Irene R Mremi, Calvin Sindato, Coleman Kishamawe, Susan F Rumisha, Sharadhuli I Kimera, Leonard E G Mboera
Improving disease surveillance data analysis, interpretation, and use at the district level in Tanzania
Global health action
date scant literature examines recess context concurrent separate levels physical activity primary purpose current study examine recess quality impacted physical activity levels moderated gender secondary purpose examine differences childrens engagement activities occurred recess sessions scored low high quality observational study children 13 urban elementary schools us across 13 schools data collected 55 recess sessions 3419 childlevel observations n 1696 boys n 1723 girls physical activity data collected using fitbit accelerometers recess quality data collected using great recess framework observational tool grfot recess engagement data collected using observation playground play opp basic psychological need satisfaction bpns data collected using modified version bpns recess physical activity survey primary analyses conducted using hierarchical linear modeling hlm children nested within recess sessions gender moderated relationship adult engagement moderatetovigorous physical activity mvpa b 012 95 ci 001 024 student behavior mvpa b 014 95 ci 021 007 student behaviors light physical activity b 009 95 ci 003 015 boys girls engaged play recess sessions scored high quality grfot children reported higher levels basic psychological need satisfaction recesses sessions scored high quality grfot results current study showed quality recess environment interactions adults students environment need taken consideration future schoolbased recess studies