Randomised controlled interventions on physical activity, diet or their dual approach to better public health and the links to body mass index in 10–19 years: a systematic review and meta-analysis

Introduction Health behaviour serves as a pivotal domain for the control of current health crises that primarily develop in young people and affect the global population in excess. This study hypothesises that appropriately planned physical activity (PA) intervention for pupils performed in the seco...

Full description

Saved in:
Bibliographic Details
Main Authors: Thomas Rosemann, Gerhard Ruedl, Clemens Drenowatz, Georg Göbel, Derrick R Tanous, Mohamad Motevalli, Joel Craddock, Markus Schauer, Werner Kirschner, Katharina C Wirnitzer
Format: Article
Language:English
Published: BMJ Publishing Group 2025-08-01
Series:BMJ Public Health
Online Access:https://bmjpublichealth.bmj.com/content/3/2/e002181.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849242640375087104
author Thomas Rosemann
Gerhard Ruedl
Clemens Drenowatz
Georg Göbel
Derrick R Tanous
Mohamad Motevalli
Joel Craddock
Markus Schauer
Werner Kirschner
Katharina C Wirnitzer
author_facet Thomas Rosemann
Gerhard Ruedl
Clemens Drenowatz
Georg Göbel
Derrick R Tanous
Mohamad Motevalli
Joel Craddock
Markus Schauer
Werner Kirschner
Katharina C Wirnitzer
author_sort Thomas Rosemann
collection DOAJ
description Introduction Health behaviour serves as a pivotal domain for the control of current health crises that primarily develop in young people and affect the global population in excess. This study hypothesises that appropriately planned physical activity (PA) intervention for pupils performed in the secondary school setting and during compulsory school time results in healthier body weight management.Methods A systematic review and meta-analysis was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a protocol, and a PROSPERO trial registration (CRD4202347770). The intended study population was pupils (aged 10–19) of secondary schools without major nutritional deficiency or unstable health conditions. Data appraisal and summary data extraction were completed by two reviewers, with the main outcome of body mass index (BMI) (kg/m2).Results In total, 5945 articles were identified by the search strategy, with 23 studies and 9441 pupils (including 4654 females and 4787 males) eligible for analysis. PA intervention implemented in the secondary level school setting for at least 8 weeks duration was found to have a random effect size of −0.12 kg/m2 BMI (95% CI: −0.26 to 0.02) as compared with controls, with low statistical heterogeneity (I2=0%; p=0.60).Conclusions PA intervention in secondary schools contributes to healthier body weight management for pupils in the ongoing global health crisis.
format Article
id doaj-art-22e248d14df64a05af2f0afa1bf6c4f3
institution Kabale University
issn 2753-4294
language English
publishDate 2025-08-01
publisher BMJ Publishing Group
record_format Article
series BMJ Public Health
spelling doaj-art-22e248d14df64a05af2f0afa1bf6c4f32025-08-20T03:59:45ZengBMJ Publishing GroupBMJ Public Health2753-42942025-08-013210.1136/bmjph-2024-002181Randomised controlled interventions on physical activity, diet or their dual approach to better public health and the links to body mass index in 10–19 years: a systematic review and meta-analysisThomas Rosemann0Gerhard Ruedl1Clemens Drenowatz2Georg Göbel3Derrick R Tanous4Mohamad Motevalli5Joel Craddock6Markus Schauer7Werner Kirschner8Katharina C Wirnitzer96 Institute of Primary Care, University of Zurich, Zurich, SwitzerlandDepartment of Sport Science, University of Innsbruck, Innsbruck, Austria32 Division of Sport, Physical Activity and Health, University of Education Upper Austria, Linz, Austria5 Institute of Medical Statistics and Informatics, Medical University of Innsbruck, Innsbruck, Austria2 Department of Secondary Education, University College of Teacher Education Tyrol, Innsbruck, Austria1 Department of Sport Science, Leopold Franzens Universität für Innsbruck, Innsbruck, Austria4 Department of Medical Indigenous and Health Sciences, University of Wollongong, Wollongong, New South Wales, Australia1 Department of Sport Science, Leopold Franzens Universität für Innsbruck, Innsbruck, Austria1 Department of Sport Science, Leopold Franzens Universität für Innsbruck, Innsbruck, Austria1 Department of Sport Science, Leopold Franzens Universität für Innsbruck, Innsbruck, AustriaIntroduction Health behaviour serves as a pivotal domain for the control of current health crises that primarily develop in young people and affect the global population in excess. This study hypothesises that appropriately planned physical activity (PA) intervention for pupils performed in the secondary school setting and during compulsory school time results in healthier body weight management.Methods A systematic review and meta-analysis was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a protocol, and a PROSPERO trial registration (CRD4202347770). The intended study population was pupils (aged 10–19) of secondary schools without major nutritional deficiency or unstable health conditions. Data appraisal and summary data extraction were completed by two reviewers, with the main outcome of body mass index (BMI) (kg/m2).Results In total, 5945 articles were identified by the search strategy, with 23 studies and 9441 pupils (including 4654 females and 4787 males) eligible for analysis. PA intervention implemented in the secondary level school setting for at least 8 weeks duration was found to have a random effect size of −0.12 kg/m2 BMI (95% CI: −0.26 to 0.02) as compared with controls, with low statistical heterogeneity (I2=0%; p=0.60).Conclusions PA intervention in secondary schools contributes to healthier body weight management for pupils in the ongoing global health crisis.https://bmjpublichealth.bmj.com/content/3/2/e002181.full
spellingShingle Thomas Rosemann
Gerhard Ruedl
Clemens Drenowatz
Georg Göbel
Derrick R Tanous
Mohamad Motevalli
Joel Craddock
Markus Schauer
Werner Kirschner
Katharina C Wirnitzer
Randomised controlled interventions on physical activity, diet or their dual approach to better public health and the links to body mass index in 10–19 years: a systematic review and meta-analysis
BMJ Public Health
title Randomised controlled interventions on physical activity, diet or their dual approach to better public health and the links to body mass index in 10–19 years: a systematic review and meta-analysis
title_full Randomised controlled interventions on physical activity, diet or their dual approach to better public health and the links to body mass index in 10–19 years: a systematic review and meta-analysis
title_fullStr Randomised controlled interventions on physical activity, diet or their dual approach to better public health and the links to body mass index in 10–19 years: a systematic review and meta-analysis
title_full_unstemmed Randomised controlled interventions on physical activity, diet or their dual approach to better public health and the links to body mass index in 10–19 years: a systematic review and meta-analysis
title_short Randomised controlled interventions on physical activity, diet or their dual approach to better public health and the links to body mass index in 10–19 years: a systematic review and meta-analysis
title_sort randomised controlled interventions on physical activity diet or their dual approach to better public health and the links to body mass index in 10 19 years a systematic review and meta analysis
url https://bmjpublichealth.bmj.com/content/3/2/e002181.full
work_keys_str_mv AT thomasrosemann randomisedcontrolledinterventionsonphysicalactivitydietortheirdualapproachtobetterpublichealthandthelinkstobodymassindexin1019yearsasystematicreviewandmetaanalysis
AT gerhardruedl randomisedcontrolledinterventionsonphysicalactivitydietortheirdualapproachtobetterpublichealthandthelinkstobodymassindexin1019yearsasystematicreviewandmetaanalysis
AT clemensdrenowatz randomisedcontrolledinterventionsonphysicalactivitydietortheirdualapproachtobetterpublichealthandthelinkstobodymassindexin1019yearsasystematicreviewandmetaanalysis
AT georggobel randomisedcontrolledinterventionsonphysicalactivitydietortheirdualapproachtobetterpublichealthandthelinkstobodymassindexin1019yearsasystematicreviewandmetaanalysis
AT derrickrtanous randomisedcontrolledinterventionsonphysicalactivitydietortheirdualapproachtobetterpublichealthandthelinkstobodymassindexin1019yearsasystematicreviewandmetaanalysis
AT mohamadmotevalli randomisedcontrolledinterventionsonphysicalactivitydietortheirdualapproachtobetterpublichealthandthelinkstobodymassindexin1019yearsasystematicreviewandmetaanalysis
AT joelcraddock randomisedcontrolledinterventionsonphysicalactivitydietortheirdualapproachtobetterpublichealthandthelinkstobodymassindexin1019yearsasystematicreviewandmetaanalysis
AT markusschauer randomisedcontrolledinterventionsonphysicalactivitydietortheirdualapproachtobetterpublichealthandthelinkstobodymassindexin1019yearsasystematicreviewandmetaanalysis
AT wernerkirschner randomisedcontrolledinterventionsonphysicalactivitydietortheirdualapproachtobetterpublichealthandthelinkstobodymassindexin1019yearsasystematicreviewandmetaanalysis
AT katharinacwirnitzer randomisedcontrolledinterventionsonphysicalactivitydietortheirdualapproachtobetterpublichealthandthelinkstobodymassindexin1019yearsasystematicreviewandmetaanalysis