminary efficacy of a high-intensity interval training (HIIT) intervention integrated into the workplace on physica... [more]
The purpose of this study was to assess the feasibility and preliminary efficacy of a high-intensity interval training (HIIT) intervention integrated into the workplace on physical and mental health outcomes in a sample of adults. The Work-HIIT intervention was evaluated at the University of Newcastle (March-July 2019). University employees (18+¿years) who self-identified as predominantly sedentary at work (n¿=¿47, 43.0¿±¿10.7¿years; 41 female) were recruited, screened, and randomized after baseline assessments into Work-HIIT (n¿=¿24) or wait-list control (n¿=¿23) conditions. Participants were asked to attend 2-3 researcher-facilitated HIIT sessions/week (weeks 1-8). Sessions included a 2-minute gross-motor warm-up, followed by various combinations of aerobic and muscular fitness exercises lasting 8¿minutes (using 30:30¿second work: rest intervals). Program feasibility was assessed using measures of satisfaction, compliance, adherence, fidelity, and retention. Physiological and psychological outcomes were measured at baseline and 9¿weeks. Feasibility data were investigated using descriptive statistics and efficacy outcomes determined using linear mixed models and Cohen's d effect sizes. Participant ratings showed high levels of satisfaction (4.6/5); 71% of participants attended =2 sessions/wk and averaged 85.9% HR across all sessions (including rest and work intervals). Small-to-medium positive effects resulted for cardiorespiratory fitness [+2.9 laps, 95% CI (-4.19-10.14); d¿=¿0.34] and work productivity [+0.26, d¿=¿0.47]. Large positive effects resulted for muscular fitness [push-ups +3.5, d¿=¿0.95; standing jump +10.1¿cm, d¿=¿1.12]; HIIT self-efficacy [+16.53, d¿=¿1.57]; sleep [weekday +0.76¿hours, d¿=¿1.05]; and autonomous motivation [+0.23, d¿=¿0.76]. This study supports the feasibility and preliminary efficacy of facilitator-led Work-HIIT as a time-efficient, enjoyable, and convenient workplace exercise option for adults. max
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2020 |
Mavilidi MF, Lubans DR, Miller A, Eather N, Morgan PJ, Lonsdale C, et al., 'Impact of the Thinking while Moving in English intervention on primary school children s academic outcomes and physical activity: A cluster randomised controlled trial', International Journal of Educational Research, 102 101592-101592 (2020) [C1]
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2020 |
Morgan PJ, Young MD, Barnes AT, Eather N, Pollock ER, Lubans DR, 'Correction That the Analyses Were Adjusted for Clustering: A Response to Tekwe et al.', ANNALS OF BEHAVIORAL MEDICINE, 54 140-140 (2020)
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2020 |
Rudd JR, Crotti M, Fitton-Davies K, O'Callaghan L, Bardid F, Utesch T, et al., 'Skill Acquisition Methods Fostering Physical Literacy in Early-Physical Education (SAMPLE-PE): Rationale and Study Protocol for a Cluster Randomized Controlled Trial in 5-6-Year-Old Children From Deprived Areas of North West England', FRONTIERS IN PSYCHOLOGY, 11 (2020)
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2020 |
Teesson M, Champion KE, Newton NC, Kay-Lambkin F, Chapman C, Thornton L, et al., 'Study protocol of the Health4Life initiative: A cluster randomised controlled trial of an eHealth school-based program targeting multiple lifestyle risk behaviours among young Australians', BMJ Open, 10 (2020)
Introduction Lifestyle risk behaviours, including alcohol use, smoking, poor diet, physical inactivity, poor sleep (duration and/or quality) and sedentary recreational screen time... [more]
Introduction Lifestyle risk behaviours, including alcohol use, smoking, poor diet, physical inactivity, poor sleep (duration and/or quality) and sedentary recreational screen time ( ¿ the Big 6'), are strong determinants of chronic disease. These behaviours often emerge during adolescence and co-occur. School-based interventions have the potential to address risk factors prior to the onset of disease, yet few eHealth school-based interventions target multiple behaviours concurrently. This paper describes the protocol of the Health4Life Initiative, an eHealth school-based intervention that concurrently addresses the Big 6 risk behaviours among secondary school students. Methods and analysis A multisite cluster randomised controlled trial will be conducted among year 7 students (11-13 years old) from 72 Australian schools. Stratified block randomisation will be used to assign schools to either the Health4Life intervention or an active control (health education as usual). Health4Life consists of (1) six web-based cartoon modules and accompanying activities delivered during health education (once per week for 6 weeks), and a smartphone application (universal prevention), and (2) additional app content, for students engaging in two or more risk behaviours when they are in years 8 and 9 (selective prevention). Students will complete online self-report questionnaires at baseline, post intervention, and 12, 24 and 36 months after baseline. Primary outcomes are consumption of sugar-sweetened beverages, moderate-to-vigorous physical activity, sleep duration, sedentary recreational screen time and uptake of alcohol and tobacco use. Ethics and dissemination This study has been approved by the University of Sydney (2018/882), NSW Department of Education (SERAP no. 2019006), University of Queensland (2019000037), Curtin University (HRE2019-0083) and relevant Catholic school committees. Results will be presented to schools and findings disseminated via peer-reviewed journals and scientific conferences. This will be the first evaluation of an eHealth intervention, spanning both universal and selective prevention, to simultaneously target six key lifestyle risk factors among adolescents. Trial registration number Australian New Zealand Clinical Trials Registry (ACTRN12619000431123), 18 March 2019.
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2020 |
Kennedy SG, Leahy AA, Smith JJ, Eather N, Hillman CH, Morgan PJ, et al., 'Process Evaluation of a School-Based High-Intensity Interval Training Program for Older Adolescents: The Burn 2 Learn Cluster Randomised Controlled Trial', CHILDREN-BASEL, 7 (2020) [C1]
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2020 |
Lubans DR, Smith JJ, Eather N, Leahy AA, Morgan PJ, Lonsdale C, et al., 'Time-efficient intervention to improve older adolescents' cardiorespiratory fitness: Findings from the Burn 2 Learn' cluster randomised controlled trial', British Journal of Sports Medicine, (2020) [C1]
Background: Cardiorespiratory fitness (CRF) is an important marker of current and future health status. The primary aim of our study was to evaluate the impact of a time-efficient... [more]
Background: Cardiorespiratory fitness (CRF) is an important marker of current and future health status. The primary aim of our study was to evaluate the impact of a time-efficient school-based intervention on older adolescents' CRF. Methods: Two-arm cluster randomised controlled trial conducted in two cohorts (February 2018 to February 2019 and February 2019 to February 2020) in New South Wales, Australia. Participants (N=670, 44.6% women, 16.0±0.43 years) from 20 secondary schools: 10 schools (337 participants) were randomised to the Burn 2 Learn (B2L) intervention and 10 schools (333 participants) to the control. Teachers in schools allocated to the B2L intervention were provided with training, resources, and support to facilitate the delivery of high-intensity interval training (HIIT) activity breaks during curriculum time. Teachers and students in the control group continued their usual practice. The primary outcome was CRF (20 m multi-stage fitness test). Secondary outcomes were muscular fitness, physical activity, hair cortisol concentrations, mental health and cognitive function. Outcomes were assessed at baseline, 6 months (primary end-point) and 12 months. Effects were estimated using mixed models accounting for clustering. Results: We observed a group-by-time effect for CRF (difference=4.1 laps, 95% CI 1.8 to 6.4) at the primary end-point (6 months), but not at 12 months. At 6 months, group-by-time effects were found for muscular fitness, steps during school hours and cortisol. Conclusions: Implementing HIIT during curricular time improved adolescents' CRF and several secondary outcomes. Our findings suggest B2L is unlikely to be an effective approach unless teachers embed sessions within the school day. Trial registration number: Australian New Zealand Clinical Trials Registry (ACTRN12618000293268).
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2020 |
Mavilidi MF, Mason C, Leahy AA, Kennedy SG, Eather N, Hillman CH, et al., 'Effect of a Time-Efficient Physical Activity Intervention on Senior School Students' On-Task Behaviour and Subjective Vitality: the 'Burn 2 Learn' Cluster Randomised Controlled Trial', EDUCATIONAL PSYCHOLOGY REVIEW, 33 299-323 (2020) [C1]
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2020 |
Barnett LM, Mazzoli E, Hawkins M, Lander N, Lubans DR, Caldwell S, et al., 'Development of a self-report scale to assess children's perceived physical literacy', PHYSICAL EDUCATION AND SPORT PEDAGOGY, (2020)
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2020 |
Wade L, Leahy A, Lubans DR, Smith JJ, Duncan MJ, 'A systematic review of cognitive assessment in physical activity research involving children and adolescents', Journal of Science and Medicine in Sport, 23 740-745 (2020) [C1]
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2020 |
Heemskerk CHHM, Lubans D, Strand S, Malmberg LE, 'The effect of physical education lesson intensity and cognitive demand on subsequent learning behaviour', Journal of Science and Medicine in Sport, 23 586-590 (2020) [C1]
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2020 |
Raghuveer G, Hartz J, Lubans DR, Takken T, Wiltz JL, Mietus-Snyder M, et al., 'Cardiorespiratory Fitness in Youth: An Important Marker of Health: A Scientific Statement from the American Heart Association', Circulation, E101-E118 (2020) [C1]
Cardiorespiratory fitness (CRF) refers to the capacity of the circulatory and respiratory systems to supply oxygen to skeletal muscle mitochondria for energy production needed dur... [more]
Cardiorespiratory fitness (CRF) refers to the capacity of the circulatory and respiratory systems to supply oxygen to skeletal muscle mitochondria for energy production needed during physical activity. CRF is an important marker of physical and mental health and academic achievement in youth. However, only 40% of US youth are currently believed to have healthy CRF. In this statement, we review the physiological principles that determine CRF, the tools that are available to assess CRF, the modifiable and nonmodifiable factors influencing CRF, the association of CRF with markers of health in otherwise healthy youth, and the temporal trends in CRF both in the United States and internationally. Development of a cost-effective CRF measurement process that could readily be incorporated into office visits and in field settings to screen all youth periodically could help identify those at increased risk.
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2020 |
Santos A, Lonsdale C, Lubans D, Vasconcellos D, Kapsal N, Vis-Dunbar M, Jung ME, 'Rates of compliance and adherence to high-intensity interval training in insufficiently active adults: a systematic review and meta-analysis protocol', SYSTEMATIC REVIEWS, 9 (2020)
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2020 |
Mavilidi MF, Drew R, Morgan PJ, Lubans DR, Schmidt M, Riley N, 'Effects of different types of classroom physical activity breaks on children s on-task behaviour, academic achievement and cognition', Acta Paediatrica, International Journal of Paediatrics, 109 158-165 (2020) [C1]
Aim: This study examined the effects of different types of classroom physical activity breaks on children¿s on-task behaviour, academic achievement and cognition. Methods: Partici... [more]
Aim: This study examined the effects of different types of classroom physical activity breaks on children¿s on-task behaviour, academic achievement and cognition. Methods: Participants were 87 Australian primary school students (mean age 9.11¿±¿0.62¿years), recruited from one school. Three classes were randomly assigned either to activity breaks only (n¿=¿29), activity breaks and mathematics combined (n¿=¿29), or control conditions involving only mathematical content (n¿=¿29). Students were engaged in five minutes of classroom physical activity breaks, three times per week, for four weeks (divided into two minutes at the beginning of the usual mathematics curriculum lesson and three minutes in the middle of the lesson). Assessments were conducted at baseline and post-test. Results: Significant group-by-time effects were found for on-task behaviour (active engagement: activity breaks and mathematics combined versus control, p¿=¿0.001; activity breaks versus control, p¿=¿0.001; activity breaks and mathematics combined versus activity breaks, p¿=¿0.037; passive engagement: activity breaks and mathematics combined versus control, p¿=¿0.001) and mathematics scores (activity breaks versus control, p¿=¿0.045). Conclusion: Physical activity breaks with and without integrated mathematics content were effective in improving children¿s on-task behaviour and learning scores.
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2020 |
Champion KE, Gardner LA, McGowan C, Chapman C, Thornton L, Parmenter B, et al., 'A Web-Based Intervention to Prevent Multiple Chronic Disease Risk Factors Among Adolescents: Co-Design and User Testing of the Health4Life School-Based Program.', JMIR Form Res, 4 e19485 (2020) [C1]
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2020 |
Thornton L, Osman B, Wescott AB, Sunderland M, Champion K, Green O, et al., 'Measurement properties of smartphone approaches to assess key lifestyle behaviours: protocol of a systematic review', SYSTEMATIC REVIEWS, 9 (2020)
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2020 |
Tran D, Maiorana A, Ayer J, Lubans DR, Davis GM, Celermajer DS, et al., 'Recommendations for exercise in adolescents and adults with congenital heart disease', Progress in Cardiovascular Diseases, 63 350-366 (2020) [C1]
The population of adults living with congenital heart disease (CHD) has grown rapidly in recent decades due to major advances in surgical and medical care. Although the benefits o... [more]
The population of adults living with congenital heart disease (CHD) has grown rapidly in recent decades due to major advances in surgical and medical care. Although the benefits of physical activity (PA) and exercise are well recognised in the management of chronic diseases, the therapeutic role of exercise for the CHD population has been under-studied and under-recognised. In fact, people living with complex CHD have traditionally been advised against participation in moderate or vigorous PA due to safety concerns. However, a small but growing body of literature has demonstrated that PA and exercise are safe and beneficial for the vast majority of people with CHD following appropriate screening. Exercise training (ET) is a potent therapy to improve well-being and cardiorespiratory fitness, which likely has important implications for prognosis. This has led to ET becoming an increasingly important adjunct to medical therapy in the management of this group who frequently have significant exercise limitation and complex medical issues. However, there is currently limited evidence-based guidance that has been published regarding appropriate exercise prescription in adults with CHD. This article aims to provide an overview of different congenital heart conditions, their impact on the exercise response, and to provide considerations and recommendations for ET in adolescents and adults living with CHD based on the available literature.
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2020 |
Ha AS, Lonsdale C, Lubans DR, Ng JYY, 'Increasing Students' Activity in Physical Education: Results of the Self-determined Exercise and Learning for FITness Trial', Medicine and Science in Sports and Exercise, 52 696-704 (2020) [C1]
Purpose To examine the effects of the Self-determined Exercise and Learning For FITness (SELF-FIT) intervention on students' moderate-to-vigorous physical activity (MVPA) and... [more]
Purpose To examine the effects of the Self-determined Exercise and Learning For FITness (SELF-FIT) intervention on students' moderate-to-vigorous physical activity (MVPA) and motivation in physical education (PE). Methods In a clustered randomized controlled trial, 667 students (mean age, 14.4 yr; SD, 0.78) from 26 schools (i.e., clusters) were randomized into either an experimental group or a waitlist control group. Students in the experimental group received the SELF-FIT intervention, a school-based intervention designed to infuse fitness and game-like elements into PE using self-determination theory principles, whereas those in the control continued their classes using usual practices. Intervention content was provided by teachers who received training from the research team. The primary outcome was percentage of time spent in MVPA during PE. Secondary outcomes included basic psychological need satisfaction, motivation toward PE, leisure-time MVPA, and mental well-being. Data were analyzed using multilevel regression analyses and prespecified interactions were tested (i.e., group-time-sex). Results Positive intervention effects were found on MVPA during PE (B, 4.00; 95% confidence interval, 2.96-5.04; d = 0.36). Regarding the participants' competence and autonomy need satisfaction, and autonomous motivation, the intervention effects were stronger in girls, compared with boys. Conclusions Fitness infusion and game-like elements, used according to self-determination theory principles, can enhance students' physical activity and motivation toward PE. This low-cost intervention has the potential to be scaled up and disseminated in secondary schools.
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2020 |
Leahy AA, Mavilidi MF, Smith JJ, Hillman CH, Eather N, Barker D, Lubans DR, 'Review of High-Intensity Interval Training for Cognitive and Mental Health in Youth.', Medicine and science in sports and exercise, 52 2224-2234 (2020) [C1]
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2020 |
Ruissen GR, Liu Y, Schmader T, Lubans DR, Harden SM, Wolf SA, et al., 'Effects of Group-Based Exercise on Flourishing and Stigma Consciousness among Older Adults: Findings from a Randomised Controlled Trial', Applied Psychology: Health and Well-Being, 12 559-583 (2020) [C1]
Background: To examine the extent to which group-based exercise programs, informed by self-categorisation theory, result in improvements in psychological flourishing and reduction... [more]
Background: To examine the extent to which group-based exercise programs, informed by self-categorisation theory, result in improvements in psychological flourishing and reductions in age- and gender-related stigma consciousness among older adults. Methods: In the study, older adults (N¿=¿485, = 65¿years) were randomised to similar age same gender (SASG), similar age mixed gender (SAMG), or ¿standard¿ mixed age mixed gender (MAMG) group-based exercise programs. Flourishing and stigma consciousness were assessed on six occasions during the 24-week intervention and represented secondary trial outcomes. Multilevel growth models examined the effects of the interventions on flourishing and stigma consciousness over time. Results: Participants in the SASG and SAMG conditions demonstrated, on average, higher levels of flourishing, relative to the MAMG condition, over the course of the 24¿weeks (p¿<.05). Additionally, participants demonstrated lower levels of age- and gender-related stigma consciousness in both the SASG and SAMG conditions relative to the MAMG condition (p¿<.05). No time by group interaction effects were observed for either flourishing or stigma consciousness. Conclusions: The results provide some support for the utility of group exercise programs, informed by self-categorisation theory, to enhance psychological flourishing and reduce stigma consciousness among older adults.
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2020 |
Sutherland R, Campbell E, McLaughlin M, Nathan N, Wolfenden L, Lubans DR, et al., 'Scale-up of the Physical Activity 4 Everyone (PA4E1) intervention in secondary schools: 12-month implementation outcomes from a cluster randomized controlled trial.', Int J Behav Nutr Phys Act, 17 100 (2020) [C1]
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2020 |
Smith JJ, Diallo TMO, Bennie JA, Tomkinson GR, Lubans DR, 'Factors associated with adherence to the muscle-strengthening activity guideline among adolescents', Psychology of Sport and Exercise, 51 (2020) [C1]
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2020 |
Wade L, Lubans DR, Smith JJ, Duncan MJ, 'The impact of exercise environments on adolescents cognitive and psychological outcomes: A randomised controlled trial', Psychology of Sport and Exercise, 49 1-9 (2020) [C1]
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2020 |
Maddison R, Hargreaves EA, Jiang Y, Calder AJ, Wyke S, Gray CM, et al., 'Rugby Fans in Training New Zealand (RUFIT-NZ): protocol for a randomized controlled trial to assess the effectiveness and cost-effectiveness of a healthy lifestyle program for overweight men delivered through professional rugby clubs in New Zealand', TRIALS, 21 (2020)
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2019 |
Young MD, Lubans DR, Barnes AT, Eather N, Pollock ER, Morgan PJ, 'Impact of a father-daughter physical activity program on girls' social-emotional well-being: A randomized controlled trial', Journal of Consulting and Clinical Psychology, 87 294-307 (2019) [C1]
Objective: To increase girls' well-being, strategies are needed to optimize their social-emotional competence during childhood. Although positive fathering is important for g... [more]
Objective: To increase girls' well-being, strategies are needed to optimize their social-emotional competence during childhood. Although positive fathering is important for girls, many fathers discount their unique influence and few participate in interventions. The Dads And Daughters Exercising and Empowered (DADEE) program was developed to engage fathers and their daughters through shared physical activity experiences. This study examined the program's impact on girls' well-being and the father-daughter relationship. Method: Overall, 115 fathers (age range: 29-53 years) and 153 daughters (age range: 4-12 years) were randomized to (1) the DADEE program (9 weekly educational and practical sessions plus home-based challenges) or (2) a wait-list control. Assessments were baseline, 2 months (postintervention), and 9 months (94% retention). Daughters' social-emotional well-being was measured with the Devereux Student Strengths Assessment composite. Secondary outcomes included additional well-being indicators (e.g., global self-perception) plus validated measures of father involvement and father-daughter relationship quality. Results: At 2 months, intervention daughters showed a medium-to-large improvement in overall well-being (+24.9 units, 95% CI [8.6, 41.1], d = 0.6), when compared with controls. Intervention daughters were also more likely to show clinically meaningful improvements in well-being (54%) than controls (18%). Medium-to-large effects were observed for: seven of eight social-emotional competencies (e.g., personal responsibility, d = 0.4-0.9), father-daughter relationship quality (d = 0.8, father-report; d = 0.5, daughter-report), daughters' prosocial behavior (d = 0.3) and several indicators of father involvement. Most outcomes had improved by 9 months. No effects were observed for daughters' emotional difficulties or global self-perception. Conclusions: This study provided the first experimental evidence that father-daughter physical activity programs may improve girls' well-being and the father-daughter relationship.
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2019 |
Mavilidi MF, Lubans DR, Morgan PJ, Miller A, Eather N, Karayanidis F, et al., 'Integrating physical activity into the primary school curriculum: rationale and study protocol for the "Thinking while Moving in English" cluster randomized controlled trial', BMC PUBLIC HEALTH, 19 (2019)
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2019 |
Sutherland R, Campbell E, Nathan N, Wolfenden L, Lubans DR, Morgan PJ, et al., 'A cluster randomised trial of an intervention to increase the implementation of physical activity practices in secondary schools: study protocol for scaling up the Physical Activity 4 Everyone (PA4E1) program', BMC PUBLIC HEALTH, 19 (2019)
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2019 |
Leahy AA, Eather N, Smith JJ, Hillman CH, Morgan PJ, Plotnikoff RC, et al., 'Feasibility and Preliminary Efficacy of a Teacher-Facilitated High-Intensity Interval Training Intervention for Older Adolescents.', Pediatr Exerc Sci, 31 107-117 (2019) [C1]
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2019 |
Hartwig TB, del Pozo-Cruz B, White RL, Sanders T, Kirwan M, Parker PD, et al., 'A monitoring system to provide feedback on student physical activity during physical education lessons', Scandinavian Journal of Medicine and Science in Sports, 29 1305-1312 (2019) [C1]
School-based physical education (PE) provides opportunities to accumulate moderate-to-vigorous physical activity (MVPA), but many students are insufficiently active during PE less... [more]
School-based physical education (PE) provides opportunities to accumulate moderate-to-vigorous physical activity (MVPA), but many students are insufficiently active during PE lessons. Providing teachers with feedback regarding their students¿ physical activity may increase the effectiveness of PE for achieving MVPA goals, but existing physical activity monitoring technologies have limitations in class environments. Therefore, the purpose of this study was to develop and validate a system capable of providing feedback on PE lesson MVPA. Equations for translating step counts to %MVPA were derived from measures in 492 students who concurrently wore an ActiGraph GT3X+ (ActiGraph) and Yamax pedometer (Yamax) during a PE lesson. To enhance feedback availability during PE lessons, we then developed a bespoke monitoring system using wireless tri-axial pedometers (HMM) and a smart device app. After developing and testing the monitoring system, we assessed its validity and reliability in 100 students during a PE lesson. There was a strong correlation of 0.896 between step counts and accelerometer-determined %MVPA and quantile regression equations showed good validity for translating step counts to %MVPA with a mean absolute difference of 5.3 (95% CI, 4.4-6.2). The physical activity monitoring system was effective at providing %MVPA during PE lessons with a mean difference of 1.6¿±¿7.1 compared with accelerometer-determined %MVPA (7% difference between the two measurement methods). Teachers and students can use a smart device app and wireless pedometers to conveniently obtain feedback during PE lessons. Future studies should determine whether such technologies help teachers to increase physical activity during PE lessons.
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2019 |
Wilczynska M, Lubans DR, Paolini S, Plotnikoff RC, 'Mediating Effects of the eCoFit Physical Activity Intervention for Adults at Risk of, or Diagnosed with, Type 2 Diabetes', International Journal of Behavioral Medicine, 26 512-521 (2019) [C1]
Background: The study aim was to examine the mechanisms of physical activity behaviour change in the multi-component eCoFit randomised controlled trial (RCT) among adults diagnose... [more]
Background: The study aim was to examine the mechanisms of physical activity behaviour change in the multi-component eCoFit randomised controlled trial (RCT) among adults diagnosed with, or at risk of, T2D. Method: The RCT included two phases: phase 1 (weeks 1¿10) integrated group sessions (outdoor physical activity and cognitive mentoring) and the use of the eCoFit smartphone application (app), and phase 2 (weeks 11¿20), which included the use of the eCoFit smartphone application only. Participants (n = 84) were assessed at baseline and 10 and 20¿weeks from baseline. Physical activity was assessed using pedometers, and the following mediators were tested: action self-efficacy, barrier self-efficacy, recovery self-efficacy, implementation intentions, intention to have regular physical activity, outcome expectations, risk perception and implicit associations related to physical activity. The PROCESS INDIRECT Macro was used to perform mediation analyses. Results: Significant mediation pathways were found for implementation intention measured at 10¿weeks, AB (95% CI = 486.04 [128.19, 1073.42]). No significant pathways were found for the other social¿cognitive and implicit attitudinal mediators. Conclusion: Increased daily steps among the intervention participants were explained by increased implementation intentions. The eCoFit study successfully operationalised implementation intentions in the smartphone app designed to promote outdoor physical activity. Trial Registration: The trial was approved by a University Human Research Committee and is registered with the Australian New Zealand Clinical Trial Registry (ACTRN12615000990527).
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2019 |
Barnett LM, Dudley DA, Telford RD, Lubans DR, Bryant AS, Roberts WM, et al., 'Guidelines for the Selection of Physical Literacy Measures in Physical Education in Australia', JOURNAL OF TEACHING IN PHYSICAL EDUCATION, 38 119-125 (2019) [C1]
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2019 |
Chan CHS, Ha ASC, Ng JYY, Lubans DR, 'The A + FMS cluster randomized controlled trial: An assessment-based intervention on fundamental movement skills and psychosocial outcomes in primary schoolchildren', Journal of Science and Medicine in Sport, 22 935-940 (2019) [C1]
Objectives: To evaluate the effectiveness of an assessment-based intervention that emphasizes fun, mastery, and support (A + FMS) on primary schoolchildren's fundamental move... [more]
Objectives: To evaluate the effectiveness of an assessment-based intervention that emphasizes fun, mastery, and support (A + FMS) on primary schoolchildren's fundamental movement skills (FMS), perceptions of physical and movement skill competence, teacher support and enjoyment. Design: Cluster randomized controlled trial. Methods: Ten clusters (classes) (n = 282; mean age 8.4 years, SD 0.56) were randomised to the A + FMS or wait-list control group in a 1:1 ratio. Teachers in the A + FMS group were required to attend six hours of training and integrate 550 min of assessment for learning strategies into their PE lessons for up to a maximum of 13 weeks. FMS competence in jump, skip, hop, overhand throw, dribble and catch was the primary outcome assessed using the Test of Gross Motor Development-3rd Edition. Secondary outcome measures included perceptions of physical and FMS competence, teacher support, and student enjoyment using questionnaires. Multilevel modelling for the analysis of clustered data was used to determine the effectiveness of the intervention. Results: Significant intervention effects were found for locomotor skills (adjusted mean difference, 2.47 units; Cohen's d = 0.76), overall FMS competence (3.72 units; Cohen's d = 0.93) and perceived teacher support (0.21 units; Cohen's d = 0.05). However, there was a group-by-time effect for perceived physical competence (-0.16 units; Cohen's d = -0.07) in favouring of the control group. Conclusions: An assessment-based teacher-led FMS intervention was effective in improving FMS proficiency in primary schoolchildren. The results highlight the need for increased teacher support to develop positive self-perceptions of competence while promoting children's FMS. Trial registration CUHK_CCRB00479.
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2019 |
Ha AS, Ng JYY, Lonsdale C, Lubans DR, Ng FF, 'Promoting physical activity in children through family-based intervention: protocol of the "Active 1+FUN" randomized controlled trial', BMC PUBLIC HEALTH, 19 (2019)
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2019 |
Murphy ML, Lubans DR, Cohen KE, Robards SL, Wilczynska M, Kennedy SG, et al., 'Preliminary efficacy and feasibility of referral to exercise specialists, psychologists and provision of a technology-based behavior change support package to promote physical activity in school teachers 'at risk' of, or diagnosed with, type 2 diabetes: The 'SMART Health' Pilot Study Protocol', CONTEMPORARY CLINICAL TRIALS, 78 53-62 (2019)
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2019 |
Smith JJ, Eather N, Weaver RG, Riley N, Beets MW, Lubans DR, 'Behavioral Correlates of Muscular Fitness in Children and Adolescents: A Systematic Review', SPORTS MEDICINE, 49 887-904 (2019) [C1]
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2019 |
Rodriguez-Ayllon M, Cadenas-Sánchez C, Estévez-López F, Muñoz NE, Mora-Gonzalez J, Migueles JH, et al., 'Role of Physical Activity and Sedentary Behavior in the Mental Health of Preschoolers, Children and Adolescents: A Systematic Review and Meta-Analysis', Sports Medicine, 49 1383-1410 (2019) [C1]
Background: Evidence suggests that participation in physical activity may support young people¿s current and future mental health. Although previous reviews have examined the rela... [more]
Background: Evidence suggests that participation in physical activity may support young people¿s current and future mental health. Although previous reviews have examined the relationship between physical activity and a range of mental health outcomes in children and adolescents, due to the large increase in published studies there is a need for an update and quantitative synthesis of effects. Objectives: The objectives of this study were to determine the effect of physical activity interventions on mental health outcomes by conducting a systematic review and meta-analysis, and to systematically synthesize the observational evidence (both longitudinal and cross-sectional studies) regarding the associations between physical activity and sedentary behavior and mental health in preschoolers (2¿5¿years of age), children (6¿11¿years of age) and adolescents (12¿18¿years of age). Methods: A systematic search of the PubMed and Web of Science electronic databases was performed from January 2013 to April 2018, by two independent researchers. Meta-analyses were performed to examine the effect of physical activity on mental health outcomes in randomized controlled trials (RCTs) and non-RCTs (i.e. quasi-experimental studies). A narrative synthesis of observational studies was conducted. Studies were included if they included physical activity or sedentary behavior data and at least one psychological ill-being (i.e. depression, anxiety, stress or negative affect) or psychological well-being (i.e. self-esteem, self-concept, self-efficacy, self-image, positive affect, optimism, happiness and satisfaction with life) outcome in preschoolers, children or adolescents. Results: A total of 114 original articles met all the eligibility criteria and were included in the review (4 RCTs, 14 non-RCTs, 28 prospective longitudinal studies and 68 cross-sectional studies). Of the 18 intervention studies, 12 (3 RCTs and 9 non-RCTs) were included in the meta-analysis. There was a small but significant overall effect of physical activity on mental health in children and adolescents aged 6¿18¿years (effect size 0.173, 95% confidence interval 0.106¿0.239, p < 0.001, percentage of total variability attributed to between-study heterogeneity [I ] = 11.3%). When the analyses were performed separately for children and adolescents, the results were significant for adolescents but not for children. Longitudinal and cross-sectional studies demonstrated significant associations between physical activity and lower levels of psychological ill-being (i.e. depression, stress, negative affect, and total psychological distress) and greater psychological well-being (i.e. self-image, satisfaction with life and happiness, and psychological well-being). Furthermore, significant associations were found between greater amounts of sedentary behavior and both increased psychological ill-being (i.e. depression) and lower psychological well-being (i.e. satisfaction with life and happiness) in children and adolescents. Evidence on preschoolers was nearly non-existent. Conclusions: Findings from the meta-analysis suggest that physical activity interventions can improve adolescents¿ mental health, but additional studies are needed to confirm the effects of physical activity on children¿s mental health. Findings from observational studies suggest that promoting physical activity and decreasing sedentary behavior might protect mental health in children and adolescents. PROSPERO Registration Number: CRD42017060373. 2
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2019 |
Miller A, Eather N, Duncan M, Lubans DR, 'Associations of object control motor skill proficiency, game play competence, physical activity and cardiorespiratory fitness among primary school children', Journal of Sports Sciences, 37 173-179 (2019) [C1]
This study investigated if object control relates to children¿s game play competence, and examined these competencies as correlates of physical activity and cardiorespiratory fitn... [more]
This study investigated if object control relates to children¿s game play competence, and examined these competencies as correlates of physical activity and cardiorespiratory fitness. Game play (Game Performance Assessment Instrument), object control (The Test Gross Motor Development-3), moderate-to-vigorous physical activity (Accelerometry), and cardiorespiratory fitness (20-metre shuttle) assessments were completed for 107 children (57% Female, 43% Male) aged 9¿12¿years (M 10.53, SD 0.65). Two-level regression of object control on game play competence, and object control and game play competence on physical activity and cardiorespiratory fitness assessed associations. Object control competence was positively associated with game play competence (Std. B¿=¿0.25, t (104.77)¿=¿2.38, p¿=¿0.001). Game play competence (Std. B¿=¿0.33, t (99.81)¿=¿5.21, p¿<¿0.000) was more strongly associated with moderate-to-vigorous physical activity than object control competence (Std. B¿=¿0.20, t (106.93)¿=¿2.96, p¿=¿0.003). Likewise, game competence (Std. B¿=¿0.39, t (104.41)¿=¿4.36, p¿<¿0.000) was more strongly associated with cardiorespiratory fitness than object control competence (Std. B¿=¿0.22, t (106.69)¿=¿2.63, p¿=¿0.002). Object control and game competence are both important as correlates of physical activity and cardiorespiratory fitness in children.
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2019 |
Lonsdale C, Lester A, Owen KB, White RL, Peralta L, Kirwan M, et al., 'An internet-supported school physical activity intervention in low socioeconomic status communities: results from the Activity and Motivation in Physical Education (AMPED) cluster randomised controlled trial', BRITISH JOURNAL OF SPORTS MEDICINE, 53 341-347 (2019) [C1]
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2019 |
Kennedy SG, Peralta LR, Lubans DR, Foweather L, Smith JJ, 'Implementing a school-based physical activity program: process evaluation and impact on teachers confidence, perceived barriers and self-perceptions', Physical Education and Sport Pedagogy, 24 233-248 (2019) [C1]
Introduction: Secondary schools have the potential to promote health-related fitness (HRF) and physical activity within and outside school hours. As such, schools are often chosen... [more]
Introduction: Secondary schools have the potential to promote health-related fitness (HRF) and physical activity within and outside school hours. As such, schools are often chosen as the setting to implement child and adolescent physical activity programs. School-based programs often utilise teachers as delivery agents, but few studies examine effects on teacher-level outcomes. Purpose: The primary aim of this study was to determine the impact of teacher training embedded within a physical activity intervention on teacher-level outcomes. The secondary aim of this study was to evaluate process data, including implementation, satisfaction and fidelity. Methods:Resistance Training for Teens (RT for Teens) was evaluated using a cluster randomised controlled trial in 16 secondary schools. Teachers (N = 44; 48% female/52% male; mean ± SD years teaching experience = 10.6 ± 8.0) from 16 secondary schools were assessed at baseline. Intervention group teachers (i.e. from eight schools) delivered a structured school-based physical activity program over 10-weeks. Teacher outcomes included confidence to teach health-related fitness (HRF) activities, perceived barriers to teaching HRF activities, and perceived fitness. Detailed process evaluation data were also collected. Assessments were conducted at baseline and 6-months (post-program), and outcomes were assessed using repeated measures analysis of variance. Results: There was a positive group-by-time effect for the confidence composite score (p =.010, partial eta squared = 0.29), but no effects for the two (contextual, interpersonal) barrier composite scores. Also, there was a significant effect for perceived ¿general fitness¿ (p = 0.044, partial eta squared = 0.13), but not for specific fitness subdomains. Teachers were highly satisfied with both the training and the program, believing it was beneficial for students. Resource usage and adherence to the SAAFE (Supportive, Active, Autonomous, Fair, Enjoyable) delivery principles was high. Conclusion:RT for Teens improved teachers¿ confidence and perceived fitness. These findings highlight the potential for high-quality teacher training and program delivery to positively influence teacher-level outcomes. This may provide support for the use of teacher professional development to improve HRF-related pedagogy.
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2019 |
Eather N, Riley N, Miller A, Smith V, Poole A, Vincze L, et al., 'Efficacy and feasibility of HIIT training for university students: The Uni-HIIT RCT', Journal of Science and Medicine in Sport, 22 596-601 (2019) [C1]
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2019 |
Jansson AK, Lubans DR, Smith JJ, Duncan MJ, Bauman A, Attia J, et al., 'Integrating smartphone technology, social support and the outdoor built environment to promote community-based aerobic and resistance-based physical activity: Rationale and study protocol for the ecofit randomized controlled trial', Contemporary Clinical Trials Communications, 16 1-11 (2019)
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2019 |
Valkenborghs SR, Noetel M, Hillman C, Nilsson M, Smith J, Ortega F, Lubans DR, 'The Impact of Physical Activity on Brain Structure and Function in Youth: A Systematic Review', PEDIATRICS, 144 (2019) [C1]
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2019 |
Jansson AK, Lubans DR, Smith JJ, Duncan MJ, Haslam R, Plotnikoff RC, 'A systematic review of outdoor gym use: Current evidence and future directions', Journal of Science and Medicine in Sport, 22 1335-1343 (2019) [C1]
Objectives: While outdoor gyms are being rapidly installed around the globe, little is known about their implications on physical activity, and fitness and other health-related ou... [more]
Objectives: While outdoor gyms are being rapidly installed around the globe, little is known about their implications on physical activity, and fitness and other health-related outcomes. The primary objective of this systematic review was to examine the effects of outdoor gyms on physical activity, fitness and other health-related outcomes. Secondary objectives were to describe outdoor gym characteristics, user characteristics, and outdoor gym usage. Design: Systematic review. Methods: Peer-reviewed papers published in English were obtained through online database searches of the following databases; EBSCO, SPORTdiscus, Medline, PsycINFO, Web of Science, Scopus and Informit. Searches covered the periods from database inception to January 2019. Studies that reported on the efficacy of outdoor gym use for physical activity, health-related outcomes or descriptive aspects of outdoor gyms and their users were eligible for inclusion. Results: There was some support that outdoor gyms may improve physical activity, fitness and other health-related outcomes, however few experimental studies have been conducted. There was no consistency between outdoor gyms in terms types and number of installed equipment for each facility. Further, this review found discrepancies of whom were the most likely users of outdoor gyms and when they were mainly used. Conclusions: This review contributes to the limited evidence on the impact and characteristics of outdoor gyms on physical activity and fitness and health-related outcomes.
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2019 |
Chan CHS, Ha ASC, Ng JYY, Lubans DR, 'Associations between fundamental movement skill competence, physical activity and psycho-social determinants in Hong Kong Chinese children', Journal of Sports Sciences, 37 229-236 (2019) [C1]
Associations between fundamental movement skills (FMS), perceived competence, enjoyment and physical activity (PA) have not been widely investigated among Chinese school children.... [more]
Associations between fundamental movement skills (FMS), perceived competence, enjoyment and physical activity (PA) have not been widely investigated among Chinese school children. We hypothesised that FMS would be directly related to self-reported and objectively measured PA, and indirectly related to these outcomes via perceived physical and movement skill competence, and enjoyment. Participants were 763 primary school children (age¿=¿9.3¿±¿1.7¿years; 474 girls) across grades. FMS were measured for a subsample (n¿=¿603) using Test of Gross Motor Development-2. PA using accelerometers was obtained from this subgroup (n¿=¿238). All participating children completed a questionnaire measuring their PA participation, enjoyment, and perceived physical and movement skill competence. Structural equation modelling revealed positive associations between locomotor skills and perceived movement skill competence (ß¿=¿.11, 95% CI [.001,.22]), and between perceived movement skill competence and objectively measured PA (ß¿=¿.59, 95% CI [.04, 1.14]). Perceived physical competence and enjoyment mediated the association between locomotor skills and self-reported PA (ß¿=¿.08, 95% CI [.02,.12]), but not objectively measured PA. Given inconsistent findings for subjective and objective measures of PA, further mediation analyses of the association between FMS and PA may be warranted.
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2019 |
Leahy AA, Eather N, Smith JJ, Hillman C, Morgan PJ, Nilsson M, et al., 'School-based physical activity intervention for older adolescents: rationale and study protocol for the Burn 2 Learn cluster randomised controlled trial', BMJ OPEN, 9 (2019)
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2019 |
Keegan RJ, Barnett LM, Dudley DA, Telford RD, Lubans DR, Bryant AS, et al., 'Defining physical literacy for application in Australia: A modified delphi method', Journal of Teaching in Physical Education, 38 105-118 (2019) [C1]
Purpose: The development of a physical literacy definition and standards framework suitable for implementation in Australia. Method:Modified Delphi methodology. Results: Consensus... [more]
Purpose: The development of a physical literacy definition and standards framework suitable for implementation in Australia. Method:Modified Delphi methodology. Results: Consensus was established on four defining statements: Core-Physical literacy is lifelong holistic learning acquired and applied in movement and physical activity contexts; Composition-Physical literacy reflects ongoing changes integrating physical, psychological, cognitive, and social capabilities; Importance-Physical literacy is vital in helping us lead healthy and fulfilling lives through movement and physical activity; and Aspiration-A physically literate person is able to draw on his/her integrated physical, psychological, cognitive, and social capacities to support health promoting and fulfilling movement and physical activity, relative to the situation and context, throughout the lifespan. The standards framework addressed four learning domains (physical, psychological, cognitive, and social), spanning five learning configurations/levels. Conclusion: The development of a bespoke program for a new context has important implications for both existing and future programs.
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2019 |
Schmidt M, Benzing V, Wallman-Jones A, Mavilidi MF, Lubans DR, Paas F, 'Embodied learning in the classroom: Effects on primary school children's attention and foreign language vocabulary learning', Psychology of Sport and Exercise, 43 45-54 (2019) [C1]
Objectives: The aim of the present study was to investigate the effects of specifically designed physical activities on primary school children's foreign language vocabulary ... [more]
Objectives: The aim of the present study was to investigate the effects of specifically designed physical activities on primary school children's foreign language vocabulary learning and attentional performance. Design: A total of 104 children aged between 8 and 10 years were assigned to either (a) an embodied learning condition consisting of task-relevant physical activities, (b) a physical activity condition involving task-irrelevant physical activities, or (c) a control condition consisting of a sedentary teaching style. Within a 2-week teaching program, consisting of four learning sessions, children had to learn 20 foreign language words. Method: Children were tested on their memory performance (cued recall test) after completion of the program and on their focused attention (d2-R test of attention) immediately after one learning session. Results: Linear mixed model analyses revealed both the embodied learning (d = 1.12) and the physical activity condition (d = 0.51) as being more effective in teaching children new words than the control condition. Children's focused attention, however, did not differ between the three conditions. Conclusions: The results are discussed in the light of embodied cognition and cognitive load theory. Implications for the inclusion of specific physical activities during the school day are proposed.
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2019 |
Costigan SA, Lubans DR, Lonsdale C, Sanders T, del Pozo Cruz B, 'Associations between physical activity intensity and well-being in adolescents', Preventive Medicine, 125 55-61 (2019) [C1]
This study aims to explore associations between physical activity intensity and well-being (i.e., positive and negative affect) in adolescents. A secondary aim was to determine if... [more]
This study aims to explore associations between physical activity intensity and well-being (i.e., positive and negative affect) in adolescents. A secondary aim was to determine if associations were moderated by sex. Grade 8 students from 14 government-funded secondary schools in low socio-economic areas of Western Sydney (Australia) were assessed. Data from three timepoints (baseline, 7¿8 months, and 14¿15 months) were combined to increase the sample size. Physical activity was objectively assessed for 1-week at each timepoint using Actigraph accelerometers. Time (minutes/day) in light, moderate and vigorous physical activity was estimated. The short form Positive and Negative Affect Scale for Children was used to measure well-being. Quantile regression was used to analyse the data. A total of 3140 observations were collected from 1223 students (mean age at baseline: 12.9(0.54); 55.1% male). Light and moderate physical activity was not associated with well-being. Higher levels of vigorous physical activity were associated with more positive affect [ß(SE) = 0.307 (0.06), p < 0.001], to an estimated vigorous physical activity turning point [Point(95%CI) = 36.48 min/day (31.39¿41.59)]. Similarly, higher levels of vigorous physical activity were associated with less negative affect [ß(SE) = -0.250 (0.06), p < 0.001] up to the estimated vigorous physical activity turning point [Point(95%CI) = 37.35 min/day (31.27¿43.44)]. The negative association between vigorous physical activity and negative affect was more pronounced in females than in males. Our findings highlight the importance of adolescents engaging in vigorous physical activity to improve positive affect and reduce negative affect.
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2019 |
Morgan PJ, Young MD, Barnes AT, Eather N, Pollock ER, Lubans DR, 'Engaging Fathers to Increase Physical Activity in Girls: The "Dads And Daughters Exercising and Empowered" (DADEE) Randomized Controlled Trial', Annals of Behavioral Medicine, 53 39-52 (2019) [C1]
Background: Existing strategies to increase girls' physical activity levels have seen limited success. Fathers may influence their children's physical activity, but ofte... [more]
Background: Existing strategies to increase girls' physical activity levels have seen limited success. Fathers may influence their children's physical activity, but often spend more time with their sons and rarely participate in family-based programs. Purpose: To test a novel program designed to increase the physical activity levels of fathers and their daughters. Methods: In a two-arm RCT, 115 fathers (29-53 years) and 153 daughters (4-12 years) were randomized to (i) the "Dads And Daughters Exercising and Empowered" (DADEE) program, or (ii) a wait-list control. The 8-week program included weekly educational and practical sessions plus home tasks. Assessments were at baseline, 2 months (postintervention), and 9 months. The primary outcomes were father-daughter physical activity levels (pedometry). Secondary outcomes included screen-time, daughters' fundamental movement skill proficiency (FMS: perceived and objective), and fathers' physical activity parenting practices. Results: Primary outcome data were obtained from 88% of daughters and 90% of fathers at 9 months. Intentionto-treat analyses revealed favorable group-by-time effects for physical activity in daughters (p = .02, d = 0.4) and fathers (p < .001, d = 0.7) at postintervention, which were maintained at 9 months. At postintervention and follow-up, significant effects (p < .05) were also identified for daughters' FMS competence (objective: d = 1.1-1.2; perceived: d = 0.4-0.6), a range of fathers' physical activity parenting practices (d = 0.3-0.8), and screen-time for daughters (d = 0.5-0.8) and fathers (d = 0.4-0.6, postintervention only). Program satisfaction and attendance were very high. Conclusions: This study provided the first experimental evidence that efforts to increase physical activity behavior in preadolescent girls would benefit from a meaningful engagement of fathers.
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2019 |
Morgan PJ, Collins CE, Lubans DR, Callister R, Lloyd AB, Plotnikoff RC, et al., 'Twelve-month outcomes of a father-child lifestyle intervention delivered by trained local facilitators in underserved communities: The Healthy Dads Healthy Kids dissemination trial', Translational Behavioral Medicine, 9 560-569 (2019) [C1]
Healthy Dads Healthy Kids (HDHK) was the first program internationally to specifically target overweight and obese fathers to improve their children's health. In previous ran... [more]
Healthy Dads Healthy Kids (HDHK) was the first program internationally to specifically target overweight and obese fathers to improve their children's health. In previous randomized controlled trials, HDHK generated meaningful short-Term improvements in the adiposity, physical activity, and eating behaviors of both fathers and children. The aim of this dissemination trial was to evaluate the 12-month impact of HDHK when delivered by trained facilitators across four low socioeconomic and regional communities in the Hunter Region, Australia. The study was a nonrandomized, prospective trial with minimal eligibility criteria (i.e., father body mass index [BMI] ? 25 kg/m2 and children aged 4-12 years). HDHK included eight weekly practical and theoretical sessions. Assessments were baseline, 3 months (post-intervention), 6-months, and 12-months. The primary outcome was fathers' weight. Secondary outcomes included child BMI z-score and validated lifestyle behavior measures (e.g., physical activity, diet). Overall, 189 fathers (mean age: 40.2 years, BMI: 32.6 kg/m2) and 306 children (mean age: 8.1 years) participated in one of 10 HDHK programs in four areas. Intention-To-Treat linear mixed models revealed a significant mean reduction in fathers' weight at post-intervention (?3.6 kg, 95% confidence interval: ?4.3, ?2.9), which was maintained at 12 months (71% retention). Corresponding improvements were also detected in children's BMI z-score and a range of lifestyle behaviors for both fathers and children. Attendance and satisfaction levels were high. Positive intervention effects observed in previous randomized controlled trials were largely replicated and sustained for 12 months when HDHK was delivered by trained local facilitators in underserved communities. Further investigation into the key systems, processes, and contextual factors required to deliver HDHK at scale appears warranted.
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2018 |
Beauchamp MR, Puterman E, Lubans DR, 'Physical Inactivity and Mental Health in Late Adolescence', JAMA PSYCHIATRY, 75 543-544 (2018)
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2018 |
White RL, Parker PD, Lubans DR, MacMillan F, Olson R, Astell-Burt T, Lonsdale C, 'Domain-specific physical activity and affective wellbeing among adolescents: an observational study of the moderating roles of autonomous and controlled motivation.', The international journal of behavioral nutrition and physical activity, 15 1-13 (2018) [C1]
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2018 |
van Dongen B, Finn T, Hansen V, Wagemakers A, Lubans D, Dally K, 'The ATLAS school-based health promotion programme', European Physical Education Review, 24 330-348 (2018) [C1]
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2018 |
Kennedy S, Smith J, Hansen V, Mirte L, Morgan P, Lubans D, 'implementing resistance training in secondary schools: an exploration of teachers' perceptions', Translational Journal of the American College of Sports Medicine, 3 85-96 (2018)
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2018 |
Costigan SA, Ridgers ND, Eather N, Plotnikoff RC, Harris N, Lubans DR, 'Exploring the impact of high intensity interval training on adolescents objectively measured physical activity: Findings from a randomized controlled trial', Journal of Sports Sciences, 36 1087-1094 (2018) [C1]
High Intensity Interval Training (HIIT) may be effective for accumulating VPA. However, the contribution of HIIT to overall physical activity is unknown. Our primary aim was to ex... [more]
High Intensity Interval Training (HIIT) may be effective for accumulating VPA. However, the contribution of HIIT to overall physical activity is unknown. Our primary aim was to explore the impact of school-based HIIT on physical activity. The secondary aim was to explore within-individual changes in physical activity after participating in HIIT. Participants [n = 65; 15.8(0.6)years] were randomized to a HIIT or control group. Intervention groups participated in three HIIT sessions/week. GENEActiv accelerometers assessed objective physical activity at baseline and week-one, to detect changes in MPA and VPA. Intervention effects were examined using linear mixed models and evidence of a change in physical activity (i.e., compensation) were examined using multilevel linear regression models. The group-by-time interaction effects for MPA and VPA were small and moderate, respectively. Adjusted difference between groups for VPA was 1.70 min/day, 95%CI ¿1.96 to 5.36; p = 0.354; d = 0.55). Embedding HIIT within the school-day had a moderate effect on VPA compared to controls. Compensation analyses (i.e., individual level) suggested that adolescents were more active on days when they participated in HIIT. Further studies are needed to test the effects of HIIT on adolescents¿ physical activity over extended time periods.
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2018 |
Harries SK, Lubans DR, Buxton A, MacDougall THJ, Callister R, 'Effects of 12-Week Resistance Training on Sprint and Jump Performances in Competitive Adolescent Rugby Union Players.', Journal of strength and conditioning research, 32 2762-2769 (2018) [C1]
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2018 |
Murawski B, Wade L, Plotnikoff RC, Lubans DR, Duncan MJ, 'A systematic review and meta-analysis of cognitive and behavioral interventions to improve sleep health in adults without sleep disorders', Sleep Medicine Reviews, 40 160-169 (2018) [C1]
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2018 |
Scott JJ, Hansen V, Morgan PJ, Plotnikoff RC, Lubans DR, 'Young people s perceptions of the objective physical activity monitoring process: A qualitative exploration', Health Education Journal, 77 3-14 (2018) [C1]
Objective: To explore young people¿s perceptions of pedometers and investigate behaviours exhibited while being monitored. Design: Qualitative design using six focus groups with p... [more]
Objective: To explore young people¿s perceptions of pedometers and investigate behaviours exhibited while being monitored. Design: Qualitative design using six focus groups with participants (mean age 14.7 years). Setting: Study participants (n = 24) were randomly selected from a previous study of 123 young people aged 14¿15 years from three secondary schools in New South Wales (NSW), Australia. Methods: Participants wore pedometers (Yamax CW700) and accelerometers (ActiGraph GT3X+) simultaneously for 7 days. Accelerometer output was used to categorise participants into one of six focus groups (three boys groups and three girls groups): (1) low active (<30 minutes moderate to vigorous physical activity [MVPA]/day), (2) medium active (30¿60 minutes MVPA/day), and (3) high active (=60 minutes MVPA/day). Participants were questioned on their perceptions of the monitoring process and the behaviours that they exhibited while wearing pedometers. A hybrid approach to data analysis identified key concepts, which were thematically analysed. Results: The two main themes identified were (1) participants¿ perceptions of the monitoring process and (2) behaviour exhibited while being monitored. Overall, participants¿ attitudes towards objective monitoring were positive. A large proportion reported changing their levels of physical activity during the monitoring process, and 87.5% of focus group participants reported shaking their pedometers to increase their step counts. The medium and high active groups reported changing their activity patterns more than the low active groups. Conclusion: Our findings are consistent with previous quantitative studies that suggest reactivity and tampering are commonplace among young people. Pedometers may have more utility as an intervention strategy for increasing activity rather than as a method for assessing habitual activity levels.
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2018 |
Ridgers ND, Barnett LM, Lubans DR, Timperio A, Cerin E, Salmon J, 'Potential moderators of day-to-day variability in children s physical activity patterns', Journal of Sports Sciences, 36 637-644 (2018) [C1]
Little is known about whether physical activity compensation occurs and, if so, what are potential moderators of such responses. This study examined whether children¿s physical ac... [more]
Little is known about whether physical activity compensation occurs and, if so, what are potential moderators of such responses. This study examined whether children¿s physical activity, sedentary time and energy expenditure on one day was associated with these behaviours the following day, and what factors may moderate observed associations. One hundred and twenty-seven children (8¿11¿years) wore an ActiGraph accelerometer for eight days. Time spent in sedentary time and physical activity was obtained. Daily energy expenditure was also assessed using a SenseWear Armband (n=98). Moderators examined were sex, age, BMI, fitness, and fundamental movement skills (FMS). Multilevel analyses were conducted using generalized mixed models. On any given day, every additional 10¿minutes spent in moderate-to-vigorous physical activity (MVPA) was associated with 9.3¿minutes less MVPA the following day. Every additional 10kcal expended on one day was associated with 2.9 fewer kcal expended the following day. Additional time spent sedentary on any given day was associated with less light physical activity the following day in children with lower FMS. The results are largely consistent with the compensation hypothesis, with children appearing to compensate their activity between days. Strategies to minimise potential compensatory changes may be needed for children overall rather than for specific population sub-groups.
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2018 |
Kennedy SG, Smith JJ, Morgan PJ, Peralta LR, Hilland TA, Eather N, et al., 'Implementing Resistance Training in Secondary Schools: A Cluster Randomized Controlled Trial', Medicine and Science in Sports and Exercise, 50 62-72 (2018) [C1]
Purpose: Guidelines recommend that young people engage in muscle-strengthening activities on at least 3 dIwkj1. The purpose of this study was to examine the effect of a school-bas... [more]
Purpose: Guidelines recommend that young people engage in muscle-strengthening activities on at least 3 dIwkj1. The purpose of this study was to examine the effect of a school-based intervention focused on resistance training (RT) for adolescents. Methods: The ''Resistance Training for Teens'' intervention was evaluated using a cluster-randomized, controlled trial with 607 adolescents (50.1% girls; 14.1 T 0.5 yr) from 16 secondary schools. Teachers were trained to deliver the intervention, which included the following: (i) an interactive student seminar; (ii) a structured physical activity program, focused on RT; (iii) lunchtime fitness sessions; and (iv) Web-based smartphone apps. The primary outcome was muscular fitness (MF) and secondary outcomes included body mass index, RT skill competency, flexibility, physical activity, self-efficacy, and motivation. Assessments were conducted at baseline, 6 months (postprogram; primary end point), and 12 months (follow-up). Outcomes were assessed using linear mixed models, with three potential moderators tested using interaction terms (and subgroup analyses where appropriate). Results: For the primary outcome (MF), a group-time effect was observed at 6 months for the upper body (2.0 repetitions; 95% confidence interval (CI), 0.8-3.2), but not the lower body (j1.4 cm; 95% CI, j4.7-1.9). At 6 months, there were intervention effects for RT skill competency and self-efficacy, but no other secondary outcomes. Effects for upper body MF and RT skill competency were sustained at 12 months. Despite overall no effect for body mass index, there was a group-time effect at 12 months among students whowere overweight/obese at baseline (j0.55 kgImj2; 95% CI, j1.01 toj0.08). Conclusions: The school-based RT intervention resulted in immediate and sustained improvements in upper body MF and RT skill competency, demonstrating an effective and scalable approach to delivering RT within secondary schools.
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2018 |
Hulteen RM, Morgan PJ, Barnett LM, Stodden DF, Lubans DR, 'Development of Foundational Movement Skills: A Conceptual Model for Physical Activity Across the Lifespan', Sports Medicine, 48 1533-1540 (2018) [C1]
Evidence supports a positive association between competence in fundamental movement skills (e.g., kicking, jumping) and physical activity in young people. Whilst important, fundam... [more]
Evidence supports a positive association between competence in fundamental movement skills (e.g., kicking, jumping) and physical activity in young people. Whilst important, fundamental movement skills do not reflect the broad diversity of skills utilized in physical activity pursuits across the lifespan. Debate surrounds the question of what are the most salient skills to be learned which facilitate physical activity participation across the lifespan. In this paper, it is proposed that the term ¿fundamental movement skills¿ be replaced with ¿foundational movement skills¿. The term ¿foundational movement skills¿ better reflects the broad range of movement forms that increase in complexity and specificity and can be applied in a variety of settings. Thus, ¿foundational movement skills¿ includes both traditionally conceptualized ¿fundamental¿ movement skills and other skills (e.g., bodyweight squat, cycling, swimming strokes) that support physical activity engagement across the lifespan. A proposed conceptual model outlines how foundational movement skill competency can provide a direct or indirect pathway, via specialized movement skills, to a lifetime of physical activity. Foundational movement skill development is hypothesized to vary according to culture and/or geographical location. Further, skill development may be hindered or enhanced by physical (i.e., fitness, weight status) and psychological (i.e., perceived competence, self-efficacy) attributes. This conceptual model may advance the application of motor development principles within the public health domain. Additionally, it promotes the continued development of human movement in the context of how it leads to skillful performance and how movement skill development supports and maintains a lifetime of physical activity engagement.
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2018 |
Smith JJ, Beauchamp MR, Faulkner G, Morgan PJ, Kennedy SG, Lubans DR, 'Intervention effects and mediators of well-being in a school-based physical activity program for adolescents: The Resistance Training for Teens cluster RCT', Mental Health and Physical Activity, 15 88-94 (2018) [C1]
Objective: To examine the impact of a school-based physical activity intervention on adolescents' self-esteem and subjective well-being, and to explore moderators and mediato... [more]
Objective: To examine the impact of a school-based physical activity intervention on adolescents' self-esteem and subjective well-being, and to explore moderators and mediators of intervention effects. Methods: Resistance Training for Teens was evaluated using a cluster RCT in 16 schools located in New South Wales, Australia. Adolescents (N = 508; 14.1 ± 0.5 years; 49.6% female) completed measures of global self-esteem, subjective well-being, and hypothesized mediators (i.e., perceived fitness, resistance training self-efficacy, and autonomous motivation) at baseline (April¿June, 2015) and post-intervention (October¿December). The school-based physical activity program was delivered by teachers over 10-weeks via Physical Education, co-curricular school sport, or an elective subject known as Physical Activity and Sport Studies, and involved once-weekly fitness sessions and additional lunch-time sessions. Intervention effects and moderator analyses were tested using multi-level linear regression analyses with interaction terms. Multi-level mediation analyses were used to explore potential mediators of changes in well-being outcomes. Results: Intervention effects for self-esteem (ß = 0.05, p =.194) and wellbeing (ß = 0.03, p =.509) were not statistically significant. Moderator analyses showed effects for self-esteem were greater for the overweight/obese subgroup (p =.069 for interaction), and resistance training self-efficacy was a significant mediator of changes in self-esteem (product-of-coefficients [AB] = 0.021, SE = 0.010, 95% CIs = 0.002 to 0.040). No other significant indirect effects were observed. Conclusion: Overall, Resistance Training for Teens did not improve adolescents' self-esteem or subjective well-being. However, our mediation findings lend support to resistance training self-efficacy as a mechanism explaining the positive effect of resistance training on self-esteem.
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2018 |
Schranz N, Glennon V, Evans J, Gomersall S, Hardy L, Hesketh KD, et al., 'Results from Australia's 2018 report card on physical activity for children and youth', Journal of Physical Activity and Health, 15 S315-S317 (2018) [C1]
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2018 |
Barnett LM, Lubans DR, Timperio A, Salmon J, Ridgers ND, 'What is the contribution of actual motor skill, fitness, and physical activity to children's self-perception of Motor Competence?', Journal of Motor Learning and Development, 6 S461-S473 (2018) [C1]
This study aimed to examine the contribution of objective measures of physical fitness (musculoskeletal and cardiorespiratory), physical activity, and motor skill to motor percept... [more]
This study aimed to examine the contribution of objective measures of physical fitness (musculoskeletal and cardiorespiratory), physical activity, and motor skill to motor perception. A total of 122 children (63 boys) aged 8-11 years were assessed. Independent t-tests assessed sex differences in all variables. Two linear mixed models adjusted for sex and age were performed with perceived object control and locomotor skills (Pictorial Scale of the Perceived Movement Skill Competence for Young Children) as outcomes. Aerobic (multi-stage fitness test) and muscular fitness (long jump, grip strength), moderate-to-vigorous physical activity (ActiGraph accelerometry), movement skill (Test of Gross Motor Development-2), age, and sex were predictors. Boys had higher object control skills (actual and perceived) and fitness. Age (decreasing) and long jump distance (positive) explained 16% of locomotor skill perception variance. Sex (boys) explained 13% of object control skill perception variance. Children's skill selfperception may be influenced by fitness attributes as these are more evident to them. The fact that girls have lower actual object control competence and fitness than boys suggests girls may be an intervention target.
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2018 |
Mavilidi MF, Lubans DR, Eather N, Morgan PJ, Riley N, 'Preliminary Efficacy and Feasibility of the "Thinking While Moving in English": A Program with Integrated Physical Activity into the Primary School English Lessons.', Children (Basel, Switzerland), 5 1-13 (2018) [C1]
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2018 |
Hulteen RM, Barnett LM, Morgan PJ, Robinson LE, Barton CJ, Wrotniak BH, Lubans DR, 'Development, content validity and test-retest reliability of the Lifelong Physical Activity Skills Battery in adolescents', Journal of Sports Sciences, 36 2358-2367 (2018) [C1]
Numerous skill batteries assess fundamental motor skill (e.g., kick, hop) competence. Few skill batteries examine lifelong physical activity skill competence (e.g., resistance tra... [more]
Numerous skill batteries assess fundamental motor skill (e.g., kick, hop) competence. Few skill batteries examine lifelong physical activity skill competence (e.g., resistance training). This study aimed to develop and assess the content validity, test-retest and inter-rater reliability of the ¿Lifelong Physical Activity Skills Battery¿. Development of the skill battery occurred in three stages: i) systematic reviews of lifelong physical activity participation rates and existing motor skill assessment tools, ii) practitioner consultation and iii) research expert consultation. The final battery included eight skills: grapevine, golf swing, jog, push-up, squat, tennis forehand, upward dog and warrior I. Adolescents (28 boys, 29 girls; M¿=¿15.8¿years, SD¿=¿0.4¿years) completed the Lifelong Physical Activity Skills Battery on two occasions two weeks apart. The skill battery was highly reliable (ICC¿=¿0.84, 95% CI¿=¿0.72¿0.90) with individual skill reliability scores ranging from moderate (warrior I; ICC¿=¿0.56) to high (tennis forehand; ICC¿=¿0.82). Typical error (4.0; 95% CI 3.4¿5.0) and proportional bias (r¿=¿-0.21, p¿=¿.323) were low. This study has provided preliminary evidence for the content validity and reliability of the Lifelong Physical Activity Skills Battery in an adolescent population.
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2018 |
Smith JJ, DeMarco M, Kennedy SG, Kelson M, Barnett LM, Faigenbaum AD, Lubans DR, 'Prevalence and correlates of resistance training skill competence in adolescents', Journal of Sports Sciences, 36 1241-1249 (2018) [C1]
The aim of this study is to examine the prevalence and correlates of adolescents¿ resistance training (RT) skill competence. Participants were 548 adolescents (14.1¿±¿0.5¿years) f... [more]
The aim of this study is to examine the prevalence and correlates of adolescents¿ resistance training (RT) skill competence. Participants were 548 adolescents (14.1¿±¿0.5¿years) from 16 schools in New South Wales, Australia. RT skills were assessed using the Resistance Training Skills Battery. Demographics, BMI, muscular fitness, perceived strength, RT self-efficacy, and motivation for RT were also assessed. The proportion demonstrating ¿competence¿ and ¿near competence¿ in each of the six RT skills were calculated and sex differences explored. Associations between the combined RT skill score and potential correlates were examined using multi-level linear mixed models. Overall, the prevalence of competence was low (range¿=¿3.3% to 27.9%). Females outperformed males on the squat, lunge and overhead press, whereas males performed better on the push-up (p¿<.05). Significant associations were seen for a number of correlates, which largely differed by sex. Muscular fitness was moderately and positively associated with RT skills among both males (ß¿=¿0.34, 95%CIs¿=¿0.23 to 0.46) and females (ß¿=¿0.36, 95%CIs¿=¿0.23 to 0.48). Our findings support a link between RT skills and muscular fitness. Other associations were statistically significant but small in magnitude, and should therefore be interpreted cautiously.
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2018 |
Wade L, Smith JJ, Duncan MJ, Lubans DR, 'Mediators of aggression in a school-based physical activity intervention for low-income adolescent boys', Mental Health and Physical Activity, 14 39-46 (2018) [C1]
Objective The present study examined the effect of a school-based multicomponent physical activity intervention on aggression in adolescent males from low-income areas, and explor... [more]
Objective The present study examined the effect of a school-based multicomponent physical activity intervention on aggression in adolescent males from low-income areas, and explored potential mediators of change in aggression. Methods Participants were adolescent males (N = 361; 12.7 ± 0.5 years) enrolled in the ¿Active Teen Leaders Avoiding Screen-time¿ cluster RCT. Self-report measures for aggression, perceived strength and recreational screen-time were collected at baseline and 8-months. The effect of the intervention on aggression was tested using multi-level linear regression and potential mediators (i.e., screen-time and perceived strength) were explored using a product-of-coefficients test. Results There was no significant intervention effects for aggression (C [SE] = -0.038 [0.044], p =.384) or perceived strength (A [SE] = -0.0 [0.0], p =.884). However, a statistically significant effect was found for screen-time (A [SE] = -0.160 [0.04], p= <0.01). Changes in screen-time significantly mediated changes in aggression at post-test (AB [SE] = -0.021 [0.009], 95% CI = -0.042 to -0.005). Conclusion Limiting recreational screen-time may help to reduce aggression in adolescent boys. Interventions targeting adolescents' recreational screen-time should examine their ¿flow-on¿ effects on externalising behaviours in adolescent populations.
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2018 |
Hulteen RM, Barnett LM, Morgan PJ, Robinson LE, Barton CJ, Wrotniak BH, Lubans DR, 'Determining the initial predictive validity of the lifelong physical activity skills battery', Journal of Motor Learning and Development, 6 301-314 (2018) [C1]
Participation in lifelong physical activities, such as yoga, golf, tennis, or running, are common endeavors in adolescence and adulthood. However, there is a lack of understanding... [more]
Participation in lifelong physical activities, such as yoga, golf, tennis, or running, are common endeavors in adolescence and adulthood. However, there is a lack of understanding of how competent individuals are in the skills needed for these activities and how competency in these skills relates to physical activity and fitness. This study aimed to determine the initial predictive validity of the Lifelong Physical Activity Skills Battery related to physical activity and health-related fitness. One-hundred and nine adolescents from four schools (55 males, 54 females; M = 15.82 years, SD = 0.37 years) completed: demographic information (survey), height (stadiometer), weight (digital scale), motor skill assessment (jog, grapevine, squat, push-up, upward dog, warrior one, tennis forehand, golf swing), health-related fitness (standing long jump, back-saver sit and reach, 3-min submaximal step test, 90° push-up test), and physical activity (GENEActiv accelerometers). Correlations and multiple regression models were conducted in SPSS version 24.0. Motor competence was associated with muscular fitness (standing long jump, ß = 0.24, p = .002; push-ups, ß = 0.42, p < .001), cardiorespiratory fitness (ß = 0.21, p = .031), and flexibility (ß = 0.23, p = .025), but not physical activity (ß = 0.17, p = .154) or body mass index (ß = -0.05, p = .622) Motor competence has a stronger association with health-relatedfitness parameters rather than physical activity. age
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2018 |
Lubans DR, Beauchamp MR, Diallo TMO, Peralta LR, Bennie A, White RL, et al., 'School Physical Activity Intervention Effect on Adolescents' Performance in Maths.', Medicine and science in sports and exercise, 50 2442-2450 (2018) [C1]
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2017 |
White RL, Babic MJ, Parker PD, Lubans DR, Astell-Burt T, Lonsdale C, 'Domain-Specific Physical Activity and Mental Health: A Meta-analysis', American Journal of Preventive Medicine, 52 653-666 (2017) [C1]
Context The mental health benefits of physical activity are well established. However, less is known about whether the relationship between physical activity and mental health is ... [more]
Context The mental health benefits of physical activity are well established. However, less is known about whether the relationship between physical activity and mental health is consistent across different life domains. It is important to understand how context may influence the relationship between physical activity and mental health so that interventions and policy guidelines can be tailored to maximize positive effects. Evidence acquisition In 2015, systematic searches of four databases identified 13,435 records, of which 98 studies met the inclusion criteria. Evidence synthesis Included studies were published between 1988 and 2015 and had a combined sample size of 648,726. Of the 98 included studies, 93 examined leisure-time physical activity, 14 examined work-related physical activity, 15 examined transport physical activity, 16 examined household physical activity, three examined school sport, and three examined physical education. Multi-level meta-analyses showed that leisure-time physical activity (r =0.13) and transport physical activity (r =0.13) both had a positive association with mental health. Leisure-time physical activity (r = ¿0.11) and school sport (r = ¿0.09) both had an inverse association with mental ill-health. However, physical activity was not consistently associated with lower mental ill-health across domains, as work-related physical activity was positively associated with mental ill-health (r =0.09). Household physical activity and participation in physical education had no relationship with mental health or mental ill-health. Conclusions The domain in which physical activity occurs influences the relationship between physical activity and mental health and should, therefore, be considered when developing interventions, treatment programs, and policy guidelines.
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2017 |
Vincent GE, Barnett LM, Lubans DR, Salmon J, Timperio A, Ridgers ND, 'Temporal and bidirectional associations between physical activity and sleep in primary school-aged children.', Applied Physiology, Nutrition, and Metabolism, 42 238-242 (2017) [C1]
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2017 |
Riley N, Lubans D, Holmes K, Gore JM, Hansen V, Morgan P, 'Movement-based mathematics: Enjoyment and engagement without compromising learning through the EASY Minds program', Eurasia Journal of Mathematics, Science and Technology Education, 13 1653-1673 (2017) [C1]
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2017 |
Ha AS, Lonsdale C, Ng JYY, Lubans DR, 'A school-based rope skipping program for adolescents: Results of a randomized trial', PREVENTIVE MEDICINE, 101 188-194 (2017) [C1]
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2017 |
Stacey FG, Lubans DR, Chapman K, Bisquera A, James EL, 'Maintenance of Lifestyle Changes at 12-month Follow-up in a Nutrition and Physical Activity Trial for Cancer Survivors.', American Journal of Health Behavior, 41 784-795 (2017) [C1]
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2017 |
Miller A, Eather N, Gray S, Sproule J, Williams C, Gore J, Lubans D, 'Can continuing professional development utilizing a game-centred approach improve the quality of physical education teaching delivered by generalist primary school teachers?', European Physical Education Review, 23 171-195 (2017) [C1]
The primary objective of this study was to evaluate the efficacy of a continuing professional development (CPD) intervention in producing changes in physical education (PE) teachi... [more]
The primary objective of this study was to evaluate the efficacy of a continuing professional development (CPD) intervention in producing changes in physical education (PE) teaching practice and PE teaching quality by generalist primary school teachers when the CPD addressed the use of a game-centred approach. A cluster randomized controlled trial was conducted in seven primary schools in the Hunter Region, New South Wales, Australia. One year six teacher from each school was randomized into the Professional Learning for Understanding Games Education (PLUNGE) intervention (n = 4 teachers) or the 7-week wait-list control (n = 3) condition. The PLUNGE intervention (weeks 1¿5) used an instructional framework to improve teachers¿ knowledge, understanding and delivery of a game-centred curriculum, and included an information session and weekly in-class mentoring. The intervention was designed to enhance content and pedagogical knowledge for the provision of pedagogy focused on a broad range of learning outcomes. Teaching quality was assessed at baseline and follow-up (weeks 6 and 7) via observation of two consecutive PE lessons using the Quality Teaching Lesson Observation Scales. Linear mixed models revealed significant group-by-time intervention effects (p < 0.05) for the quality of teaching (effect size: d = 1.7). CPD using an information session and mentoring, and a focus on the development of the quality of teaching using a game-centred pedagogical approach was efficacious in improving the quality of PE teaching among generalist primary school teachers.
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2017 |
Hulteen RM, Smith JJ, Morgan PJ, Barnett LM, Hallal PC, Colyvas K, Lubans DR, 'Global participation in sport and leisure-time physical activities: A systematic review and meta-analysis', Preventive Medicine, 95 14-25 (2017) [C1]
This review aimed to determine the most popular physical activities performed by children, adolescents, and adults globally. Statistic bureau websites and article databases Scopus... [more]
This review aimed to determine the most popular physical activities performed by children, adolescents, and adults globally. Statistic bureau websites and article databases Scopus, ProQuest, SPORTDiscus, and Science Direct were searched between November 17th, 2014 and April 31st, 2015. Eligible studies were published in the last 10¿years with participation rates for specific physical activities among individuals five years or older. Data extraction for included articles (n¿=¿64) was assessed independently and agreed upon by two authors. A random-effects model was used to calculate participation rates in specific activities for each age group and region. In total 73,304 articles were retrieved and 64 articles representing 47 countries were included in the final meta-analysis. Among adults, walking was the most popular activity in the Americas (18.9%; 95% CI 10.2 to 32.5), Eastern Mediterranean (15.0%; 95% CI 5.8 to 33.6), Southeast Asia (39.3%; 95% CI 0.9 to 98.0) and Western Pacific (41.8%; 95% CI 25.2 to 60.6). In Europe and Africa, soccer (10.0%; 95% CI 6.5 to 15.1) and running (9.3%; 95% CI 0.9 to 53.9), respectively, were top activities. Child and adolescent participation results were highly dependent upon region. American youth team sport participation was high, while youth from the Eastern Mediterranean and Western Pacific were more likely to report participation in lifelong physical activities. Global data for adults reflects a consistent pattern of participation in running and walking. Among all age groups and regions soccer was popular. In children and adolescents, preferences were variable between regions.
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2017 |
Babic MJ, Smith JJ, Morgan PJ, Eather N, Plotnikoff RC, Lubans DR, 'Longitudinal associations between changes in screen-time and mental health outcomes in adolescents', Mental Health and Physical Activity, 12 124-131 (2017) [C1]
Introduction The primary aim was to examine longitudinal associations between changes in screen-time and mental health outcomes among adolescents. Methods Adolescents (N¿=¿322, 65... [more]
Introduction The primary aim was to examine longitudinal associations between changes in screen-time and mental health outcomes among adolescents. Methods Adolescents (N¿=¿322, 65.5% females, mean age¿=¿14.4¿±¿0.6 years) reported screen-time and mental health at two time points over a school year. Multi-level linear regression analyses were conducted after adjusting for covariates. Results Changes in total recreational screen-time (ß¿=¿-0.09 p¿=¿0.048) and tablet/mobile phone use (ß¿=¿-0.18, p¿<¿0.001) were negatively associated with physical self-concept. Changes in total recreational screen-time (ß¿=¿-0.20, p¿=¿0.001) and computer use (ß¿=¿-0.23, p¿=¿0.003) were negatively associated with psychological well-being. A positive association was found with television/DVD use and psychological difficulties (ß¿=¿0.16, p¿=¿0.015). No associations were found for non-recreational screen-time. Conclusion Changes in recreational screen-time were associated with changes in a range of mental health outcomes.
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2017 |
Okely AD, Lubans DR, Morgan PJ, Cotton W, Peralta L, Miller J, et al., 'Promoting physical activity among adolescent girls: the Girls in Sport group randomized trial', INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 14 (2017) [C1]
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2017 |
Sutherland RL, Nathan NK, Lubans DR, Cohen K, Davies LJ, Desmet C, et al., 'An RCT to Facilitate Implementation of School Practices Known to Increase Physical Activity.', American journal of preventive medicine, 53 818-828 (2017) [C1]
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2017 |
Cohen KE, Morgan PJ, Plotnikoff RC, Hulteen RM, Lubans DR, 'Psychological, social and physical environmental mediators of the SCORES intervention on physical activity among children living in low-income communities', Psychology of Sport and Exercise, 32 1-11 (2017) [C1]
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2017 |
Ha AS, Lonsdale C, Lubans DR, Ng JYY, 'Increasing students' physical activity during school physical education: Rationale and protocol for the SELF-FIT cluster randomized controlled trial', BMC Public Health, 18 (2017) [C1]
Background: The Self-determined Exercise and Learning For FITness (SELF-FIT) is a multi-component school-based intervention based on tenets of self-determination theory. SELF-FIT ... [more]
Background: The Self-determined Exercise and Learning For FITness (SELF-FIT) is a multi-component school-based intervention based on tenets of self-determination theory. SELF-FIT aims to increase students' moderate-to-vigorous physical activity (MVPA) during physical education lessons, and enhance their autonomous motivation towards fitness activities. Using a cluster randomized controlled trial, we aim to examine the effects of the intervention on students' MVPA during school physical education. Methods: Secondary 2 students (approximately aged 14 years) from 26 classes in 26 different schools will be recruited. After baseline assessments, students will be randomized into either the experimental group or wait-list control group using a matched-pair randomization. Teachers allocated to the experimental group will attend two half-day workshops and deliver the SELF-FIT intervention for 8 weeks. The main intervention components include training teachers to teach in more need supportive ways, and conducting fitness exercises using a fitness dice with interchangeable faces. Other motivational components, such as playing music during classes, are also included. The primary outcome of the trial is students' MVPA during PE lessons. Secondary outcomes include students' leisure-time MVPA, perceived need support from teachers, need satisfaction, autonomous motivation towards physical education, intention to engage in physical activity, psychological well-being, and health-related fitness (cardiorespiratory and muscular fitness). Quantitative data will be analyzed using multilevel modeling approaches. Focus group interviews will also be conducted to assess students' perceptions of the intervention. Discussion: The SELF-FIT intervention has been designed to improve students' health and well-being by using high-intensity activities in classes delivered by teachers who have been trained to be autonomy needs supportive. If successful, scalable interventions based on SELF-FIT could be applied in physical education at large. Trial registration: The trial is registered at the Australia New Zealand Clinical Trial Registry (Trial ID: ACTRN12615000633583; date of registration: 18 June 2015).
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2017 |
Nathan N, Sutherland R, Beauchamp MR, Cohen K, Hulteen RM, Babic M, et al., 'Feasibility and efficacy of the Great Leaders Active StudentS (GLASS) program on children's physical activity and object control skill competency: A non-randomised trial', Journal of Science and Medicine in Sport, 20 1081-1086 (2017) [C1]
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2017 |
Harris N, Dulson D, Logan G, Warbrick I, Merien F, Lubans D, 'Acute Responses To Resistance And High Intensity Interval Training In Adolescents.', Journal of Strength and Conditioning Research, 31 1177-1186 (2017) [C1]
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2017 |
Gore J, Lloyd A, Smith M, Bowe J, Ellis H, Lubans D, 'Effects of professional development on the quality of teaching: Results from a randomised controlled trial of Quality Teaching Rounds', TEACHING AND TEACHER EDUCATION, 68 99-113 (2017) [C1]
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2017 |
Bennie A, Peralta L, Gibbons S, Lubans D, Rosenkranz R, 'Physical education teachers perceptions about the effectiveness and acceptability of strategies used to increase relevance and choice for students in physical education classes', Asia-Pacific Journal of Teacher Education, 45 302-319 (2017) [C1]
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2017 |
Scott JJ, Rowlands AV, Cliff DP, Morgan PJ, Plotnikoff RC, Lubans DR, 'Comparability and feasibility of wrist- and hip-worn accelerometers in free-living adolescents', Journal of Science and Medicine in Sport, 20 1101-1106 (2017) [C1]
Objective To determine the comparability and feasibility of wrist- and hip-worn accelerometers among free-living adolescents. Design 89 adolescents (age = 13¿14 years old) from ei... [more]
Objective To determine the comparability and feasibility of wrist- and hip-worn accelerometers among free-living adolescents. Design 89 adolescents (age = 13¿14 years old) from eight secondary schools in New South Wales (NSW), Australia wore wrist-worn GENEActiv and hip-worn ActiGraph (GT3X+) accelerometers simultaneously for seven days and completed an accelerometry behavior questionnaire. Methods Bivariate correlations between the wrist- and hip-worn out-put were used to determine concurrent validity. Paired samples t-test were used to compare minutes per day in moderate-to-vigorous physical activity (MVPA). Group means and paired sample t-tests were used to analyze participants¿ perceptions of the wrist- and hip-worn monitoring protocols to assist with determining the feasibility. Results Wrist-worn accelerometry compared favorably with the hip-worn in average activity (r = 0.88, p < 0.001) and MVPA (r = 0.84 p < 0.001, mean difference = 3.54 min/day, SD = 12.37). The wrist-worn accelerometer had 50% fewer non-valid days (75 days, 12%) than the hip-worn accelerometer (n = 152, 24.4%). Participants reported they liked to wear the device on the wrist (p < 0.01), and that it was less uncomfortable (p = 0.02) and less embarrassing to wear on the wrist (p < 0.01). Furthermore, that they would be more willing to wear the device again on the wrist over the hip (p < 0.01). Conclusions Our findings reveal there is a strong linear relationship between wrist- and hip-worn accelerometer out-put among adolescents in free-living conditions. Adolescent compliance was significantly higher with wrist placement, with participants reporting that it was more comfortable and less embarrassing to wear on the wrist.
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2017 |
Plotnikoff RC, Wilczynska M, Cohen KE, Smith JJ, Lubans DR, 'Integrating smartphone technology, social support and the outdoor physical environment to improve fitness among adults at risk of, or diagnosed with, Type 2 Diabetes: Findings from the eCoFit randomized controlled trial', Preventive Medicine, 105 404-411 (2017) [C1]
The risk and prevalence of Type 2 Diabetes (T2D) has dramatically increased over the past decade. The aim of this study was to develop, implement and evaluate a physical activity ... [more]
The risk and prevalence of Type 2 Diabetes (T2D) has dramatically increased over the past decade. The aim of this study was to develop, implement and evaluate a physical activity intervention to improve aerobic and muscular fitness among adults at risk of, or diagnosed with T2D. A 20-week, assessor blinded, parallel-group randomized controlled trial (RCT) was conducted at the University of Newcastle (June¿December 2015). Adults were randomized to the intervention (n = 42) or wait-list control group (n = 42). The theory-based intervention included: Phase 1 (weeks 1¿10) integrated group sessions (outdoor physical activity and cognitive mentoring), and the eCoFit smartphone application (app). Phase 2 (weeks 11¿20) only included the eCoFit app. Participants were assessed at baseline, 10 weeks and 20 weeks. Linear mixed models (intention-to-treat) were used to determine group-by-time interactions at 10 weeks (primary time-point) and 20 weeks for the primary outcomes. Several secondary outcomes were also assessed. After 10 weeks, significant group-by-time effects were observed for aerobic fitness (4.5 mL/kg/min; 95% CI [1.3, 7.7], d = 0.68) and muscular fitness (lower body) (3.4 reps, 95% CI [2.7, 4.2], d = 1.45). Intervention effects for secondary outcomes included significant increased physical activity (1330 steps/week), improved upper body muscular fitness (5 reps; arm-curl test), improved functionality (- 1.8 s; timed-up and go test) reduced waist circumference (2.8 cm) and systolic blood pressure (- 10.4 mm Hg). After 20 weeks, significant effects were observed for lower body muscular fitness and health outcomes. eCoFit is an innovative lifestyle intervention which integrates smartphone technology, social support, and the outdoor environment to improve aerobic and muscular fitness.
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2017 |
Lubans DR, Lonsdale C, Cohen K, Eather N, Beauchamp MR, Morgan PJ, et al., 'Framework for the design and delivery of organized physical activity sessions for children and adolescents: rationale and description of the 'SAAFE' teaching principles', INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 14 (2017) [C1]
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2017 |
Rhodes RE, Lubans DR, Karunamuni N, Kennedy S, Plotnikoff R, 'Factors associated with participation in resistance training: A systematic review', British Journal of Sports Medicine, 51 1466-1472 (2017) [C1]
Objective Regular participation in resistance training (RT) is critical to health and recommended in most international physical activity guidelines. Few people, however, particip... [more]
Objective Regular participation in resistance training (RT) is critical to health and recommended in most international physical activity guidelines. Few people, however, participate in RT. The purpose of this review was to assess the demographic, behavioural, intrapersonal, interpersonal and environmental factors associated with participating in RT. Data sources Eligible studies were from English peer-reviewed published articles that examined correlates or determinants of RT in adult samples. Searches were performed from August 2015 to April 2016 in six databases. Results We identified 51 independent data sets, from nine countries, primarily of moderate to high quality, and 23 factors related to participating in RT. Education, perceived health status, quality of life, affective judgements, self-efficacy, intention, self-regulation behaviours, subjective norm and programme leadership were associated with RT. Conclusion Low education levels and poor health status were associated with low participation rates in RT. Intrapersonal factors including affective judgements, self-efficacy, and self-regulation behaviours, and interpersonal factors including subjective norms and programme leadership may be important for promoting RT behaviours.
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2017 |
Smith JJ, Morgan PJ, Lonsdale C, Dally K, Plotnikoff RC, Lubans DR, 'Mediators of change in screen-time in a school-based intervention for adolescent boys: findings from the ATLAS cluster randomized controlled trial', Journal of Behavioral Medicine, 40 423-433 (2017) [C1]
The mechanisms of behavior change in youth screen-time interventions are poorly understood. Participants were 361 adolescent boys (12¿14¿years) participating in the ATLAS obesity ... [more]
The mechanisms of behavior change in youth screen-time interventions are poorly understood. Participants were 361 adolescent boys (12¿14¿years) participating in the ATLAS obesity prevention trial, evaluated in 14 schools in low-income areas of New South Wales, Australia. Recreational screen-time was assessed at baseline, 8- and 18-months, whereas potential mediators (i.e., motivation to limit screen-time and parental rules) were assessed at baseline, 4- and 18-months. Multi-level mediation analyses followed the intention-to-treat principle and were conducted using a product-of-coefficients test. The intervention had a significant impact on screen-time at both time-points, and on autonomous motivation at 18-months. Changes in autonomous motivation partially mediated the effect on screen-time at 18-months in single and multi-mediator models [AB (95% CI)¿=¿-5.49 (-12.13, -.70)]. Enhancing autonomous motivation may be effective for limiting screen-time among adolescent males. Trial registration: Australian New Zealand Clinical Trials Registry No: ACTRN12612000978864.
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2017 |
Borde R, Smith JJ, Sutherland R, Nathan N, Lubans DR, 'Methodological considerations and impact of school-based interventions on objectively measured physical activity in adolescents: a systematic review and meta-analysis', Obesity Reviews, 18 476-490 (2017) [C1]
Objective: The aims of this systematic review and meta-analysis are (i) to determine the impact of school-based interventions on objectively measured physical activity among adole... [more]
Objective: The aims of this systematic review and meta-analysis are (i) to determine the impact of school-based interventions on objectively measured physical activity among adolescents and (ii) to examine accelerometer methods and decision rule reporting in previous interventions. Methods: A systematic search was performed to identify randomized controlled trials targeting adolescents (age: =10¿years), conducted in the school setting, and reporting objectively measured physical activity. Random effects meta-analyses were conducted to determine the pooled effects of previous interventions on total and moderate-to-vigorous physical activity. Potential moderators of intervention effects were also explored. Results: Thirteen articles met the inclusion criteria, and twelve were included in the meta-analysis. The pooled effects were small and non-significant for both total physical activity (standardized mean difference¿=¿0.02 [95% confidence interval¿=¿-0.13 to 0.18]) and moderate-to-vigorous physical activity (standardized mean difference¿=¿0.24 [95% confidence interval¿=¿-0.08 to 0.56]). Sample age and accelerometer compliance were significant moderators for total physical activity, with a younger sample and higher compliance associated with larger effects. Conclusion: Previous school-based physical activity interventions targeting adolescents have been largely unsuccessful, particularly for older adolescents. There is a need for more high-quality research using objective monitoring in this population. Future interventions should comply with best-practice recommendations regarding physical activity monitoring protocols.
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2017 |
Hollis JL, Sutherland R, Williams AJ, Campbell E, Nathan N, Wolfenden L, et al., 'A systematic review and meta-analysis of moderate-to-vigorous physical activity levels in secondary school physical education lessons', International Journal of Behavioral Nutrition and Physical Activity, 14 (2017) [C1]
Background: Schools play an important role in physical activity promotion for adolescents. The systematic review aimed to determine the proportion of secondary (middle and high) s... [more]
Background: Schools play an important role in physical activity promotion for adolescents. The systematic review aimed to determine the proportion of secondary (middle and high) school physical education (PE) lesson time that students spend in moderate to vigorous physical activity (MVPA), and to assess if MVPA was moderated by school level (middle and high school), type of physical activity measurement and type of PE activities. Methods: A systematic search of nine electronic databases was conducted (PROSPERO2014:CRD42014009649). Studies were eligible if they were published between 2005 and 2014; written in English; assessed MVPA in PE lessons of secondary (middle and high) school students; and used a quantitative MVPA measure (i.e., accelerometry, heart rate monitoring, pedometers or observational measures). Two reviewers examined the retrieved articles, assessed risk of bias, and performed data extraction. Random effects meta-analysis was used to calculate a pooled estimate of the percent of PE lesson time spent in MVPA and to assess moderator effects where data allowed. Results: The search yielded 5,132 potentially relevant articles; 28 articles representing 25 studies (7 middle and 18 high school) from seven countries were included. Twelve studies measured MVPA through observational measures, seven used accelerometers, five used heart rate monitors and four used pedometers (including three studies using a mix of measures). Meta-analysis of 15 studies found that overall, students spent a mean (95% CI) of 40.5% (34.8-46.2%) of PE in MVPA. Middle school students spent 48.6% (41.3-55.9%) of the lesson in MVPA (n=5 studies) and high school students 35.9% (28.3-43.6%) (n=10 studies). Studies measuring MVPA using accelerometers (n=5) showed that students spent 34.7% (25.1-44.4%) of the lesson in MVPA, while 44.4% (38.3-50.5%) was found for lessons assessed via observation (n=9), 43.1% (24.3-61.9%) of the lesson for a heart rate based study, and 35.9% (31.0-40.8%) for a pedometer-measured study. Conclusions: The proportion of PE spent in MVPA (40.5%) is below the US Centre for Disease Control and Prevention and the UK Associations for Physical Education recommendation of 50%. Findings differed according to the method of MVPA assessment. Additional strategies and intervention research are needed to build more active lesson time in PE.
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2016 |
Lonsdale C, Lester A, Owen KB, White RL, Moyes I, Peralta L, et al., 'An Internet-supported Physical Activity Intervention Delivered in Secondary Schools Located in Low Socio-economic Status Communities: Study Protocol for the Activity and Motivation in Physical Education (AMPED) Cluster Randomized Controlled Trial', BMC Public Health, 16 (2016)
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2016 |
Sutherland RL, Campbell EM, Lubans DR, Morgan PJ, Nathan NK, Wolfenden L, et al., 'The Physical Activity 4 Everyone Cluster Randomized Trial: 2-Year Outcomes of a School Physical Activity Intervention Among Adolescents.', Am J Prev Med, 51 195-205 (2016) [C1]
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2016 |
Lonsdale C, Sanders T, Cohen KE, Parker P, Noetel M, Hartwig T, et al., 'Scaling-up an efficacious school-based physical activity intervention: Study protocol for the 'Internet-based Professional Learning to help teachers support Activity in Youth' (iPLAY) cluster randomized controlled trial and scale-up implementation evaluation', BMC PUBLIC HEALTH, 16 (2016)
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2016 |
Wilczynska M, Lubans DR, Cohen KE, Smith JJ, Robards SL, Plotnikoff RC, 'Rationale and study protocol for the 'eCoFit' randomized controlled trial: Integrating smartphone technology, social support and the outdoor physical environment to improve health-related fitness among adults at risk of, or diagnosed with, Type 2 Diabetes', CONTEMPORARY CLINICAL TRIALS, 49 116-125 (2016)
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2016 |
Lonsdale C, Sanders T, Cohen KE, Parker P, Noetel M, Hartwig T, et al., 'Erratum to: Scaling-up an efficacious school-based physical activity intervention: Study protocol for the 'Internet-based Professional Learning to help teachers support Activity in Youth' (iPLAY) cluster randomized controlled trial and scale-up implementation evaluation (vol 16, 873, 2016)', BMC PUBLIC HEALTH, 16 (2016)
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2016 |
Hollis JL, Williams AJ, Sutherland R, Campbell E, Nathan N, Wolfenden L, et al., 'A systematic review and meta-analysis of moderate-to-vigorous physical activity levels in elementary school physical education lessons', Preventive Medicine, 86 34-54 (2016) [C1]
Objective: To examine elementary school students' moderate-to-vigorous physical activity (MVPA) levels during physical education (PE) lessons. Methods: A systematic search of... [more]
Objective: To examine elementary school students' moderate-to-vigorous physical activity (MVPA) levels during physical education (PE) lessons. Methods: A systematic search of nine electronic databases was conducted (PROSPERO2014:CRD42014009649). Studies were eligible if they were in English; published between 2005-April 2014; assessed MVPA levels in PE lessons of elementary school children (aged four-12 years); and used an objective MVPA measure. Two reviewers retrieved articles, assessed risk of bias, and performed data extraction. The findings were synthesised using a meta-analysis. Results: The search yielded 5132 articles. Thirteen studies from nine countries met the inclusion criteria. Eight studies measured MVPA through observational measures, five used accelerometry and one used heart rate monitoring. The percentage of PE lesson time spent in MVPA ranged between 11.4-88.5%. Meta-analysis of seven studies (direct observations; 4 accelerometers) found that children spent a mean (95% CI) 44.8 (28.2-61.4)% of PE lesson time in MVPA. When measured using direct observation and accelerometers, children spent 57.6 (47.3-68.2) and 32.6 (5.9-59.3)% of PE lesson time in MVPA, respectively. The review has limitations; the search strategy was restricted to studies in English; theses, dissertations and conference abstracts were excluded; and six studies that provided insufficient data were excluded from the meta-analysis. Conclusion: MVPA levels during elementary school PE lessons do not meet the United States Centre for Disease Control and Prevention and the United Kingdom's Association of Physical Education recommendation (50% of lesson time), but is higher than estimated in the previous review (34.2%). Interventions to increase MVPA in PE lessons are needed.
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2016 |
Stacey FG, James EL, Chapman K, Lubans DR, 'Social cognitive theory mediators of physical activity in a lifestyle program for cancer survivors and carers: Findings from the ENRICH randomized controlled trial', International Journal of Behavioral Nutrition and Physical Activity, 13 (2016) [C1]
Background: Despite increasing numbers of cancer survivors and evidence that diet and physical activity improves the health of cancer survivors, most do not meet guidelines. Some ... [more]
Background: Despite increasing numbers of cancer survivors and evidence that diet and physical activity improves the health of cancer survivors, most do not meet guidelines. Some social cognitive theory (SCT)-based interventions have increased physical activity behavior, however few have used objective physical activity measures. The Exercise and Nutrition Routine Improving Cancer Health (ENRICH) randomized controlled trial reported a significant intervention effect for the primary outcome of pedometer-assessed step counts at post-test (8-weeks) and follow-up (20-weeks). The aim of this study was to test whether the SCT constructs operationalized in the ENRICH intervention were mediators of physical activity behavior change. Methods: Randomized controlled trial with 174 cancer survivors and carers assessed at baseline, post-test (8-weeks), and follow-up (20-weeks). Participants were randomized to the ENRICH six session face-to-face healthy lifestyle program, or to a wait-list control. Hypothesized SCT mediators of physical activity behavior change (self-efficacy, behavioral goal, outcome expectations, impediments, and social expectations) were assessed using valid and reliable scales. Mediation was assessed using the Preacher and Hayes SPSS INDIRECT macro. Results: At eight weeks, there was a significant intervention effect on behavioral goal (A = 9.12, p = 0.031) and outcome expectations (A = 0.25, p = 0.042). At 20 weeks, the intervention had a significant effect on self-efficacy (A = 0.31, p = 0.049) and behavioral goal (A = 13.15, p = 0.011). Only changes in social support were significantly associated with changes in step counts at eight weeks (B = 633.81, p = 0.023). Behavioral goal was the only SCT construct that had a significant mediating effect on step counts, and explained 22 % of the intervention effect at 20 weeks (AB = 397.9, 95 % CI 81.5-1025.5). Conclusions: SCT constructs had limited impact on objectively-assessed step counts in a multiple health behavior change intervention for cancer survivors and their carers. Behavioral goal measured post-intervention was a significant mediator of pedometer-assessed step counts at 3-months after intervention completion, and explained 22 % of the intervention effect. Future research should examine the separate impact of goals and planning, as well as examining mediators of behavior maintenance in physical activity interventions targeting cancer survivors. Trial registration: Australian and New Zealand Clinical Trials registry ANZCTRN1260901086257.
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2016 |
Schranz NK, Olds T, Boyd R, Evans J, Gomersall SR, Hardy L, et al., 'Results from Australia's 2016 report card on physical activity for children and youth', Journal of Physical Activity and Health, 13 S87-S94 (2016) [C1]
Background: Two years on from the inaugural Active Healthy Kids Australia (AHKA) Physical Activity Report Card, there has been little to no change with the majority of Australian ... [more]
Background: Two years on from the inaugural Active Healthy Kids Australia (AHKA) Physical Activity Report Card, there has been little to no change with the majority of Australian children still insufficiently active. Methods: The 2016 AHKA Report Card was developed using the best available national-and state-based physical activity data, which were evaluated by the AHKA Research Working Group using predetermined weighting criteria and benchmarks to assign letter grades to the 12 Report Card indicators. Results: In comparison with 2014, Overall Physical Activity Levels was again assigned a D-with Organized Sport and Physical Activity Participation increasing to a B (was B-) and Active Transport declining to a C-(was C). The settings and sources of influence again performed well (A-to a C+), however Government Strategies and Investments saw a decline (C+ to a D). The traits associated with physical activity were also graded poorly (C-to a D). Conclusions: Australian youth are insufficiently active and engage in high levels of screen-based sedentary behaviors. While a range of support structures exist, Australia lacks an overarching National Physical Activity Plan that would unify the country and encourage the cultural shift needed to face the inactivity crisis head on.
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2016 |
Barnett LM, Stodden D, Cohen KE, Smith JJ, Lubans DR, Lenoir M, et al., 'Fundamental Movement Skills: An Important Focus', Journal of Teaching in Physical Education, 35 219-225 (2016) [C1]
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2016 |
Sutherland R, Reeves P, Campbell E, Lubans DR, Morgan PJ, Nathan N, et al., 'Cost effectiveness of a multi-component school-based physical activity intervention targeting adolescents: The 'Physical Activity 4 Everyone' cluster randomized trial', International Journal of Behavioral Nutrition and Physical Activity, 13 (2016) [C1]
Background: Few school-based interventions have been successful in reducing physical activity decline and preventing overweight and obesity in adolescent populations. As a result,... [more]
Background: Few school-based interventions have been successful in reducing physical activity decline and preventing overweight and obesity in adolescent populations. As a result, few cost effectiveness analyses have been reported. The aim of this paper is to report the cost and cost effectiveness of the Physical Activity 4 Everyone (PA4E1) intervention which was a multi-component intervention implemented in secondary schools located in low-income communities. Cost effectiveness was assessed using both the physical activity and weight status trial outcomes. Methods: Intervention and Study Design: The PA4E1 cluster randomised controlled trial was implemented in 10 Australian secondary schools (5 intervention: 5 control) and consisted of intervention schools receiving seven physical activity promotion strategies and six additional strategies that supported school implementation of the intervention components. Costs associated with physical activity strategies, and intervention implementation strategies within the five intervention schools were estimated and compared to the costs of usual physical activity practices of schools in the control group. The total cost of implementing the intervention was estimated from a societal perspective, based on the number of enrolled students in the target grade at the start of the intervention (Grade 7, n = 837). Economic Outcomes: The economic analysis outcomes were cost and incremental cost effectiveness ratios for the following: minutes of moderate-to-vigorous physical activity (MVPA) per day gained, MET hours gained per person/day; Body Mass Index (BMI) unit avoided; and 10 % reduction in BMI z-score. Results: The intervention cost AUD $329,952 over 24 months, or AUD$394 per student in the intervention group. This resulted in a cost effectiveness ratio of AUD$56 ($35-$147) per additional minute of MVPA, AUD$1 ($0.6-$2.7) per MET hour gained per person per day, AUD$1408 ($788-$6,570) per BMI unit avoided, and AUD$563 ($282-$3,942) per 10 % reduction in BMI z-score. Conclusion: PA4E1 is a cost effective intervention for increasing the physical activity levels and reducing unhealthy weight gain in adolescence, a period in which physical activity typically declines. Additional modelling could explore the potential economic impact of the intervention on morbidity and mortality. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12612000382875.
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2016 |
Lubans DR, Smith JJ, Morgan PJ, Beauchamp MR, Miller A, Lonsdale C, et al., 'Mediators of psychological well-being in adolescent boys', Journal of Adolescent Health, 58 230-236 (2016) [C1]
Purpose: The aim of this study was to explore the effect of the Active Teen Leaders Avoiding Screen-time (ATLAS) intervention on psychological well-being in adolescent boys and to... [more]
Purpose: The aim of this study was to explore the effect of the Active Teen Leaders Avoiding Screen-time (ATLAS) intervention on psychological well-being in adolescent boys and to examine the potential mediating mechanisms that might explain this effect. Methods: ATLAS was evaluated using a cluster randomized controlled trial in 14 secondary schools located in low-income communities (N = 361 adolescent boys, mean age = 12.7 ±.5 years). The 20-week intervention was guided by self-determination theory and involved: professional development for teachers, provision of fitness equipment to schools, enhanced school sport sessions, researcher-led seminars, a smartphone application, and parental strategies for reducing screen time. Assessments were conducted at baseline and immediately post intervention (8 months). Psychological well-being was measured using the Flourishing Scale. Motivational regulations (intrinsic, identified, introjected, controlled, and amotivation) and basic psychological needs (autonomy, competence, and relatedness) in school sport, muscular fitness, resistance training skill competency, and recreational screen time were examined as potential mediating mechanisms of the intervention effect. Results: The intervention effect on well-being was small but statistically significant. Within a multiple mediator model, changes in autonomy needs satisfaction, recreational screen time, and muscular fitness significantly mediated the effect of the intervention on psychological well-being. Conclusions: In addition to the physical health benefits, targeted physical activity programs for adolescent boys may have utility for mental health promotion through the mechanisms of increasing autonomy support and muscular fitness and reducing screen time.
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2016 |
Barnett LM, Lai SK, Veldman SLC, Hardy LL, Cliff DP, Morgan PJ, et al., 'Correlates of Gross Motor Competence in Children and Adolescents: A Systematic Review and Meta-Analysis', Sports Medicine, 46 1663-1688 (2016) [C1]
Background: Gross motor competence confers health benefits, but levels in children and adolescents are low. While interventions can improve gross motor competence, it remains uncl... [more]
Background: Gross motor competence confers health benefits, but levels in children and adolescents are low. While interventions can improve gross motor competence, it remains unclear which correlates should be targeted to ensure interventions are most effective, and for whom targeted and tailored interventions should be developed. Objective: The aim of this systematic review was to identify the potential correlates of gross motor competence in typically developing children and adolescents (aged 3¿18¿years) using an ecological approach. Methods: Motor competence was defined as gross motor skill competency, encompassing fundamental movement skills and motor coordination, but excluding motor fitness. Studies needed to assess a summary score of at least one aspect of motor competence (i.e., object control, locomotor, stability, or motor coordination). A structured electronic literature search was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Six electronic databases (CINAHL Complete, ERIC, MEDLINE Complete, PsycINFO , Scopus and SPORTDiscus with Full Text) were searched from 1994 to 5 August 2014. Meta-analyses were conducted to determine the relationship between potential correlates and motor competency if at least three individual studies investigated the same correlate and also reported standardized regression coefficients. Results: A total of 59 studies were identified from 22 different countries, published between 1995 and 2014. Studies reflected the full range of age groups. The most examined correlates were biological and demographic factors. Age (increasing) was a correlate of children¿s motor competence. Weight status (healthy), sex (male) and socioeconomic background (higher) were consistent correlates for certain aspects of motor competence only. Physical activity and sport participation constituted the majority of investigations in the behavioral attributes and skills category. Whilst we found physical activity to be a positive correlate of skill composite and motor coordination, we also found indeterminate evidence for physical activity being a correlate of object control or locomotor skill competence. Few studies investigated cognitive, emotional and psychological factors, cultural and social factors or physical environment factors as correlates of motor competence. Conclusion: This systematic review is the first that has investigated correlates of gross motor competence in children and adolescents. A strength is that we categorized correlates according to the specific ways motor competence has been defined and operationalized (object control, motor coordination, etc.), which enables us to have an understanding of what correlates assist what types of motor competence. Indeed our findings do suggest that evidence for some correlates differs according to how motor competence is operationalized. ®
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2016 |
Vincent G, Barnett L, Lubans D, Timperio A, Salmon J, Ridgers N, 'TEMPORAL AND BIDIRECTIONAL ASSOCIATIONS BETWEEN PHYSICAL ACTIVITY AND SLEEP IN PRIMARY SCHOOL-AGED CHILDREN', JOURNAL OF SLEEP RESEARCH, 25 28-28 (2016) |
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2016 |
Babic MJ, Smith JJ, Morgan PJ, Lonsdale C, Plotnikoff RC, Eather N, et al., 'Intervention to reduce recreational screen-time in adolescents: Outcomes and mediators from the Switch-Off 4 Healthy Minds (S4HM) cluster randomized controlled trial', Preventive Medicine, 91 50-57 (2016) [C1]
Introduction The primary objective was to evaluate the impact of the ¿Switch-off 4 Healthy Minds¿ (S4HM) intervention on recreational screen-time in adolescents. Methods Cluster r... [more]
Introduction The primary objective was to evaluate the impact of the ¿Switch-off 4 Healthy Minds¿ (S4HM) intervention on recreational screen-time in adolescents. Methods Cluster randomized controlled trial with study measures at baseline and 6-months (post-intervention). Eligible participants reported exceeding recreational screen-time recommendations (i.e., >¿2¿h/day). In total, 322 adolescents (mean age¿=¿14.4¿±¿0.6¿years) from eight secondary schools in New South Wales, Australia were recruited. The S4HM intervention was guided by Self-Determination Theory and included: an interactive seminar, eHealth messaging, a behavioral contract and parental newsletters. The primary outcome was recreational screen-time. Secondary outcomes included mental health (i.e., well-being, psychological distress, self-perceptions), objectively measured physical activity, and body mass index (BMI). Outcome analyses were conducted using linear mixed models and mediation was examined using a product-of-coefficients test. Results At post-intervention, significant reductions in screen-time were observed in both groups, with a greater reduction observed in the intervention group (-¿50¿min/day versus -¿29¿min, p¿<¿0.05 for both). However, the adjusted difference in change between groups was not statistically significant (mean¿=¿-¿21.3¿min/day, p¿=¿0.255). There were no significant intervention effects for mental health outcomes, physical activity or BMI. Significant mediation effects for autonomous motivation were found. Conclusions Participants in both the S4HM intervention and control groups significantly reduced their screen-time, with no group-by-time effects. Enhancing autonomous motivation might be a useful intervention target for trials aimed at reducing adolescents' recreational screen-time. Trial registration ACTRN12614000163606.
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2016 |
Lubans DR, Smith JJ, Plotnikoff RC, Dally KA, Okely AD, Salmon J, Morgan PJ, 'Assessing the sustained impact of a school-based obesity prevention program for adolescent boys: The ATLAS cluster randomized controlled trial', International Journal of Behavioral Nutrition and Physical Activity, 13 (2016) [C1]
Background: Obesity prevention interventions targeting 'at-risk' adolescents are urgently needed. The aim of this study is to evaluate the sustained impact of the '... [more]
Background: Obesity prevention interventions targeting 'at-risk' adolescents are urgently needed. The aim of this study is to evaluate the sustained impact of the 'Active Teen Leaders Avoiding Screen-time' (ATLAS) obesity prevention program. Methods: Cluster RCT in 14 secondary schools in low-income communities of New South Wales, Australia. Participants were 361 adolescent boys (aged 12-14 years) 'at risk' of obesity. The intervention was based on Self-Determination Theory and Social Cognitive Theory and involved: professional development, fitness equipment for schools, teacher-delivered physical activity sessions, lunch-time activity sessions, researcher-led seminars, a smartphone application, and parental strategies. Assessments for the primary (body mass index [BMI], waist circumference) and secondary outcomes were conducted at baseline, 8- (post-intervention) and 18-months (follow-up). Analyses followed the intention-to-treat principle using linear mixed models. Results: After 18-months, there were no intervention effects for BMI or waist circumference. Sustained effects were found for screen-time, resistance training skill competency, and motivational regulations for school sport. Conclusions: There were no clinically meaningful intervention effects for the adiposity outcomes. However, the intervention resulted in sustained effects for secondary outcomes. Interventions that more intensively target the home environment, as well as other socio-ecological determinants of obesity may be needed to prevent unhealthy weight gain in adolescents from low-income communities. Trial registration: Australian Clinical Trial Registry ACTRN12612000978864.
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2016 |
Sylvester BD, Lubans DR, Eather N, Standage M, Wolf SA, McEwan D, et al., 'Effects of Variety Support on Exercise-Related Well-Being', Applied Psychology: Health and Well-Being, 8 213-231 (2016) [C1]
© 2016 The International Association of Applied Psychology Background: The purpose of this study was to experimentally examine the extent to which variety support in a resistance ... [more]
© 2016 The International Association of Applied Psychology Background: The purpose of this study was to experimentally examine the extent to which variety support in a resistance exercise program influences exercise-related well-being among inactive adults. Methods: A sample of 121 inactive university students were randomly assigned and participated in either a high or low variety support 6-week exercise program. Measures of exercise-related perceived variety, positive affect, negative affect, and subjective vitality were completed at baseline, after 3 weeks, and after 6 weeks (i.e. post-test). Results: Through use of structural equation¿modelling, the results showed that for those who completed measures at post-test (i.e. n = 55), and for all participants who received variety support (i.e. a modified intention-to-treat analysis; N = 121), exercise-related variety support indirectly explained higher levels of exercise-related positive affect, and subjective vitality, and lower levels of negative affect, through the mediating role of perceived variety. Conclusions: The provision of variety support in a resistance exercise program influences exercise-related well-being through perceptions of variety. Results are discussed in relation to the potential utility of providing variety support to promote exercise-related well-being in people who are physically inactive.
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2016 |
Harries SK, Lubans DR, Callister R, 'Comparison of resistance training progression models on maximal strength in sub-elite adolescent rugby union players', Journal of Science and Medicine in Sport, 19 163-169 (2016) [C1]
Objectives: To determine changes in maximal strength between two different resistance training progression models, linear (LP) and daily undulating (DUP), over a 12-week resistanc... [more]
Objectives: To determine changes in maximal strength between two different resistance training progression models, linear (LP) and daily undulating (DUP), over a 12-week resistance training programme in sub-elite adolescent rugby union players. Design: The study used a quasi-experimental study design. Following baseline assessments, participants from Squad 1 were randomised to either LP or DUP; participants from Squad 2 formed a non-randomised comparison group (CON). Methods: Participants were 26 sub-elite adolescent rugby union players who were assessed at baseline and after 12 weeks. Outcomes included 5 repetition maximum (RM) box squat and bench press, height, body weight, skeletal muscle mass, percentage body fat and maturation status. Results: Participants in both the LP and DUP groups significantly increased their squat and bench press strength from baseline to 12 weeks. There were no significant differences between groups for squat and bench press increases after 12 weeks (p > 0.05). No significant increases in squat or bench press strength were observed after 12 weeks in the CON group. Increases in lower body strength were large in the LP group (ES: 1.64) and very large in the DUP group (ES: 2.33). Upper body strength changes were small in both groups (LP, ES: 0.57; DUP, ES: 0.31). Conclusions: Twelve weeks of LP or DUP resistance training are both effective at increasing maximal lower and upper body strength in adolescent rugby athletes. Additionally, twice weekly frequency of resistance training in adolescent rugby athletes with greater than 6-months resistance training experience is sufficient to elicit substantial increases in maximal strength.
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2016 |
Costigan SA, Eather N, Plotnikoff RC, Hillman CH, Lubans DR, 'High-Intensity Interval Training for Cognitive and Mental Health in Adolescents', Medicine and Science in Sports and Exercise, 48 1985-1993 (2016) [C1]
Purpose Emerging literature suggests that physical activity and fitness may have a positive effect on cognitive and mental health in adolescents. The purpose of the current study ... [more]
Purpose Emerging literature suggests that physical activity and fitness may have a positive effect on cognitive and mental health in adolescents. The purpose of the current study was to evaluate the efficacy of two high-intensity interval training (HIIT) protocols for improving cognitive and mental health outcomes (executive function, psychological well-being, psychological distress, and physical self-concept) in adolescents. Methods Participants (n = 65; mean age = 15.8 ± 0.6 yr) were randomized to three conditions: aerobic exercise program (AEP; n = 21), resistance and aerobic program (RAP; n = 22), and control (n = 22). HIIT sessions (8-10 min per session) were delivered during physical education lessons or at lunchtime three times per week for 8 wk. Assessments were conducted at baseline and immediately postintervention to detect changes in executive function (trail making test), psychological well-being, psychological distress, and physical self-description by researchers blinded to treatment allocation. Intervention effects were examined using linear mixed models. Cohen's d effect sizes and clinical inference were also calculated. Results While results were not significant, small improvements in executive function (mean change (95% CI) -6.69 (-22.03, 8.64), d = -0.32) and psychological well-being (mean change (95% CI) 2.81 (-2.06, 7.68), d = 0.34) were evident in the AEP group; and moderate improvements in executive function (mean change (95% CI) -10.73 (-26.22, 4.76), d = -0.51), and small improvements in well-being (mean change (95% CI) 2.96 (-1.82, 7.75), d = 0.36) and perceived appearance (mean change (95% CI) 0.32 (-0.25, 0.86), d = 0.35), were observed for the RAP group. Mean feeling state scores improved from preworkout to postworkout in both HIIT conditions, with significant results for the AEP (P = 0.001). Conclusions This study highlights the potential of embedding HIIT within the school day for improving cognitive and mental health among adolescents.
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2016 |
Hollis JL, Sutherland R, Campbell L, Morgan PJ, Lubans DR, Nathan N, et al., 'Effects of a 'school-based' physical activity intervention on adiposity in adolescents from economically disadvantaged communities: secondary outcomes of the 'Physical Activity 4 Everyone' RCT', INTERNATIONAL JOURNAL OF OBESITY, 40 1486-1493 (2016) [C1]
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2016 |
Johnson ST, Lubans DR, Mladenovic AB, Plotnikoff RC, Karunamuni N, Johnson JA, 'Testing social-cognitive mediators for objective estimates of physical activity from the Healthy Eating and Active Living for Diabetes in Primary Care Networks (HEALD-PCN) study', Psychology, Health and Medicine, 21 945-953 (2016) [C1]
Objective: More evidence from prospective studies is needed to determine ¿if¿ and ¿how¿ social cognitive constructs mediate behaviour change. In a longitudinal study, we aimed to ... [more]
Objective: More evidence from prospective studies is needed to determine ¿if¿ and ¿how¿ social cognitive constructs mediate behaviour change. In a longitudinal study, we aimed to examine potential social cognitive mediators of objectively measured physical activity (PA) behaviour among people with type 2 diabetes (T2D) who participated in a six-month PA intervention. Methods: All participants from the proven effective Healthy Eating and Active Living for Diabetes in Primary Care Networks trial were included for this secondary analysis. Change in pedometer-derived daily step counts (baseline to six months) was the outcome of interest. Primary constructs of interest were from Social Cognitive Theory, however constructs from and Theory of Planned Behaviour were also tested in a mediating variable framework using a product-of-coefficients test. Results: The sample (N¿=¿198) had a mean age of 59.5 (SD 8.3) years, haemoglobin A1c 6.8% (SD 1.1), 50% women, BMI 33.6¿kg/m (SD 6.5), systolic pressure 125.6¿mmHg (SD 16.2) and average daily steps were 5879 (SD 3130). Daily pedometer-determined steps increased for the intervention group compared to usual care control at six-months (1481 [SD 2631] vs. 336 [SD 2712]; adjusted p¿=¿.002). There was a significant action theory test effect for ¿planning¿ (A¿=¿.21, SE¿=¿.10, p¿=¿.037), and significant conceptual theory test results for ¿subjective norms¿ (B¿=¿657, SE¿=¿312, p¿=¿.037) and ¿cons¿ (B¿=¿-664, SE¿=¿270, p¿=¿.015). None of the constructs satisfied the criteria for mediation. Conclusions: We were unable to account for the effect of a pedometer-based PA intervention for people with T2D through our examination of mediators. Our findings are inconsistent with some literature concerning PA interventions in diabetes; this may be due to variability in measures used or in study populations. 2
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2016 |
Morgan PJ, Young MD, Smith JJ, Lubans DR, 'Targeted Health Behavior Interventions Promoting Physical Activity: A Conceptual Model', Exercise and Sport Sciences Reviews, 44 71-80 (2016) [C1]
This article presents a conceptual model illustrating a targeted approach to the design and delivery of health behavior interventions that focus on physical activity promotion. We... [more]
This article presents a conceptual model illustrating a targeted approach to the design and delivery of health behavior interventions that focus on physical activity promotion. We hypothesize that researchers who i) enhance the sociocultural relevance of their core intervention components and ii) recognize the unique contributions of both intervention design and delivery will experience greater intervention engagement and improved outcomes.
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2016 |
Leme ACB, Lubans DR, Guerra PH, Dewar D, Toassa EC, Philippi ST, 'Preventing obesity among Brazilian adolescent girls: Six-month outcomes of the Healthy Habits, Healthy Girls-Brazil school-based randomized controlled trial', Preventive Medicine, 86 77-83 (2016) [C1]
Background: School-based trials to prevent and reduce prevalence of pediatric obesity in low-income countries are necessary. In Brazil, addressing adolescent obesity is a public h... [more]
Background: School-based trials to prevent and reduce prevalence of pediatric obesity in low-income countries are necessary. In Brazil, addressing adolescent obesity is a public health priority. Objective: To evaluate the impact of a group randomized controlled trial involving a 6-month multicomponent school-based obesity prevention program targeting adolescent girls. Methods: The Healthy Habits, Healthy Girls-Brazil program recruited participants (n = 253; 16.05 ± 0.05 years) from ten eligible public technical schools in São Paulo, Brazil. The program was adapted from an Australian intervention study, which is based on the Social Cognitive Theory. The primary outcome measure was body mass index (BMI), and secondary outcomes included BMI z score, waist circumference, and various sedentary and dietary health-related behaviours. Results: Although changes in BMI were not statistically significant, differences favored the intervention group (adjusted mean difference, -0.26 kg/m ,se SE = 0.018, p = 0.076). Statistically significant intervention effects were found for waist circumference (-2.28 cm; p =, p = 0.01), computer screen time on the weekends (0.63 h/day, p; p = 0.02), total sedentary activities on the weekends (-0.92 h/day, p < 0.01), and vegetable intake (1.16 servings/day, p = 0.01). Conclusion: These findings provide some evidence for the benefit of a school-based intervention to prevent unhealthy weight gain in adolescent girls living in low-income communities. 2
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2016 |
Cliff DP, Hesketh KD, Vella SA, Hinkley T, Tsiros MD, Ridgers ND, et al., 'Objectively measured sedentary behaviour and health and development in children and adolescents: Systematic review and meta-analysis', Obesity Reviews, 17 330-344 (2016) [C1]
Summary: Sedentary behaviour has emerged as a unique determinant of health in adults. Studies in children and adolescents have been less consistent. We reviewed the evidence to de... [more]
Summary: Sedentary behaviour has emerged as a unique determinant of health in adults. Studies in children and adolescents have been less consistent. We reviewed the evidence to determine if the total volume and patterns (i.e. breaks and bouts) of objectively measured sedentary behaviour were associated with adverse health outcomes in young people, independent of moderate-intensity to vigorous-intensity physical activity. Four electronic databases (EMBASE MEDLINE, Ovid EMBASE, PubMed and Scopus) were searched (up to 12 November 2015) to retrieve studies among 2- to 18-year-olds, which used cross-sectional, longitudinal or experimental designs, and examined associations with health outcomes (adiposity, cardio-metabolic, fitness, respiratory, bone/musculoskeletal, psychosocial, cognition/academic achievement, gross motor development and other outcomes). Based on 88 eligible observational studies, level of evidence grading and quantitative meta-analyses indicated that there is limited available evidence that the total volume or patterns of sedentary behaviour are associated with health in children and adolescents when accounting for moderate-intensity to vigorous-intensity physical activity or focusing on studies with low risk of bias. Quality evidence from studies with robust designs and methods, objective measures of sitting, examining associations for various health outcomes, is needed to better understand if the overall volume or patterns of sedentary behaviour are independent determinants of health in children and adolescents.
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2016 |
Riley N, Lubans DR, Holmes K, Morgan PJ, 'Findings from the EASY minds cluster randomized controlled trial: Evaluation of a physical activity integration program for mathematics in primary schools', Journal of Physical Activity and Health, 13 198-206 (2016) [C1]
To evaluate the impact of a primary school-based physical activity (PA) integration program delivered by teachers on objectively measured PA and key educational outcomes. Methods:... [more]
To evaluate the impact of a primary school-based physical activity (PA) integration program delivered by teachers on objectively measured PA and key educational outcomes. Methods: Ten classes from 8 Australian public schools were randomly allocated to treatment conditions. Teachers from the intervention group were taught to embed movement-based learning in their students' (n = 142) daily mathematics program in 3 lessons per week for 6 weeks. The control group (n = 98) continued its regular mathematics program. The primary outcome was accelerometer-determined PA across the school day. Linear mixed models were used to analyze treatment effects. Results: Significant intervention effects were found for PA across the school day (adjusted mean difference 103 counts per minute [CPM], 95% confidence interval [CI], 36.5-169.7, P =.008). Intervention effects were also found for PA (168 CPM, 95% CI, 90.1-247.4, P =.008) and moderate-to-vigorous PA (2.6%, 95% CI, 0.9-4.4, P =.009) in mathematics lessons, sedentary time across the school day (-3.5%, 95% CI,-7.0 to-0.13, P =.044) and during mathematics (-8.2%, CI,-13.0 to-2.0, P =.010) and on-task behavior (13.8%, 95% CI, 4.0-23.6, P =.011)-but not for mathematics performance or attitude. Conclusion: Integrating movement across the primary mathematics syllabus is feasible and efficacious.
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2016 |
Lubans DR, Smith JJ, Peralta LR, Plotnikoff RC, Okely AD, Salmon J, et al., 'A school-based intervention incorporating smartphone technology to improve health-related fitness among adolescents: rationale and study protocol for the NEAT and ATLAS 2.0 cluster randomised controlled trial and dissemination study', BMJ OPEN, 6 (2016)
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2016 |
Lubans D, Richards J, Hillman C, Faulkner G, Beauchamp M, Nilsson M, et al., 'Physical Activity for Cognitive and Mental Health in Youth: A Systematic Review of Mechanisms', PEDIATRICS, 138 (2016) [C1]
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2016 |
Eather N, Morgan PJ, Lubans DR, 'Effects of exercise on mental health outcomes in adolescents: Findings from the CrossFit teens randomized controlled trial', Psychology of Sport and Exercise, 26 14-23 (2016) [C1]
Objectives: To investigate the effectiveness of the CrossFit¿ Teens resistance training program for improving mental health outcomes in adolescents, and to explore potential moder... [more]
Objectives: To investigate the effectiveness of the CrossFit¿ Teens resistance training program for improving mental health outcomes in adolescents, and to explore potential moderators and mediators. Design: Assessor-blinded randomized controlled trial. Methods: Ninety-six students (15.4 (0.5) years, 51.5% female) from one NSW secondary school, Australia 2013, were randomized into the 8-week CrossFit¿ Teens intervention (n = 51) or control conditions (n = 45). Measures of mental health (psychological distress and self-esteem) were assessed using the Strength and Difficulties Questionnaire and Physical Self-Description Questionnaire. Hypothesized mediators were perceived body fat, strength and appearance; and general physical self-concept. Mediation was assessed using Preacher and Hayes' multiple mediation regression SPSS macro. Hypothesized moderators (sex and baseline levels of psychological distress) were assessed using linear mixed models and Cohen's d effect sizes were evaluated. Results: There were no significant intervention effects on mental health or potential mediators in the full study sample. Intervention participants categorized as 'at risk' of psychological distress demonstrated improvements in self-esteem (d = 1.35); perceived body fat (d = 1.05), perceived appearance (d = 0.95); physical self-concept (d = 1.96); and total difficulties score (d = 0.70). A medium-large positive effect on perceived body fat was also observed in boys. Conclusions: Participation in the CrossFit¿ Teens resistance training program did not improve mental health outcomes in the full study sample. However, the results from this study provides preliminary evidence for improving mental health in adolescents 'at risk' of developing psychological disorders.Trial Registration No: ACTRN12611000976987.
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2016 |
Eather N, Morgan PJ, Lubans DR, 'Improving health-related fitness in adolescents: the CrossFit Teens randomised controlled trial', Journal of Sports Sciences, 34 209-223 (2016) [C1]
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2016 |
Sylvester BD, Standage M, McEwan D, Wolf SA, Lubans DR, Eather N, et al., 'Variety support and exercise adherence behavior: experimental and mediating effects', Journal of Behavioral Medicine, 39 214-224 (2016) [C1]
The purpose of this study was to examine the extent to which the provision of variety (i.e., variety support) is related to exercise behavior among physically inactive adults and ... [more]
The purpose of this study was to examine the extent to which the provision of variety (i.e., variety support) is related to exercise behavior among physically inactive adults and the extent to which the ¿experience of variety¿ mediates those effects. One hundred and twenty one inactive university students were randomly assigned to follow a high or low variety support exercise program for 6¿weeks. Assessments were conducted at baseline, 3- and 6-weeks. Participants in the high variety support condition displayed higher levels of adherence to the exercise program than those in the low variety support condition [F(1, 116)¿=¿5.55, p¿=¿.02, ¿ ¿=¿.05] and the relationship between variety support and adherence was mediated by perceived variety (ß¿=¿.16, p¿<¿.01). Exercise-related variety support holds potential to be an efficacious method for facilitating greater exercise adherence behaviors of previously inactive people by fostering perceptions of variety. p 2
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2016 |
Smith JJ, Morgan PJ, Plotnikoff RC, Stodden DF, Lubans DR, 'Mediating effects of resistance training skill competency on health-related fitness and physical activity: the ATLAS cluster randomised controlled trial', Journal of Sports Sciences, 34 772-779 (2016) [C1]
The purpose of this study was to examine the mediating effect of resistance training skill competency on percentage of body fat, muscular fitness and physical activity among a sam... [more]
The purpose of this study was to examine the mediating effect of resistance training skill competency on percentage of body fat, muscular fitness and physical activity among a sample of adolescent boys participating in a school-based obesity prevention intervention. Participants were 361 adolescent boys taking part in the Active Teen Leaders Avoiding Screen-time (ATLAS) cluster randomised controlled trial: a school-based program targeting the health behaviours of economically disadvantaged adolescent males considered ¿at-risk¿ of obesity. Body fat percentage (bioelectrical impedance), muscular fitness (hand grip dynamometry and push-ups), physical activity (accelerometry) and resistance training skill competency were assessed at baseline and post-intervention (i.e., 8 months). Three separate multi-level mediation models were analysed to investigate the potential mediating effects of resistance training skill competency on each of the study outcomes using a product-of-coefficients test. Analyses followed the intention-to-treat principle. The intervention had a significant impact on the resistance training skill competency of the boys, and improvements in skill competency significantly mediated the effect of the intervention on percentage of body fat and the combined muscular fitness score. No significant mediated effects were found for physical activity. Improving resistance training skill competency may be an effective strategy for achieving improvements in body composition and muscular fitness in adolescent boys.
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2016 |
Beets MW, Okely A, Weaver RG, Webster C, Lubans D, Brusseau T, et al., 'The theory of expanded, extended, and enhanced opportunities for youth physical activity promotion.', Int J Behav Nutr Phys Act, 13 120 (2016) [C1]
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2016 |
Sutherland R, Campbell E, Lubans DR, Morgan PJ, Okely AD, Nathan N, et al., 'Physical education in secondary schools located in low-income communities: Physical activity levels, lesson context and teacher interaction', Journal of Science and Medicine in Sport, 19 135-141 (2016) [C1]
Objectives: Physical education (PE) plays an important role in contributing to students' physical activity (PA); however, moderate-to-vigorous PA (MVPA) within PE is lower th... [more]
Objectives: Physical education (PE) plays an important role in contributing to students' physical activity (PA); however, moderate-to-vigorous PA (MVPA) within PE is lower than recommended. Little is known about the PA levels of students from disadvantaged schools within PE. This study aimed to describe: (i) the PA levels of students from disadvantaged secondary schools during PE lessons, (ii) the lesson context and teacher interactions occurring during PE, and (iii) the associations between teacher, school or PE lesson characteristics with student physical activity levels in PE. Design: Cross-sectional study of 100 Grade 7 PE lessons across 10 secondary schools. Methods: System for observing fitness instruction time (SOFIT) was used to assess student PA, lesson context, and teacher interaction. Teacher and school characteristics were collected via survey. Mean proportion of lesson time was used to describe PA, lesson context and teacher interaction. Associations between each outcome variable and each characteristic were examined using 2-sample t-tests, ANOVAs and linear regression. Results: Thirty-nine percent of PE lesson was spent in MVPA, and less than 10% spent in VA. Lessons in schools in urban areas included significantly more MVPA than rural areas (P = 0.04). Male teachers and more experienced teachers conducted lessons with significantly more VA than female and less experienced teachers (P = 0.04 and 0.02). MVPA was also higher in lessons conducted by more experienced teachers. Conclusions: PA during PE lessons within disadvantaged secondary schools is below international recommendations. Male teachers, more experienced teachers and schools in urban regions teach more active lessons.
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2016 |
Sutherland R, Campbell E, Lubans DR, Morgan PJ, Okely AD, Nathan N, et al., ''Physical activity 4 everyone' school-based intervention to prevent decline in adolescent physical activity levels: 12 month (mid-intervention) report on a cluster randomised trial', British Journal of Sports Medicine, 50 488-495 (2016) [C1]
Background: Adolescence is a recognised period of physical activity decline, particularly among low-income communities. We report the 12-month (midpoint) effects of a 2-year multi... [more]
Background: Adolescence is a recognised period of physical activity decline, particularly among low-income communities. We report the 12-month (midpoint) effects of a 2-year multicomponent physical activity intervention implemented in disadvantaged secondary schools. Methods: A cluster randomised trial was undertaken in 10 secondary schools located in disadvantaged areas in New South Wales, Australia. Students in Grade 7 were recruited, with follow-up in Grade 8. The intervention was guided by socioecological theory and included seven physical activity strategies, and six implementation adoption strategies. The primary outcome was mean minutes of moderate-to-vigorous physical activity (MVPA) per day assessed using Actigraph GT3X accelerometers. Outcome data were analysed using repeated measures linear mixed models. Results: At baseline, 1150 (93%) students participated in the data collection (mean age 12 years, 48% boys) and 1050 (79%) students participated at 12-month follow-up. By the 12-month follow-up, the six implementation adoption strategies had been used to support schools to deliver four of the seven physical activity elements. There was a significant group-by-time interaction for mean minutes of MVPA per day in favour of the intervention group (adjusted difference between groups at follow-up=3.85 min, 95% CI (0.79 to 6.91), p=0.01), including significantly more vigorous physical activity (2.45 min, p=0.01), equating to 27 min more MVPA per week. Summary: At 12-month follow-up, the intervention had reduced the decline in physical activity among adolescents from disadvantaged schools. The intervention may assist students to meet physical activity guidelines.
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2016 |
Miller A, Christensen E, Eather N, Gray S, Sproule J, Keay J, Lubans D, 'Can physical education and physical activity outcomes be developed simultaneously using a game-centered approach?', European Physical Education Review, 22 113-133 (2016) [C1]
The primary objective of this study was to evaluate the efficacy of a pilot intervention using a gamecentered approach for improvement of physical activity (PA) and physical educa... [more]
The primary objective of this study was to evaluate the efficacy of a pilot intervention using a gamecentered approach for improvement of physical activity (PA) and physical education (PE) outcomes simultaneously, and if this had an impact on enjoyment of PE. A group-randomized controlled trial with a 7-week wait-list control group was conducted in one primary school in the Hunter Region, NSW, Australia. Participants (n<107 students; mean age<10.7 years, SD 0.87) were randomized by class group into the Professional Learning for Understanding Games Education (PLUNGE) pilot intervention (n<52 students) or the control (n<55) conditions. PLUNGE involved 6 × 60 min PE lessons based on game-centered curriculum delivered via an in-class teacher mentoring program. Students were assessed at baseline and 7-week follow-up for fundamental movement skills (FMS) of throw and catch, game play abilities of decision making, support and skill performance; in-class PA; and enjoyment of PA. Linear mixed models revealed significant group-by-time intervention effects (p = 0.05) for throw (effect size: d<0.9) and catch (d<0.4) FMS, decision making (d<0.7) and support (d<0.9) during game play, and in-class PA (d<1.6). No significant intervention effects (p = 0.05) were observed for skills outcome during game play (d<¿0.2) or student enjoyment (d<0.1). Game-centered pedagogy delivered via a teacher professional learning program was efficacious in simultaneously improving students¿ FMS skills, in-class PA and their decision making and support skills in game play.
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2015 |
Costigan SA, Eather N, Plotnikoff RC, Taaffe DR, Pollock E, Kennedy SG, Lubans DR, 'Preliminary efficacy and feasibility of embedding high intensity interval training into the school day: A pilot randomized controlled trial', Preventive Medicine Reports, 2 973-979 (2015) [C1]
Current physical activity and fitness levels among adolescents are low, increasing the risk of chronic disease. Although the efficacy of high intensity interval training (HIIT) fo... [more]
Current physical activity and fitness levels among adolescents are low, increasing the risk of chronic disease. Although the efficacy of high intensity interval training (HIIT) for improving metabolic health is now well established, it is not known if this type of activity can be effective to improve adolescent health. The primary aim of this study is to assess the effectiveness and feasibility of embedding HIIT into the school day. A 3-arm pilot randomized controlled trial was conducted in one secondary school in Newcastle, Australia. Participants (n= 65; mean age = 15.8(0.6) years) were randomized into one of three conditions: aerobic exercise program (AEP) (n = 21), resistance and aerobic exercise program (RAP) (n = 22) and control (n = 22). The 8-week intervention consisted of three HIIT sessions per week (8-10. min/session), delivered during physical education (PE) lessons or at lunchtime. Assessments were conducted at baseline and post-intervention to detect changes in cardiorespiratory fitness (multi-stage shuttle-run), muscular fitness (push-up, standing long jump tests), body composition (Body Mass Index (BMI), BMI-z scores, waist circumference) and physical activity motivation (questionnaire), by researchers blinded to treatment allocation. Intervention effects for outcomes were examined using linear mixed models, and Cohen's d effect sizes were reported. Participants in the AEP and RAP groups had moderate intervention effects for waist circumference (p = 0.024), BMI-z (p = 0.037) and BMI (not significant) in comparison to the control group. A small intervention effect was also evident for cardiorespiratory fitness in the RAP group.
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2015 |
Hills AP, Dengel DR, Lubans DR, 'Supporting Public Health Priorities: Recommendations for Physical Education and Physical Activity Promotion in Schools', PROGRESS IN CARDIOVASCULAR DISEASES, 57 368-374 (2015) [C1]
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2015 |
Young MD, Lubans DR, Collins CE, Callister R, Plotnikoff RC, Morgan PJ, 'Behavioral Mediators of Weight Loss in the SHED-IT Community Randomized Controlled Trial for Overweight and Obese Men', Annals of Behavioral Medicine, 49 286-292 (2015) [C1]
Background: Little is known about which behavioral strategies are most important to target in weight loss interventions for men. Purpose: The aim of the current study was to ident... [more]
Background: Little is known about which behavioral strategies are most important to target in weight loss interventions for men. Purpose: The aim of the current study was to identify behavioral mediators of weight loss in the male-only Self-Help, Exercise, and Diet using Information Technology (SHED-IT) community weight loss study. Methods: A randomized controlled trial with 159 overweight/obese men [mean (SD) age = 47.5 (11.0) years; body mass index = 32.7 (3.5) kg/m ] assessed at baseline, 3¿months (post-test) and 6¿months (follow-up). Results: In an intention-to-treat, multiple-mediator model, the significant intervention effect on weight at 6¿months (-3.70¿kg; p < 0.001) was mediated by increases in physical activity (steps/day) and decreases in takeaway meals (kJ/day) and portion size at 3¿months. The largest mediation effect was for physical activity (-0.6¿kg; 95¿% confidence interval -1.4, -0.1). Overall, the targeted mediators accounted for 47.0¿% of the intervention¿s effect on weight. Conclusion: Step counts, takeaway food consumption, and portion sizes may be key areas to target in future weight loss programs for men (ACTRN12610000699066). 2
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2015 |
Miller A, Christensen EM, Eather N, Sproule J, Annis-Brown L, Lubans DR, 'The PLUNGE randomized controlled trial: Evaluation of a games-based physical activity professional learning program in primary school physical education', PREVENTIVE MEDICINE, 74 1-8 (2015) [C1]
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2015 |
Gore J, Smith M, Bowe J, Ellis H, Lloyd A, Lubans D, 'Quality Teaching Rounds as a professional development intervention for enhancing the quality of teaching: Rationale and study protocol for a cluster randomised controlled trial', International Journal of Educational Research, 74 82-95 (2015) [C1]
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2015 |
Harries SK, Lubans DR, Callister R, 'Systematic review and meta-analysis of linear and undulating periodized resistance training programs on muscular strength', Journal of Strength and Conditioning Research, 29 1113-1125 (2015) [C1]
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2015 |
Costigan SA, Eather N, Plotnikoff RC, Taaffe DR, Lubans DR, 'High-intensity interval training for improving health-related fitness in adolescents: A systematic review and meta-analysis', British Journal of Sports Medicine, 49 1253-1261 (2015) [C1]
Background: High-intensity interval training (HIIT) may be a feasible and efficacious strategy for improving health-related fitness in young people. The objective of this systemat... [more]
Background: High-intensity interval training (HIIT) may be a feasible and efficacious strategy for improving health-related fitness in young people. The objective of this systematic review and meta-analysis was to evaluate the utility of HIIT to improve health-related fitness in adolescents and to identify potential moderators of training effects. Methods: Studies were considered eligible if they: (1) examined adolescents (13-18 years); (2) examined health-related fitness outcomes; (3) involved an intervention of =4 weeks in duration; (4) included a control or moderate intensity comparison group; and (5) prescribed high-intensity activity for the HIIT condition. Meta-analyses were conducted to determine the effect of HIIT on health-related fitness components using Comprehensive Meta-analysis software and potential moderators were explored (ie, study duration, risk of bias and type of comparison group). Results: The effects of HIIT on cardiorespiratory fitness and body composition were large, and medium, respectively. Study duration was a moderator for the effect of HIIT on body fat percentage. Intervention effects for waist circumference and muscular fitness were not statistically significant. Conclusions: HIIT is a feasible and time-efficient approach for improving cardiorespiratory fitness and body composition in adolescent populations.
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2015 |
Lubans DR, Plotnikoff RC, Miller A, Scott JJ, Thompson D, Tudor-Locke C, 'Using Pedometers for Measuring and Increasing Physical Activity in Children and Adolescents: The Next Step', American Journal of Lifestyle Medicine, 9 418-427 (2015) [C1]
The science and practice of step counting in children (typically aged 6-11 years) and adolescents (typically aged 12-19 years) has evolved rapidly over a relatively brief period w... [more]
The science and practice of step counting in children (typically aged 6-11 years) and adolescents (typically aged 12-19 years) has evolved rapidly over a relatively brief period with the commercial availability of research-grade pedometers and accelerometers. Recent reviews have summarized considerations for assessing physical activity using pedometers in young people (both children and adolescents), but 3 areas have received little attention: pedometer monitoring protocols, minimal (as opposed to optimal) step counts necessary for maintaining basal levels of health, and appropriate pedometer-based interventions for young people. Therefore, the objective of this review was to evaluate the current evidence and identify future research directions in these areas. The challenges of objective monitoring of physical activity in children and adolescents reinforce the importance of using protocols that minimize participant burden and the potential for tampering/reactivity. Evidence for a sedentary lifestyle cut point is limited; researchers are therefore encouraged to investigate several cut points (ie, <5000, <6000, <7000 steps/d) in children and adolescents to identify the health consequences of very low levels of ambulatory activity. Personalized messages may be necessary for health behavior change in pedometer-based interventions, but there is a need for more high-quality studies to develop the existing evidence base.
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2015 |
Hulteen RM, Lander NJ, Morgan PJ, Barnett LM, Robertson SJ, Lubans DR, 'Validity and Reliability of Field-Based Measures for Assessing Movement Skill Competency in Lifelong Physical Activities: A Systematic Review', Sports Medicine, 45 1443-1454 (2015) [C1]
Background: It has been suggested that young people should develop competence in a variety of ¿lifelong physical activities¿ to ensure that they can be active across the lifespan.... [more]
Background: It has been suggested that young people should develop competence in a variety of ¿lifelong physical activities¿ to ensure that they can be active across the lifespan. Objective: The primary aim of this systematic review is to report the methodological properties, validity, reliability, and test duration of field-based measures that assess movement skill competency in lifelong physical activities. A secondary aim was to clearly define those characteristics unique to lifelong physical activities. Data Sources: A search of four electronic databases (Scopus, SPORTDiscus, ProQuest, and PubMed) was conducted between June 2014 and April 2015 with no date restrictions. Study Selection: Studies addressing the validity and/or reliability of lifelong physical activity tests were reviewed. Included articles were required to assess lifelong physical activities using process-oriented measures, as well as report either one type of validity or reliability. Study Appraisal and Synthesis Methods: Assessment criteria for methodological quality were adapted from a checklist used in a previous review of sport skill outcome assessments. Results: Movement skill assessments for eight different lifelong physical activities (badminton, cycling, dance, golf, racquetball, resistance training, swimming, and tennis) in 17 studies were identified for inclusion. Methodological quality, validity, reliability, and test duration (time to assess a single participant), for each article were assessed. Moderate to excellent reliability results were found in 16 of 17 studies, with 71¿% reporting inter-rater reliability and 41¿% reporting intra-rater reliability. Only four studies in this review reported test¿retest reliability. Ten studies reported validity results; content validity was cited in 41¿% of these studies. Construct validity was reported in 24¿% of studies, while criterion validity was only reported in 12¿% of studies. Limitations: Numerous assessments for lifelong physical activities may exist, yet only assessments for eight lifelong physical activities were included in this review. Generalizability of results may be more applicable if more heterogeneous samples are used in future research. Conclusion: Moderate to excellent levels of inter- and intra-rater reliability were reported in the majority of studies. However, future work should look to establish test¿retest reliability. Validity was less commonly reported than reliability, and further types of validity other than content validity need to be established in future research. Specifically, predictive validity of ¿lifelong physical activity¿ movement skill competency is needed to support the assertion that such activities provide the foundation for a lifetime of activity.
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2015 |
McCabe BE, Plotnikoff RC, Dewar DL, Collins CE, Lubans DR, 'Social cognitive mediators of dietary behavior change in adolescent girls', American Journal of Health Behavior, 39 51-61 (2015) [C1]
Objectives: To examine potential mediators of adolescent girls' dietary behavior change in the Nutrition and Enjoyable Activity for Teen Girls (NEAT Girls) intervention for o... [more]
Objectives: To examine potential mediators of adolescent girls' dietary behavior change in the Nutrition and Enjoyable Activity for Teen Girls (NEAT Girls) intervention for obesity prevention. Methods: Participants were 294 adolescent girls attending 12 secondary schools located in low-income communities of New South Wales, Australia. Hypothesized social cognitive mediators of dietary behavior change were assessed using valid and reliable scales. Results: The intervention effects on dietary outcomes and hypothesized mediators were not statistically significant. However, changes in hypothesized mediators were associated with changes in key dietary behaviors. Conclusions: Continued research is needed to examine effective strategies for improving dietary outcomes in youth, and to explore alternative theoretical mechanisms of dietary behavior change.
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2015 |
Scott JJ, Morgan PJ, Plotnikoff RC, Lubans DR, 'Reliability and validity of a single-item physical activity measure for adolescents', Journal of Paediatrics and Child Health, 51 787-793 (2015) [C1]
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2015 |
Barnett L, Reynolds J, Faigenbaum AD, Smith JJ, Harries S, Lubans DR, 'Rater agreement of a test battery designed to assess adolescents' resistance training skill competency', Journal of Science and Medicine in Sport, 18 72-76 (2015) [C1]
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2015 |
Babic MJ, Morgan PJ, Plotnikoff RC, Lonsdale C, Eather N, Skinner G, et al., 'Rationale and study protocol for 'Switch-off 4 Healthy Minds' (S4HM): A cluster randomized controlled trial to reduce recreational screen time in adolescents', Contemporary Clinical Trials, 40 150-158 (2015) [C1]
Introduction: Excessive recreational screen time (i.e., screen use for entertainment) is a global public health issue associated with adverse mental and physical health outcomes. ... [more]
Introduction: Excessive recreational screen time (i.e., screen use for entertainment) is a global public health issue associated with adverse mental and physical health outcomes. Considering the growing popularity of screen-based recreation in adolescents, there is a need to identify effective strategies for reducing screen time among adolescents. The aim of this paper is to report the rationale and study protocol for the 'Switch-off 4 Healthy Minds' (S4HM) study, an intervention designed to reduce recreational screen time among adolescents. Methods: The S4HM intervention will be evaluated using a cluster randomized controlled trial in eight secondary schools (. N=. 322 students) in New South Wales, Australia. The 6-month multi-component intervention will encourage adolescents to manage their recreational screen time using a range of evidence-based strategies. The intervention is grounded in Self-Determination Theory (SDT) and includes the following components: an interactive seminar for students, eHealth messaging, behavioral contract and parental newsletters. All outcomes will be assessed at baseline and at 6-months (i.e., immediate post-test). The primary outcome is recreational screen time measured by the Adolescent Sedentary Activity Questionnaire (ASAQ). Secondary outcomes include: self-reported psychological well-being, psychological distress, global physical self-concept, resilience, pathological video gaming and aggression, and objectively measured physical activity (accelerometry) and body mass index (BMI). Hypothesized mediators of behavior change will also be explored. Discussion: The S4HM study will involve the evaluation of an innovative, theory-driven, multi-component intervention that targets students and their parents and is designed to reduce recreational screen time in adolescents. The intervention has been designed for scalability and dissemination across Australian secondary schools.
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2015 |
Cohen KE, Morgan PJ, Plotnikoff RC, Barnett LM, Lubans DR, 'Improvements in fundamental movement skill competency mediate the effect of the SCORES intervention on physical activity and cardiorespiratory fitness in children', Journal of Sports Sciences, 33 1908-1918 (2015) [C1]
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2015 |
Riley N, Lubans DR, Morgan PJ, Young M, 'Outcomes and process evaluation of a programme integrating physical activity into the primary school mathematics curriculum: The EASY Minds pilot randomised controlled trial', JOURNAL OF SCIENCE AND MEDICINE IN SPORT, 18 656-661 (2015) [C1]
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2015 |
Cohen KE, Morgan PJ, Plotnikoff RC, Callister R, Lubans DR, 'Physical activity and skills intervention: SCORES cluster randomized controlled trial', Medicine and Science in Sports and Exercise, 47 765-774 (2015) [C1]
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2015 |
Stacey FG, James EL, Chapman K, Courneya KS, Lubans DR, 'A systematic review and meta-analysis of social cognitive theory-based physical activity and/or nutrition behavior change interventions for cancer survivors', Journal of Cancer Survivorship, 9 305-338 (2015) [C1]
Purpose: Little is known about how to improve and create sustainable lifestyle behaviors of cancer survivors. Interventions based on social cognitive theory (SCT) have shown promi... [more]
Purpose: Little is known about how to improve and create sustainable lifestyle behaviors of cancer survivors. Interventions based on social cognitive theory (SCT) have shown promise. This review examined the effect of SCT-based physical activity and nutrition interventions that target cancer survivors and identified factors associated with their efficacy. Methods: A systematic search of seven databases identified randomized controlled trials that (i) targeted adult cancer survivors (any point from diagnosis); (ii) reported a primary outcome of physical activity, diet, or weight management; and (iii) included an SCT-based intervention targeting physical activity or diet. Qualitative synthesis and meta-analysis were conducted. Theoretical constructs and intervention characteristics were examined to identify factors associated with intervention efficacy. Results: Eighteen studies (reported in 33 publications) met review inclusion criteria. Meta-analysis (n = 12) revealed a significant intervention effect for physical activity (standardized mean difference (SMD) = 0.33; P < 0.01). Most studies (six out of eight) that targeted dietary change reported significant improvements in at least one aspect of diet quality. No SCT constructs were associated with intervention effects. There were no consistent trends relating to intervention delivery method or whether the intervention targeted single or multiple behaviors. Conclusions: SCT-based interventions demonstrate promise in improving physical activity and diet behavior in cancer survivors, using a range of intervention delivery modes. Further work is required to understand how and why these interventions offer promise for improving behavior. Implications for Cancer Survivors: SCT-based interventions targeting diet or physical activity are safe and result in meaningful changes to diet and physical activity behavior that can result in health improvements.
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2015 |
Lloyd AB, Lubans DR, Plotnikoff RC, Morgan PJ, 'Paternal lifestyle-related parenting practices mediate changes in children's dietary and physical activity behaviors: Findings from the healthy dads, healthy kids community randomized controlled trial', Journal of Physical Activity and Health, 12 1327-1335 (2015) [C1]
Background: This study examined potential parenting-related mediators of children's physical activity and dietary behavior change in the Healthy Dads, Healthy Kids (HDHK) com... [more]
Background: This study examined potential parenting-related mediators of children's physical activity and dietary behavior change in the Healthy Dads, Healthy Kids (HDHK) community program. Methods: A randomized controlled trial was conducted with 45 overweight/obese (mean [SD] age = 39.8 [5.4] years; BMI = 32.4 [3.8]) fathers and their children (n = 77; 58% boys; mean [SD] age = 7.7 [2.5] years). Families were randomized to either the HDHK program or wait-list control group. The program involved 7 sessions. Fathers and their children were assessed at baseline and at 14 weeks for physical activity (pedometery) and core food intake (Questionnaire). Fathers' lifestyle-related parenting practices included; self-efficacy, beliefs, modeling, logistic support, rules, cophysical activity, shared mealtime frequency and intentions. Results: Significant intervention effects were found for cophysical activity and modeling physical activity. Cophysical activity mediated children's physical activity in the intervention ('mediated effect,' AB = 653, 95% CI = 4-2050) and was responsible for 59.5% of the intervention effect. Fathers' beliefs mediated children's percent energy from core foods (AB = 1.51, 95% CI = 0.05-5.55) and accounted for 72.9% of the intervention effect. Conclusions: Participation in the HDHK program positively impacted on fathers' cophysical activity with their child and beliefs about healthy eating which mediated changes in children's diet and physical activity behaviors.
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2015 |
James EL, Stacey FG, Chapman K, Boyes AW, Burrows T, Girgis A, et al., 'Impact of a nutrition and physical activity intervention (ENRICH: Exercise and Nutrition Routine Improving Cancer Health) on health behaviors of cancer survivors and carers: A pragmatic randomized controlled trial', BMC Cancer, 15 (2015) [C1]
Background: Physical activity and consuming a healthy diet have clear benefits to the physical and psychosocial health of cancer survivors, with guidelines recognising the importa... [more]
Background: Physical activity and consuming a healthy diet have clear benefits to the physical and psychosocial health of cancer survivors, with guidelines recognising the importance of these behaviors for cancer survivors. Interventions to promote physical activity and improve dietary behaviors among cancer survivors and carers are needed. The aim of this study was to determine the effects of a group-based, face-to-face multiple health behavior change intervention on behavioral outcomes among cancer survivors of mixed diagnoses and carers. Methods: The Exercise and Nutrition Routine Improving Cancer Health (ENRICH) intervention was evaluated using a two-group pragmatic randomized controlled trial. Cancer survivors and carers (n=174) were randomly allocated to the face-to-face, group-based intervention (six, theory-based two-hour sessions delivered over 8weeks targeting healthy eating and physical activity [PA]) or wait-list control (after completion of 20-week data collection). Assessment of the primary outcome (pedometer-assessed mean daily step counts) and secondary outcomes (diet and alcohol intake [Food Frequency Questionnaire], self-reported PA, weight, body mass index, and waist circumference) were assessed at baseline, 8-and 20-weeks. Results: There was a significant difference between the change over time in the intervention group and the control group. At 20weeks, the intervention group had increased by 478 steps, and the control group had decreased by 1282 steps; this represented an adjusted mean difference of 1761 steps (184 to 3337; P=0.0028). Significant intervention effects for secondary outcomes, included a half serving increase in vegetable intake (difference 39g/day; 95% CI: 12 to 67; P=0.02), weight loss (kg) (difference -1.5kg; 95% CI, -2.6 to -0.3; P=0.014) and change in body mass index (kg/m ) (difference -0.55kg/m ; 95% CI, -0.97 to -0.13; P=0.012). No significant intervention effects were found for self-reported PA, total sitting time, waist circumference, fruit, energy, fibre, alcohol, meat, or fat consumption. Conclusions: The ENRICH intervention was effective for improving PA, weight, body mass index, and vegetable consumption even with the inclusion of multiple cancer types and carers. As an example of successful research translation, the Cancer Council NSW has subsequently adopted ENRICH as a state-wide program. Trial registration: Australian New Zealand Clinical Trials Register identifier: ANZCTRN1260901086257. 2 2
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2014 |
Babic MJ, Morgan PJ, Plotnikoff RC, Lonsdale C, White RL, Lubans DR, 'Physical Activity and Physical Self-Concept in Youth: Systematic Review and Meta-Analysis', Sports Medicine, (2014) [C1]
Background Evidence suggests that physical self-concept is associated with physical activity in children and adolescents, but no systematic review of this literature has been cond... [more]
Background Evidence suggests that physical self-concept is associated with physical activity in children and adolescents, but no systematic review of this literature has been conducted. Objective The primary aim of this systematic review and meta-analysis was to determine the strength of associations between physical activity and physical self-concept (general and sub-domains) in children and adolescents. The secondary aim was to examine potential moderators of the association between physical activity and physical self-concept. Methods A systematic search of six electronic databases (MEDLINE, CINAHL, SPORTDiscus, ERIC, Web of Science and Scopus) with no date restrictions was conducted. Random effects meta-analyses with correction for measurement were employed. The associations between physical activity and general physical self-concept and sub-domains were explored. A risk of bias assessment was conducted by two reviewers. Results The search identified 64 studies to be included in the meta-analysis. Thirty-three studies addressed multiple outcomes of general physical self-concept: 28 studies examined general physical self-concept, 59 examined perceived competence, 25 examined perceived fitness, and 55 examined perceived appearance. Perceived competence was most strongly associated with physical activity (r = 0.30, 95 % CI 0.24-0.35, p < 0.001), followed by perceived fitness (r = 0.26, 95 % CI 0.20-0.32, p < 0.001), general physical self-concept (r = 0.25, 95 % CI 0.16-0.34, p < 0.001) and perceived physical appearance (r = 0.12, 95 % CI 0.08-0.16, p < 0.001). Sex was a significant moderator for general physical self-concept (p < 0.05), and age was a significant moderator for perceived appearance (p = 0.01) and perceived competence (p < 0.05). No significant moderators were found for perceived fitness. Conclusion Overall, a significant association has been consistently demonstrated between physical activity and physical self-concept and its various sub-domains in children and adolescents. Age and sex are key moderators of the association between physical activity and physical self-concept. © 2014 Springer International Publishing Switzerland.
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2014 |
Thorne HT, Smith JJ, Morgan PJ, Babic MJ, Lubans DR, 'Video game genre preference, physical activity and screen-time in adolescent boys from low-income communities', Journal of Adolescence, 37 1345-1352 (2014) [C1]
The primary aim of this study was to examine the association between the types of video games played by adolescent boys and their participation in physical activity and recreation... [more]
The primary aim of this study was to examine the association between the types of video games played by adolescent boys and their participation in physical activity and recreational screen-time. Participants were 320 boys (mean age=12.7, ±0.5 years) from 14 secondary schools located in low-income areas of New South Wales, Australia. Outcomes included height, weight, physical activity (accelerometers), total screen-time, and video game genre preference. Significant differences in both weekday and weekend screen-time were found between video game genre groups. In addition, significant differences in overall activity and moderate-to-vigorous physical activity were found between genre groups on weekdays. Between-group differences in physical activity on weekends were not statistically significant. This cross-sectional study has demonstrated that video game genre preference is associated with physical activity and screen-time in adolescent boys from low-income communities.
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2014 |
Riley N, Lubans DR, Holmes K, Morgan PJ, 'Rationale and study protocol of the EASY Minds (Encouraging Activity to Stimulate Young Minds) program: cluster randomized controlled trial of a primary school-based physical activity integration program for mathematics.', BMC Public Health, 14 816 (2014) [C3]
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2014 |
Plotnikoff R, Morgan PJ, Lubans DR, Rhodes R, Costigan SA, 'The Intersect of Theory, Methods, and Translation in Guiding Interventions for the Promotion of Physical Activity: A Case Example of a Research Programme', AUSTRALIAN PSYCHOLOGIST, 49 110-126 (2014) [C1]
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2014 |
Morgan PJ, Collins CE, Plotnikoff RC, Callister R, Burrows T, Fletcher R, et al., 'The 'Healthy Dads, Healthy Kids' community randomized controlled trial: A community-based healthy lifestyle program for fathers and their children', Preventive Medicine, 61 90-99 (2014) [C1]
Objective: To evaluate the effectiveness of the 'Healthy Dads, Healthy Kids (HDHK)' program when delivered by trained facilitators in community settings. Method: A two-a... [more]
Objective: To evaluate the effectiveness of the 'Healthy Dads, Healthy Kids (HDHK)' program when delivered by trained facilitators in community settings. Method: A two-arm randomized controlled trial of 93 overweight/obese fathers (mean [SD] age=40.3 [5.3] years; BMI=32.5 [3.8] kg/m ) and their primary school-aged children (n=132) from the Hunter Region, Australia. In 2010-2011, families were randomized to either: (i) HDHK intervention (n=48 fathers, n=72 children) or (ii) wait-list control group. The 7-week intervention included seven sessions and resources (booklets, pedometers). Assessments were held at baseline and 14-weeks with fathers' weight (kg) as the primary outcome. Secondary outcomes for fathers and children included waist, BMI, blood pressure, resting heart rate, physical activity (pedometry), and self-reported dietary intake and sedentary behaviors. Results: Linear mixed models (intention-to-treat) revealed significant between-group differences for fathers' weight (P < .001, d= 0.24), with HDHK fathers losing more weight (- 3.3. kg; 95%CI, - 4.3, - 2.4) than control fathers (0.1. kg; 95%CI, - 0.9,1.0). Significant treatment effects (P < .05) were also found for fathers' waist (d= 0.41), BMI (d= 0.26), resting heart rate (d= 0.59), energy intake (d= 0.49) and physical activity (d= 0.46) and for children's physical activity (d= 0.50) and adiposity (d= 0.07). Discussion: HDHK significantly improved health outcomes and behaviors in fathers and children, providing evidence for program effectiveness when delivered in a community setting. © 2014 Published by Elsevier Inc. 2
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2014 |
Owen KB, Smith J, Lubans DR, Ng JYY, Lonsdale C, 'Self-determined motivation and physical activity in children and adolescents: A systematic review and meta-analysis', Preventive Medicine, 67 270-279 (2014) [C1]
Objective: Self-determination theory is used as a framework for examining the relation between motivation and physical activity. The purpose of this review was to systematically r... [more]
Objective: Self-determination theory is used as a framework for examining the relation between motivation and physical activity. The purpose of this review was to systematically review studies that assessed the association between self-determined motivation and physical activity levels in children and adolescents. Method: We searched electronic databases in April 2013. Included studies assessed the relation between motivation (as outlined in self-determination theory) and physical activity in children and adolescents. Results: Forty-six studies ( n=15,984 participants) met the inclusion criteria. Meta-analysis indicated that overall levels of self-determined motivation had a weak to moderate, positive associations with physical activity ( ¿=.21 to .31). Autonomous forms of motivation (i.e., intrinsic motivation and identified regulation) had moderate, positive associations with physical activity ( ¿=.27 to .38), whereas controlled forms of motivation (i.e., introjection and external regulation) had weak, negative associations with physical activity ( ¿=.03 to 17). Amotivation had a weak, negative association with physical activity ( ¿=.11 to 21). Conclusions: Evidence provides some support for self-determination theory tenets. However, there was substantial heterogeneity in most associations and many studies had methodological shortcomings. © 2014.
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2014 |
Lai SK, Costigan SA, Morgan PJ, Lubans DR, Stodden DF, Salmon J, Barnett LM, 'Do school-based interventions focusing on physical activity, fitness, or fundamental movement skill competency produce a sustained impact in these outcomes in children and adolescents? A systematic review of follow-up studies', Sports Medicine, 44 67-79 (2014) [C1]
Background: There is emerging evidence for positive associations between physical activity (PA), fitness, and fundamental movement skill (FMS) competence, for both children and ad... [more]
Background: There is emerging evidence for positive associations between physical activity (PA), fitness, and fundamental movement skill (FMS) competence, for both children and adolescents. Current reviews of interventions to improve these variables note few studies conduct follow-up assessments to assess behavior maintenance. Objective: The aim of this systematic review was to determine whether typically developing children and adolescents (aged 3-18 years) who have participated in school-based interventions have sustained outcomes in PA, fitness, and/or FMS. Methods: A systematic search of six electronic databases (CINAHL® Plus with Full Text, Ovid MEDLINE®, SPORTDiscus¿, Scopus, PsycINFO® and ERIC) was conducted from 1995 to 26 July 2012. Included studies were school-based studies (including randomized controlled trials, longitudinal cohort, quasi-experimental, and experimental) that had a positive effect at post intervention in at least one variable and had a follow-up PA, fitness, or FMS assessment at least 6 months after the post-intervention assessment. Risk of bias assessment was guided by the "Preferred Reporting Items for Systematic Reviews and Meta-Analyses" statement. Results: The search identified 14 articles, and some studies addressed multiple outcomes: 13 articles assessed PA; three assessed fitness; and two assessed FMS. No study in this review met four key methodological criteria that have been shown to influence results, i.e., clarity on the randomization process, assessor blinding, analyzing participants in their original groups, and retaining sufficient participants through the entire study. Three-quarters (ten of 13) of the studies addressing PA, reported PA behavior change maintenance. The length of follow-up ranged from 6 months to 20 years, and the degree of PA difference reported was between 3 and 14 min per day. Only one of the three studies assessing fitness reported a sustained impact, whilst both studies that assessed FMS reported maintenance of effects. Conclusion: It is likely that PA is a sustainable outcome from interventions in children and adolescents, and there is reasonable evidence that interventions of longer than 1 year and interventions that utilize a theoretical model or framework are effective in producing this sustained impact. It would seem probable that FMS are a sustainable outcome in children and adolescents; however, this finding should be viewed with caution given the lack of studies and the risk of bias assessment. More research is needed to assess the sustainability of fitness interventions as this review only included a handful of studies that addressed fitness and only one of these studies found a sustained impact. © 2013 Springer International Publishing Switzerland.
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2014 |
Smith JJ, Eather N, Morgan PJ, Plotnikoff RC, Faigenbaum AD, Lubans DR, 'The health benefits of muscular fitness for children and adolescents: a systematic review and meta-analysis.', Sports medicine (Auckland, N.Z.), 44 1209-1223 (2014) [C1]
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2014 |
Lubans D, 'Obesity in men: are professional football clubs onside?', Lancet (London, England), 383 1190-1191 (2014) [C3]
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2014 |
Collins CE, Dewar DL, Schumacher TL, Finn T, Morgan PJ, Lubans DR, '12 Month changes in dietary intake of adolescent girls attending schools in low-income communities following the NEAT Girls cluster randomized controlled trial', APPETITE, 73 147-155 (2014) [C1]
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2014 |
Lloyd AB, Lubans DR, Plotnikoff RC, Collins CE, Morgan PJ, 'Maternal and paternal parenting practices and their influence on children's adiposity, screen-time, diet and physical activity', Appetite, 79 149-157 (2014) [C1]
The primary aim of this study was to examine a range of potential behavioral and maternal/paternal correlates of adiposity in children. Secondary aims were to examine (a) correlat... [more]
The primary aim of this study was to examine a range of potential behavioral and maternal/paternal correlates of adiposity in children. Secondary aims were to examine (a) correlates of screen-time, diet and physical activity and (b) if there were differences in maternal and paternal physical activity- and dietary-related parenting practices. Cross-sectional analysis was conducted using 70 families with children (59% boys (41/70), mean age 8.4 (±2.4) years). Parenting practices were measured using the Parenting Strategies for Eating and Activity Scale. Children's outcomes included: 7-day pedometry (physical activity), screen-time, percent energy from core foods (Food frequency questionnaire) and BMI z-score. Multiple regression models were generated to examine the associations between maternal and paternal parenting practices and children's variables. In the regression analyses, fathers' BMI (p < .01) and mothers' control (p < .001) were significantly associated with child weight status. Fathers' reinforcement (p < .01) was significantly associated with child physical activity. For screen-time, mothers' monitoring (p < .001) and child characteristics [age (p = .01), sex (p = .01), BMI z-score (p = .03)] were significant predictors. Mothers' parenting practices [limit setting (p = .01), reinforcement (p = .02)] and child screen-time (p = .02) were significantly associated with intake of core foods. Despite some similarities within families, three out of five parenting constructs were significantly different between mothers and fathers. Mothers and fathers have different parental influences on their children's weight status and lifestyle behaviors and both should be included in lifestyle interventions targeting children. A focus on maternal parenting specifically relating to screen-time and diet, and father's physical activity parenting and weight status may support their children in developing more healthy behaviors. © 2014 Elsevier Ltd.
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2014 |
Scott JJ, Morgan PJ, Plotnikoff RC, Trost SG, Lubans DR, 'Adolescent pedometer protocols: examining reactivity, tampering and participants' perceptions', Journal of Sports Sciences, 32 183-190 (2014) [C1]
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2014 |
Lloyd AB, Lubans DR, Plotnikoff RC, Morgan PJ, 'Impact of the 'Healthy Dads, Healthy Kids' lifestyle programme on the activity- and diet-related parenting practices of fathers and mothers', Pediatric Obesity, 9 e149-e155 (2014) [C1]
Objectives The aim was to evaluate the impact of the 'Healthy Dads, Healthy Kids' programme on fathers' and mothers' activity- and diet-related parenting pract... [more]
Objectives The aim was to evaluate the impact of the 'Healthy Dads, Healthy Kids' programme on fathers' and mothers' activity- and diet-related parenting practices. Methods Overweight/obese fathers (n = 87) and their primary school-aged children (56% boys) were randomized to either (i) 7-week programme (n = 45) or (ii) control group (n = 42). The programme involved four sessions for fathers only and three for fathers/children. Mothers were not directly involved. Parenting practices of both fathers and mothers were measured using the parenting strategies for eating and activity scale at baseline and 14-week follow-up. Results Intention-to-treat analysis using linear mixed models revealed significant group-by-time effects for fathers' limit setting (P = 0.048, d = 0.36) and reinforcement for multiple lifestyle behaviours (P = 0.001, d = 0.79). No significant intervention effects were found for fathers' control, monitoring, discipline or mothers' parenting practices (P > 0.05). Conclusions The Healthy Dads, Healthy Kids programme had a positive impact on some parenting practices for fathers but not mothers.
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2014 |
Lubans DR, Smith JJ, Harries SK, Barnett LM, Faigenbaum AD, 'Development, test-retest reliability, and construct validity of the Resistance Training Skills Battery', Journal of Strength and Conditioning Research, 28 1373-1380 (2014) [C1]
The aim of this study was to describe the development and assess test-retest reliability and construct validity of the Resistance Training Skills Battery (RTSB) for adolescents. T... [more]
The aim of this study was to describe the development and assess test-retest reliability and construct validity of the Resistance Training Skills Battery (RTSB) for adolescents. The RTSB provides an assessment of resistance training skill competency and includes 6 exercises (i.e., body weight squat, push-up, lunge, suspended row, standing overhead press, and front support with chest touches). Scoring for each skill is based on the number of performance criteria successfully demonstrated. An overall resistance training skill quotient (RTSQ) is created by adding participants' scores for the 6 skills. Participants (44 boys and 19 girls, mean age = 14.5 ± 1.2 years) completed the RTSB on 2 occasions separated by 7 days. Participants also completed the following fitness tests, which were used to create a muscular fitness score (MFS): handgrip strength, timed push-up, and standing long jump tests. Intraclass correlation (ICC), paired samples t-tests, and typical error were used to assess test-retest reliability. To assess construct validity, gender and RTSQ were entered into a regression model predicting MFS. The rank order repeatability of the RTSQ was high (ICC = 0.88). The model explained 39% of the variance in MFS (p = 0.001) and RTSQ (r = 0.40, p = 0.001) was a significant predictor. This study has demonstrated the construct validity and test-retest reliability of the RTSB in a sample of adolescents. The RTSB can reliably rank participants in regards to their resistance training competency and has the necessary sensitivity to detect small changes in resistance training skill proficiency. © 2014 National Strength and Conditioning Association.
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2014 |
Plotnikoff RC, Lubans DR, Penfold CM, Courneya KS, 'Testing the utility of three social-cognitive models for predicting objective and self-report physical activity in adults with type 2 diabetes', British Journal of Health Psychology, 19 329-346 (2014) [C1]
Objective Theory-based interventions to promote physical activity (PA) are more effective than atheoretical approaches; however, the comparative utility of theoretical models is r... [more]
Objective Theory-based interventions to promote physical activity (PA) are more effective than atheoretical approaches; however, the comparative utility of theoretical models is rarely tested in longitudinal designs with multiple time points. Further, there is limited research that has simultaneously tested social-cognitive models with self-report and objective PA measures. The primary aim of this study was to test the predictive ability of three theoretical models (social cognitive theory, theory of planned behaviour, and protection motivation theory) in explaining PA behaviour. Methods Participants were adults with type 2 diabetes (n = 287, 53.8% males, mean age = 61.6 ± 11.8 years). Theoretical constructs across the three theories were tested to prospectively predict PA behaviour (objective and self-report) across three 6-month time intervals (baseline-6, 6-12, 12-18 months) using structural equation modelling. PA outcomes were steps/3 days (objective) and minutes of MET-weighted PA/week (self-report). Results The mean proportion of variance in PA explained by these models was 6.5% for objective PA and 8.8% for self-report PA. Direct pathways to PA outcomes were stronger for self-report compared with objective PA. Conclusions These theories explained a small proportion of the variance in longitudinal PA studies. Theory development to guide interventions for increasing and maintaining PA in adults with type 2 diabetes requires further research with objective measures. Theory integration across social-cognitive models and the inclusion of ecological levels are recommended to further explain PA behaviour change in this population. Statement of contribution What is already known on this subject? Social-cognitive theories are able to explain partial variance for physical activity (PA) behaviour. What does this study add? The testing of three theories in a longitudinal design over 3, 6-month time intervals. The parallel use and comparison of both objective and self-report PA measures in testing these theories. © 2013 The British Psychological Society.
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2014 |
Dewar DL, Morgan PJ, Plotnikoff RC, Okely AD, Batterham M, Lubans DR, 'Exploring changes in physical activity, sedentary behaviors and hypothesized mediators in the NEAT girls group randomized controlled trial', Journal of Science and Medicine in Sport, 17 39-46 (2014) [C1]
Objective: To evaluate the impact of a 12-month school-based multi-component program on adolescent girls' physical activity and sedentary behaviors, and hypothesized mediator... [more]
Objective: To evaluate the impact of a 12-month school-based multi-component program on adolescent girls' physical activity and sedentary behaviors, and hypothesized mediators of physical activity behavior change. Design: Group randomized controlled trial with 12-month follow-up. Methods: The intervention, guided by Social Cognitive Theory, involved 357 adolescent girls (13.2. ±. 0.5 years) from 12 secondary schools (6 intervention schools, 6 control schools) in low-income communities in the Hunter and Central Coast regions of New South Wales, Australia.The intervention included enhanced school sport, lunchtime physical activity sessions, interactive seminars, student handbooks, nutrition workshops, pedometers, parent newsletters and text messages to encourage physical activity and healthy eating, and a decrease in sedentary behavior. Outcomes were assessed at baseline and 12-months and included: physical activity (accelerometers), sedentary behaviors (questionnaire and accelerometers), and social-cognitive mediators of physical activity (questionnaire). Results: There were significant between group differences in favor of the intervention group for self-reported recreational computer use (-26.0. min; 95% CI, -46.9 to -5.1), and sedentary activities summed (-56.4. min; 95% CI, -110.1 to -2.7), however objective sedentary behavior showed no differences. There were no group-by-time effects for any of the physical activity outcomes or hypothesized mediators. Conclusions: A school-based intervention tailored for adolescent girls from schools located in low-income communities significantly reduced time spent in sedentary activities. However, improvements in physical activity and hypothesized mediators of physical activity behavior were not observed. Future studies are encouraged to explore alternative mechanisms of behavior change derived from integrated and socio-ecological theories. © 2013 Sports Medicine Australia.
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2014 |
Schumacher TL, Dewar DL, Lubans DR, Morgan PJ, Watson J, Guest M, et al., 'Dietary patterns of adolescent girls attending schools in low-income communities highlight low consumption of core foods', Nutrition and Dietetics, 71 127-134 (2014) [C1]
Aim: Overweight and obesity prevalence is high among adolescent girls of low socioeconomic position and this increases their risk of cardiovascular disease and metabolic disorders... [more]
Aim: Overweight and obesity prevalence is high among adolescent girls of low socioeconomic position and this increases their risk of cardiovascular disease and metabolic disorders in adulthood. The aim of this present study was to describe the dietary patterns of adolescent girls in terms of the relative contribution of core food groups to overall diet and by weight status category. Methods: Year 8 female students were recruited from schools in low-income communities. Weight status (i.e. underweight, healthy weight, overweight, obese) was determined using age- and sex-adjusted body mass index (BMI; z score). Dietary intakes were assessed using a validated semi-quantitative food frequency questionnaire. Individual foods were collated into core food group or energy-dense, nutrient-poor categories in line with the Australian Guide to Healthy Eating (AGHE) and the percentage contribution to total energy intake calculated. Results: Participants (n = 332) were (mean ± SD) 13.7 ± 0.4 years old with BMI z score 0.63 ± 1.22. Few girls met AGHE core food group recommendations for daily serves; meat and substitutes 69.3%, vegetables 28.6%, fruit 23.8%, dairy 15.7% and breads/cereals 5.7%. Total percentage energy derived from energy-dense, nutrient-poor foods was 46.6% (37.2-54.6%) (median (interquartile range)), with takeaways 9.8% (7.0-13.6%), confectionery 7.0% (4.1-10.9%) and packaged snacks 6.8% (4.0-10.7%), with no significant differences by weight status. Conclusions: Core food intakes are poor with excessive consumption of energy-dense, nutrient-poor foods in these adolescent girls. Nutrition education programs targeting this population are needed to address this imbalance. Strategies could include substitution of unhealthy snacks for core food items and greater inclusion of core foods within main meals. © 2013 Dietitians Association of Australia.
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2014 |
Plotnikoff RC, Lubans DR, Penfold CM, Courneya KS, 'Testing mediator variables in a physical activity intervention for women with type 2 diabetes', PSYCHOLOGY OF SPORT AND EXERCISE, 15 1-8 (2014) [C1]
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2014 |
Schranz N, Olds T, Cliff D, Davern M, Engelen L, Giles-Corti B, et al., 'Results From Australia s 2014 Report Card on Physical Activity for Children and Youth', Journal of Physical Activity and Health, 11 S21-S25 (2014) [C1]
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2014 |
Smith JJ, Morgan PJ, Plotnikoff RC, Dally KA, Salmon J, Okely AD, et al., 'Rationale and study protocol for the 'Active Teen Leaders Avoiding Screen-time' (ATLAS) group randomized controlled trial: An obesity prevention intervention for adolescent boys from schools in low-income communities', Contemporary Clinical Trials, 37 106-119 (2014) [C3]
Introduction: The negative consequences of unhealthy weight gain and the high likelihood of pediatric obesity tracking into adulthood highlight the importance of targeting youth w... [more]
Introduction: The negative consequences of unhealthy weight gain and the high likelihood of pediatric obesity tracking into adulthood highlight the importance of targeting youth who are 'at risk' of obesity. The aim of this paper is to report the rationale and study protocol for the 'Active Teen Leaders Avoiding Screen-time' (ATLAS) obesity prevention intervention for adolescent boys living in low-income communities. Methods/design: The ATLAS intervention will be evaluated using a cluster randomized controlled trial in 14 secondary schools in the state of New South Wales (NSW), Australia (2012 to 2014). ATLAS is an 8-month multi-component, school-based program informed by self-determination theory and social cognitive theory. The intervention consists of teacher professional development, enhanced school-sport sessions, researcher-led seminars, lunch-time physical activity mentoring sessions, pedometers for self-monitoring, provision of equipment to schools, parental newsletters, and a smartphone application and website. Assessments were conducted at baseline and will be completed again at 9- and 18-months from baseline. Primary outcomes are body mass index (BMI) and waist circumference. Secondary outcomes include BMI z-scores, body fat (bioelectrical impedance analysis), physical activity (accelerometers), muscular fitness (grip strength and push-ups), screen-time, sugar-sweetened beverage consumption, resistance training skill competency, daytime sleepiness, subjective well-being, physical self-perception, pathological video gaming, and aggression. Hypothesized mediators of behavior change will also be explored. Discussion: ATLAS is an innovative school-based intervention designed to improve the health behaviors and related outcomes of adolescent males in low-income communities. © 2013 Elsevier Inc.
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2014 |
Smith JJ, Morgan PJ, Plotnikoff RC, Dally KA, Salmon J, Okely AD, et al., 'Smart-phone obesity prevention trial for adolescent boys in low-income communities: The ATLAS RCT', Pediatrics, 134 e723-e731 (2014) [C1]
OBJECTIVE: The goal of this study was to evaluate the impact of the Active Teen Leaders Avoiding Screen-time (ATLAS) intervention for adolescent boys, an obesity prevention interv... [more]
OBJECTIVE: The goal of this study was to evaluate the impact of the Active Teen Leaders Avoiding Screen-time (ATLAS) intervention for adolescent boys, an obesity prevention intervention using smartphone technology.
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2014 |
Jones RA, Lubans DR, Morgan PJ, Okely AD, Parletta N, Wolfenden L, et al., 'School-based obesity prevention interventions: Practicalities and considerations', Obesity Research and Clinical Practice, 8 e497-e510 (2014) [C1]
Pediatric obesity continues to be a major public health concern. Once established it is difficult to treat, therefore well-designed and evaluated prevention interventions are vita... [more]
Pediatric obesity continues to be a major public health concern. Once established it is difficult to treat, therefore well-designed and evaluated prevention interventions are vitally important. Schools have an important role in the prevention of childhood obesity, however, their involvement can be limited by a number of constraints and barriers, which need to be considered when designing interventions. Members of the Prevention Stream of the Australasian Child and Adolescent Obesity Research Network have extensive experience in implementing and evaluating school-based obesity prevention initiatives. Based on their collective experience and evidence from implementation research, the aim of this paper was to highlight six areas to consider when designing, implementing and evaluating obesity prevention initiatives in schools. Further, this paper aimed to provide guidance for overcoming some of the challenges and barriers faced in school-based obesity prevention research. The six key areas discussed include: design and analysis; school-community engagement; planning and recruitment; evaluation; implementation; and feedback and sustainability.
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2014 |
Ha AS, Ng JYY, Lonsdale C, Lubans DR, 'A school-based rope skipping intervention for adolescents in Hong Kong: Protocol of a matched-pair cluster randomized controlled trial', BMC Public Health, 14 (2014) [C3]
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2014 |
Plotnikoff RC, Gebel K, Lubans DR, 'Self-efficacy, physical activity, and sedentary behavior in adolescent girls: Testing mediating effects of the perceived school and home environment', Journal of Physical Activity and Health, 11 1579-1586 (2014) [C1]
Background: According to social-cognitive theory (SCT), self-efficacy affects health behavior both directly and indirectly by influencing how individuals perceive their environmen... [more]
Background: According to social-cognitive theory (SCT), self-efficacy affects health behavior both directly and indirectly by influencing how individuals perceive their environment. This study examines whether perceptions of home and school environment mediate the association between self-efficacy and physical activity (PA) and sedentary behavior in adolescent girls. Methods: Baseline data from the Nutrition and Enjoyable Activity for Teen Girls (NEAT) was used for this study. Grade 8 female students (n = 357) were recruited from 12 secondary schools located in low-income communities in the Hunter Region, New South Wales, Australia. PA was assessed using accelerometers, and sedentary behavior by self-report and accelerometers. Self-reported measures were used for perceived home and school environment and self-efficacy. Multilevel regression models were calculated to determine if the perceived environment mediated the relationship between self-efficacy with both PA and sedentary behavior. Results: The perceptions of the school and home environment did not mediate the relationship between PA self-efficacy and PA behavior or sedentary behavior. Conclusion: The mediated models were not supported for PA or sedentary behavior. However, other results of this paper may be helpful for future theory development and practice. More research is needed to understand behaviors in unique populations such as this.
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2014 |
Smith JJ, Eather N, Morgan PJ, Plotnikoff RC, Faigenbaum AD, Lubans DR, 'The health benefits of muscular fitness for children and adolescents: a systematic review and meta-analysis', Sports medicine (Auckland, N.Z.), 44 1209-1223 (2014)
BACKGROUND: Physical fitness during childhood and adolescence has been identified as an important determinant of current and future health status. While research has traditionally... [more]
BACKGROUND: Physical fitness during childhood and adolescence has been identified as an important determinant of current and future health status. While research has traditionally focused on the association between cardio-respiratory fitness and health outcomes, the association between muscular fitness (MF) and health status has recently received increased attention. OBJECTIVE: The aim of this systematic review and meta-analysis was to evaluate the potential physiological and psychological benefits associated with MF among children and adolescents. METHODS: A systematic search of six electronic databases (PubMed, SPORTDiscus, Scopus, EMBASE, PsycINFO and OVID MEDLINE) was performed on the 20th May, 2013. Cross-sectional, longitudinal and experimental studies that quantitatively examined the association between MF and potential health benefits among children and adolescents were included. The search yielded 110 eligible studies, encompassing six health outcomes (i.e., adiposity, bone health, cardiovascular disease [CVD] and metabolic risk factors, musculoskeletal pain, psychological health and cognitive ability). The percentage of studies reporting statistically significant associations between MF and the outcome of interest was used to determine the strength of the evidence for an association and additional coding was conducted to account for risk of bias. Meta-analyses were also performed to determine the pooled effect size if there were at least three studies providing standardised coefficients. RESULTS: Strong evidence was found for an inverse association between MF and total and central adiposity, and CVD and metabolic risk factors. The pooled effect size for the relationship between MF and adiposity was r = -0.25 (95% CI -0.41 to -0.08). Strong evidence was also found for a positive association between MF and bone health and self-esteem. The pooled effect size for the relationship between MF and perceived sports competence was r = 0.39 (95% CI 0.34-0.45). The evidence for an association between MF and musculoskeletal pain and cognitive ability was inconsistent/uncertain. Where evidence of an association was found, the associations were generally low to moderate. CONCLUSION: The findings of this review highlight the importance of developing MF in youth for a number of health-related benefits.
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2014 |
Lubans DR, Smith JJ, Skinner G, Morgan PJ, 'Development and implementation of a smartphone application to promote physical activity and reduce screen-time in adolescent boys.', Front Public Health, 2 42 (2014) [C1]
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2014 |
Cohen KE, Morgan PJ, Plotnikoff RC, Callister R, Lubans DR, 'Fundamental movement skills and physical activity among children living in low-income communities: A cross-sectional study', International Journal of Behavioral Nutrition and Physical Activity, 11 (2014) [C1]
Background: Although previous studies have demonstrated that children with high levels of fundamental movement skill competency are more active throughout the day, little is known... [more]
Background: Although previous studies have demonstrated that children with high levels of fundamental movement skill competency are more active throughout the day, little is known regarding children's fundamental movement skill competency and their physical activity during key time periods of the school day (i.e., lunchtime, recess and after-school). The purpose of this study was to examine the associations between fundamental movement skill competency and objectively measured moderate-to-vigorous physical activity (MVPA) throughout the school day among children attending primary schools in low-income communities.Methods: Eight primary schools from low-income communities and 460 children (8.5 ± 0.6 years, 54% girls) were involved in the study. Children's fundamental movement skill competency (TGMD-2; 6 locomotor and 6 object-control skills), objectively measured physical activity (ActiGraph GT3X and GT3X + accelerometers), height, weight and demographics were assessed. Multilevel linear mixed models were used to assess the cross-sectional associations between fundamental movement skills and MVPA.Results: After adjusting for age, sex, BMI and socio-economic status, locomotor skill competency was positively associated with total (P = 0.002, r = 0.15) and after-school (P = 0.014, r = 0.13) MVPA. Object-control skill competency was positively associated with total (P < 0.001, r = 0.20), lunchtime (P = 0.03, r = 0.10), recess (P = 0.006, r = 0.11) and after-school (P = 0.022, r = 0.13) MVPA.Conclusions: Object-control skill competency appears to be a better predictor of children's MVPA during school-based physical activity opportunities than locomotor skill competency. Improving fundamental movement skill competency, particularly object-control skills, may contribute to increased levels of children's MVPA throughout the day.Trial registration: Australian New Zealand Clinical Trials Registry No: ACTRN12611001080910. © 2014 Cohen et al.; licensee BioMed Central Ltd.
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2013 |
Plotnikoff RC, Costigan SA, Karunamuni ND, Lubans DR, 'Community-based physical activity interventions for treatment of type 2 diabetes: a systematic review with meta-analysis.', Frontiers in Endocrinology, 4 (2013) [C1]
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2013 |
Lubans DR, Lonsdale C, Plotnikoff RC, Smith J, Dally K, Morgan PJ, 'Development and evaluation of the Motivation to Limit Screen-time Questionnaire (MLSQ) for adolescents.', Prev Med, 57 561-566 (2013) [C1]
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2013 |
Farmanbar R, Niknami S, Lubans DR, Hidarnia A, 'Predicting exercise behaviour in Iranian college students: Utility of an integrated model of health behaviour based on the transtheoretical model and self-determination theory', HEALTH EDUCATION JOURNAL, 72 56-69 (2013) [C1]
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2013 |
Morgan PJ, Barnett LM, Cliff DP, Okely AD, Scott HA, Cohen KE, Lubans DR, 'Fundamental movement skill interventions in youth: A systematic review and meta-analysis', Pediatrics, 132 (2013) [C1]
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2013 |
Lubans DR, Mundey C, Lubans NJ, Lonsdale C, 'Testing physical activity mediators in an intervention for sedentary older adults', INTERNATIONAL JOURNAL OF SPORT PSYCHOLOGY, 44 252-262 (2013) [C1]
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2013 |
Lonsdale C, Rosenkranz RR, Peralta LR, Bennie A, Fahey P, Lubans DR, 'A systematic review and meta-analysis of interventions designed to increase moderate-to-vigorous physical activity in school physical education lessons', PREVENTIVE MEDICINE, 56 152-161 (2013) [C1]
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2013 |
Plotnikoff RC, Costigan SA, Karunamuni N, Lubans DR, 'Social cognitive theories used to explain physical activity behavior in adolescents: A systematic review and meta-analysis', PREVENTIVE MEDICINE, 56 245-253 (2013) [C1]
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2013 |
Lonsdale C, Rosenkranz RR, Sanders T, Peralta LR, Bennie A, Jackson B, et al., 'A cluster randomized controlled trial of strategies to increase adolescents' physical activity and motivation in physical education: Results of the Motivating Active Learning in Physical Education (MALP) trial', PREVENTIVE MEDICINE, 57 696-702 (2013) [C1]
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2013 |
Eather N, Morgan PJ, Lubans DR, 'Improving the fitness and physical activity levels of primary school children: Results of the Fit-4-Fun group randomized controlled trial', Preventive Medicine, 56 12-19 (2013) [C1]
Objective: To evaluate the impact of a multi-component school-based physical activity intervention (Fit-4-Fun) on health-related fitness and objectively measured physical activity... [more]
Objective: To evaluate the impact of a multi-component school-based physical activity intervention (Fit-4-Fun) on health-related fitness and objectively measured physical activity in primary school children. Methods: Four Hunter primary schools were recruited in April, 2011 and randomized by school into treatment or control conditions. Participants included 213 children (mean age=10.72years±0.6; 52.2% female) with the treatment group (n=118) completing the 8-week Fit-4-Fun Program. Participants were assessed at baseline and 6-month follow-up, with a 91% retention rate. Cardio-respiratory fitness (CRF) (20m shuttle run) was the primary outcome, and secondary outcomes included body composition (BMI, BMI ), muscular fitness (7-stage sit-up test, push-up test, basketball throw test, Standing Jump), flexibility (sit and reach) and physical activity (7days pedometry). Results: After 6-months, significant treatment effects were found for CRF (adjusted mean difference, 1.14 levels, p<0.001), body composition (BMI mean, -0.96kg/m , p<0.001 and BMI z-score mean -0.47 z-scores, p<0.001), flexibility (sit and reach mean, 1.52cm, p=0.0013), muscular fitness (sit-ups) (mean 0.62 stages, p=0.003) and physical activity (mean, 3253 steps/day, p<0.001). There were no group by time effects for the other muscular fitness measures. Conclusions: A primary school-based intervention focusing on fitness education significantly improved health-related fitness and physical activity levels in children. © 2012 Elsevier Inc. Z 2
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2013 |
Dewar DL, Plotnikoff RC, Morgan PJ, Okely AD, Costigan SA, Lubans DR, 'Testing Social-Cognitive Theory to Explain Physical Activity Change in Adolescent Girls From Low-Income Communities', RESEARCH QUARTERLY FOR EXERCISE AND SPORT, 84 483-491 (2013) [C1]
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2013 |
Dewar DL, Morgan PJ, Plotnikoff RC, Okely AD, Collins CE, Batterham M, et al., 'The nutrition and enjoyable activity for teen girls study: A cluster randomized controlled trial', American Journal of Preventive Medicine, 45 313-317 (2013) [C1]
Background Obesity prevention among youth of low SES is a public health priority given the higher prevalence of youth obesity in this population subgroup. Purpose To evaluate the ... [more]
Background Obesity prevention among youth of low SES is a public health priority given the higher prevalence of youth obesity in this population subgroup. Purpose To evaluate the 24-month impact of a school-based obesity prevention program among adolescent girls living in low-income communities. Design The study was a school-based group RCT, the Nutrition and Enjoyable Activity for Teen Girls (NEAT Girls) intervention. Setting/participants The study involved 12 secondary schools located in low-income communities in New South Wales, Australia. Participants were 357 adolescent girls (aged 13.2±0.5 years). Intervention The 12-month multicomponent intervention was guided by social cognitive theory and involved strategies to promote physical activity, reduce sedentary behaviors, and improve dietary outcomes. Main outcome measures The primary outcome was BMI, and secondary outcomes were BMI z-score; percentage body fat (bioelectrical impedance analysis); physical activity (accelerometers); dietary intake; and recreational screen-time (self-report). Data were collected in 2010-2012 and analyzed in 2012. Results After 24 months, there were no intervention effects on BMI (adjusted mean difference -0.33, 95% CI= -0.97, 0.28, p=0.353) and BMI z-score (-0.12, 95% CI= -0.27, 0.04, p=0.178). However, there was a group-by-time interaction for percentage body fat (-1.96%, 95% CI= -3.02, -0.89, p=0.006). Intervention effects for physical activity, screen time, and dietary intake were not significant. Conclusions The NEAT Girls intervention did not result in effects on the primary outcome. Further study of youth who are "at risk" of obesity should focus on strategies to improve retention and adherence in prevention programs. Trial registration This study is registered at Australian New Zealand Clinical Trials ACTRN1261000033004. © 2013 American Journal of Preventive Medicine.
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2013 |
Barnett LM, Hardy LL, Lubans DR, Cliff DP, Okely AD, Hills AP, Morgan PJ, 'Australian children lack the basic movement skills to be active and healthy', Health Promotion Journal of Australia, 24 82-84 (2013) [C1]
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2013 |
Lubans DR, Jones R, Okely AD, Salmon J, Baur LA, 'Review of Australian childhood obesity research funding 2010-2013', Health Promotion Journal of Australia, 24 155 (2013) [C3]
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2013 |
Costigan SA, Barnett L, Plotnikoff RC, Lubans DR, 'The Health Indicators Associated With Screen-Based Sedentary Behavior Among Adolescent Girls: A Systematic Review', JOURNAL OF ADOLESCENT HEALTH, 52 382-392 (2013) [C1]
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2013 |
Lubans DR, Mundey CM, Lubans NJ, Lonsdale CC, 'Pilot Randomized Controlled Trial: Elastic-Resistance-Training and Lifestyle-Activity Intervention for Sedentary Older Adults', JOURNAL OF AGING AND PHYSICAL ACTIVITY, 21 20-32 (2013) [C1]
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2013 |
Plotnikoff RC, Lubans DR, Costigan SA, McCargar L, 'A Test of the Theory of Planned Behavior to Predict Physical Activity in an Overweight/Obese Population Sample of Adolescents From Alberta, Canada', HEALTH EDUCATION & BEHAVIOR, 40 415-425 (2013) [C1]
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2013 |
Hardy LL, Hills AP, Timperio A, Cliff D, Lubans D, Morgan PJ, et al., 'A hitchhiker's guide to assessing sedentary behaviour among young people: Deciding what method to use', Journal of Science and Medicine in Sport, 16 28-35 (2013) [C1]
Objective: To provide a user's guide for selecting an appropriate method to assess sedentary behaviours among children and adolescents. Design: While recommendations regardin... [more]
Objective: To provide a user's guide for selecting an appropriate method to assess sedentary behaviours among children and adolescents. Design: While recommendations regarding specific instruments are not provided, the guide offers information about key attributes and considerations for objective (accelerometry; inclinometers; direct observation; screen monitoring devices) and subjective (self-report; parent report; and time use diaries/logs) approaches to assess sedentary behaviour Attributes of instruments and other factors to be considered in the selection of assessment instruments include: population (age); sample size; respondent burden; method/delivery mode; assessment time frame; physical activity information required (data output); data management; measurement error; cost (instrument and administration) and other limitations. Methods: Expert consensus among members of the Australasian Child and Adolescent Obesity Research Network's (ACAORN) Physical Activity and Sedentary Behaviour Special Interest Group. Results: We developed decision flow charts to assist researchers and practitioners select an appropriate method of assessing sedentary behaviour, identified attributes of each method and described five real-life scenarios to illustrate considerations associated with the selection of each method of measurement. Conclusions: It is important that researchers, practitioners and policy makers understand the strengths and limitations of different methods of assessing sedentary behaviour among youth, and are guided on selection of the most appropriate instrument/s to suit their needs. © 2012 .
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2013 |
Sutherland R, Campbell E, Lubans DR, Morgan PJ, Okely AD, Nathan N, et al., 'A cluster randomised trial of a school-based intervention to prevent decline in adolescent physical activity levels: study protocol for the 'Physical Activity 4 Everyone' trial', BMC PUBLIC HEALTH, 13 (2013) [C3]
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2013 |
Eather N, Morgan PJ, Lubans DR, 'Social support from teachers mediates physical activity behavior change in children participating in the Fit-4-Fun intervention', International Journal of Behavioral Nutrition and Physical Activity, 10 (2013) [C1]
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2013 |
Dewar DL, Lubans DR, Morgan PJ, Plotnikoff RC, 'Development and evaluation of social cognitive measures related to adolescent physical activity', Journal of Physical Activity and Health, 10 544-555 (2013) [C1]
Background: This study aimed to develop and evaluate the construct validity and reliability of modernized social cognitive measures relating to physical activity behaviors in adol... [more]
Background: This study aimed to develop and evaluate the construct validity and reliability of modernized social cognitive measures relating to physical activity behaviors in adolescents. Methods: An instrument was developed based on constructs from Bandura's Social Cognitive Theory and included the following scales: self-efficacy, situation (perceived physical environment), social support, behavioral strategies, and outcome expectations and expectancies. The questionnaire was administered in a sample of 171 adolescents (age = 13.6 ± 1.2 years, females = 61%). Confirmatory factor analysis was employed to examine model-fit for each scale using multiple indices, including chi-square index, comparative-fit index (CFI), goodness-of-fit index (GFI), and the root mean square error of approximation (RMSEA). Reliability properties were also examined (ICC and Cronbach's alpha). Results: Each scale represented a statistically sound measure: fit indices indicated each model to be an adequate-to-exact fit to the data; internal consistency was acceptable to good (a = 0.63-0.79); rank order repeatability was strong (ICC = 0.82-0.91). Conclusions: Results support the validity and reliability of social cognitive scales relating to physical activity among adolescents. As such, the developed scales have utility for the identification of potential social cognitive correlates of youth physical activity, mediators of physical activity behavior changes and the testing of theoretical models based on Social Cognitive Theory. © 2013 Human Kinetics, Inc..
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2013 |
Eather N, Morgan PJ, Lubans DR, 'Feasibility and preliminary efficacy of the Fit4Fun intervention for improving physical fitness in a sample of primary school children: a pilot study', PHYSICAL EDUCATION AND SPORT PEDAGOGY, 18 389-411 (2013) [C1]
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2013 |
Nihill GFJ, Lubans DR, Plotnikoff RC, 'Associations between sedentary behavior and self-esteem in adolescent girls from schools in low-income communities', Mental Health and Physical Activity, 6 30-35 (2013) [C1]
Background: Excessive time spent in sedentary behavior is associated with a range of physiological, psychosocial and behavioral health concerns in youth. Objective: The primary ai... [more]
Background: Excessive time spent in sedentary behavior is associated with a range of physiological, psychosocial and behavioral health concerns in youth. Objective: The primary aim of this study was to examine the association between sedentary behavior and self-esteem among adolescent girls living in low-income communities. Methods: Participants were 357 girls [mean age (standard deviation) = 13.2 (0.5) years] from 12 secondary schools located in low-income communities in New South Wales, Australia. Height, weight, body fat (bio-electrical impedance analysis) and physical activity (accelerometers), self-esteem were assessed. Results: Significant inverse associations were found between self-esteem and time spent watching DVDs and using the computer for non-school purposes, but no relationship was found between TV viewing and self-esteem. The relationship between sedentary time (%) from accelerometers and self-esteem was not significant. Conclusions: Sedentary behavior is a pervasive public health concern and time spent in specific screen-based recreation was associated with self-esteem in adolescent girls living in low-income communities. Our findings are indicative of the complex nature of these relationships and reveal a need for further longitudinal and intervention-based research in the field. Copyright © 2012 Published by Elsevier Ltd. All rights reserved.
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2012 |
Lubans DR, Plotnikoff RC, Morgan PJ, Dewar DL, Costigan SA, Collins CE, 'Explaining dietary intake in adolescent girls from disadvantaged secondary schools. A test of Social Cognitive Theory', Appetite, 58 517-524 (2012) [C1]
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2012 |
Lubans DR, Okely AD, Morgan PJ, Cotton W, Puglisi L, Miller J, 'Description and evaluation of a social cognitive model of physical activity behaviour tailored for adolescent girls', Health Education Research, 27 115-128 (2012) [C1]
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2012 |
Burrows TL, Morgan PJ, Lubans DR, Callister R, Okely T, Bray JF, Collins CE, 'Dietary outcomes of the Healthy Dads Healthy Kids randomised controlled trial', Journal of Pediatric Gastroenterology and Nutrition, 55 408-411 (2012) [C1]
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2012 |
Lubans DR, Morgan PJ, Okely AD, Dewar DL, Collins CE, Batterham M, et al., 'Preventing obesity among adolescent girls: One-year outcomes of the nutrition and enjoyable activity for teen girls (NEAT Girls) cluster randomized controlled trial', Archives of Pediatrics & Adolescent Medicine, 166 821-827 (2012) [C1]
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2012 |
Jaenke RL, Collins CE, Morgan PJ, Lubans DR, Saunders KL, Warren JM, 'The impact of a school garden and cooking program on boys' and girls' fruit and vegetable preferences, taste rating, and intake', Health Education & Behavior, 39 131-141 (2012) [C1]
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2012 |
Harries SK, Lubans DR, Callister R, 'Resistance training to improve power and sports performance in adolescent athletes: A systematic review and meta-analysis', Journal of Science and Medicine in Sport, 15 532-540 (2012) [C1]
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2012 |
Plotnikoff RC, Lubans DR, Trinh L, Craig CL, 'A 15-year longitudinal test of the theory of planned behaviour to predict physical activity in a randomized national sample of Canadian adults', Psychology of Sport and Exercise, 13 521-527 (2012) [C1]
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2012 |
Lubans DR, Morgan PJ, Weaver KE, Callister R, Dewar DL, Costigan SA, et al., 'Rationale and study protocol for the Supporting Children's Outcomes Using Rewards, Exercise and Skills (SCORES) group randomized controlled trial: A physical activity and fundamental movement skills intervention for primary schools in low-income communities', BMC Public Health, 12 1-11 (2012) [C3]
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2012 |
Rosenkranz RR, Lubans DR, Peralta LR, Bennie A, Sanders T, Lonsdale C, 'A cluster-randomized controlled trial of strategies to increase adolescents' physical activity and motivation during physical education lessons: The Motivating Active Learning in Physical Education (MALP) Trial', BMC Public Health, 12 834 (2012) [C3]
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2012 |
Lubans DR, Plotnikoff RC, Lubans NJ, 'Review: A systematic review of the impact of physical activity programmes on social and emotional well-being in at-risk youth', Child and Adolescent Mental Health, 17 2-13 (2012) [C1]
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2012 |
Lubans DR, Plotnikoff RC, Jung M, Eves N, Sigal R, 'Testing mediator variables in a resistance training intervention for obese adults with type 2 diabetes', Psychology and Health, 27 1388-1404 (2012) [C1]
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2012 |
Dewar DL, Lubans DR, Plotnikoff RC, Morgan PJ, 'Development and evaluation of social cognitive measures related to adolescent dietary behaviours', International Journal of Behavioral Nutrition and Physical Activity, 9 (2012) [C1]
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2012 |
Lubans DR, Morgan PJ, Collins CE, Okely AD, Burrows TL, Callister R, 'Mediators of weight loss in the 'Healthy Dads, Healthy Kids' pilot study for overweight fathers', International Journal of Behavioral Nutrition and Physical Activity, 9 (2012) [C1]
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2012 |
Lubans DR, Morgan PJ, Callister R, 'Potential moderators and mediators of intervention effects in an obesity prevention program for adolescent boys from disadvantaged schools', Journal of Science and Medicine in Sport, 15 519-525 (2012) [C1]
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2012 |
Taymoori P, Berry TR, Lubans DR, 'Tracking of physical activity during middle school transition in Iranian adolescents', Health Education Journal, 71 631-641 (2012) [C1]
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2012 |
Morgan PJ, Saunders KL, Lubans DR, 'Improving physical self-perception in adolescent boys from disadvantaged schools: Psychological outcomes from the Physical Activity Leaders randomized controlled trial', Pediatric Obesity, 7 e27-e32 (2012) [C1]
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2012 |
Kelty TL, Morgan PJ, Lubans DR, 'Efficacy and feasibility of the 'Girls' Recreational Activity Support Program Using Information Technology': A pilot randomised controlled trial', Advances in Physical Education, 2 10-16 (2012) [C1]
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2011 |
James EL, Stacey FG, Chapman K, Lubans DR, Asprey G, Sundquist K, et al., 'Exercise and nutrition routine improving cancer health (ENRICH): The protocol for a randomized efficacy trial of a nutrition and physical activity program for adult cancer survivors and carers', BMC Public Health, 11 236 (2011) [C3]
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2011 |
Eather N, Morgan PJ, Lubans DR, 'Improving health-related fitness in children: The Fit-4-Fun randomized controlled trial study protocol', BMC Public Health, 11 902 (2011) [C3]
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2011 |
Okely AD, Cotton WG, Lubans DR, Morgan PJ, Puglisi L, Miller J, et al., 'A school-based intervention to promote physical activity among adolescent girls: Rationale, design, and baseline data from the Girls in Sport group randomised controlled trial', BMC Public Health, 11 658 (2011) [C3]
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2011 |
Morgan PJ, Lubans DR, Plotnikoff RC, Callister R, Burrows TL, Fletcher R, et al., 'The 'Healthy Dads, Healthy Kids' community effectiveness trial: Study protocol of a community-based healthy lifestyle program for fathers and their children', BMC Public Health, 11 876 (2011) [C3]
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2011 |
Lubans DR, Boreham CA, Kelly P, Foster CE, 'The relationship between active travel to school and health-related fitness in children and adolescents: A systematic review', International Journal of Behavioral Nutrition and Physical Activity, 8 (2011) [C1]
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2011 |
Lubans DR, Morgan PJ, McCormack AC, 'Adolescents and school sport: The relationship between beliefs, social support and physical self-perception', Physical Education and Sport Pedagogy, 16 237-250 (2011) [C1]
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2011 |
Jones RA, Sinn N, Campbell KJ, Hesketh K, Denney-Wilson E, Morgan PJ, et al., 'The importance of long-term follow-up in child and adolescent obesity prevention interventions', International Journal of Pediatric Obesity, 6 178-181 (2011) [C1]
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2011 |
Fletcher R, May C, St George JM, Morgan PJ, Lubans DR, 'Fathers' perceptions of rough-and-tumble play: Implications for early childhood services', Australasian Journal of Early Childhood, 36 131-138 (2011) [C1]
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2011 |
Morgan PJ, Warren JM, Lubans DR, Collins CE, Callister R, 'Engaging men in weight loss: Experiences of men who participated in the male only SHED-IT pilot study', Obesity Research and Clinical Practice, 5 e239-e248 (2011) [C1]
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2011 |
Morgan PJ, Lubans DR, Collins CE, Warren JM, Callister R, '12-month outcomes and process evaluation of the SHED-IT RCT: An internet-based weight loss program targeting men', Obesity, 19 142-151 (2011) [C1]
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2011 |
Farmanbar R, Niknami S, Hidarnia A, Lubans DR, 'Psychometric Properties of the Iranian Version of the Behavioral Regulation in Exercise Questionnaire-2 (BREQ-2).', Health promotion perspectives, 1 95-104 (2011) [C1]
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2011 |
Tudor-Locke C, Craig CL, Beets MW, Belton S, Cardon GM, Duncan S, et al., 'How many steps/day are enough? for children and adolescents', International Journal of Behavioral Nutrition and Physical Activity, 8 (2011) [C1]
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2011 |
Hall LE, Collins CE, Morgan PJ, Burrows TL, Lubans DR, Callister R, 'Children's intake of fruit and selected energy-dense nutrient-poor foods is associated with fathers' intake', Journal of the American Dietetic Association, 111 1039-1044 (2011) [C1]
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2011 |
Lubans DR, Morgan PJ, Aguiar EJ, Callister R, 'Randomized controlled trial of the Physical Activity Leaders (PALs) program for adolescent boys from disadvantaged secondary schools', Preventive Medicine, 52 239-246 (2011) [C1]
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2011 |
Barnett LM, Morgan PJ, Van Beurden E, Ball K, Lubans DR, 'A reverse pathway? Actual and perceived skill proficiency and physical activity', Medicine and Science in Sports and Exercise, 43 898-904 (2011) [C1]
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2011 |
Lubans DR, Morgan PJ, Callister R, Plotnikoff RC, Eather N, Riley N, Smith CJ, 'Test-retest reliability of a battery of field-based health-related fitness measures for adolescents', Journal of Sports Sciences, 29 685-693 (2011) [C1]
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2011 |
Smith CJ, Callister R, Lubans DR, 'A systematic review of strength and conditioning programmes designed to improve fitness characteristics in golfers', Journal of Sports Sciences, 29 933-943 (2011) [C1]
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2011 |
Morgan PJ, Lubans DR, Callister R, Okely AD, Burrows TL, Fletcher R, Collins CE, 'The 'Healthy Dads, Healthy Kids' randomized controlled trial: Efficacy of a healthy lifestyle program for overweight fathers and their children', International Journal of Obesity, 35 436-447 (2011) [C1]
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2011 |
Plotnikoff RC, Lubans DR, Costigan SA, Trinh L, Spence JC, Downs S, McCargar L, 'A test of the theory of planned behavior to explain physical activity in a large population sample of adolescents from Alberta, Canada', Journal of Adolescent Health, 49 547-549 (2011) [C1]
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2011 |
Collins CE, Morgan PJ, Warren JM, Lubans DR, Callister R, 'Men participating in a weight-loss intervention are able to implement key dietary messages, but not those relating to vegetables or alcohol: the Self-Help, Exercise and Diet using Internet Technology (SHED-IT) study', Public Health Nutrition, 14 168-175 (2011) [C1]
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2011 |
Lubans DR, Cliff DP, 'Muscular fitness, body composition and physical self-perception in adolescents', Journal of Science and Medicine in Sport, 14 216-221 (2011) [C1]
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2011 |
Lubans DR, Hesketh K, Cliff DP, Barnett LM, Salmon J, Dollman J, et al., 'A systematic review of the validity and reliability of sedentary behaviour measures used with children and adolescents', Obesity Reviews, 12 781-799 (2011) [C1]
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2010 |
Lubans DR, Sheaman C, Callister R, 'Exercise adherence and intervention effects of two school-based resistance training programs for adolescents', Preventive Medicine, 50 56-62 (2010) [C1]
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2010 |
Lubans DR, Morgan PJ, Cliff DP, Barnett LM, Okely AD, 'Fundamental movement skills in children and adolescents: Review of associated health benefits', Sports Medicine, 40 1019-1035 (2010) [C1]
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2010 |
Lubans DR, Morgan PJ, Callister R, Collins CE, Plotnikoff RC, 'Exploring the mechanisms of physical activity and dietary behavior change in the Program X intervention for adolescents', Journal of Adolescent Health, 47 83-91 (2010) [C1]
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2010 |
Taymoori P, Lubans DR, Berry TR, 'Evaluation of the health promotion model to predict physical activity in Iranian adolescent boys', Health Education & Behavior, 37 84-96 (2010) [C1]
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2010 |
Morgan PJ, Warren JM, Lubans DR, Saunders KL, Quick GIE, Collins CE, 'The impact of nutrition education with and without a school garden on knowledge, vegetable intake and preferences and quality of school life among primary-school students', Public Health Nutrition, 13 1931-1940 (2010) [C1]
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2010 |
Lubans DR, Aguiar EJ, Callister R, 'The effects of free weights and elastic tubing resistance training on physical self-perception in adolescents', Psychology of Sport and Exercise, 11 497-504 (2010) [C1]
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2010 |
Lubans DR, Morgan PJ, Dewar DL, Collins CE, Plotnikoff RC, Okely AD, et al., 'The Nutrition and Enjoyable Activity for Teen Girls (NEAT girls) randomized controlled trial for adolescent girls from disadvantaged secondary schools: Rationale, study protocol, and baseline results', BMC Public Health, 10 652 (2010) [C1]
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2009 |
Lubans DR, Morgan PJ, Collins CE, Warren JM, Callister R, 'Exploring the mechanisms of weight loss in the SHED-IT intervention for overweight men: A mediation analysis', International Journal of Behavioral Nutrition and Physical Activity, 6 Article 76 (2009) [C1]
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2009 |
Morgan PJ, Lubans DR, Collins CE, Warren JM, Callister R, 'The SHED-IT Randomized Controlled Trial: Evaluation of an Internet-based weight-loss program for men', Obesity, 17 2025-2032 (2009) [C1]
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2009 |
Lubans DR, Morgan PJ, Tudor-Locke C, 'A systematic review of studies using pedometers to promote physical activity among youth', Preventive Medicine, 48 307-315 (2009) [C1]
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2009 |
Lubans DR, Morgan PJ, Collins CE, Boreham CA, Callister R, 'The relationship between heart rate intensity and pedometer step counts in adolescents', Journal of Sports Sciences, 27 591-597 (2009) [C1]
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2009 |
Lubans DR, Morgan PJ, Callister R, Collins CE, 'Effects of integrating pedometers, parental materials, and e-mail support within an extracurricular school sport intervention', Journal of Adolescent Health, 44 176-183 (2009) [C1]
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2009 |
Lubans DR, Morgan PJ, 'Social, psychological and behavioural correlates of pedometer step counts in a sample of Australian adolescents', Journal of Science and Medicine in Sport, 12 141-147 (2009) [C1]
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2009 |
Lubans DR, Sylva K, 'Mediators of change following a senior school physical activity intervention', Journal of Science and Medicine in Sport, 12 134-140 (2009) [C1]
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2009 |
Farmanbar R, Niknami S, Heydarnia A, Hajizadeh E, Lubans DR, 'Predicting exercise behavior among Iranian college students using the Transtheoretical Model and structural equation modeling', European Journal of Scientific Research, 31 355-365 (2009) [C1]
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2008 |
Taymoori P, Lubans DR, 'Mediators of behavior change in two tailored physical activity interventions for adolescent girls', Psychology of Sport and Exercise, 9 605-619 (2008) [C1]
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2008 |
Taymoori P, Niknami S, Berry T, Lubans DR, Ghofranipour F, Kazemnejad A, 'A school-based randomized controlled trial to improve physical activity among Iranian high school girls', International Journal of Behavioral Nutrition and Physical Activity, 5 (2008) [C1]
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2008 |
Lubans DR, Morgan PJ, 'Impact of an extra-curricular school sport programme on determinants of objectively measured physical activity among adolescents', Health Education Journal, 67 305-320 (2008) [C1]
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2008 |
Lubans DR, Foster C, Biddle SJH, 'A review of mediators of behavior in interventions to promote physical activity among children and adolescents', Preventive Medicine, 47 463-470 (2008) [C1]
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2008 |
Lubans DR, Morgan PJ, 'Evaluation of an extra-curricular school sport programme promoting lifestyle and lifetime activity for adolescents', Journal of Sports Sciences, 26 519-529 (2008) [C1]
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2008 |
Lubans DR, Sylva K, Osborn Z, 'Convergent validity and test-retest reliability of the Oxford Physical Activity Questionnaire for secondary school students', Behaviour Change, 25 23-34 (2008) [C1]
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2008 |
Lubans DR, Morgan PJ, Callister R, Collins CE, 'The relationship between pedometer step counts and estimated VO2 max as determined by a submaximal fitness test in adolescents', Pediatric Exercise Science, 20 273-284 (2008) [C1]
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2007 |
Lubans DR, Sylva K, Morgan PJ, 'Factors associated with physical activity in a sample of British secondary school students', Australian Journal of Educational & Developmental Psychology, 7 22-30 (2007) [C1]
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2007 |
Lubans DR, Morgan PJ, 'The 'Learning to Enjoy Activity with Friends' Programme', Education & Health, 25 10-14 (2007) [C2]
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2007 |
Lubans D, Morgan P, 'The 'learning to enjoy activity with friends' programme', Education and Health, 25 10-14 (2007) [C1]
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2006 |
Lubans DR, Syjva K, 'Controlled evaluation of a physical activity intervention for senior school students: Effects of the lifetime activity program', Journal of Sport & Exercise Psychology, 28 252-268 (2006) [C1]
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Champion KE, Gardner LA, McGowan C, Chapman C, Thornton L, Parmenter B, et al., 'A Web-Based Intervention to Prevent Multiple Chronic Disease Risk Factors Among Adolescents: Co-Design and User Testing of the Health4Life School-Based Program (Preprint)
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Haslam RL, Pezdirc K, Truby H, Attia J, Hutchesson M, Burrows T, et al., 'Investigating the Efficacy and Cost-Effectiveness of Technology-Delivered Personalized Feedback on Dietary Patterns in Young Australian Adults in the Advice, Ideas, and Motivation for My Eating (Aim4Me) Study: Protocol for a Randomized Controlled Trial (Preprint)
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