Maximizing children's physical activity using the LET US Play principles.

Authors:
Keith Brazendale, Ph.D., M.Sc.
Keith Brazendale, Ph.D., M.Sc.
University of South Carolina
Research Assistant Professor
Obesogenic behaviors
Columbia, SC | United States
Jessica L Chandler
Jessica L Chandler
University of South Carolina
United States
Michael W Beets
Michael W Beets
University of South Carolina
United States
Robert G Weaver
Robert G Weaver
University of South Carolina
Aaron Beighle
Aaron Beighle
University of South Carolina
United States
Jennifer L Huberty
Jennifer L Huberty
University of Nebraska Omaha
United States
Dr. Justin B Moore, PhD, MS
Dr. Justin B Moore, PhD, MS
Wake Forest School of Medicine
Associate Professor
Implementation Science, Epidemiology
Winston-Salem, NC | United States

Prev Med 2015 Jul 9;76:14-9. Epub 2015 Apr 9.

University of South Carolina, Department of Health Promotion, Education, and Behavior, Office of Practice and Community Engagement, Columbia, SC, USA.

Background: Staff in settings that care for children struggle to implement standards designed to promote moderate-to-vigorous physical activity (MVPA), suggesting a need for effective strategies to maximize the amount of time children spend in MVPA during scheduled PA opportunities. The purpose of this study was to compare the MVPA children accumulate during commonly played games delivered in their traditional format versus games modified according to the LET US Play principles.

Methods: Children (K-5th) participated in 1-hour PA sessions delivered on non-consecutive days (summer 2014). Using a randomized, counterbalanced design, one of the six games was played for 20min using either traditional rules or LET US Play followed by the other strategy with a 10min break in between. Physical activity was measured via accelerometry. Repeated-measures, mixed-effects regression models were used to estimate differences in percent of time spent sedentary and in MVPA.

Results: A total of 267 children (age 7.5years, 43% female, 29% African American) participated in 50, 1-hour activity sessions. Games incorporating LET US Play elicited more MVPA from both boys and girls compared to the same games with traditional rules. For boys and girls, the largest MVPA difference occurred during tag games (+20.3%). The largest reduction in the percent of time sedentary occurred during tag games (boys -27.7%, girls -32.4%). Overall, the percentage of children meeting 50% time in MVPA increased in four games (+18.7% to +53.1%).

Conclusion: LET US Play led to greater accumulation of MVPA for boys and girls, and can increase the percent of children attaining the 50% of time in MVPA standard.

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Source
http://dx.doi.org/10.1016/j.ypmed.2015.03.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5594559PMC

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July 2015
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