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Intervention Effects of the Health Promotion Programme “Join the Healthy Boat” on Objectively Assessed Sedentary Time in Primary School Children in Germany

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  • Susanne Kobel

    (Division of Sports and Rehabilitation Medicine, Ulm University Hospital, 89075 Ulm, Germany)

  • Jens Dreyhaupt

    (Institute for Epidemiology and Medical Biometry, Ulm University, 89075 Ulm, Germany)

  • Olivia Wartha

    (Division of Sports and Rehabilitation Medicine, Ulm University Hospital, 89075 Ulm, Germany)

  • Sarah Kettner

    (Division of Sports and Rehabilitation Medicine, Ulm University Hospital, 89075 Ulm, Germany)

  • Belinda Hoffmann

    (Division of Sports and Rehabilitation Medicine, Ulm University Hospital, 89075 Ulm, Germany)

  • Jürgen M. Steinacker

    (Division of Sports and Rehabilitation Medicine, Ulm University Hospital, 89075 Ulm, Germany)

Abstract

Sedentary behaviour (SB) in children is related to negative health consequences that can track into adulthood. The programme “Join the Healthy Boat” promotes reduced screen time and a less sedentary lifestyle in schoolchildren. This study investigated the effects of the programme on children’s SB. For one year, teachers delivered the programme. A total of 231 children (7.0 ± 0.6 years) participated in the cluster-randomised study; there were 154 one year later at follow-up. Children’s SB was assessed using multi-sensor accelerometery, screen time via parental questionnaire. Effects were analysed using (linear) mixed effects regression models. At baseline, children spent 211 (±89) min daily in SB, at follow-up 259 (±109) min/day with no significant difference between the intervention (IG) and control group (CG). SB was higher during weekends ( p < 0.01, for CG and IG). However, at follow-up, daily screen time decreased in IG (screen time of >1 h/day: baseline: 33.3% vs. 27.4%; follow-up: 41.2% vs. 27.5%, for CG and IG, respectively). This multi-dimensional, low-threshold intervention for one year does not seem to achieve a significant reduction in children’s SB, although screen time decreased in IG. Therefore, it should be considered that screen time cannot be the key contributor to SB and should not solely be used for changing children’s SB. However, if screen time is targeted, interventions should promote the replacement of screen time with active alternatives.

Suggested Citation

  • Susanne Kobel & Jens Dreyhaupt & Olivia Wartha & Sarah Kettner & Belinda Hoffmann & Jürgen M. Steinacker, 2020. "Intervention Effects of the Health Promotion Programme “Join the Healthy Boat” on Objectively Assessed Sedentary Time in Primary School Children in Germany," IJERPH, MDPI, vol. 17(23), pages 1-14, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:9029-:d:455875
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    References listed on IDEAS

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    1. Alessandra Panico & Tiziana Grassi & Francesco Bagordo & Adele Idolo & Francesca Serio & Maria Rosaria Tumolo & Mattia De Giorgi & Marcello Guido & Maria Tutino & Antonella De Donno, 2020. "Micronucleus Frequency in Exfoliated Buccal Cells of Children Living in an Industrialized Area of Apulia (Italy)," IJERPH, MDPI, vol. 17(4), pages 1-18, February.
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    Cited by:

    1. David Pérez-Jorge & María Alejandra González-Luis & María del Carmen Rodríguez-Jiménez & Eva Ariño-Mateo, 2021. "Educational Programs for the Promotion of Health at School: A Systematic Review," IJERPH, MDPI, vol. 18(20), pages 1-14, October.
    2. Nida Mugler & Hansjörg Baurecht & Kevin Lam & Michael Leitzmann & Carmen Jochem, 2022. "The Effectiveness of Interventions to Reduce Sedentary Time in Different Target Groups and Settings in Germany: Systematic Review, Meta-Analysis and Recommendations on Interventions," IJERPH, MDPI, vol. 19(16), pages 1-21, August.

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