Adolescents’ perspectives on a school-based physical activity intervention: A mixed method study

PurposeTo examine adolescent experiences and perspectives of the GoActive intervention (ISRCTN31583496) using mixed methods process evaluation to determine satisfaction with intervention components and interpret adolescents’ experiences of the intervention process in order to provide insights for future intervention design.MethodsParticipants (n = 1542; 13.2 ± 0.4 years, mean ± SD) provided questionnaire data at baseline (shyness, activity level) and post-intervention (intervention acceptability, satisfaction with components). Between-group differences (boys vs. girls and shy/inactive vs. others) were tested with linear regression models, accounting for school clustering. Data from 16 individual interviews (shy/inactive) and 11 focus groups with 48 participants (mean = 4; range 2–7) were thematically coded. Qualitative and quantitative data were merged in an integrative mixed methods convergence matrix, which denoted convergence and dissonance across datasets.ResultsEffect sizes for quantitative results were small and may not represent substantial between-group differences. Boys (vs. girls) preferred class-based sessions (β = 0.2, 95% confidence interval (CI): 0.1–0.3); qualitative data suggested that this was because boys preferred competition, which was supported quantitatively (β = 0.2, 95%CI: 0.1–0.3). Shy/inactive students did not enjoy the competition (β = –0.3, 95%CI: –0.5 to –0.1). Boys enjoyed trying new activities more (β = 0.1, 95%CI: 0.1–0.2); qualitative data indicated a desire to try new activities across all subgroups but identified barriers to choosing unfamiliar activities with self-imposed choice restriction leading to boredom. Qualitative data highlighted critique of mentorship; adolescents liked the idea, but older mentors did not meet expectations.ConclusionWe interpreted adolescent perspectives of intervention components and implementation to provide insights into future complex interventions aimed at increasing young people's physical activity in school-based settings. The intervention component mentorship was liked in principle, but implementation issues undesirably impacted satisfaction; competition was disliked by girls and shy/inactive students. The results highlight the importance of considering gender differences in preference of competition and extensive mentorship training.     

A systematic review of school-based physical activity interventions on children’s wellbeing

Purpose: The aim of this study was to review the effect of school-based physical activity interventions on children’s wellbeing.

Method: A systematic search of school-based physical activity studies was conducted using EBSCOhost PsycInfo, EBSCOhost Medline and Web of Science. Initially 995 studies were retrieved and, following the removal of duplicates, the titles and abstracts of 984 studies were screened. This screening identified 53 relevant studies from which 42 were excluded, resulting in 11 articles being reviewed.

Results: Three studies reported a positive increase in wellbeing; however, only one of those studies also significantly increased physical activity. It was apparent that the measurement of wellbeing and physical activity was inconsistent across studies, making conclusions difficult to draw. The wellbeing measures used neglected to account for the children’s perspectives of wellbeing.

Conclusions: The effect of a physical activity intervention on increasing wellbeing appears to be more complex than originally believed. The complexity may in part be due to methodological issues and the choice of wellbeing and physical activity measurement. We recommend that future physical activity interventions include a measure of wellbeing developed from the child’s perspective, and that future reviews narrow the search to only interventions that have had success at increasing physical activity before exploring effects on wellbeing.     

Comparing effects of a TPSR training program on prospective physical education teachers’ social goals,discipline and autonomy strategies in Spain,Chile and Costa Rica

Background: Conflict prevention, respect, tolerance and acceptance of others should be basic outcomes in any educational context. Physical Education (PE) has the potential to be one of the curricular subjects that could help students meet these goals. However, teachers need to use appropriate instructional approaches like Teaching for Personal and Social Responsibility (TPSR).

Purpose: The objectives of this study were two: (1) to compare the impact of TPSR training on social goals, discipline strategies and autonomy support of future PE teachers from Spain, Chile and Costa Rica; and (2) to assess participants’ perceptions of their country's social, cultural and curricular aspects that may influence TPSR implementation.

Participants and settings: 156 prospective PE teachers (48 from Spain, 54 from Chile and 54 from Costa Rica), with an average age of 21.41?±?2.57 years, agreed to participate. 88 (54%) were males, while 75 (46%) were female. They were enrolled in teacher training programs in three different universities located in three different countries: (i) Faculty of Education of the University of Burgos (Spain); (ii) Nursery School of the University of Valparaiso (Chile) and (iii) School of Physical Education and Sports of San José (Costa Rica). All students experienced the same TPSR intervention program, conducted by the same university teacher.

Research design: This study followed a quasi-experimental, pre-test/post-test non-equivalent research design with mixed methods.

Data collection: Three validated questionnaires were used to obtain quantitative information from the participants before and after the training program. Qualitative information was obtained from three discussion groups conducted with the participating students (one from each country).

Data analysis: Statistical analysis of quantitative data was conducted with the statistical package SPSS (version 22.0), while content analysis and constant comparison were used to assess qualitative data.

Findings: The prospective PE teachers from the three countries held different views of the effects of the TPSR program on social goals, discipline strategies and autonomy support, and they were based on socio-cultural considerations of the subject (PE), the teachers’ academic training and their professional identity as teachers on each country. Spanish and Costa Rican PE teachers demonstrated a significant positive change in their perspectives on discipline strategies, and Chilean PE teachers demonstrated a significant positive change in their perception of social goals after experiencing a TPSR intervention.

Conclusion: If cultural context is considered, TPSR can be an effective teacher training approach related to discipline strategies, social goals and autonomy support in PE.     

Impact of a pedometer-based goal-setting intervention on children’s motivation,motor competence,and physical activity in physical education

Background: School physical education (PE) programs provide a prime environment for interventions that attempt to develop school-aged children’s motor competence and overall physical fitness, while also stimulating competence motivation to engage in physical activity during childhood. It is generally recognized that a pedometer-based intervention strategy combined with a goal-setting strategy may be effective in increasing physical activity participation among school-aged children. The purpose of this study was to evaluate the impact of an 8-week pedometer-based goal-setting intervention on children’s motivation in PE, motor competence, and physical activity.

Methods: A pretest–posttest comparison group design was used with the 8-week intervention (3 days/week for 24 sessions). Participants were 273 (boys?=?136, girls?=?137) students recruited from 3 elementary schools in the US. Classes in each school were randomly allocated to three experimental conditions: (1) an intervention group with a personalized pedometer weekly target to reach in their PE class (N?=?110), (2) an intervention group with the fixed pedometer target range to reach in each PE class based on the recommended criteria (N?=?90), or (3) a control group without intervention (N?=?73).

Analysis/results: The factorial repeated measures MANOVA indicated significant multivariate effects for the group [F(6, 528)?=?12.954, p?Post hoc analyzes showed that both experimental groups had significantly higher expectancy-value beliefs, motor competence, and physical activity compared to the control group (p?Conclusions: Health practitioners should be aware that goal-directed action can contribute to school students’ PE-related achievement motivation, motor competence, and achieving the recommended 60?min of moderate-to-vigorous physical activity.     

The impact of social influence on physical activity among adolescents – a longitudinal study

Abstract

Objectives: The purpose of the current study was to examine the impact of social support and negative social influence from various contexts on adolescents' current and intended physical activity (C&IPA) two years later. In addition, social influence related to C&IPA at baseline (16–17 years old) is compared to follow-up (18–19 years old). Methods: Questionnaire data was obtained from 404 students at the age of 16–17 and again at the age of 18–19. Relationships among variables were examined with structural equation modelling (SEM). Results: Social influence experienced by high-school students at 16–17 years of age had a direct suppressing effect and an indirect positive effect on their C&IPA two years later. Social support for physical activity was more complex and related to positive as well as negative relations at the age of 16–17 compared to two years later. Conclusions: The results imply that social support to adolescents should be offered over a longer period of time, with increased focus on its significance as a link from an initially external regulation to a more internal regulation of physical activity as students get older. Closer examination of maintaining, pro-activating and intervening effects of social support could enhance our understanding of direct and indirect effects of social support on physical activity.     

Experiencing risk,surveillance, and prosumption: health and physical education students’ perceptions of digitised health and physical activity data

ABSTRACT

Digital technologies are now considered important in shaping young people's engagement in and with health and physical activity. Recent discussions show that the use of digital technologies to track health and fitness may over-emphasize the linear understanding of the body and health generally underpinned by Western health ideologies such as healthism. Other studies have shown the increased use of digital technologies in teaching Health and Physical Education (HPE) and as a means to enhance health and increase physical activity. Despite the opportunities and risks apparent in these studies, little is known about how HPE students make choices, negotiate, and resist or embrace the digitalisation of physical activity, exercise, and more broadly health. This study examines HPE students’ meaning making of risk and surveillance associated with the self-digitisation of exercise. The study further investigates how the concept of ‘prosumption’; the production, curation and consumption of self-data within the context of digitised health and physical activity, is understood. Based on the findings, we have constructed a typology of prosumers that can be used as a pedagogical device to illustrate the various kinds of subject positions students take up with digital technology in health and physical activity. This study extends the current understanding of prosumers by identifying the ‘ambivalent prosumer’. The results provide insights that have direct pedagogical implications in HPE teacher education specifically in the areas of knowledge production and consumption of knowledge through digital technology in health and physical activity.     

Tourists’ motivations for practicing physical activity: a home-holiday comparison

The aim of the study is to examine motivations for practicing physical activity on holiday. In particular, the objective is to compare home habits to holiday experiences and identify differences and commonalities in individuals’ attitude towards physical activity. The methodological approach is to conduct a survey among tourists during a holiday stay by employing a self-administered questionnaire. Findings identify three motivational factors (Decompress, Performance and Shape) and a cluster analysis reveals the coexistence of four different profiles of physical activity performers (Shapers, All-around Pursuers, Sport Performers and Decompress Seekers). Results show diffuse distinctiveness of motivations for practicing physical activity on holiday compared to the motivations for practicing it at home. Specifically, Decompress motives increase and Shape motives decrease. The study contributes to deepen the knowledge on consumer behaviour in leisure and holiday and provides useful insights to destination managers and policy-maker to address the sport tourism market.     

Exploring the impact of high intensity interval training on adolescents’ objectively measured physical activity: Findings from a randomized controlled trial

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.     

‘I could do with a pair of wings’: perspectives on physical activity,bodies and health from young Australian children

There is little research that reports children's perspectives on physical activity, bodies and health. This paper, drawn from a larger multi-method study on physical activity in the lives of seven- and eight-year-old Australian children, attempts to ‘give a voice’ to 13 children's views. Interviews focused on children's activity preferences and related decision making and motivations pertaining to these activities, as well as how they thought about the relationships between physical activity, health and their bodies. Data suggest some tensions surrounding the importance of fun for children alongside their awareness of ‘healthist’ discourses that require self-monitoring and improvement.     

Can a teacher-led RCT improve adolescent girls’ physical self-perception and perceived motor competence?

Perceived and actual motor competence (MC) influence physical activity (PA) behaviour. Notably, both are lower in girls than in boys. This study aimed to investigate (i) whether a 12-week, teacher-led intervention that improves actual MC (Lander, N., Morgan, P. J., Salmon, J., & Barnett, L. M. (2017). Improving early-adolescent girls’ motor skill: A cluster randomized controlled trial. Medicine and Science in Sports and Exercise. 49(12), 2498–2505) could also improve adolescent girls’ physical self-perception and perceived MC, and (ii) whether change in actual MC is associated with post-intervention perceptions A randomized controlled trial with 171 girls (mean age 12.48 ± 0.34 years), measured perception (i.e., physical self-perception profile (PSPP) and pictorial scale of perceived movement skill competence (PMSC)) and actual MC (i.e., Victorian FMS Teachers’ Assessment Manual). Mixed models with post-intervention perception as the outcome, adjusting for baseline perception, group, and change in actual MC, as well as clustering, were performed. An interaction term between change in MC and intervention status was included to test the secondary aim. There were significant intervention effects on girls’ physical self-perception as well as their perceived MC. However, there was no association between change in actual MC across the intervention and post intervention perception. While the intervention improved both actual MC and perceived MC, they were not associated.     

Young people’s knowledge and understanding of health,fitness and physical activity: issues,divides and dilemmas

Critical discourse analysis was used to explore and discuss data on young people’s knowledge and understanding of health, fitness and physical activity, selected from a wider study which focused on the role of secondary schools in effectively promoting physical activity. A mixed methods approach was utilised, involving an online survey to teachers in all state secondary schools in the UK (n?=?603 responding schools) and case studies centred on eight randomly selected state secondary schools from nine Government regions across England. Within each case study school, teacher interviews and pupil focus groups were conducted involving 17 teachers and 132 children aged 12–15 years, respectively. The healthism discourse was evident in the way young people talked about health, fitness and physical activity and two key themes emerged, these being: (i) issues with young people’s knowledge and understanding of health, fitness and physical activity in the form of reductive, limited and limiting conceptions; conceptual confusion; a preoccupation with appearance, weight, fat, shape and size; limited progression in learning; and complexities in understandings; and (ii) divides between young people’s health knowledge and health behaviour, and dilemmas underpinning these divides. Improved understanding of issues with young people’s knowledge and understanding of health, fitness and physical activity and of divides and dilemmas regarding associated behaviours should assist in developing critical pedagogies which challenge the dominance and stability of the healthism discourse and more effectively promote healthy, active lifestyles amongst young people.     

Early childhood teachers’ views about teaching physical education: challenges and recommendations

Background: Educational scholars emphasize that in order to gain a better understanding of the complexity of teaching, greater attention needs to be paid to teachers’ views and perceptions of the challenges and barriers of teaching.

Purpose: The purpose of this study was to describe preschool teachers’ views and perceptions of the main challenges of teaching physical education. The major question addressed was: what are the main challenges that preschool teachers face in teaching physical education, and based on their experiences what suggestions do the preschool teachers make in reference to early childhood physical education?

Data collection and analysis: Four experienced early childhood educators from Cyprus volunteered to participate in this study. Data were collected through formal interviews and were analyzed inductively via individual-case and cross-case analysis.

Findings: The findings suggest that the four early childhood teachers believed that the main aim of physical education, in the early years, is to provide children with opportunities to develop their psychomotor, cognitive, and social skills. Although the participants consider physical education to be an important subject in the school curriculum, they admitted that it has been undermined to a great extent and is viewed as a marginal subject. Findings from the study suggest that the four early childhood educators faced common barriers, deficiencies, and constraints, relative to the teaching resources. Finally, the participants called for meaningful professional development programs. Implications of these findings for educators are discussed.     

Mapping physical education teachers’ professional learning and impacts on pupil learning in a community of practice in South Korea

Background: A new national physical education (PE) curriculum has been developed in South Korea and PE teachers have been challenged to deliver new transferable educational outcomes in character development through PE. In one geographical area, in order to support teachers to make required changes, a Communities of Practice (CoP) approach to continuing professional development (CPD) was adopted. Rather than being based in a single-school, this CoP brought PE teachers together from a number of schools with the aim of sharing learning and impacting on pedagogies, practices and pupils’ learning in character development through PE.

Aims: To map and analyse the ways in which teachers (i) learnt about character education in a CoP, (ii) used this learning to inform their pedagogies and practices, and (iii) impacted on pupil learning in and beyond PE.

Method: The participants were a university professor, 8 secondary school PE teachers from 8 different schools and 41 pupils. Data collection was undertaken in two phases in Autumn 2014 and Spring 2015. In-depth qualitative data were collected in the CoP and the teachers’ schools using individual interviews, focus groups with pupils, observations of lessons, open-ended questionnaires and document analysis. Data were analysed using a constructivist revision of grounded theory.

Findings: There was clear evidence of teacher learning in the CoP and changes to their pedagogies and indirect teaching behaviours (ITBs). Pupils were also able to identify the new intended learning about character development at both cognitive and behavioural levels, although there was little evidence of understanding about or intention to transfer this learning beyond PE (which was the original aim of the Government’s character education initiative). Barriers to teacher and pupil learning are also discussed.

Conclusion: Teachers’ professional learning in the CoP impacted on the development of both teachers’ pedagogies and ITBs which then influenced pupils’ learning, however, linking teachers’ professional learning to pupils’ learning remains challenging. This study has added further insights into the complexity of the processes linking policy, teachers’ learning and pupils’ learning outcomes. While it was possible to trace clear pathways from the CoP to teachers’ learning, and in some cases to pupils’ learning, it was also apparent that a wide range of factors intervened to influence the learning outcomes.     

Effects of a remote,YouTube-delivered exercise intervention on young adults’physical activity,sedentary behavior,and sleep during the COVID-19 pandemic:Randomized controlled trial

Background:Public health guidelines have called for innovative and flexible physical activity(PA)intervention strategies to promote PA and health amid the coronavirus disease 2019(COVID-19)pandemic.Therefore,this study’s purpose was to examine the effects of a home-based,YouTube-delivered PA intervention grounded in self-determination theory on young adults’free-living PA,sedentary behavior,and sleep quality(NCT04499547).Methods:Sixty-four young adults(48 females;age=22.8±3.4 years,mean±SD;body mass index=23.1±2.6 kg/m²)were randomized(1:1)into the intervention group,which received weekly aerobic and muscle-strengthening PA videos,or control group,which received weekly general health education videos,for 12 weeks.Our primary outcome was free-living moderate-to-vigorous PA(MVPA)and our secondary outcomes were sedentary behavior,light PA,and sleep quality(measured using ActiGraph accelerometers)along with muscle-strengthening PA frequency,self-determination theory-related motivation(non-regulation,external regulation,introjected regulation,identified regulation,integrated regulation,and intrinsic regulation),and perceived PA barriers(assessed using validated questionnaires).Repeated measures analysis of variances(ANOVAs)examined between-group differences at an adjusted significance level of 0.004 and effect sizes as partial eta-squared(η;).Results:We observed statistically significant interaction effects for MVPA,sleep efficiency,muscle-strengthening PA frequency,non-regulation,integrated regulation,intrinsic regulation,and perceived PA barriers(F(1,62)=10.75-77.67,p<0.001-0.002,η_p²=0.15-0.56)with all outcomes favoring the intervention group.We observed no statistically significant differences in either group for sedentary behavior,light PA,sleep duration,or external,introjected,and identified regulations after 12 weeks(F(1,62)=1.11-3.64,p=0.06-0.61).Conclusion:With national COVID-19 restrictions still in place and uncertainty regarding post-pandemic PA environments and behaviors,a remote,YouTube-delivered PA intervention may help foster clinically meaningful improvements in young adults’free-living MVPA,musclestrengthening PA frequency,sleep efficiency,PA-related intrinsic motivation,and perceived PA barriers.     

The relationship between adolescents’ physical activity,fundamental movement skills and weight status

The aim of this study was to determine if a potential relationship among physical activity (PA), fundamental movement skills and weight status exists amongst early adolescent youth. Participants were a sample of 85 students; 54 boys (mean age = 12.94 ± 0.33 years) and 31 girls (mean age = 12.75 ± 0.43 years). Data gathered during physical education class included PA (accelerometry), fundamental movement skills and anthropometric measurements. Standard multiple regression revealed that PA and total fundamental movement skill proficiency scores explained 16.5% (P < 0.001) of the variance in the prediction of body mass index. Chi-square tests for independence further indicated that compared with overweight or obese adolescents, a significantly higher proportion of adolescents classified as normal weight achieved mastery/near-mastery in fundamental movement skills. Results from the current investigation indicate that weight status is an important correlate of fundamental movement skill proficiency during adolescence. Aligned with most recent research, school- and community-based programmes that include developmentally structured learning experiences delivered by specialists can significantly improve fundamental movement skill proficiency in youth.     

The relationship between physical activity,fitness, physical complaints and BMI in German adults – results of a longitudinal study

Objectives: This study’s aims were to describe the development of physical activity, physical fitness (PF), subjective (physical complaints (PC)) and objective (Body mass index (BMI)) health measures and to examine the relationship between the development trajectories. In addition, the study also aimed to assess the influence of sociodemographic determinants (age, sex, socioeconomic status (SES)) in German adults over a period of 18 years. Methods: The longitudinal study population comprises of 721 men and women, aged 33–76 years over the study period. There was self-report of physical activity and PC and testing of physical fitness and BMI in each study year (1992, 1997, 2002 and 2010). Latent growth curve models were used to analyse the development. Results: Physical activity slightly increased while fitness, PC and BMI worsened over the course of 18 years. Sex, age and SES play important roles concerning physical activity, fitness and health. Several integrative associations could be detected between physical activity, fitness, PC and BMI as well as their trajectories. In particular, high initial levels of physical activity and fitness protect from high PC and BMI.The slope of physical activity was not significantly associated with slopes of fitness, PC and BMI. However, increase of fitness resulted in decrease of PC. Conclusions: A general positive development regarding the amount of physical activity could be detected. However, if it is only an unsystematic increase of physical activity, this is not in itself enough to achieve health benefits. The strengthening of fitness should be focused when increasing physical activity, since only then a health benefit is possible.     

Program providers’ perspective: Recruitment and retention strategies for women in physical activity programs

This paper examined the perceptions from eight program providers in Victoria, Australia regarding the recruitment and retention of women in physical activity programs. Eight case studies were conducted. Each involved an in-depth interview with a provider of a successful physical activity program for women. Inductive content analysis generated common themes related to key aspects that enable the recruitment or retention of women. Three core themes were identified, namely creating an environment for women to exercise; facilitating involvement; and promoting the program to the community. In this study, we applied the social-ecological model to determine the levels of influence and the opportunities in the core themes to further enable the recruitment and retention of women in physical activity programs. A key conclusion was that links with several related community organisations leads to both the successful recruitment and the enhanced retention of women in physical activity programs.     

Measuring the perception of the teachers’ autonomy-supportive behavior in physical education: Development and initial validation of a multi-dimensional instrument

This research aimed to develop and validate an instrument to assess the students’ perceptions of the teachers’ autonomy-supportive behavior by the multi-dimensional scale (Multi-Dimensional Perceived Autonomy Support Scale for Physical Education). The participants were 1,476 students aged 12- to 15-years-old. In Study 1, a pool of 37 items was generated based on past literature and feedback from students and academic experts. In Study 2, the factorial structure of the questionnaire was tested using exploratory and confirmatory factor analysis. The confirmatory factor analysis yielded a final 15-item three-factor solution of the Multi-Dimensional Perceived Autonomy Support Scale for Physical Education, covering organizational, procedural, and cognitive dimensions of perceived autonomy support. In Study 3, the incremental validity of the Multi-Dimensional Perceived Autonomy Support Scale for Physical Education was supported. The results provided initial evidence for the reliability and validity of the Multi-Dimensional Perceived Autonomy Support Scale for Physical Education, as well as its invariance across gender and age. Suggestions for the use of the scale and further research are discussed.     

A cross-sectional and prospective analyse of reallocating sedentary time to physical activity on children’s cardiorespiratory fitness

Cardiorespiratory fitness (CRF) is associated with health benefits in children, improving cardiac morphology, cardiovascular disease risk factors, and biological outcomes. This study aimed to examine the substitution effects of displaying a fixed duration of sedentary time with a fixed duration of physical activity (PA) at different intensities on children’s CRF. A total of 315 children (136 boys) were assessed (age: 10.6 ± 0.6 years old). Outcomes at baseline and follow-up (16-months) were CRF determined using a maximal cycle test and sedentary time and PA measured with accelerometers. Data were analysed by isotemporal substitution analyses estimating the effect of reallocating 30 min/day of sedentary time by light (LPA), moderate (MPA) and vigorous physical activity (VPA) on CRF. VPA was positively and significantly associated with CRF cross-sectional (β = 0.026, p < 0.001) and prospectively (β = 0.010, p < 0.001). Reallocating 30 min/day of sedentary time into VPA was positively cross-sectionally (β = 0.780, p < 0.001) and prospectively (β = 0.303, p < 0.05) associated with CRF. Conversely, relocating 30-minutes of sedentary time into 30 minutes of LPA and MPA was not associated with CRF. These results suggest that reallocating an equal amount of time from sedentary into VPA is cross-sectional and prospectively associated with a favourable CRF.