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summarize effects interventions designed promote physical activity elementary school recess children 5 10 years old effective school interventions children promote physical activity healthy behaviors pubmed scopus bireme scielo web science psychinfo proquest physical education index sports discus eric databases included data search original intervention articles physical activity used regression methods published 2000 2019 english portuguese spanish analyzed analyses performed 2019 outcomes organized according direction association independent variables ten articles considered eligible data extraction evaluation several strategies used including playground markings demarcation physical activities zones group activities availability sports equipment facilities studies conducted united states recess periods ranged 2094 min per day intervention time ranged 6 weeks 2 years recess duration intervention effects positively associated physical activity gender girls age oldest negatively associated physical activity recess interventions based modifications school environment playground markings demarcation physical activities zones group activities availability sports equipment facilities cheap costeffective increasing physical activity school recess