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Evaluation of a Physical Activity and Multi-Micronutrient Intervention on Cognitive and Academic Performance in South African Primary Schoolchildren.

ABSTRACT: Executive functions (EFs) are essential for optimal academic development. Appropriate nutrition and physical activity (PA) have been shown to facilitate optimal cognitive development. Therefore, this study examined whether a 12-week school-based PA and multi-micronutrient supplementation (MMNS) intervention would improve cognitive and academic performance. A cluster-randomized controlled trial (RCT) was conducted. Children from four schools located in a peri-urban area of South Africa were randomly assigned to (i) PA + MMNS, (ii) PA + placebo, (iii) MMNS or (iv) placebo. Information processing and inhibitory control were measured with a computerized Flanker task. End-of-year results provided insight into academic achievement. Anthropometric measures were used to determine nutritional status. Data were analyzed with linear mixed-models, adjusting for baseline scores, school classes and age; 932 children (458 girls (49.1%), M_age (mean age) = 8.42 ± 1.94 years) completed baseline and post-intervention assessments. Cognitive performance improved among all four groups, with no significant group × time effects. For academic achievement, there was no significant interaction effect between the combined intervention group and placebo. We encourage future studies in this neglected area in order to determine the most optimal design of school-based nutrition and PA programs to enhance overall cognitive performance.

SUBMITTER: Beckmann J

PROVIDER: S-EPMC9268611 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:Enhanced levels of cardio-respiratory fitness (CRF) and physical activity (PA) are both positively associated with health and academic outcomes, but less is known about the spatial processing and perceptual components of PA. Perception of vertical (PV) is a spatial orientation ability that is important for PA, and is usually measured as relative accuracy in aligning an object to gravitational vertical against a tilted background. However, evidence is inconclusive regarding the relationship of PV to educational outcomes - most importantly, numeracy. Students were recruited from primary schools in the Australian Capital Territory. A group of 341 (females n = 162, mean age 11.3 years) children performed all the tests required for this study. A computerised rod and frame test of PV employing a small (20°) visual angle was administered, and socio-economic status (SES), national education test results (NAPLAN, 2010), and CRF and PA data were collected. Correlation and hierarchical regression analysis were used to examine the inter-relationships between PV and CRF, PA, SES and NAPLAN results. The two extreme quartile score groups from the measures of PV, PA and CRF were examined in relation to NAPLAN scores. PV scores arising from testing with a small visual angle and SES were found to be significantly associated with overall academic scores, and with the Numeracy, Reading, and Writing components of academic performance. Female gender was significantly associated with Writing score, and male with Numeracy score. Being less influenced by the background tilted frame, and therefore having visual field independence (FI), was associated with significantly higher academic scores, with the largest effect in Numeracy scores (effect size, d = 0.82) and also associated with higher CRF and PA levels. FI was positively associated with all the academic modules examined, and most strongly with Numeracy test results, suggesting that FI provides an indicator of STEM ability. These findings suggest that further longitudinal research into strategies designed to enhance visual FI deserve consideration, with a focus on specialized PA programs for pre-pubescent children. It is possible that small visual angle spatial tasks during PA may stimulate neural networks involved in numerical cognition.

Project description:BackgroundIn low- and middle-income countries, infectious diseases remain a key public health issue. Additionally, non-communicable diseases are a rapidly growing public health problem that impose a considerable burden on population health. One way to address this dual disease burden, is to incorporate (lifestyle) health promotion measures within the education sector. In the planned study, we will (i) assess and compare physical activity, physical fitness, micronutrient status, body composition, infections with soil-transmitted helminths, Schistosoma mansoni, malaria, inflammatory and cardiovascular health risk markers, cognitive function, health-related quality of life, and sleep in schoolchildren in Côte d'Ivoire, South Africa and Tanzania. We will (ii) determine the bi- and multivariate associations between these variables and (iii) examine the effects of a school-based health intervention that consists of physical activity, multi-micronutrient supplementation, or both.MethodsAssuming that no interaction occurs between the two interventions (physical activity and multi-micronutrient supplementation), the study is designed as a cluster-randomised, placebo-controlled trial with a 2?×?2 factorial design. Data will be obtained at three time points: at baseline and at 9?months and 21?months after the baseline assessment. In each country, 1320 primary schoolchildren from grades 1-4 will be recruited. In each school, classes will be randomly assigned to one of four interventions: (i) physical activity; (ii) multi-micronutrient supplementation; (iii) physical activity plus multi-micronutrient supplementation; and (iv) no intervention, which will serve as the control. A placebo product will be given to all children who do not receive multi-micronutrient supplementation. After obtaining written informed consent from the parents/guardians, the children will be subjected to anthropometric, clinical, parasitological and physiological assessments. Additionally, fitness tests will be performed, and children will be invited to wear an accelerometer device for 7?days to objectively assess their physical activity. Children infected with S. mansoni and soil-transmitted helminths will receive deworming drugs according to national policies. Health and nutrition education will be provided to the whole study population independently of the study arm allocation.DiscussionThe study builds on the experience and lessons of a previous study conducted in South Africa. It involves three African countries with different social-ecological contexts to investigate whether results are generalisable across the continent.Trial registrationThe study was registered on August 9, 2018, with ISRCTN. https://doi.org/10.1186/ISRCTN29534081.

Project description:Researching the relationship between physical activity and academic performance is becoming an important research topic due to increasing evidence about the positive effect of physical activity on cognitive functioning. The present systematic review and meta-analysis (PROSPERO registration number: CDR132118) is a unique contribution to the recently published reviews since it only includes interventions longer than 6 weeks and acknowledges the influence of the qualifications of practitioners who deliver interventions. After identifying 14,245 records in five databases and selecting 247 full-text articles assessed for eligibility, 44 interventions passed all eligibility criteria. This meta-analysis uses validity generalization in a random effects model, which shows that academic performance itself is not solely caused by increased physical activity. The weighted mean population effect of all included interventions was rw = 0.181. Most of the studies had serious limitations since they did not report physical activity intensity, which is an essential component to achieving positive exercise effects on cognition. In addition, the qualifications of the staff who administer the interventions were largely ignored in existing literature. It was found that 13 out of 20 physical activity interventions with significant positive effects on academic performance were performed by practitioners who held higher qualifications in the field of physical education and exercise science, who could mediate higher physical activity intensities of the given interventions. The population effect in studies where interventions were administered by practitioners with lower qualifications in the field (rw = 0.14) was lower compared to interventions performed by staff with higher qualifications (rw = 0.22). There was also a significant difference in academic performance with regard to staff qualification level (? = 4.464; p = 0.035). In addition to activity duration, future physical activity intervention studies including those investigating academic performance should focus on the importance of physical activity intensity and include measures of physical fitness as objective indicators to enable more reliable analyses to establish physical activity influence on academic performance.

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Evaluation of a Physical Activity and Multi-Micronutrient Intervention on Cognitive and Academic Performance in South African Primary Schoolchildren.

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