Background: Education outside the classroom (EOtC) is considered beneficial to children's physical and mental health. Especially, stress resilience has been linked to nature experience. Aims: This study experimentally explored the effects of pupils' autonomy support (AUT) and physical activity (PA) on their biological stress responses and brain…

Background: About 20-30% of children worldwide report depressive symptoms. This study examined associations between children's depressive symptoms, life events, and family factors. Methods: Nationally representative data (n = 95,725) were drawn from the 2017 School Health Promotion Study in Finland. The respondents were 4th and 5th grade pupils…

Background: Internationally 18% of youth are obese. Fitness testing can be used to establish fitness surveillance, which can inform policy and targeted interventions aimed at addressing obesity. The purpose of this study was to estimate the prevalence of overweight, obesity, and low fitness in Idaho school-aged youth through a pilot study.…

Children's health literacy is a crucial pillar of health. This study is aimed to examine the association between health literacy and weight status among Greek schoolchildren aged 10 to 12 years old. A population-based, cross-sectional observational study enrolling 1,728 students (795 boys), aged 10 to 12 years old, was conducted during school…

Objective: This study describes the step-by-step development of the IMove30+ programme and outlines lessons derived from the authors' experience using an intervention mapping protocol (IMP)-based programme design. The programme was designed to increase the moderate to vigorous physical activity (PA) level at school among Lebanese children, aged…

Background: Physical activity (PA) has long been acknowledged to contribute health benefits among children. However, research has consistently shown that PA declines as children grow older. Thus, this study examined the factors which are associated to children's PA in order to identify potential barriers to PA. Methods: Using data from the…

The COVID-19 pandemic and resulting stay-at-home orders created a need for assessing elementary, middle, and high school students' experienced stressors associated with the coronavirus situation. In collaboration with a school district wanting information about their students' well-being during the pandemic school shut-down, the current study…

Background: Schools are frequent settings for childhood obesity prevention; however, intervention results are mixed. Classroom context may hold important clues to improving these interventions. Methods: We used mixed methods to examine classroom context during a curriculum intervention taught by trained instructors in fifth grade classrooms. We…

The purpose of this research was to contribute to the childhood obesity mitigation literature by determining the PA preferences of obese/overweight (o/o) elementary students who participated in Club Fit!, a school-based PA program designed to engage the students in developmentally appropriate, moderate-vigorous PA and enhance their regard for PA…

The prevalence of obese children has tripled during the past three decades. While lack of physical activity and unhealthy eating have been the primary focus of public health efforts, media has a significant influence on food choices and food consumption. The purpose of this exploratory study was to examine if a media literacy intervention would…

The purpose of the study was to describe the range of relative backpack weights of one group of elementary-aged children and the extent to which they exceeded recommended levels. A second purpose was to explore whether gender and age help predict the relative weight of children's backpacks. Ninety-five 8- to 12-year-old elementary school students…

Purpose/Objectives: This study investigates the effect of meal component changes by the Healthy, Hunger-Free Kids Act of 2010 (HHFKA) on school lunch quality and consumption in elementary school students, grade 2-5 before and after the HHFKA guidelines were implemented in July 2012 using the Healthy Eating Index. Methods: In Spring 2012, before…

Purpose/Objectives: Increasing children's fruit and vegetable (FV) consumption is an important goal for the National School Lunch Program (NSLP). In 2012 the NSLP began requiring students to select a FV. The objective of this study was to compare children's FV choices in two school cafeteria environments a year before these new USDA regulations…

As the number of children affected by obesity increases in the United States, it is necessary to intervene with preventive and intervention techniques that will enact change. Because children spend a significant amount of their time in school, it is of particular interest to target strategies during the school day. Given the recommendations for…

Childhood obesity and its repercussions will be one of the most serious public health challenges of the 21st century. Promoting physical activity and preventing the decline of children's fitness and the increase of childhood obesity, diabetes, and cardiovascular disease therefore need to be a high priority. So far, besides a few large-scale…