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

Weeks 2008.

Study characteristics
Methods Study design: RCT
Participants Student inclusion criteria: students of sound general health, fully ambulatory, with written consent of a parent or guardian
Student exclusion criteria: metabolic bone disease, endocrine disorder, or chronic renal pathology; taking medications known to affect bone; recovering from lower limb fracture or other immobilised injury; were affected by any condition not compatible with PAs likely to raise heart rate for up to 10 minutes
Setting: school
Age group: adolescents
Gender distribution: females and males
Country/Countries where trial was performed: Australia
Interventions Intervention: 10 minutes of directed jumping activity at the beginning of every PE class (twice/week). Activities designed to apply loads to the skeleton at high strain magnitude, frequency, and rate; included jumps, hops, tuck‐jumps, jump‐squats, stride jumps, star jumps, lunges, side lunges, and skipping. Jumps were occasionally supplemented with upper body strengthening activities, including pushups and exercises with resistive latex bands (AusBand; Ausmedic Australia)
Comparator: regular PE warm‐ups and stretching directed by the usual PE teacher at the beginning of every PE class (twice/week). Activities focused on improving flexibility and general preparedness for PA without specifically loading the skeleton at higher rates than normal, including: brisk walking, light jogging, and stretching
Duration of intervention: 8 months
Duration of follow‐up: 8 months
Number of schools: 1
Theoretical framework: —
Outcomes BMI
Study registration
Publication details Language of publication: English
Funding:
Publication status: peer‐reviewed journal
Stated aim for study "The aim of the Preventing Osteoporosis With Exercise Regimes in Physical Education study was to determine the effect of a practical, evidence‐based exercise regimen (10 min of jumping activity twice/week for 8 months) on parameters of bone and muscle strength in healthy adolescent boys and girls in comparison with age‐ and sex‐matched controls"
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Comment: block randomisation using a list produced by a random number generator [author communication]
Allocation concealment (selection bias) Low risk Comment: all participants were allocated at a single point in time following recruitment, so at time of recruitment, allocation was not known
Blinding of participants and personnel (performance bias)
All outcomes High risk Comment: participants not blinded
Blinding of outcome assessment (detection bias)
All outcomes Low risk Comment: most of the assessment process was blinded, except dual‐energy X‐ray absorptiometry measures [author communication]
Incomplete outcome data (attrition bias)
Anthropometrics, Fitness High risk Comment: intention‐to‐treat analysis was not completed on outcomes of interest
Selective reporting (reporting bias) Unclear risk Comment: no protocol published; cannot assess