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

Ewart 1998.

Study characteristics
Methods Study design: RCT
Participants Student inclusion criteria: after parental consent was obtained, all entering Grade 9 students were invited to participate in health screening. Girls with blood pressure in the top third of normal distribution for systolic or diastolic pressure were invited to participate
Student exclusion criteria:
Setting: school, home, urban
Age group: adolescents
Gender distribution: females
Country/Countries where trial was performed: USA
Interventions Intervention: 50‐minute 'Project Heart' aerobic exercise classes including didactic instruction over 18 weeks
Comparator: 50‐minute standard PE classes
Duration of intervention: 18 weeks
Duration of follow‐up: 18 weeks
Number of schools: 1
Theoretical framework: —
Outcomes BMI
Study registration
Publication details Language of publication: English
Funding: non‐commercial funding (RO1‐HL45139 from the National Heart, Lung, and Blood Institute to the first study author)
Publication status: peer‐reviewed journal
Stated aim for study "The present study evaluated the effectiveness of a school‐based aerobic exercise intervention, Project Heart, in increasing cardiorespiratory fitness and lowering blood pressure in adolescent girls at increased risk for hypertension"
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: randomisation process not reported
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 Unclear risk Comment: No information given; likely not done
Blinding of outcome assessment (detection bias)
All outcomes Low risk Comment: reported that technicians taking measurements were not aware of girls' experimental status
Incomplete outcome data (attrition bias)
Anthropometrics, Fitness Low risk Comment: outcome data complete
Selective reporting (reporting bias) Low risk Comment: all outcomes identified a priori were reported on