The aim of this study is to examine the effects of a kindergarten-based, parent-involved intervention during the upper kindergarten year (K3) on physical activity and physical fitness in preschool children.
This study is a two-arm cluster randomized controlled trial. Kindergartens will be randomly allocated to two groups: the usual care group and the intervention group. The usual care group will continue with their usual curriculum, which includes 30 minutes of daily physical activity stipulated by the Hong Kong SAR Government's Education Bureau. The intervention group will receive an additional 2.5 hours of physical activity per week in addition to the stipulated 30 minutes of daily physical activity. Outcome measures will be examined at baseline, 10 months (post-intervention), and 16 months (follow-up).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
3,300
30 minutes of physical activity on each school day.
Additional 2.5 hours of physical activity per week in addition to the stipulated 30 minutes of daily physical activity.
LKS Faculty of Medicine
Hong Kong, Hong Kong
RECRUITINGChange in Physical Activity
Physical activity will be assessed using an actigraph device with a three-axis accelerometer.
Time frame: Baseline and 10 months
Change in Cardiorespiratory Fitness
Cardiorespiratory fitness will be assessed using the 20-meter shuttle run test.
Time frame: Baseline and 10 months
Change in Physical Activity
Physical activity will be assessed using an actigraph device with a three-axis accelerometer.
Time frame: Baseline and 16 months
Change in Cardiorespiratory Fitness
Cardiorespiratory fitness will be assessed using the 20-meter shuttle run test.
Time frame: Baseline and 16 months
Change in Muscular Strength
Muscular strength will be assessed using a handgrip dynamometer.
Time frame: Baseline, 10 months, and 16 months
Change in Flexibility
Flexibility will be assessed using the sit-and-reach test.
Time frame: Baseline, 10 months, and 16 months
Change in Agility
Agility will be assessed using a 4 x 10-meter shuttle run test.
Time frame: Baseline, 10 months, and 16 months
Change in Balance Ability
Balance ability will be assessed by the number of successful steps performed on a balance beam.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: Baseline, 10 months, and 16 months
Change in Muscle Power
Muscle power will be assessed using a vertical jump and a stationary long jump test.
Time frame: Baseline, 10 months, and 16 months
Change in Body Mass Index
Weight and height will be assessed using a calibrated electronic digital weighing scale and stadiometer respectively.
Time frame: Baseline, 10 months, and 16 months
Change in Waist Circumference
Waist circumference will be assessed using an inelastic measuring tape to the nearest 0.1cm.
Time frame: Baseline, 10 months, and 16 months
Change in Body Fat
Body fat will be assessed using a bioelectrical impedance-based multi-frequency segmental body composition analyzer (MC780, Tanita, Japan).
Time frame: Baseline, 10 months, and 16 months
Change in Fat-Free Mass
Fat-free mass will be assessed using a bioelectrical impedance-based multi-frequency segmental body composition analyzer (MC780, Tanita, Japan).
Time frame: Baseline, 10 months, and 16 months
Change in Sedentary Behavior and Screen Time
Sedentary behavior and screen time will be assessed using a 7-day activities logbook and accelerometer data.
Time frame: Baseline, 10 months, and 16 months
Change in Treatment Self-Regulation Questionnaire Score
Treatment Self-Regulation Questionnaire (TSRQ) will be used to assess the children's autonomous motivation and beliefs on active healthy lifestyles. The items in TSRQ will be answered on a 3-point Likert scale with a higher score corresponding to greater autonomous motivation.
Time frame: Baseline, 10 months, and 16 months
Change in Theory of Planned Behavior Scale Score
Theory of Planned Behavior Scale (TPBS) will be used to assess the children's social cognitive beliefs of health and physical activity behavior. The items in TPBS will be answered on a 3-point Likert scale with a higher score corresponding to a greater willingness to engage in the mentioned behaviors.
Time frame: Baseline, 10 months, and 16 months
Change in Kiddy-KINDL
Kiddy-KINDL will be used to assess the health-related quality of life in children.
Time frame: Baseline, 10 months, and 16 months
Change in Early Development Instrument
Early Development Instrument (EDI) will be used to assess the children's general well-being.
Time frame: Baseline, 10 months, and 16 months