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. 2021 Sep 23;2021(9):CD007651. doi: 10.1002/14651858.CD007651.pub3

1. Overview of study populations.

Trial ID (design) Interventions and comparators Screened/eligible
(N) Randomised
(N) Finishing trial
(N) Randomised finishing trial
(%)
Breheny 2020 I: Daily Mile —/— 1153 1107 96.0
C: usual school routine 1127 1070 94.9
total:  2280 2177 95.5
Ketelhut 2020 I: high‐intensity interval training during PE —/— 22
C: usual PE 24
total: 46
Belton 2019 (cluster‐RCT) I: multi‐component PE, whole‐school and parent‐targeted intervention 564/534 275 123 44.7
C: usual care 259 126 48.6
total: 534 249 46.6
Corepal 2019 
(cluster‐RCT) I: pedometer challenge —/— 142 136 95.8
C: usual school 82 81 98.8
total:  224 217 96.9
Ickovics 2019 (cluster‐RCT) I1: PA school wellness policy —/756 413 330 79.9
I2: PA + nutrition school wellness policy
C1: nutrition school wellness policy 305 265 86.9
C2: delayed control
total: 718 595 82.9
Jago 2019 (cluster‐RCT) I: Action 3:30R after‐school PA club 1139/1125 170 113 66.5
C: — 165 139 84.2
total: 335 252 75.2
Leahy 2019 (cluster‐RCT) I: Burn2Learn, multi‐component high‐intensity interval training —/68 38 32 84.2
C: usual school activities 30 29 96.7
total: 68 61 89.7
Lonsdale 2019a
(cluster‐RCT) I: teacher PE training —/1806 693 630 90.9
C: standard teaching 728 628 86.3
total: 1421 1258 88.5
Müller 2019
(cluster‐RCT) I1: PA only 1009/944 265
I2: PA + health education
I3: PA + health education + nutrition
C1: health education + nutrition 398
C2: no PA
total: 944 663 70.2
Ordóñez Dios 2019 I: 2 x 45‐minute PE sessions per week and daily run —/— 45
C: 2 x 45‐minute PE sessions per week 44
total: 89
Seibert 2019 I: 4 core strategies to increase PA —/— 2495
C: usual PE 2399
total: 4894
Seljebotn 2019
(cluster‐RCT)
 
 
I: physically active lessons, active homework, physically active recess —/473 228 224 98.2
C: continued normal routine, approximately 135 minutes/week of PA 219 218 99.5
total: 447 442 98.9
Zhou 2019 
(cluster‐RCT) I1: modified PE —/—
  204 163 79.9
I2: after school PA programme 200 180 90.0
I3: modified PE and after school PA programme 178 168 94.4
C: regular PE  176 170 96.6
 total:  758 681 89.8
Adab 2018
(cluster‐RCT) I: 30 minutes of additional MVPA on each school day, cooking workshops, a 6‐week healthy eating programme, information sheets for families —/— 1134 660 58.2
C: ongoing Year 2 health‐related activities and education resources, excluding topics related to healthy eating and PA 1328 732 55.1
  total: 2462 1392 56.5
Carlin 2018
(cluster‐RCT) I: brisk walking intervention —/— 101 100 99.0
C: continued with normal PA habits 98 97 99.0
total: 199 197 99.0
Harrington 2018
(cluster‐RCT) I: support for PA, PE, and school sport culture and practices with support of the Youth Sport Trust and a hub school —/1753 867 735 84.8
C: usual practice of PE and sport 885 626 70.7
total: 1752 1361 77.7
Have 2018
(cluster‐RCT) I: active math lessons —/557 294 268 91.2
C: regular classroom instruction 211 182 86.3
total: 505 450 89.1
Pablos 2018
(cluster‐RCT) I: lunchtime extracurricular PA —/210 100 82 82.0
C: continued with daily activities 90 76 84.4
total: 190 158 83.2
Robbins 2018
(cluster‐RCT) I: an after school PA club, counselling, interactive Internet‐based sessions 4192/1543 766 706 92.2
C: no additional after school programming 777 680 87.5
total: 1543 1386 89.8
Siegrist 2018
(cluster‐RCT) I: weekly lifestyle lessons 792/— 331 243 73.4
C: usual activities 257 191 74.3
total: 588 434 73.8
Ten Hoor 2018
(cluster‐RCT) I: strength training and motivational interviewing —/808 353 262 74.2
C: usual curriculum 342 246 71.9
total: 695 508 73.1
Donnelly 2017
(cluster‐RCT) I: Academic Achievement and Physical Activity Across the Curriculum lessons, 160 minutes/week of MVPA —/698 316 244 77.2
C: traditional classroom instruction and typical PE schedule 268 204 76.1
total: 584 448 76.7
Farmer 2017
(cluster‐RCT) I: school‐specific playground action plan —/— 812 344 42.4
C: no change to school play spaces 851 325 38.2
total: 1663 669 40.2
Sutherland 2017
(cluster‐RCT) I: modified Supporting Children's Outcomes using Rewards, Exercise and Skills programme —/1959 571
C: delivered school PA practices according to the curriculum 568
total: 1139
Torbeyns 2017 (RCT) I: cycling desks —/— 28 21 75.0
C: no lifestyle change 28 23 82.1
total: 56 44 78.6
Daly 2016
(cluster‐RCT) I: specialist‐taught PE intervention —/— 457 273 59.7
C: usual PE programme 396 267 67.4
total: 853 540 63.3
de Greeff 2016
(cluster‐RCT) I: physically active mathematics and language lessons —/— 181
C: usual curriculum 195
total: 388 376 96.9
Drummy 2016
(cluster‐RCT) I: teacher‐led activity break —/150 54
C: normal daily routine 53
total: 120 107 89.2
Jarani 2016
(cluster‐RCT) I1: group circuit training‐based PE —/767 261 253 96.9
I2: games‐based PE 251 243 96.8
C: traditional PE school 255 240 94.1
total: 767 736 96.0
Kocken 2016
(cluster‐RCT) I: theory and practical lessons on nutrition and PA —/— 615 367 59.7
C: regular school programme or curriculum on nutrition and PA 497 496 99.8
total: 1112 863 77.6
Lau 2016 (RCT) I: Xbox 260 Kinect gaming sessions after school 152/84 40 40 100.0
C: regular PA and PE class 40 40 100.0
total: 80 80 100.0
Resaland 2016
(cluster‐RCT) I: physically active Norwegian, mathematics, and English lessons on the playground; PA breaks and PA homework 1395/1202 620 593 95.6
C: curriculum‐prescribed PE and PA 582 530 91.1
total: 1202 1123 93.4
Sutherland 2016
(cluster‐RCT) I: 7 PA intervention strategies and 6 implementation strategies —/1468 696 250 35.9
C: only measurement components of the trial: regular PA and PE 537 191 35.6
total: 1233 441 35.8
Tarp 2016
(cluster‐RCT) I: 60 minutes of PA during schooltime, PA homework 869/855 215 194 90.2
C: normal practice 490 438 89.4
total: 705 632 89.6
Cohen 2015
(cluster‐RCT) I: teacher learning, PA policies, school‐community linkages —/— 199 166 83.4
C: usual PE and school sport programmes 261 217 83.1
total: 460 383 83.3
Jago 2015
(cluster‐RCT) I: after school dance classes —/663 284
C: provided data only 287
total: 571 508 89.0
Madsen 2015
(cluster‐RCT) I: nutrition education curriculum, Playworks structured recess before or after school activities, PA and games implemented by teachers —/— 583 446 76.5
C: — 296 230 77.7
total: 879 676 76.9
Muros 2015
(cluster‐RCT) I1: extracurricular PA sessions 242/162 28 28 100.0
I2: PA and nutrition 21 21 100.0
I3: PA and nutrition and extra virgin olive oil during the final month 25 25 100.0
C1: nutrition and lifestyle education sessions 41 41 100.0
C2: usual activities
total: 135 135 100.0
Suchert 2015
(cluster‐RCT) I: multi‐level intervention targeting students, classrooms, schools, and parents —/1489 790 702 88.9
C: no intervention 506 460 90.9
total: 1296 1162 89.7
Andrade 2014
(cluster‐RCT) I: ACTIVITAL individual‐ and environment‐based intervention —/— 700 550 78.6
C: standard curriculum 740 533 72.0
total: 1440 1083 75.2
Jago 2014
(cluster‐RCT) I: Action 3:30 activity club —/— 284 153 53.9
C: schools provided data only 255 157 61.6
total: 539 310 57.5
Kipping 2014
(cluster‐RCT) I: PA education intervention 2242/2221 1064
C: continued standard education provision 1157
total: 2221 1252 56.4
Kobel 2014
(cluster‐RCT) I: teacher training, PA education, active breaks 3159/1968
C: no intervention
total: 1964 1724 87.8
Martinez‐Vizcaino 2014 (cluster‐RCT) I: MOVI‐2 extracurricular PA programme —/— 769 420 54.6
C: standard PE curriculum 823 492 59.8
total: 1592 912 57.3
Nogueira 2014
(cluster‐RCT) I: high‐intensity capoeira sessions 341/339 185 176 95.1
C: usual school activities 154 135 87.7
total: 339 138 40.7
Santos 2014
(cluster‐RCT) I: healthy buddies, healthy living lessons, structured aerobic exercise —/— 340 310 91.2
C: standard curriculum 347 273 78.7
total: 687 583 84.9
Toftager 2014
(cluster‐RCT) I: physical and organisational environmental changes —/— 623 551 88.4
C: — 725 608 83.9
total: 1348 1159 86.0
Fairclough 2013
(cluster‐RCT) I: weekly lesson plans, worksheets, homework tasks, lesson resources 420/318 166 117 70.5
C: normal instruction 152 89 58.6
total: 318 196 61.6
Ford 2013 (RCT) I: accumulated brisk walking programme —/174 77
C: normal school lessons 75
total: 174 152 87.4
Grydeland 2013
(cluster‐RCT) I: structured lessons, PA breaks, PA promotion —/— 784 519 66.2
C: — 1381 945 68.4
total: 2165 1464 67.6
Melnyk 2013
(cluster‐RCT) I: goal‐setting, education, PA homework 1560/807 374 286 76.5
C: Healthy Teens attention control curriculum was intended to promote knowledge of common adolescent health topics and health literacy 433 341 78.8
total: 807 627 77.7
Sacchetti 2013
(cluster‐RCT) I: daily PA in schoolyard and classroom 521/521 247 212 85.8
C: standard programme of PE 250 216 86.4
total: 497 428 86.1
Siegrist 2013
(cluster‐RCT) I: JuvenTUM educational and environmental intervention —/902 486 427 87.9
C: continued with usual school activities 340 297 87.4
total: 826 724 87.7
Aburto 2011
(cluster‐RCT) I1: basic intervention of environmental and policy‐level changes —/— 262 241 92.0
I2: plus intervention adding additional resources and daily morning exercise 264 242 91.7
C: no change to standard practices 338 216 63.9
total: 864 699 80.9
Ardoy 2011
(cluster‐RCT) I1: 4 sessions/week of PE 70/67 26 25 96.2
I2: 4 sessions/week of PE with emphasis on increasing intensity 23 23 100.0
C: 2 sessions/week of PE 18 18 100.0
total: 67 66 98.5
de Heer 2011
(cluster‐RCT) I: Bienstar intervention of health education and 45 to 60 minutes of after school PA 1720/901 292 242 82.9
C1: Grade 4 health workbooks and incentives 251 236 94.0
C2: spillover control group 354 326 92.1
total: 897 804 89.6
Jago 2011
(cluster‐RCT) I: education, social marketing, food environment, PE curriculum, equipment provision —/11158 5571 2060 37.0
C: recruitment and data collection only 5587 2003 35.9
total: 11158 4063 36.4
Jansen 2011
(cluster‐RCT) I: 3 PE sessions/week, additional after school sport and play, classroom education, parent health promotion —/— 1271 1149 90.4
C: continued with usual curriculum 1499 1267 84.5
total: 2770 2416 87.2
Magnusson 2011
(cluster‐RCT) I: students engaged in PA during PE lessons, during recess, and during classes; schools had access to PA equipment to use in school lessons; teaching materials promoting PA were provided —/321 151 138 91.4
C: followed the general PA curriculum 170 116 68.2
total: 321 254 79.1
Okely 2011
(cluster‐RCT) I: PA action plan —/1769 771 566 73.4
C: continuation of usual programmes 747 633 84.7
total: 1518 1199 79.0
Thivel 2011
(cluster‐RCT) I: 120 minutes of additional supervised PE —/— 229 229 100.0
C: habitual 2 hours of PE/week 228 228 100.0
total: 457 457 100.0
Wilson 2011
(cluster‐RCT) I: Active by Choice Today programme, PA homework, in‐school PA, motivational skills training   729 673 92.3
C: General Health Education Programme 693 635 91.6
total: 1422 1308 92.0
Kriemler 2010
(cluster‐RCT) I: 2 additional 45‐minute PE lessons/week, activity breaks, PA homework   305 297 97.4
C: usual mandatory PE lessons 235 205 87.2
total: 540 502 93.0
Neumark‐Sztainer 2010
(cluster‐RCT) I: New Moves curriculum (nutrition and self‐empowerment, motivational interviewing, lunch meetings, parent outreach) 687 182 177 97.3
C: participation in all‐girls PE class 174 159 91.4
total: 356 336 94.4
Angelopoulos 2009
(cluster‐RCT) I: educational intervention covering self‐esteem, body image, nutrition, PA, fitness, and environmental issues, with motivational methods to increase knowledge, skills, self‐efficacy, self‐monitoring, and social influence   321
C: — 325
total: 646
Donnelly 2009
(cluster‐RCT) I: 90 minutes/week of moderate to
vigorous physically active academic
lessons   814 792 97.3
C: regular classroom instruction 713 698 97.9
total: 1527 1490 97.6
Dorgo 2009
(cluster‐RCT) I1: PE manual resistance training programme   141 93 66.0
I2: PE manual resistance training plus
cardiovascular endurance training
C: regular PE programme that followed
the usual school curriculum 232 129 55.6
total: 373 222 59.5
Gentile 2009
(cluster‐RCT) I: 'Switch' programme: promoted
healthy lifestyles targeting family,
school, and community   670
C: no intentional exposure to the Switch programme 653
total: 1323 1029 77.8
Neumark‐Sztainer 2009
(cluster‐RCT) I: after school theatre sessions, booster
sessions, family outreach   56 51 91.1
C: a theatre‐based control condition 52 45 86.5
total: 108 96 88.9
Peralta 2009 (RCT) I: curriculum and peer‐facilitated
lunchtime PA session, parent newsletters   16 16 100.0
C: PA curriculum 17 16 94.1
total: 33 32 97.0
Walther 2009
(cluster‐RCT) I: 1 unit of physical exercise (45 minutes)
with at least 15 minutes of endurance
training/school day, plus
lessons on healthy lifestyle once/
month   112 109 97.3
C: German standards, 2 units (each 45
minutes) of PE/week, 12 units (45 minutes/
unit) of high‐level endurance exercise
training/week plus participation
in competitive sporting events   76 73 96.1
total: 188 182 96.8
Reed 2008
(cluster‐RCT) I: Action Schools!BC whole‐school PA
approach   178 156 87.6
C: regular programme of PE and
school‐based PA   90 81 90.0
total: 268 237 88.4
Salmon 2008
(cluster‐RCT) I: 1, 2, 3 behavioural modification group; fundamental motor skills group; combined behavioural modification and fundamental motor skills group   233 213 91.4
C: usual classroom lessons   62 55 88.7
total: 295 268 90.8
Wang 2008
(cluster‐RCT) I: 'FitKid' after school intervention sessions   603 260 43.1
C: —   584 265 45.4
total: 1187 525 44.2
Webber 2008
(cluster‐RCT) I: health education lessons to enhance
behavioural skills known to influence
PA participation (self‐monitoring, setting
goals for behaviour change)  
C: —  
total: 3502 3378 96.5
Weeks 2008 (RCT) I: directed jumping activity at the beginning
of every PE class   52 43 82.7
C: regular PE warm‐ups and stretching
at the beginning of every PE class   47 38 80.9
total: 99 81 81.8
Barbeau 2007 (RCT) I: after school PA programme   81
C: —   84
total:
Williamson 2007
(cluster‐RCT) I: Healthy Eating and Exercise programme
to increase PA during the school day and at home   313 282 90.1
C: Alcohol/Drug/Tobacco abuse prevention
programme   348 304 87.4
total: 661 586 88.7
Haerens 2006
(cluster‐RCT) I1: a computer‐tailored intervention
to increase MVPA to 60 minutes/d, increase
fruit consumption, increase water
consumption, and reduce fat   2105
I2: group 1 plus parental involvement  
C: no PA and nutrition intervention   735
total: 2840 2434 85.7
Young 2006 (RCT) I: PE curriculum taught 5 days/week
and family   116 111 95.7
C: standard PE class   105 99 94.3
total: 221 210 95.0
Bayne‐Smith 2004 (RCT) I: Physical Activity and Teenage Health
programme, education sessions plus
20 to 25 minutes of PA   310
C: same frequency or duration of PE
classes, but without lecture or discussion   132
total: 442
Simon 2004
(cluster‐RCT) I: an educational component focusing
on PA and sedentary behaviours and
new opportunities for PA during and
after school hours   475 —
 
C: —   479
total: 1046 954 91.2
Trevino 2004
(cluster‐RCT) I: health programming regarding 3
health behaviour messages associated
with diabetes mellitus control and
goal‐setting   969 619 63.9
C: —   1024 602 58.8
total: 1993 1221 61.3
Stone 2003
(cluster‐RCT) I: food service, skills‐based classroom
curricula, family, and PE   879 644 73.3
C: —   825 653 79.2
total: 1704 1297 76.1
Burke 1998
(cluster‐RCT) I1: standard PA and nutrition programme
including classroom lessons,
fitness sessions daily, and nutrition
programme  
I2: I1 plus a PA enrichment programme
for higher‐risk children  
C: no programme  
total: 800 720 90.0
Ewart 1998 (RCT) I: 50‐minute 'Project Heart' aerobic exercise classes   45 44 97.8
C: 50‐minute standard PE classes   54 44 81.5
total: 99 88 88.9
Luepker 1996
(cluster‐RCT) I1: school food service modifications,
PE interventions, and Child and Adolescent
Trial for Cardiovascular Health
curricula   3651 3297 90.3
I2: I1 plus a family‐based programme  
C: usual health curricula, PE, and food
service programmes   1455 722 49.6
total: 5106 4019 78.7
Bush 1989
(cluster‐RCT) I1: 'Know Your Body' curriculum focusing
on nutrition, fitness, prevention of
smoking, a personalised health screening,
and results on a 'health passport'
for parentsg  
I2: 'Know Your Body' curriculum and
health screening, but students do not
receive the results of their screening;
only parents receive the results  
C: health screening only  
total: 892 431 48.3
Walter 1988
(cluster‐RCT) I: special curriculum targeting voluntary
changes in risk behaviour in the
areas of diet, PA, and smoking — / 3388 2075 1104 53.2
C: — 1313 665 50.6
total: 3388 1769 52.2
Grand total All interventions   46 073 28 089  
All comparators 40 566 23 639
All interventions and comparators b 96 740 66 752

—: denotes not reported.

aFollow‐up under randomised conditions until end of trial (= duration of intervention + follow‐up post intervention or identical to duration of intervention); extended follow‐up refers to follow‐up of participants once the original trial was terminated as specified in the power calculation.

bNote that numbers from all interventions and all interventions and comparators are greater than the sum of interventions only and comparators only, as some studies reported only the total number of included participants and did not note numbers within each group.

C: comparator; I: intervention; MVPA: moderate to vigorous physical activity; NA: not applicable; PA: physical activity; PE: physical education; RCT: randomised controlled trial.