Jonathan Haslam has produced an article this week asking the question of whether "Can schools be expected to solve the obesity crisis?” Haslam is the Director of the Institute for Effective Education. The IEE is an independent charity promoting the use of evidence in education policy and decision making so it stands to reason that Haslam is well placed to ask the question. Haslam cites the following recently published studies;
A randomised controlled trial of the West Midlands Active Lifestyle and Healthy Eating in School Children (WAVES) intervention.
The trial included 1500 five and six year olds from 54 primary schools and lasted 12 months.
The trial included;
- Increasing moderate to vigorous physical exercise (MVPA) on each school day.
- cooking workshops, when parents were invited to participate.
- a six-week programme to encourage healthy eating and increase physical vitality, delivered by the local professional football club
- Information sheets supporting children and their families to be active over the summer.
Children’s vital obesity stats were tracked at the start of the trial and then again after 15 and 30 months. The results were compared to a control group. The mean difference was completely negligible meaning these interventions were of no use and ultimately unsuccessful.
Now Haslam makes the sound point that primary school children may not have been the appropriate focus group and become less active as they become older so he proposes the test should perhaps have been undertaken with secondary school children.
One study found that exercising after study may help you remember.
The other cited study analyses the impacts of Girls Active a programme developed by the Youth Sport Trust that supplied a framework to schools reviewing their Physical Education offerings to ensure they are relevant to and interesting to adolescent girls focussing on 11-14 year olds.
Twenty secondary schools participated however only ten of which actually received the intervention and the other ten acted as a control. The success of the scheme was primarily measured in MVPA recorded on wrist based accelerometers. Then levels of activity, sedentary time, body mass and psychosocial measures were also recorded. The result of this scheme was successful in larger schools but contrarily smaller schools actually recorded a decrease in MVPA. Haslam noted smaller schools might be distracted by the schemes so much that benefit is lost.
Both of the studies resulted in negative results and Haslam speculates that from this we should perhaps determine that the onus shouldn’t be on the schools to address the obesity crisis. Given the limited resources of schools making the right choice is of course essential however when Haslam uses the above referenced studies to remind schools that investment in addressing positive change toward pupil health and physical literacy might result in no improvement this writer believes his point to be overly conclusive based on limited data and don’t discount the benefit of school wide health improvements.
So what do I mean? Well the first study was of only 1500 children. These kids were five to six year olds. Primary schools admit children from the ages of five through to eleven. The studied group were only just beginning their scholastic journey. Now health officials say nearly four in ten children leaving primary school will be overweight or obese by 2024.
The proportion of children aged ten and eleven who are an unhealthy weight when they leave primary school is predicted to rise by 11 per cent within five years, from 34.3 per cent to 38.1 per cent.
The focus group in this study was not of the older primary school who over time in the school environment have lessened their activity levels, adopted screen time as their favourite past times and decided they are too cool for sport.
In reality older primary school children should see benefit if they have five or six years of adopting good habits driven into them by an established proactive methodology to counteract childhood obesity from the moment they enter the school system.
The second study focused on only ten secondary schools in one region of the country. Within this isolated group the targets were made to focus exclusively on girls of a two year age range. Once again incredibly specific and the range of results from positive to negative almost discount each other making the resulting take-away's diluted at best.
Citing studies of small focus groups and less ‘at-risk’ demographics which then show considerably poor results is unsurprising and not indicative of the potential for physical health improving schemes implemented across the primary and secondary school age ranges establishing a culture of positive health which can have long term positive effects on attitudes to exercise and healthy eating.
Our recent articles demonstrate how schools can have a significant impact on pupil health if they open their facilities up to the communities they serve and modify their in house physical literacy curriculum's and lunch time menus.
In short, this writer believes small isolated trials can often fail but the theory is sound that small healthy changes can add up to big results and long term studies of school wide schemes need to be undertaken to establish how successful en-mass change can be to lowering the childhood obesity problem.
This writer believes we must implement school wide change to see real results to the next generation’s attitude towards personal health, well-being and sedentary behaviour. Our children’s potential lifespans are expected to be 5 years shorter than our own, so obviously real change is required urgently.
One such way to accomplish this is the implementation of standing desks in every classroom. Some schools is the US have gone entirely standing and whilst this may be far off into the future for UK schools hundreds of schools are adopting flexible seating such as our own Eiger student standing desks into their learning spaces and the anecdotal positive physical and mental health benefits being reported are significant.
One study of standing desk classrooms discovered a reduced BMI of 5.24% after just 12 months. Meanwhile standing students are 16% more likely to engage in class as they are more focused and remain on task longer.
Implementing physical literacy with standing desks, BBC super Movers, The Daily Mile and school running clubs such as marathon kids demonstrate an adoption of the school wide method. No one service, scheme or product is a silver bullet but used together in a school wide change will allow you to adapt and mould the next generation’s attitude towards movement and health to divert the course we are currently on.
With genuine effort to effect change we can give the kids their 5 years back and get their faces out of screens and into the fresh air so they become habitually active. Active kids are statistically more likely to become active adults and suffer less disease and ill health.
Only time will tell if we do enough but small changes stack up and doing nothing because sometimes health schemes don’t measure well isn’t going to contribute to the greater good.
Combine your efforts with your pupils, with parents, with your different departments and your local businesses to show your community you are a health positive school by adopting some health-centric ideals. If you want to talk to us about how we can help then get in touch for a try before you buy trial or just to talk through how our desks can work with your existing programs for health.
This week UK media have been reporting on the increasingly visible issue of childhood obesity. Leading figures in sport state “Today’s children are the least active generation ever,” and say that school sport facilities should be kept open all summer, to allow people to access them for sports clubs and activities so they stay active during the summer holidays.
The proposals are designed to re-establish the holidays as a time to get active instead of peak dormancy time when UK kids aren’t getting any exercise.
News reports such as this [and this] shine a light on recent lobbying from fitness leaders to encourage our government to implement real and measurable changes in order to provide more opportunity for sport for our young people.
Nearly 40 percent of all sports facilities sit behind closed gates in schools for the extensive summer holiday period. During this time children become even more inactive and undo about 80% of fitness gains they develop during term time. According to a recent Sport England Survey cited to the government now only 17.5% of children meet the daily recommended exercise quota of 1hr a day and one in five UK school kids are overweight by the time they commence primary school.
The fitness leader group called upon the government to keep the facilities open and have laid out a plan that would need very little funding to implement. (Presumably staffing and maintenance costs only?) as the equipment and playing fields are all there ready to use. The coalition said that for just £7 per child a day 1.2 million school children could benefit.
Healthy active children are statistically more likely to grow up into active healthier adults so the proposals would reduce some of the prophesised future burden on the NHS from the next generation of screen addicted inactive kids and save lives by reducing obesity related disease and mortality rates.
The group’s leader Baroness Grey-Thompson said “It is time for the Government to show its commitment to the next generation by unlocking the school sports facilities lying unused on the doorstep of every neighbourhood.
“We urge the next Prime Minister and Chancellor to support schools to have a powerful impact on the health and wellbeing of children, young people and their families by opening over the summer holidays and engaging families in local, affordable and healthy activity opportunities.
“This is an unmissable opportunity to reshape the summer holiday period, and realise the ambitions of many existing policies aiming to improve child health by encouraging physical activity, tackle childhood obesity and reduce loneliness through improved social cohesion.”
Recent surveys have shown that 30 percent of kids are doing less than 30 mins exercise a day meanwhile ministers have announced a long awaited and seemingly limited action plan to get children doing an hour of exercise a day. The plan does suggest that the government are going to be pressing schools and sports groups to work together to share facilities and keep sport available during evening’s, weekends and holidays.
So are the government going to do what is being asked of them? The language is (as usual) deeply ambiguous. The government has laid plans and come up with a name for the plans but it is doubtful we will see the plans fully realised whilst the money being committed to implement change is considerably minimal.
The proposed “School Sport and Activity Action Plan” met a lukewarm response from the sports sector and came under criticism for being a rehash of the School Sports Partnership which was introduced under the previous Labour government but scrapped by the coalition in 2010.
Criticism has also fallen on ministers for not capitalising on the London 2012 Olympics as it was promised to be a bounding board for a mass uptake in sports culture in order to make us more competitive in future generations whilst reaping the massive societal benefit to being healthier as a nation whilst taking the pressure off the NHS due to reducing illness born from sedentary lifestyles.
Sport leaders including the Youth Sport Trust and The Football Association released said in a joint statement that the Governments School Sport and Activity Action Plan "sets out some encouraging intentions and acknowledges the absolute priority of getting every young person enjoying 60 active minutes every day.
“It is also important that further policy change is brought forward. The success of the plan will ultimately hinge on how it is resourced.”
At a time when schools are considerably underfunded already the government has been asked to make some real changes by pledging to implement to sports coalitions suggestions and they have responded with a named action plan but it remains to be seen if this translates into a commitment of money to make something happen when school budgets are at an all time low. Watch this space.